NUR 504 Final Exam Questions With Complete Solutions
1st degree AV block Correct Answers •P and QRS are getting
irritated with each other. While they still remain true to the
relationship, they are keeping their distance for now.
1st Degree Heart Block- PR interval with more than 5 small
boxes; >.20msec
just watch it.
2 degree heart block Correct Answers •P and QRS have entered
the viscous cycle of breaking up and getting back together. They
get together, they start fighting and keeping their distance, and
they break up again.
2nd Degree Type I "Wenckebach" Group beating
Progressively lengthen until it drops a beat- Transient
longer, longer then no p
2 degree heart block type 2 Correct Answers •P and QRS have
decided to get back together again. However, P is still quite
disgruntled and has decided to go out every night or two and not
come home. You can probably imagine what comes next!
2nd Degree Type II PR intervals are CONSTANT
More P's than QRS-usually leads to Complete Heart Block- be
prepared to pace!
there is a p without QRS as well as them together
,3rd degree heart block Correct Answers •As you probably saw
coming, QRS was tired of P not coming home and moved out.
They have filed for divorce and are completely separated.
•There is absolutely no relationship between P and QRS now.
3rd Degree Block/Complete Heart Block
•Below 40 will not last long! Be ready to pace.
•P's falling in, on, & during your QRS. March out the P's.
ps are the same distance but not with the QRS
Not an effective CO, emergency, needs a pace
A Fib Correct Answers irregular, QRS is normal, there is no Ps
Increased risk for clots, decreased CO
•Is it rate controlled? (60-100)
•If yes, anticoagulants, Amiodarone PO, B/P monitoring
•If no,
•Notify Provider
•EKG
•Medications- Amiodarone IV, metoprolol
•Cardioversion
•B/P monitoring
•Neurological exam (clots can go to brain)
•Labs
•Prepare for ablation
A Flutter Correct Answers r to r is normal (regular), QRS is
normal, p is abnormal
Check HR and BP (lower)
,Doesn't correct on its own
•Rate controlled if yes (between 60-100)
•Notify Provider
•EKG
•Medications- Metoprolol
If no,
•Notify Provider
•Cardioversion
•Medications- metoprolol
•Amiodarone
Prepare for ablation (go in and burn abnormal cells)
a perfusion assessment includes... Correct Answers ✤Level of
consciousness (LOC)
✤Heart rate (HR)
✤Heart Rhythm
✤Blood pressure (BP)
✤Peripheral pulses
✤Capillary refill time (CRT)
✤Skin color
Perfusing → if they are producing urine
Abdominal Aortic Aneurysm (AAA) Correct Answers
Commonly asymptomatic and frequently rupture
Pain is gnawing quality, unaffected by movement, lasts
hours/days
Abdominal, flank, back pain
, DO NOT PALPATE THE MASS, RISK FOR RUPTURE
Check pulses distal to site, Cap refill, temperature, color
Acid base Balance Values Correct Answers pH normal range →
7.35-7.45
CO2 normal range → 35-45 mmHg
HCO3 normal range → 22-26 mEq/L
PaO2 normal range → 75-100 mm Hg
SaO2 normal range → 95-100%
acquired/adaptive immunity Correct Answers -Second line of
response (if innate fails)
-relies on mechanisms that adapt after infection
-handled by T- and B- lymphocytes
•Based upon resistance acquired during life
•Relies on genetic events and cellular growth
•Responds more slowly, over few days
•Is specific
-each cell responds to a single epitope on an antigen
•Has anamnestic memory
-repeated exposure leads to faster, stronger response
-develops following entry of microbe into the host
-comes into action after innate immunity fails to get rid of
microbe
1st degree AV block Correct Answers •P and QRS are getting
irritated with each other. While they still remain true to the
relationship, they are keeping their distance for now.
1st Degree Heart Block- PR interval with more than 5 small
boxes; >.20msec
just watch it.
2 degree heart block Correct Answers •P and QRS have entered
the viscous cycle of breaking up and getting back together. They
get together, they start fighting and keeping their distance, and
they break up again.
2nd Degree Type I "Wenckebach" Group beating
Progressively lengthen until it drops a beat- Transient
longer, longer then no p
2 degree heart block type 2 Correct Answers •P and QRS have
decided to get back together again. However, P is still quite
disgruntled and has decided to go out every night or two and not
come home. You can probably imagine what comes next!
2nd Degree Type II PR intervals are CONSTANT
More P's than QRS-usually leads to Complete Heart Block- be
prepared to pace!
there is a p without QRS as well as them together
,3rd degree heart block Correct Answers •As you probably saw
coming, QRS was tired of P not coming home and moved out.
They have filed for divorce and are completely separated.
•There is absolutely no relationship between P and QRS now.
3rd Degree Block/Complete Heart Block
•Below 40 will not last long! Be ready to pace.
•P's falling in, on, & during your QRS. March out the P's.
ps are the same distance but not with the QRS
Not an effective CO, emergency, needs a pace
A Fib Correct Answers irregular, QRS is normal, there is no Ps
Increased risk for clots, decreased CO
•Is it rate controlled? (60-100)
•If yes, anticoagulants, Amiodarone PO, B/P monitoring
•If no,
•Notify Provider
•EKG
•Medications- Amiodarone IV, metoprolol
•Cardioversion
•B/P monitoring
•Neurological exam (clots can go to brain)
•Labs
•Prepare for ablation
A Flutter Correct Answers r to r is normal (regular), QRS is
normal, p is abnormal
Check HR and BP (lower)
,Doesn't correct on its own
•Rate controlled if yes (between 60-100)
•Notify Provider
•EKG
•Medications- Metoprolol
If no,
•Notify Provider
•Cardioversion
•Medications- metoprolol
•Amiodarone
Prepare for ablation (go in and burn abnormal cells)
a perfusion assessment includes... Correct Answers ✤Level of
consciousness (LOC)
✤Heart rate (HR)
✤Heart Rhythm
✤Blood pressure (BP)
✤Peripheral pulses
✤Capillary refill time (CRT)
✤Skin color
Perfusing → if they are producing urine
Abdominal Aortic Aneurysm (AAA) Correct Answers
Commonly asymptomatic and frequently rupture
Pain is gnawing quality, unaffected by movement, lasts
hours/days
Abdominal, flank, back pain
, DO NOT PALPATE THE MASS, RISK FOR RUPTURE
Check pulses distal to site, Cap refill, temperature, color
Acid base Balance Values Correct Answers pH normal range →
7.35-7.45
CO2 normal range → 35-45 mmHg
HCO3 normal range → 22-26 mEq/L
PaO2 normal range → 75-100 mm Hg
SaO2 normal range → 95-100%
acquired/adaptive immunity Correct Answers -Second line of
response (if innate fails)
-relies on mechanisms that adapt after infection
-handled by T- and B- lymphocytes
•Based upon resistance acquired during life
•Relies on genetic events and cellular growth
•Responds more slowly, over few days
•Is specific
-each cell responds to a single epitope on an antigen
•Has anamnestic memory
-repeated exposure leads to faster, stronger response
-develops following entry of microbe into the host
-comes into action after innate immunity fails to get rid of
microbe
