Question 1

Defibrillation using a monophasic defibrillator requires initial setting at _____________ watt-seconds.

Accepted Answer

A) 100 
B) 200 
C) 360 
D) 400 
A) 100 
B) 200 
C) 360 
D) 400 C

Question 2

Match between columns
                        Premises: In addition to emergency medications, oxygen equipment, NG tubes, suction catheters, and IV solutions are usually kept in the emergency cart.
Equipment should be placed in cart drawers in the order in which it is most commonly needed in an emergency.

The emergency cart is routinely checked only after each use.
Dry 4×4 gauze pads are placed on the client’s chest prior to defibrillation to prevent a burn.
The defibrillator is placed in the synchronized mode for defibrillation.

Accepted Answer

The Answer of False and True is...

Question 3

Measures to help prevent ventilator associated pneumonia include

Accepted Answer

A) Keep head of bed elevated 20 degrees. 
B) Open circuitry to remove condensation. 
C) Provide frequent meticulous orophyaryngeal hygiene. 
D) Change ventilator circuitry daily. 
A) Keep head of bed elevated 20 degrees. 
B) Open circuitry to remove condensation. 
C) Provide frequent meticulous orophyaryngeal hygiene. 
D) Change ventilator circuitry daily. C

Question 4

Defibrillation is the treatment of choice for

Accepted Answer

A) Supraventricular tachycardia. 
B) Atrial fibrillation. 
C) Premature ventricular contractions. 
D) Pulseless ventricular tachycardia. 
A) Supraventricular tachycardia. 
B) Atrial fibrillation. 
C) Premature ventricular contractions. 
D) Pulseless ventricular tachycardia.

Question 5

Initial ventilator settings should include

Accepted Answer

A) Tidal volume of 5 mL/kg. 
B) Respiratory rate of 8-10. 
C) FIO2 of 0.4-1.0 
D) Inspiratory-expiratory ratio of 1:1. 
A) Tidal volume of 5 mL/kg. 
B) Respiratory rate of 8-10. 
C) FIO2 of 0.4-1.0 
D) Inspiratory-expiratory ratio of 1:1.

Question 6

Match between columns
                        Premises: A baseline assessment includes vital signs,ECG,serum electrolytes.
The client should not have been receiving anticoagulant-all coagulant laboratory values should be normal.
A consent form is needed for this procedure.
Food and fluids are withheld for 6-12 hours before cardioversion.
The machine is set on the nonsynchronized mode for cardioversion

Accepted Answer

The Answer of True and False is...

Question 7

Which one of the following statements is true regarding cardioversion?

Accepted Answer

A) Vital signs are taken every 1 hour for 8 hours,then every 2 hours for 4 hours,then routinely. 
B) It is always an elective procedure. 
C) It may be used to treat ventricular tachycardia. 
D) The shock is delivered during the T wave of the ECG. 
A) Vital signs are taken every 1 hour for 8 hours,then every 2 hours for 4 hours,then routinely. 
B) It is always an elective procedure. 
C) It may be used to treat ventricular tachycardia. 
D) The shock is delivered during the T wave of the ECG.

Question 8

Even though several readings are obtained,why are only two output readings used to record the client's cardiac output?

Accepted Answer

The high and low readings are

Question 9

Volutrauma is a complication of mechanical ventilation that can be prevented by reducing the

Accepted Answer

A) Inspiration to expiration (I:
E) ratio. 
B) Respiratory rate. 
C) Inspired oxygen percent. 
D) Tidal volume. 
A) Inspiration to expiration (I:
E) ratio. 
B) Respiratory rate. 
C) Inspired oxygen percent. 
D) Tidal volume.

Question 10

Allen's test is used for

Accepted Answer

Determining peripher

Question 11

List data that should be charted in the nurses' notes following a cardioversion.

Accepted Answer

Preconversion rhythm, number o

Question 12

Match between columns
                        Premises: The balloon is not inflated for more than 30-40 seconds to prevent overwedging.
The balloon is deflated by gently withdrawing the air by pulling back on the plunger of the syringe.
2-3 mL of air is injected into the balloon port when obtaining a pulmonary artery wedge pressure.
The proximal port of the catheter is used for taking the pulmonary artery pressure readings.
The "mean" designation is used on the monitor when obtaining the pulmonary artery wedge pressure.

Accepted Answer

The Answer of False and True is...

Question 13

Following defibrillation, the client should be monitored for the following parameters
a.________________________
b.________________________
c.________________________
d.________________________	
e.________________________

Accepted Answer

a.Neurologic status
b.Vital si

Question 14

List at least four nursing actions that should be assessed soon after placing a client on a ventilator,exclusive of checking the functioning of the machine itself.

Accepted Answer

Any four of these actions is considered

Question 15

All of the following nursing measures are carried out while maintaining an arterial line except

Accepted Answer

A) Level transducer at least every 8 hours. 
B) Maintain visual exposure of catheter insertion site. 
C) Observe the waveform frequently. 
D) Ensure pressure infusion bag is maintained below 300 mm Hg. 
A) Level transducer at least every 8 hours. 
B) Maintain visual exposure of catheter insertion site. 
C) Observe the waveform frequently. 
D) Ensure pressure infusion bag is maintained below 300 mm Hg.

Question 16

Match between columns
                        Premises: Epinephrine
Vasopressin
Atropine
Amiodarone
Magnesium sulphate

Accepted Answer

The Answer of adrenergic agent may be given per ET is...

Question 17

The purpose for inflating the tracheostomy tube cuff is to

Accepted Answer

A) Prevent aspiration. 
B) Provide for mechanical ventilation. 
C) Secure the tube. 
D) Allow the client to talk. 
A) Prevent aspiration. 
B) Provide for mechanical ventilation. 
C) Secure the tube. 
D) Allow the client to talk.

Question 18

Place the following nursing actions in order from 1 to 5 for the skill Withdrawing Arterial Blood Samples.
A)turn stopcock off to client__________
B)attach tube to Vacutainer to establish blood draw for discard__________
C)remove cap from open (blood sampling)port on 3-way stopcock__________
D)turn stopcock off to flush soluion__________
E)attach Vacutainer to open (blood sampling)port on 3-way stopcock__________

Accepted Answer

The answer of Place the following nursing actions in order...

Exam 33: Advanced Nursing Skills

Defibrillation using a monophasic defibrillator requires initial setting at _____________ watt-seconds.

Measures to help prevent ventilator associated pneumonia include

Defibrillation is the treatment of choice for

Initial ventilator settings should include

Which one of the following statements is true regarding cardioversion?

Even though several readings are obtained,why are only two output readings used to record the client's cardiac output?

Volutrauma is a complication of mechanical ventilation that can be prevented by reducing the

Allen's test is used for

List data that should be charted in the nurses' notes following a cardioversion.

Following defibrillation, the client should be monitored for the following parameters a.________________________ b.________________________ c.________________________ d.________________________ e.________________________

List at least four nursing actions that should be assessed soon after placing a client on a ventilator,exclusive of checking the functioning of the machine itself.

All of the following nursing measures are carried out while maintaining an arterial line except

The purpose for inflating the tracheostomy tube cuff is to

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

Bathing, Bedmaking, and Maintaining Skin Integrity

Personal Hygiene

Vital Signs

Physical Assessment

Body Mechanics and Positioning

Exercise and Ambulation

Infection Control

Disaster Preparedness Bioterrorism

Pain Management

Alternative Therapies and Stress Management

Medication Administration

Nutritional Management and Ng Intubation

Specimen Collection

Diagnostic Procedures

Urinary Elimination

Bowel Elimination

Heat and Cold Therapies

Wound Care and Dressings

Perioperative Care

Orthopedic Interventions

Intravenous Therapy

Central Vascular Access

Respiratory Care

Circulatory Maintenance

Neurological Management - New

End of Life Care

Filters

Following defibrillation, the client should be monitored for the following parameters a. b. c. d. e.