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