Question 1

Which code drugs can be given safely through an endotracheal tube? (Select all that apply)

Accepted Answer

A)  Adenosine 
B)  Atropine 
C)  Epinephrine 
D)  Vasopressin 
E)  Amiodarone 
A)  Adenosine 
B)  Atropine 
C)  Epinephrine 
D)  Vasopressin 
E)  Amiodarone

Question 2

A patient develops frequent ventricular ectopy.The nurse prepares to administer which drug?

Accepted Answer

A)  Adenosine 
B)  Atropine 
C)  Lidocaine 
D)  Magnesium 
A)  Adenosine 
B)  Atropine 
C)  Lidocaine 
D)  Magnesium

Question 3

A patient is admitted to the critical care unit with bradycardia at a heart rate of 39 beats/min and frequent premature ventricular contractions.The nurse notes that the patient is lethargic and reports dizziness for the past 12 hours.Which of the following are acceptable initial treatments for this patient? (Select all that apply.)

Accepted Answer

A)  Atropine 
B)  Epinephrine 
C)  Lidocaine 
D)  Transcutaneous pacemaker 
E)  Magnesium sulfate infusion 
A)  Atropine 
B)  Epinephrine 
C)  Lidocaine 
D)  Transcutaneous pacemaker 
E)  Magnesium sulfate infusion

Question 4

Ventricular fibrillation should initially be treated by which of the following? (Select all that apply)

Accepted Answer

A)  Administration of amiodarone, followed by defibrillation at 360 J 
B)  Atropine 1 mg, followed by defibrillation at 200 J 
C)  Defibrillation at 200 J with biphasic defibrillation 
D)  Defibrillation at 360 J with monophasic defibrillation 
E)  Dopamine continuous infusion. 
A)  Administration of amiodarone, followed by defibrillation at 360 J 
B)  Atropine 1 mg, followed by defibrillation at 200 J 
C)  Defibrillation at 200 J with biphasic defibrillation 
D)  Defibrillation at 360 J with monophasic defibrillation 
E)  Dopamine continuous infusion.

Question 5

The patient has a transcutaneous pacemaker in place.Pacemaker spikes followed by QRS complexes are noted on the cardiac rhythm strip.To determine if the pacemaker is working,the nurse must do which of the following?

Accepted Answer

A)  Obtain a 12-lead electrocardiogram (ECG). 
B)  Call for a pacemaker interrogation. 
C)  Palpate the pulse. 
D)  Run a 2-minute monitor strip for analysis. 
A)  Obtain a 12-lead electrocardiogram (ECG). 
B)  Call for a pacemaker interrogation. 
C)  Palpate the pulse. 
D)  Run a 2-minute monitor strip for analysis.

Question 6

The nurse should call the rapid response team for which patients? (Select all that apply)

Accepted Answer

A)  53-year-old with pneumonia and severe respiratory distress 
B)  17-year-old with apnea following a severe head injury 
C)  24-year-old experiencing a severe asthmatic attack with stridor 
D)  73-year-old patient with bradycardia of 40 beats per minute 
E)  52-year-old patient with no palpable pulse 
A)  53-year-old with pneumonia and severe respiratory distress 
B)  17-year-old with apnea following a severe head injury 
C)  24-year-old experiencing a severe asthmatic attack with stridor 
D)  73-year-old patient with bradycardia of 40 beats per minute 
E)  52-year-old patient with no palpable pulse

Question 7

Laypersons should use which device to treat lethal ventricular dysrhythmias that occur outside a hospital setting?

Accepted Answer

A)  Automatic external defibrillator 
B)  Carbon dioxide detector 
C)  Pocket mask 
D)  Transcutaneous pacemaker 
A)  Automatic external defibrillator 
B)  Carbon dioxide detector 
C)  Pocket mask 
D)  Transcutaneous pacemaker

Question 8

What is the major reason for using a treatment to lower body temperature after cardiac arrest to promote better neurological recovery?

Accepted Answer

A)  Hypothermia decreases the metabolic rate by 7% for each decrease of 1° C. 
B)  Lower body temperatures are beneficial in patients with low blood pressure. 
C)  Temperatures of 40° C may reduce neurological impairment. 
D)  The lower body temperature leads to decreased oxygen delivery. 
A)  Hypothermia decreases the metabolic rate by 7% for each decrease of 1° C. 
B)  Lower body temperatures are beneficial in patients with low blood pressure. 
C)  Temperatures of 40° C may reduce neurological impairment. 
D)  The lower body temperature leads to decreased oxygen delivery.

Question 9

The code team has just defibrillated a patient in ventricular fibrillation.Following CPR for 2 minutes,what is the next action to take?

Accepted Answer

A)  Administer amiodarone. 
B)  Administer lidocaine. 
C)  Assess rhythm and pulse. 
D)  Prepare for transcutaneous pacing. 
A)  Administer amiodarone. 
B)  Administer lidocaine. 
C)  Assess rhythm and pulse. 
D)  Prepare for transcutaneous pacing.

Question 10

Postresuscitation goals include which of the following? (Select all that apply)

Accepted Answer

A)  Control dysrhythmias 
B)  Maintain airway 
C)  Maintain blood pressure 
D)  Wean off oxygen 
E)  Early ambulation 
A)  Control dysrhythmias 
B)  Maintain airway 
C)  Maintain blood pressure 
D)  Wean off oxygen 
E)  Early ambulation

Question 11

It is determined that the patient needs a transcutaneous pacemaker until a transvenous pacemaker can be inserted.What is the most appropriate nursing intervention?

Accepted Answer

A)  Apply conductive gel to the skin. 
B)  Provide adequate sedation and analgesia. 
C)  Recheck leads to make sure that the rhythm is asystole. 
D)  Set the milliamperes to 2 mA below the capture level. 
A)  Apply conductive gel to the skin. 
B)  Provide adequate sedation and analgesia. 
C)  Recheck leads to make sure that the rhythm is asystole. 
D)  Set the milliamperes to 2 mA below the capture level.

Which code drugs can be given safely through an endotracheal tube? (Select all that apply)

A patient develops frequent ventricular ectopy.The nurse prepares to administer which drug?

Ventricular fibrillation should initially be treated by which of the following? (Select all that apply)

The patient has a transcutaneous pacemaker in place.Pacemaker spikes followed by QRS complexes are noted on the cardiac rhythm strip.To determine if the pacemaker is working,the nurse must do which of the following?

The nurse should call the rapid response team for which patients? (Select all that apply)

Laypersons should use which device to treat lethal ventricular dysrhythmias that occur outside a hospital setting?

What is the major reason for using a treatment to lower body temperature after cardiac arrest to promote better neurological recovery?

The code team has just defibrillated a patient in ventricular fibrillation.Following CPR for 2 minutes,what is the next action to take?

Postresuscitation goals include which of the following? (Select all that apply)

It is determined that the patient needs a transcutaneous pacemaker until a transvenous pacemaker can be inserted.What is the most appropriate nursing intervention?

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Organ Donation

Shock,Sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters

Exam 10: Rapid Response Teams and Code Management

Which code drugs can be given safely through an endotracheal tube? (Select all that apply)

A patient develops frequent ventricular ectopy.The nurse prepares to administer which drug?

Ventricular fibrillation should initially be treated by which of the following? (Select all that apply)

The patient has a transcutaneous pacemaker in place.Pacemaker spikes followed by QRS complexes are noted on the cardiac rhythm strip.To determine if the pacemaker is working,the nurse must do which of the following?

The nurse should call the rapid response team for which patients? (Select all that apply)

Laypersons should use which device to treat lethal ventricular dysrhythmias that occur outside a hospital setting?

What is the major reason for using a treatment to lower body temperature after cardiac arrest to promote better neurological recovery?

The code team has just defibrillated a patient in ventricular fibrillation.Following CPR for 2 minutes,what is the next action to take?

Postresuscitation goals include which of the following? (Select all that apply)

It is determined that the patient needs a transcutaneous pacemaker until a transvenous pacemaker can be inserted.What is the most appropriate nursing intervention?

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Organ Donation

Shock,Sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters