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___________ contraction, or __________ systole, starts about 100
milliseconds after the ____ ________ begins. Want them round and
smooth and upright.
A. Atrial; atrial; p wave
B. Ventricular; atrial; p wave
C. Atrial; ventricular; t wave
D. None of the above - correct answer- A. Atrial; atrial; p wave
A 19-year-old victim of trauma is admitted to an ER with a BP of 80/50
mmHg and a HR of 130. Which action should the RN take first?
A. Administer 1 L of D5W as fast as possible
B. Administer 1 L of NS IV as fast as possible
C. Calculate the anion gap before selecting IV
fluid
D. Draw blood cultures - correct answer- B. Administer 1 L of NS IV
as fast as possible
A 4-year-old is brought to Emergency by his parents, who report he
swallowed a small toy. What symptom suggests complete airway
obstruction by a foreign body?
,A. Gagging
B. Coughing
C. Inability to speak
D. Rapid respirations - correct answer- C. Inability to speak
A child admitted with respiratory distress has the following arterial blood
gas results:
pH 7.30, PaCO2 58, PaO2 85, HCO3- 25. The nurse interprets that the
child has which acid-base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
Bonus question: is it compensated or partially compensated or
uncompensated? - correct answer- A. Respiratory acidosis
Bonus answer: uncompensated
A client has developed atrial fibrillation, which has a ventricular rate of
150 beats per minute. A nurse assesses the client for:
A. Hypotension and dizziness
B. Nausea and vomiting
,C. Hypertension and headache
D. Flat neck veins - correct answer- A. Hypotension and dizziness
A client is scheduled for a cardiac angioplasty. What information should
the nurse know about this procedure when teaching the client?
A. It is a surgical repair with an incision of a diseased coronary artery to
improve blood flow.
B. The procedure compresses plaque against the wall of the diseased
coronary artery to improve blood flow.
C. The placement of an automatic internal cardiac defibrillator is done.
D. Being a noninvasive radiographic examination of the heart, it has no
invasive properties. - correct answer- B. The procedure compresses
plaque against the wall of the diseased coronary artery to improve blood
flow.
A client is scheduled for a carotid endarterectomy. How should the nurse
explain this procedure to the client's family?
A. This procedure is to remove an embolism.
B. The procedure will relieve pressure from a subarachnoid hemorrhage.
C. Plaque will be removed during the procedure.
D. The carotid artery will be removed during this procedure. - correct
answer- C. Plaque will be removed during the procedure.
A client who has been receiving heparin therapy also is started on
warfarin sodium (coumadin). The client asks the nurse why both
, medications are being administered. In formulating a response, the
nurse incorporates the understanding that warfarin sodium:
A. Stimulates the breakdown of specific clotting factors by the liver, and
it takes 2-3 days for this to exhibit an anticoagulant effect.
B. Inhibits synthesis of specific clotting factors in the liver, and it takes 3
to 4 days for this medication to exert an anticoagulation effect.
C. Stimulates production of the body's own thrombolytic substances, but
it takes 2-4 days for it to begin.
D. Has the same mechanism action of heparin, and the crossover time is
needed for the serum level of warfarin sodium to be therapeutic. -
correct answer- B. Inhibits synthesis of specific clotting factors in the
liver, and it takes 3 to 4 days for this medication to exert an
anticoagulation effect.
A client who is receiving a blood transfusion for their GI bleed suddenly
experiences chills and a temperature of 38.9oC. The client also has a
headache and appears flushed. In what order should the RN perform the
following? Place in order from first to last.
A.Obtain a blood culture from the client.
B.Send the blood bag and administration set to the blood bank.
C.Stop the blood infusion.
D.Infuse normal saline to keep the vein open. - correct answer- C.
Stop the blood infusion.
D. Infuse normal saline to keep the vein open.
A. Obtain a blood culture from the client.
B. Send the blood bag and administration set to the blood bank.