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Duplicate of HA Final Exam Quiz Flashcards | StudBud
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Duplicate of HA Final Exam Quiz
Duplicate of HA Final Exam Quiz
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Practice quiz
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Questions
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Answers
1
SCI at C4 level requires mechanical ventilation.
True
False
2
This noninvasive ventilation modality requires a ventilator and delivers different inspiratory & expiratory pressures:
BIPAP
CPAP
3
A patient with CVA arrives in your ED, you should initiate t-PA immediately.
False
True
4
What is the first medication to be used in symptomatic bradycardia?
Atropine
Epi
Levo
Amiodarone
5
Signs of the basilar skull fracture (SATA):
CN VII paralysis
Halo sign
Periorbital ecchymosis
Battle’s sign
6
Your patient has hypertensive urgency, what do you do (SATA)?
Give oral antihypertensiveS
Decrease BP GRADUALLY over 12-24 hours to lower BP target
Give IV antihypertensives
Rapidly reduce BP
7
These are normal findings for a functional chest drainage system (SATA):
Fluid level is not tidaling in the water seal chamber
Chest tube inserted at 4th/5th intercostal space
Continuous bubbling in the water seal chamber
Gentle intermittent bubbling in the water seal
8
Your patient’s chest tube comes out, what do you do (SATA)?
Cover the incision with sterile occlusive dressing taped on 3 sides
Call the HCP immediately
Hold pressure on the opening
Assess for paradoxical movements
9
A conditioning treatment necessary to prepare a patient for the HSCT usually includes which procedure? (SATA)
Administration of erythropoietin
Total body irradiation
Administration of growth factors
High-dose chemotherapy
10
A patient with GCS score of 8 should be intubated for MV.
False
True
11
How would you position your patient who came to ER with a broken femur and suddenly became dyspneic?
Recovery
Left lateral
Trendelenburg
High Fowler
12
Rescue therapy for life-threatening hypoxemia:
Pressors
Nitric oxide
13
External ventricular drain transducer is placed at (SATA):
Foramen magnum
Foramen ovale
Foramen of Monro
Tragus of the ear
14
Cavitation brain injury is associated with:
Low-velocity blunt trauma
Head rotates on its axis
Gunshot wound
15
Which mode of mechanical ventilation is associated with barotrauma?
Pressure-controlled
Volume-controlled
16
Treatment for status asthmaticus (SATA):
Sympathomimetic inhalation agent
Parasympathomimetic inhalation agent
Corticosteroids
Inhalation of heliox & oxygen mixture
17
Patients experience increased afterload during shock.
True
False
18
What is the #1 S/S of shock? (Dr. Calvin <3s this)
Sundowning
Decreased urine output
Decreased work of breathing
Increased thirst
19
Where should the tip of ET tube be located?
At the carina
1 cm past the epiglottis
3-5 cm below the carina
3-5 cm above the carina
20
What is the maximum oxygen flow rate that nasal cannula can deliver?
2L
4L
8L
6L
21
What is the primary indicator for kidney transplant?
Chronic HTN
Cirrhosis
Stage 6 renalitis
ESRD
22
Which intervention(s) is(are) warranted for PAWP of 2 mmHg?
Administer LR
Administer nitroglycerin
Administer albumin
Diuresis
23
Your patient’s result of the Train of Four test is 4/4. What does this mean?
The patient is adequately sedated
The patient is overly sedated
The patient is dead
The patient is not sufficiently sedated
24
Your patient has the SVR of 400. Select the appropriate condition & intervention:
Shock
Administer Lasix
Hypothermia
Administer Levophed
25
What is the immediate intervention for DIC?
TPA
Broad spectrum antibiotics
Fresh Frozen Plasma
PRBC
26
These are ARDS clinical findings (SATA):
Extremely low V/Q or shunt
Pulmonary edema with BNP level of 575pg/mL
PaO2/FiO2 ratio of 180
Refractory to oxygen therapy
27
Defibrillation is used as a treatment for (SATA):
A fib
V fib
Asystole
V tach in a pulseless patient
28
Your assessment of a pt. shows decreased BP, urinated 15 mL in the past 7 hrs, and are lethargic. What do you do first?
Turn the temp in the room down to 65 degrees in the room
Talk to the family about end of life care
Administer supplemental oxygen
Administer crystalloids
29
The head strikes an immovable object. What type of injury is this?
Rotational
Acceleration
Deceleration
30
A pt has total irreversible failure of the cardiorespiratory system. What does this define?
Agonal stage
Death
Impending death
Increased CVP
31
Stroke volume is regulated by SATA:
Cardiac output
End-diastolic volume
Contractility
Peripheral resistance
32
You notice that the patient is trying to pull out their ETT and are in respiratory distress. Which med will you adjust?
Administer Kayexalate
This is beyond your scope of practice, call HCP
Titrate propofol
Discontinue heparin drip
33
What are the most important things a nurse should consider when caring for a brain dead pt? SATA
Maintain oxygenation and perfusion needs of organs
Start talking about hospice care with the family
Maintain organ function after death
Do frequent respiratory assessments
34
Thrombolytic therapy may disrupt the blood-brain barrier.
True
False
35
Where should the tip of CVC be positioned?
In the right atrium
In the left atrium
cavo-atrial junction
your mom
36
CPP of 50 mmHg means the brain lost autoregulation.
False
True
37
A person is having MI in the middle of HEB. How would you position the patient while waiting for EMS to arrive?
Supine with legs elevated
Left Lateral
Sitting up leaning on you
38
A pt has distributive shock. What is the first line treatment?
Administer potassium via IVPB
Obtain blood cultures and administer antibiotics STAT
Obtain blood cultures and wait for the results before giving ABX
Call rapid response STAT
39
Signs of Cardiac Tamponade (SATA):
High BP
Muffled heart sounds
Low BP
Increased CVP
40
Cor pulmonale leads to what type of heart failure?
Left-sided heart failure
Right-sided heart failure
41
Select all that apply to Type I respiratory failure:
treat with increased RR
treat with increased FiO2
PaCO2 > 45
PaO2 < 60
42
What is the optimal time to begin thrombolytic therapy?
3-4 hours after event
7-8 hours after event
5-6 hours after event
2-3 hours after event
43
Characteristics of epidural hematoma (SATA):
Slow venous bleed
“Lucid interval”
Rapid arterial bleed
“Worst headache of pt’s life”
44
Select all that apply to PAWP:
Measurement taken at the end of expiration
Measurement taken at the end of inspiration
Indirectly measures left-ventricle preload
Normal value is 15 mmHg
45
Patient has BP 185/65, HR 54, irregular respiratory pattern, UO of 2 L in last hour, & projectile vomiting. Suspect?
Decreased ICP
Increased ICP
Bowel obstruction
46
The yellow port of PA catheter is transduced.
False
True
47
Brain tissue of the temporal lobe herniates through the tentorial notch. Identify this type of herniation.
Transtentorial
Cingulate
Infratentorial
Uncal
48
What lab values/ signs will you see with heart failure?
High BNP
Reduced EF
MAP > 70
High BUN
49
How would hypothermia affect the oxyhemoglobin dissociation curve?
Right shift
Left shift
50
Patients with Stage 5 CKD are considered to have ESRD requiring HD treatment. Select diagnostic GFR?
95
14
29
67
51
Management of CKD includes (SATA):
Protein restriction
Administration of phosphate
Fluid restriction
Administration of Epogen
52
Which transplant drug causes renal toxicity?
Prednisone
Tacrolimus
53
Pt comes in for syncope after playing in the sun all day. How will you position them?
Supine with legs extended
Flat on the ground with legs elevated
Prone with legs elevated
Sit them up in high fowlers
54
Select the abnormal value(s):
MAP 59 mmHg
EF 35%
CI 3L/min/m2
CO 5L
55
Patient’s potassium is 6.1, what could you expect to see on their EKG?
Prolonged PR and QT intervals
Peaked T wave
Prominent U waves
Prolonged ST segment
56
You're assessing the pt’s response to interventions & notice their HR is 70 and their O2sat is 98. What does this mean?
You need to call rapid response ASAP
The pt’s medications are adversely interacting
The pt is getting better
Call the HCP and report your findings
57
Normal lab values in a trauma (SATA)?
Lactate <2.2 mmol/L
Systemic mixed venous O2 sat 65-80%
Gastric pH >7.35
MAP < 65
58
Best practices to prevent VAP (SATA):
Daily sedation vacations
Elevate HOB to 30 degrees
Administer Protonix
CHG oral care Q4H