NRS417 Exam ONE Review

Question 1

Which of the following acid/base imbalance is found in EARLY respiratory failure:

Accepted Answer

Respiratory Alkalosis

Question 2

Your pt is vented and has the following ABG: pH 7.49 pCO2-28 pO2 84 Bic 26 Sat 93%. What sould you anticipate?

Accepted Answer

Decreasing the respiratory rate

Question 3

The provider orders the PEEP to be increased to 10 cm. Immediately after the change, the BP drops. This is because..

Accepted Answer

Increased positive pressure decreases venous return

Question 4

The monitor shows v-fib. As the nurse runs into the room, the patient says, "Yes Dear?". The nurse knows...

Accepted Answer

The nurse is in the wrong room, The monitor is not correctly interpreting the rhythm

Question 5

Which of the following would trigger a high pressure alarm?

Accepted Answer

Biting on the ET tube

Question 6

Which of the following would be a cause of respiratory alkalosis?

Accepted Answer

Hyperventilation

Question 7

In order to have a pulse, which component of the P-QRS-T complex must be present?

Accepted Answer

QRS complex

Question 8

A patient is being discharged home after a permanent pacemaker insertion. D/C Instructions must include:

Accepted Answer

"You should never have an MRI"

Question 9

Which of the following is a sign of central cyanosis?

Accepted Answer

Cyanosis involving the buccal mucosa

Question 10

The fingers distal to the patient's arterial line are cool and dusky. The RN knows that this is a sign of:

Accepted Answer

A decrease in perfusion indicating it must be discontinued

Question 11

How does the nurse recognize that a positive outcome has been achieved after amiodarone administration?

Accepted Answer

The runs of V-tach have subsided, The ventricular rate in a pt with A-fib has slowed

Question 12

The ventilator is alarming & the new ICU nurse is in a panic. What should she do?

Accepted Answer

Bag the patient on 100% FiO2

Question 13

The RN has been consistently increasing the FiO2 & is having difficulty getting the O2 sat to 90%. This is known as:

Accepted Answer

Refractory hypoxemia, An early indicator of ARDS

Question 14

What is the pathophysiological mechanism that results in the pulmonary edema of left-sided HF?

Accepted Answer

Increased pulmonary hydrostatic pressure

Question 15

What is the benefit that a patient with ARDS derives from PEEP?

Accepted Answer

Reduction of shunting effect

Question 16

A patient is found to be in Complete (or third degree) AV Block. Identify the TRUE statements regarding this rhythm:

Accepted Answer

AV Dissociation is present, Their are more P waves than QRS complexes, The transcutaneous pacer pads should be place, Their is no relationship between Ps and QRSs

Question 17

B-type natriuretic peptide (BNP)....

Accepted Answer

Is released based on stretching of the heart muscle

Question 18

PEEP 8 cm is ordered for your ARDS pt. After the RT makes the change, you notice a drop in BP & Tachycardia. Why?

Accepted Answer

PEEP decreases preload

Question 19

Increased Central Venous Pressure (CVP) results in:

Accepted Answer

The need for a diuretic

Question 20

A student asks you what to do when a low pressure alarm sounds. What should you tell him?

Accepted Answer

Make sure all connections are tight

Question 21

You are caring for a mechanically ventilated patient who has a PaCO2 of 59. You would anticipate this change:

Accepted Answer

Increase the rate of ventilation

Question 22

This is the first IV drug given in a code situation where the patient is pulseless

Accepted Answer

Epinephrine

Question 23

Your ventilator is alarming and you don't have a clue as to what is wrong. What do you do FIRST?

Accepted Answer

Bag the patient on 100% FiO2

Question 24

Which of the following statements is/are TRUE regarding the endotracheal tube?

Accepted Answer

The cuff stabilizes the tube and occludes the trachea, The ET tube holder can be a source of a device related injury to the lips

Question 25

Your patient is in AF @ 168/min. BP 84/44 and they are cool and clammy. As you prepare for cardioversion...

Accepted Answer

Synchronize the shock with the R wave

Question 26

Which of the following is a best practice guideline for patients receiving mechanical ventilation?

Accepted Answer

HOB at least 30-45 degrees

Question 27

You are caring for a very critical pt that goes into V-Tach every time they are suctioned. What should you do?

Accepted Answer

Ensure preoxygenation prior to suctioning

Question 28

Which test is MOST useful in differentiating dyspnea related to PNA versus dyspnea that is related to heart failure?

Accepted Answer

B-Type natriuretic peptide (BNP) levels

Question 29

The nurse is looking over the morning labs of a pt who is having runs of V-tach. Which finding(s) are concerning?

Accepted Answer

Hypokalemia, Hypomagnesemia

Question 30

A student asks you what you should do when a high pressure alarm sounds. What would NOT be a correct response?

Accepted Answer

Check connections to make sure everything is tight

Question 31

You were told that your pt's ET tube is 22 cm at the lip. It is now at 18 cm & the pulse ox is dropping rapidly

Accepted Answer

Prepare for stat reintubation

Question 32

A client is in ventricular tachycardia with a pulse. The pt is diaphoretic & BP is 70/50. The RN anticipates:

Accepted Answer

Cardioversion

Question 33

While teaching a student about the benefit of ACEI/ARBs in treating heart failure, which information is imperative?

Accepted Answer

"ACEI/ARBs produce arterial and venous dilation and diuresis."

Question 34

Which of the following would cause a low pressure alarm to sound:

Accepted Answer

Disconnection

NRS417 Exam ONE Review

Questions 34

NRS417 Exam ONE Review

Questions 34