Question 1

Name two common causes of pump failure.
a._________________
b._________________

Accepted Answer

a.Heart failure.
b.Arrhythmias.

Question 2

The most common physiologic response to pump failure is

Accepted Answer

Pulmonary edema.

Question 3

The cardiac monitor indicates the client is experiencing sinus bradycardia.The initial intervention is to

Accepted Answer

A) Evaluate the rhythm strip. 
B) Give dopamine via IV infusion. 
C) Give IV Lidocaine bolus. 
D) Be prepared to assist the physician with cardioversion. 
A) Evaluate the rhythm strip. 
B) Give dopamine via IV infusion. 
C) Give IV Lidocaine bolus. 
D) Be prepared to assist the physician with cardioversion. A

Question 4

Generalized signs and symptoms of bleeding include

Accepted Answer

A) Shallow,slow respirations. 
B) Increased temperature. 
C) Rapid,weak pulse. 
D) Syncope. 
A) Shallow,slow respirations. 
B) Increased temperature. 
C) Rapid,weak pulse. 
D) Syncope.

Question 5

The rationale for increasing the compression rate to 100 is to ensure _____________.

Accepted Answer

Allows time for the

Question 6

When evaluating a rhythm strip,you need to remember that each small block on the paper represents _____________ seconds.

Accepted Answer

A) 0.40 
B) 0.04 
C) 0.20 
D) 0.02 
A) 0.40 
B) 0.04 
C) 0.20 
D) 0.02

Question 7

The PR interval represents the time it takes for the

Accepted Answer

A) Impulse to begin atrial contraction. 
B) Impulse to traverse the atria to the AV node. 
C) SA node to discharge the impulse to begin atrial depopulation. 
D) Impulse to travel to the ventricles. 
A) Impulse to begin atrial contraction. 
B) Impulse to traverse the atria to the AV node. 
C) SA node to discharge the impulse to begin atrial depopulation. 
D) Impulse to travel to the ventricles.

Question 8

Janet Moen comes to the emergency room with severe lacerations.While assessing her,you find that she is bleeding profusely from a deep laceration on her left lower forearm.Your first choice of action is to

Accepted Answer

A) Apply a tourniquet just below the elbow. 
B) Apply pressure directly over the wound. 
C) Call for the physician to check the wound. 
D) Place Janet in shock position. 
A) Apply a tourniquet just below the elbow. 
B) Apply pressure directly over the wound. 
C) Call for the physician to check the wound. 
D) Place Janet in shock position.

Question 9

How long is pressure applied to an artery to ensure clot formation?

Accepted Answer

The answer of How long is pressure applied to an...

Question 10

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. 
-You assess his respiratory status by

Accepted Answer

A) Watching for rise and fall of chest. 
B) Administering four quick breaths and checking his response. 
C) Placing your hand over his chest to feel for respirations. 
D) Pinching off his nose and then listening for exhalation of breath. 
A) Watching for rise and fall of chest. 
B) Administering four quick breaths and checking his response. 
C) Placing your hand over his chest to feel for respirations. 
D) Pinching off his nose and then listening for exhalation of breath.

Question 11

The priority intervention for a rescuer is to

Accepted Answer

A) Call for help. 
B) Begin cardiac compressions. 
C) Give 2 breaths. 
D) Check for carotid pulse. 
A) Call for help. 
B) Begin cardiac compressions. 
C) Give 2 breaths. 
D) Check for carotid pulse.

Question 12

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. 
-The major reason for the specific hand position when performing cardiac compression is to

Accepted Answer

A) Prevent liver damage. 
B) Ensure adequate depth of compression. 
C) Prevent rib damage. 
D) Ensure adequate pressure for compressions. 
A) Prevent liver damage. 
B) Ensure adequate depth of compression. 
C) Prevent rib damage. 
D) Ensure adequate pressure for compressions.

Question 13

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. 
-Cardiac compressions are administered at a rate of _____________ per minute.

Accepted Answer

A) 60 
B) 100 
C) 60-80 
D) 80-100 
A) 60 
B) 100 
C) 60-80 
D) 80-100

Question 14

When performing a Heimlich maneuver,position your hands

Accepted Answer

A) Over the xiphoid process. 
B) Just above the umbilicus. 
C) Halfway between xiphoid and umbilicus. 
D) Just under the xiphoid process. 
A) Over the xiphoid process. 
B) Just above the umbilicus. 
C) Halfway between xiphoid and umbilicus. 
D) Just under the xiphoid process.

Question 15

Select the statement that correctly identifies a normal ECG strip.

Accepted Answer

A) PR interval falls before the QRS complex on the strip. 
B) T wave should be in the inverted position on the strip. 
C) PR interval should be no longer than 0.12 seconds. 
D) QRS interval should be no longer than 0.20 seconds. 
A) PR interval falls before the QRS complex on the strip. 
B) T wave should be in the inverted position on the strip. 
C) PR interval should be no longer than 0.12 seconds. 
D) QRS interval should be no longer than 0.20 seconds.

Question 16

You are concerned when Janet continues to bleed even with direct pressure.Your next action is to

Accepted Answer

A) Apply ice to lower the body temperature. 
B) Monitor closely for signs of shock. 
C) Elevate her upper extremities and apply blankets to raise her body temperature. 
D) Maintain a patent airway and prevent vomiting. 
A) Apply ice to lower the body temperature. 
B) Monitor closely for signs of shock. 
C) Elevate her upper extremities and apply blankets to raise her body temperature. 
D) Maintain a patent airway and prevent vomiting.

Question 17

Label the following diagram.
a._________________
b._________________
c._________________

Accepted Answer

a.P wave.

Question 18

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. 
-When administering cardiac compressions to an adult,the chest is compressed _____________ inches.

Accepted Answer

A) l 
B) 1 1/2 
C) 2 
D) 2 1/2 
A) l 
B) 1 1/2 
C) 2 
D) 2 1/2

Question 19

A normal PR interval is no more than _____________ seconds.

Accepted Answer

A) 0.04 
B) 0.06 
C) 0.12 
D) 0.20 
A) 0.04 
B) 0.06 
C) 0.12 
D) 0.20

Question 20

When measuring Mr.Hendel for knee-high graduated compression stockings,you measure his

Accepted Answer

A) Leg length from heel to buttocks and calf circumference while he is standing. 
B) Ankle and calf circumference while he is standing. 
C) Leg length to the knee when he is lying down. 
D) Calf circumference and leg length from bottom of heel to bend of knee. 
A) Leg length from heel to buttocks and calf circumference while he is standing. 
B) Ankle and calf circumference while he is standing. 
C) Leg length to the knee when he is lying down. 
D) Calf circumference and leg length from bottom of heel to bend of knee.

Exam 31: Circulatory Maintenance

Name two common causes of pump failure. a._________________ b._________________

The most common physiologic response to pump failure is

The cardiac monitor indicates the client is experiencing sinus bradycardia.The initial intervention is to

Generalized signs and symptoms of bleeding include

The rationale for increasing the compression rate to 100 is to ensure _____________.

When evaluating a rhythm strip,you need to remember that each small block on the paper represents _____________ seconds.

The PR interval represents the time it takes for the

Janet Moen comes to the emergency room with severe lacerations.While assessing her,you find that she is bleeding profusely from a deep laceration on her left lower forearm.Your first choice of action is to

How long is pressure applied to an artery to ensure clot formation?

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. -You assess his respiratory status by

The priority intervention for a rescuer is to

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. -The major reason for the specific hand position when performing cardiac compression is to

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. -Cardiac compressions are administered at a rate of _____________ per minute.

When performing a Heimlich maneuver,position your hands

Select the statement that correctly identifies a normal ECG strip.

You are concerned when Janet continues to bleed even with direct pressure.Your next action is to

Label the following diagram. a._________________ b._________________ c._________________

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. -When administering cardiac compressions to an adult,the chest is compressed _____________ inches.

A normal PR interval is no more than _____________ seconds.

When measuring Mr.Hendel for knee-high graduated compression stockings,you measure his

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Name two common causes of pump failure. a._ b._

Label the following diagram. a._________ b._ c._________