Wilkins clinical assessment in respiratory care 8th edition
by Huber, Complete Guide.
ECGs are useful to evaluate all of the following except:
a. Impact of lung disease on the heart
b. Pumping ability of the heart
c. Severity of the myocardial infarction
d. Heart rhythm - Correct answer-b. Pumping ability of the heart
What clinical findings are most suggestive of the need for an ECG?
,a. Headache and flulike symptoms
b. Orthopnea and chest pain
c. Fever and cough
d. Joint pain and swelling - Correct answer-b. Orthopnea and chest pain
For an adult, what is the normal intrinsic rate of the heart's primary pacemaker?
a. 90 to 110 beats/min
b. 60 to 100 beats/min
c. 40 to 80 beats/min
d. 40 to 60 beats/min - Correct answer-b. 60 to 100 beats/min
What is the normal intrinsic rate of the heart's secondary pacemaker?
a. 80 to 100 beats/min
b. 60 to 100 beats/min
c. 40 to 60 beats/min
d. 30 to 40 beats/min - Correct answer-c. 40 to 60 beats/min
What does the P wave on the ECG recording represent?
a. Atrial depolarization
b. Atrial repolarization
c. Ventricular depolarization
d. Ventricular repolarization - Correct answer-a. Atrial depolarization
1. What is the preferred site for insertion of an arterial catheter for continuous pressure monitoring?
a. Femoral artery
b. Brachial artery
c. Radial artery
d. Ulnar artery - Correct answer-ANS: c
, 2. A patient with which of the following conditions is least likely to need placement of an indwelling
arterial catheter?
a. Septic shock
b. Cardiogenic shock
c. ARDS
d. Pneumonia - Correct answer-ANS: d
3. Just after insertion of a radial arterial catheter, you note that the pressure waveform appears
dampened. All connecting tubing is secure and free of air. Which of the following actions is appropriate
at this time?
a. Remove the catheter and cannulate the other wrist
b. Increase the sensitivity setting on the monitor
c. Withdraw and then reinject 5 mL of blood
d. Reposition the catheter while observing the waveform - Correct answer-ANS: d
4. The dicrotic notch on the arterial pressure waveform represents closure of which of the following
heart valves?
a. Pulmonic
b. Aortic
c. Tricuspid
d. Mitral - Correct answer-ANS: b
5. Which of the following will cause a tall, narrow arterial pressure waveform?
a. A stiff aorta
b. Vasodilation
c. Mitral valve stenosis
d. Ventricular hypertrophy - Correct answer-ANS: a
6. What change in the arterial pressure waveform is normally seen with respiration?
a. A large decrease with inspiration
by Huber, Complete Guide.
ECGs are useful to evaluate all of the following except:
a. Impact of lung disease on the heart
b. Pumping ability of the heart
c. Severity of the myocardial infarction
d. Heart rhythm - Correct answer-b. Pumping ability of the heart
What clinical findings are most suggestive of the need for an ECG?
,a. Headache and flulike symptoms
b. Orthopnea and chest pain
c. Fever and cough
d. Joint pain and swelling - Correct answer-b. Orthopnea and chest pain
For an adult, what is the normal intrinsic rate of the heart's primary pacemaker?
a. 90 to 110 beats/min
b. 60 to 100 beats/min
c. 40 to 80 beats/min
d. 40 to 60 beats/min - Correct answer-b. 60 to 100 beats/min
What is the normal intrinsic rate of the heart's secondary pacemaker?
a. 80 to 100 beats/min
b. 60 to 100 beats/min
c. 40 to 60 beats/min
d. 30 to 40 beats/min - Correct answer-c. 40 to 60 beats/min
What does the P wave on the ECG recording represent?
a. Atrial depolarization
b. Atrial repolarization
c. Ventricular depolarization
d. Ventricular repolarization - Correct answer-a. Atrial depolarization
1. What is the preferred site for insertion of an arterial catheter for continuous pressure monitoring?
a. Femoral artery
b. Brachial artery
c. Radial artery
d. Ulnar artery - Correct answer-ANS: c
, 2. A patient with which of the following conditions is least likely to need placement of an indwelling
arterial catheter?
a. Septic shock
b. Cardiogenic shock
c. ARDS
d. Pneumonia - Correct answer-ANS: d
3. Just after insertion of a radial arterial catheter, you note that the pressure waveform appears
dampened. All connecting tubing is secure and free of air. Which of the following actions is appropriate
at this time?
a. Remove the catheter and cannulate the other wrist
b. Increase the sensitivity setting on the monitor
c. Withdraw and then reinject 5 mL of blood
d. Reposition the catheter while observing the waveform - Correct answer-ANS: d
4. The dicrotic notch on the arterial pressure waveform represents closure of which of the following
heart valves?
a. Pulmonic
b. Aortic
c. Tricuspid
d. Mitral - Correct answer-ANS: b
5. Which of the following will cause a tall, narrow arterial pressure waveform?
a. A stiff aorta
b. Vasodilation
c. Mitral valve stenosis
d. Ventricular hypertrophy - Correct answer-ANS: a
6. What change in the arterial pressure waveform is normally seen with respiration?
a. A large decrease with inspiration
