FOR INTERPRETATION ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED
ANSWERS|AGRADE
A patient becomes apneic and pulseless. The monitor shows asystole. The drug that would most likely be
used initially is:
1. verapamil
2. atropine
3. epinephrine
4. amiodarone - answer-Epinephrine
The antidote for heparin is:
1. Protamine sulfate
2. Narcan
3. Glucagone hydrochloride
4. vitamin K - answer-Protamine sulfate
The most important step in preventing central venous catheter related sepsis is:
1. Use of a transparent membrane dressing
2. Scrubbing access ports with alcohol
3. using antibiotic ointment under the dressing
4. thorough hand washing - answer-Thorough hand washing
An excessive amount of chest tube drainage in the first few hours following thoracic surgery is how many
ml's per hour?
1. 150
2. 75
3. 50
,4. 30 - answer-150
A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mm Hg, pCO2 of 38 mm
Hg, and HCO3 of 25 mEq. These results reflect:
1. metabolic acidosis
2. metabolic alkalosis
3. normal values
4. respiratory compensation - answer-normal values
Before suctioning a patient, you adjust the vacuum pressure so that it is:
1. 150 mm Hg of vacuum pressure
2. as high as needed to effectively remove secretions
3. 120 mm Hg of vacuum pressure
4. no higher than the diastolic blood pressure - answer-120 mm Hg of pressure
Your post-operative patient has a left anterior chest tube. When you auscultate the lung fields bilaterally,
you hear diminished breath sounds in the right posterior base. This would most likely be due to:
1. pleuritis
2. consolidation
3. the chest tube
4. atelectasis - answer-atelectasis
Your patient is on a ventilator. The low volume alarm sounds. This may be due to:
1. pulmonary edema
2. increasing secretions
3. a disconnected tube
4. biting the tube - answer-a disconnected tube
, To assess proper positioning of an endotracheal tube, the most appropriate nursing action would be to:
1. check for a change in the respiratory rate
2. listen for bilateral breath sounds
3. check for chest expansion
4. listen for minimal leak of the cuff - answer-Listen for bilateral breath sounds
Mr. Ray has an endotracheal tube. While you are making rounds, you ask if his breathing is okay. In an
audible tone, he says "yes". You should first:
1. raise the head of the bed
2. ask the patient to cough
3. notify the physician
4. check the functioning of the cuff - answer-check the functioning of the cuff
The high pressure alarm on a volume respirator will not be triggered by which response below?
1. biting on the tube
2. pulmonary edema
3. leaking cuff
4. decreased lung compliance - answer-leaking cuff
The most important reason for diminishing breath sounds in a motor vehicle crash victim with closed
chest trauma is:
1. chest pain when breathing normally
2. a pulmonary bleed
3. development of a pneumothorax
4. cervical spinal-cord injury - answer-Development of a pneumothorax
A moderately burned trauma patient is admitted to your unit. The most important treatment related to
the burns during the first 24 hours after injury is:
1. fluid replacement