NURS 4100 Final Questions With Complete Solutions
1500 method (how) Correct Answers 1500 divided by number
of small boxes in between. DO NOT USE for irregular HR
A normal HR is ___-___ bpm. Correct Answers 60-100
A type of polymorphic Vtach with a spirally shape is known as
Correct Answers Torsades de points
Abnormal PaCO2 and normal pH indicates that the acid base
imbalance is _______ Correct Answers compensated
Adenosine IV Correct Answers Indicated for SVT, sinus tachy
Amiodarone IV Correct Answers Indicated for Afib, Vfib,
Vtach, PVCs
Any type of shock will lead to which acid-base imbalance?
Correct Answers Acidosis
Are all ventilated pts fully sedated Correct Answers No.
-Communicate and interact with pt even if sedated
-Orient to person, place, and time frequently
Are atrial or ventricular arrhythmias more deadly Correct
Answers ventricular
Asystole treatment Correct Answers -CPR
-ACLS
-Meds: epinephrine, atropine
,-Search for underlying cause and treat
atelectasis Correct Answers collapsed lung
Atrial arrhythmias main concerns Correct Answers blood may
pool in atria and lead to MI, CVA, PE. Need to be
anticoagulated
Atrial arrhytmias occur when Correct Answers The SA node
does not generate an impulse, and various atrial tissues may
initiate impulses in its place
Atrial Fibrillation Treatment Correct Answers - >48 hours =
anticoagulation therapy (if stable)
-If unstable cardioversion, meds (beta blockers, amiodarone,
digoxin)
-Pacemaker
-Ablation
Atrial Flutter Treatment Correct Answers -Anticoagulation
therapy
-Cardioversion (If symptomatic and onset <48 hours)
-Medications (beta blockers, Ca channel blockers)
-Ablation
Atrial rates for afib, aflutter get blocked at the AV node (it
doesn't go past this point), why is this a good thing? Correct
Answers Because a ventricular rate that high could be deadly
Atropine IV Correct Answers Indicated for sinus brady,
asystole
, Aystole is confirmed with at least? Correct Answers 2 leads
Also assess pt and check pulse and respirations
Bigeminy Correct Answers PVC every other beat
Buguanides Correct Answers Metformin (Glucophage)
Café au lait spots Correct Answers seen in pts with
CKD/ESRN. Darkened spots
Can RNs refer to Dieticians Correct Answers Yes, it does not
have to be a MD
Carbonic acid/bicarbonate buffering system equation Correct
Answers H+ + HCO3 <-> H2CO3 <-> H2O + CO2
Cardiomyopathy Correct Answers thickened or stiffness
affects contractility and cardiac output
CAS/IHD Correct Answers decreases blood supply to
coronary vessels and muscles causes chest pain/angina
CKD eGFR Correct Answers below 60mL/min
Combined disturbance Correct Answers HCO3 alters the pH
in the same direction as PaCO2 (rare)
Complete compensation is (more/less) serious? Correct
Answers Less
1500 method (how) Correct Answers 1500 divided by number
of small boxes in between. DO NOT USE for irregular HR
A normal HR is ___-___ bpm. Correct Answers 60-100
A type of polymorphic Vtach with a spirally shape is known as
Correct Answers Torsades de points
Abnormal PaCO2 and normal pH indicates that the acid base
imbalance is _______ Correct Answers compensated
Adenosine IV Correct Answers Indicated for SVT, sinus tachy
Amiodarone IV Correct Answers Indicated for Afib, Vfib,
Vtach, PVCs
Any type of shock will lead to which acid-base imbalance?
Correct Answers Acidosis
Are all ventilated pts fully sedated Correct Answers No.
-Communicate and interact with pt even if sedated
-Orient to person, place, and time frequently
Are atrial or ventricular arrhythmias more deadly Correct
Answers ventricular
Asystole treatment Correct Answers -CPR
-ACLS
-Meds: epinephrine, atropine
,-Search for underlying cause and treat
atelectasis Correct Answers collapsed lung
Atrial arrhythmias main concerns Correct Answers blood may
pool in atria and lead to MI, CVA, PE. Need to be
anticoagulated
Atrial arrhytmias occur when Correct Answers The SA node
does not generate an impulse, and various atrial tissues may
initiate impulses in its place
Atrial Fibrillation Treatment Correct Answers - >48 hours =
anticoagulation therapy (if stable)
-If unstable cardioversion, meds (beta blockers, amiodarone,
digoxin)
-Pacemaker
-Ablation
Atrial Flutter Treatment Correct Answers -Anticoagulation
therapy
-Cardioversion (If symptomatic and onset <48 hours)
-Medications (beta blockers, Ca channel blockers)
-Ablation
Atrial rates for afib, aflutter get blocked at the AV node (it
doesn't go past this point), why is this a good thing? Correct
Answers Because a ventricular rate that high could be deadly
Atropine IV Correct Answers Indicated for sinus brady,
asystole
, Aystole is confirmed with at least? Correct Answers 2 leads
Also assess pt and check pulse and respirations
Bigeminy Correct Answers PVC every other beat
Buguanides Correct Answers Metformin (Glucophage)
Café au lait spots Correct Answers seen in pts with
CKD/ESRN. Darkened spots
Can RNs refer to Dieticians Correct Answers Yes, it does not
have to be a MD
Carbonic acid/bicarbonate buffering system equation Correct
Answers H+ + HCO3 <-> H2CO3 <-> H2O + CO2
Cardiomyopathy Correct Answers thickened or stiffness
affects contractility and cardiac output
CAS/IHD Correct Answers decreases blood supply to
coronary vessels and muscles causes chest pain/angina
CKD eGFR Correct Answers below 60mL/min
Combined disturbance Correct Answers HCO3 alters the pH
in the same direction as PaCO2 (rare)
Complete compensation is (more/less) serious? Correct
Answers Less
