RNA 805 quiz 2 Questions AND Correct Answers
A 70 Kg patient has a hematocrit of 30% and a hemoglobin of 10 gm/dl. You administer 2 units of packed
red blood cells. You anticipate that the labwork drawn afterward would reflect a - ✔✔hemoglobin of 12
gm/dL
A 70 kilogram patient is in status epilepticus. What would be an appropriate initial intravenous dose of
diazepam to treat the seizure? - ✔✔7 mg
A fully-soaked laparotomy sponge will hold about _______ mL of blood. - ✔✔100-140
A patient has a higher risk for allergic reaction to protamine if he/she has a known allergy to (select two)
- ✔✔Protamine insulin
Fish products
A patient involved in a major trauma is exsanguinating. There is not time to perform even an
abbreviated cross-match. What blood type should be administered as a life-saving measure? - ✔✔Type
O, Rh-negative
A patient receives two units of packed red blood cells. You would expect the hematocrit level to increase
by: - ✔✔4-6%
A patient taking MAO inhibitors exhibits hypotension under general anesthesia. The recommended
pharmacologic strategy to address the hypotension would be to administer - ✔✔1/3 the usual dose of
phenylephrine
A patient undergoing cardiac surgery exhibits symptoms of systemic inflammatory response syndrome.
Which of the following would you expect to occur as a result? - ✔✔increased arginine vasopressin levels
A patient with Type A blood has - ✔✔anti-B antibodies
,A patient with von Willebrand disease is experiencing continued bleeding at the site of his surgical
incision despite treatment with DDAVP. The next treatment you would recommend for this patient is: -
✔✔Cryoprecipitate
A patient you are preparing to take to surgery states he takes buproprion for smoking cessation.
Compared to other antidepressant class medications, you know that buproprion exhibits an increased
incidence of - ✔✔seizures
A patient's core temperature is 36.5 degrees Celsius. You administer two units of refridgerated blood.
What would you expect is the most likely possible outcome? - ✔✔Decreased coagulation factor activity
According to ASA guidelines on restrictive transfusion therapy, a blood transfusion is indicated when the
hemoglobin is less than - ✔✔8 g/dL
Acute normovolemic hemodilution - ✔✔is performed electively to reduce surgical blood loss
Administering large volumes of normal saline can produce - ✔✔hyperchloremic metabolic acidosis
Agglutination reactions would occur in which of the following scenarios? (select two) - ✔✔Type A blood
is administered to a patient who is type O
Type B blood is administered to a patient who is type A
All of the following blood products must be matched to the recipient's blood type except: (select two) -
✔✔Fresh frozen plasma
Platelets
An intravenous infusion of 5% dextrose is initially ______ but becomes ______ when the glucose is
metabolized. - ✔✔isotonic, hypotonic
Antiepileptic drugs such as phenytoin, carbamazepine, and lamotrigine exert a significant part of their
anti-seizure effects by - ✔✔blocking sodium channels
, Calculating the maximum allowable blood loss for a patient requires all of the following values except
the patient's - ✔✔PaO2
Controlled profound hypothermia - ✔✔can be used to produce cerebral protection for circulatory arrest
cases
Crossmatching blood involves - ✔✔mixing the blood of the donor and recipient together in the lab
During cardiopulmonary bypass, for each degree Centigrade decrease in temperature, there is a(n)
_____ percent reduction in metabolic rate. - ✔✔8
During the preoperative interview, a patient expresses concern that a blood transfusion may result in a
bacterial or viral infection. Which of the following statements regarding bacterial and viral pathogens
and blood transfusion is false? - ✔✔The incidence of acquiring syphilis by transfusion is about 1 in 1000
Factor IX concentrate is used in the treatment of - ✔✔hemophilia B
From the options below, which is the most common indication for the administration of cryoprecipitate?
- ✔✔von Willebrand disease
Granisetron has been shown to be significantly more effective at managing postoperative nausea and
vomiting if combined with - ✔✔dexamethasone
Heparin produces its anticoagulant effects by binding to - ✔✔antithrombin
How does the body eliminate ondansetron? - ✔✔It is metabolized in the liver
How is retrogade cardioplegia administered? - ✔✔Into the coronary sinus via a catheter placed through
the right atrium
How long prior to surgery should aspirin be discontinued? - ✔✔7-10 days
A 70 Kg patient has a hematocrit of 30% and a hemoglobin of 10 gm/dl. You administer 2 units of packed
red blood cells. You anticipate that the labwork drawn afterward would reflect a - ✔✔hemoglobin of 12
gm/dL
A 70 kilogram patient is in status epilepticus. What would be an appropriate initial intravenous dose of
diazepam to treat the seizure? - ✔✔7 mg
A fully-soaked laparotomy sponge will hold about _______ mL of blood. - ✔✔100-140
A patient has a higher risk for allergic reaction to protamine if he/she has a known allergy to (select two)
- ✔✔Protamine insulin
Fish products
A patient involved in a major trauma is exsanguinating. There is not time to perform even an
abbreviated cross-match. What blood type should be administered as a life-saving measure? - ✔✔Type
O, Rh-negative
A patient receives two units of packed red blood cells. You would expect the hematocrit level to increase
by: - ✔✔4-6%
A patient taking MAO inhibitors exhibits hypotension under general anesthesia. The recommended
pharmacologic strategy to address the hypotension would be to administer - ✔✔1/3 the usual dose of
phenylephrine
A patient undergoing cardiac surgery exhibits symptoms of systemic inflammatory response syndrome.
Which of the following would you expect to occur as a result? - ✔✔increased arginine vasopressin levels
A patient with Type A blood has - ✔✔anti-B antibodies
,A patient with von Willebrand disease is experiencing continued bleeding at the site of his surgical
incision despite treatment with DDAVP. The next treatment you would recommend for this patient is: -
✔✔Cryoprecipitate
A patient you are preparing to take to surgery states he takes buproprion for smoking cessation.
Compared to other antidepressant class medications, you know that buproprion exhibits an increased
incidence of - ✔✔seizures
A patient's core temperature is 36.5 degrees Celsius. You administer two units of refridgerated blood.
What would you expect is the most likely possible outcome? - ✔✔Decreased coagulation factor activity
According to ASA guidelines on restrictive transfusion therapy, a blood transfusion is indicated when the
hemoglobin is less than - ✔✔8 g/dL
Acute normovolemic hemodilution - ✔✔is performed electively to reduce surgical blood loss
Administering large volumes of normal saline can produce - ✔✔hyperchloremic metabolic acidosis
Agglutination reactions would occur in which of the following scenarios? (select two) - ✔✔Type A blood
is administered to a patient who is type O
Type B blood is administered to a patient who is type A
All of the following blood products must be matched to the recipient's blood type except: (select two) -
✔✔Fresh frozen plasma
Platelets
An intravenous infusion of 5% dextrose is initially ______ but becomes ______ when the glucose is
metabolized. - ✔✔isotonic, hypotonic
Antiepileptic drugs such as phenytoin, carbamazepine, and lamotrigine exert a significant part of their
anti-seizure effects by - ✔✔blocking sodium channels
, Calculating the maximum allowable blood loss for a patient requires all of the following values except
the patient's - ✔✔PaO2
Controlled profound hypothermia - ✔✔can be used to produce cerebral protection for circulatory arrest
cases
Crossmatching blood involves - ✔✔mixing the blood of the donor and recipient together in the lab
During cardiopulmonary bypass, for each degree Centigrade decrease in temperature, there is a(n)
_____ percent reduction in metabolic rate. - ✔✔8
During the preoperative interview, a patient expresses concern that a blood transfusion may result in a
bacterial or viral infection. Which of the following statements regarding bacterial and viral pathogens
and blood transfusion is false? - ✔✔The incidence of acquiring syphilis by transfusion is about 1 in 1000
Factor IX concentrate is used in the treatment of - ✔✔hemophilia B
From the options below, which is the most common indication for the administration of cryoprecipitate?
- ✔✔von Willebrand disease
Granisetron has been shown to be significantly more effective at managing postoperative nausea and
vomiting if combined with - ✔✔dexamethasone
Heparin produces its anticoagulant effects by binding to - ✔✔antithrombin
How does the body eliminate ondansetron? - ✔✔It is metabolized in the liver
How is retrogade cardioplegia administered? - ✔✔Into the coronary sinus via a catheter placed through
the right atrium
How long prior to surgery should aspirin be discontinued? - ✔✔7-10 days
