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Critical Care Exam 1 Questions And Answers 100% Verified
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Critical Care Exam 1 Questions And Answers 100% Verified
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Critical Care Exam 1 Questions AndAnswers 100% Verified
When administering nitroglycerin, which possible outcome does the nurse need to
monitor the patient for?
A. Peripheral vasoconstriction with tissue necrosis
B. Increased afterload
C. Peripheral vasodilation
D. Increased preload CORRECT ANSWERS C. peripheral vasodilation
A patient is admitted to the ICU with a pulmonary artery (PA) catheter in the left internal
jugular. During the nurse's shift, the PA pressure increases. What additional priority
assessment does the nurse need to perform next?
A. Assess the patient's urine output
B. Assess the patient's lung sounds
C. Assess the patient's blood pressure
D. Assess the patient's heart rhythm CORRECT ANSWERS B. Assess the patient's
lung sounds
The nurse is caring for a patient with an internal jugular central line and a left radial
arterial line. The patient asks the nurse why he needs two lines and what the difference
is. What will the nurse include in the explanation?
A. "The internal jugular line is only for medication administration and the arterial line
monitors your central venous pressure."
B. "The internal jugular line is for monitoring your central venous pressure and the
arterial line is only for medication administration."
C. "The internal jugular line is only for monitoring your central venous pressure and the
arterial line is for monitoring your blood pressure."
D. "The internal jugular line is for monitoring your central venous pressure and
medication administration. The arterial line is for monitoring your blood pressure."
CORRECT ANSWERS D. "The internal jugular line is for monitoring your central venous
pressure and medication administration. The arterial line is for monitoring your blood
pressure."
The nurse observes asystole on the patient's telemetry monitor. What is the nurse first
action?
A. Carry out defibrillation.
B. Notify the physician.
C. Assess the patient.
D. Administer atropine IV. CORRECT ANSWERS C. Assess the patient.
,When reviewing the patient's medication administration record (MAR) the notes the
medication atropine listed. The nurse understands that this medication is administered
for which problem?
A. Symptomatic bradycardia
B. Symptomatic tachycardia
C. Supraventricular tachycardia
D. Ventricular dysthymias CORRECT ANSWERS A. Symptomatic bradycardia
A patient has an intraaortic balloon pump (IABP) in the left groin. Which assessment
finding requires immediate action by the nurse?
A. Heart rate of 60 beats per minute
B. New onset confusion
C. Blood pressure of 90/55
D. Scant amount of blood on the left groin dressing CORRECT ANSWERS B. New
onset confusion
The nurse is caring for a patient with a congestive heart failure and a central venous
pressure (CVP) of 15.. The nurse administers 40mg Lasix IVP as per physician order.
What will the nurse monitor to evaluate the effectiveness of the treatment?
A. Assess the patient's skin turgor.
B. Patient reports feeling "better."
C. Central venous pressure increases to 20.
D. Central venous pressure decreases to 8. CORRECT ANSWERS D. Central venous
pressure decreases to 8.
A patient who had an actue myocardial infarction 12 hours ago has hemodynamic
monitoring. While monitoring the patient, the nurse notes the patient's central venous
pressure is 12mmHg. What other assessment findings will the nurse anticipate? Select
all that apply.
A. Weight loss of 2 kg since admission
B. Peripheral edema
C. Dyspnea
D. Decreased skin turgor
E. Hypertension CORRECT ANSWERS B. Peripheral edema
C. Dyspnea
E. Hypertension
A patient has arrived in the emergency room complaining of chest pain. The patient is
confused and does not remember when the chest pain started. What laboratory test
results in the highest priority in assisting the nurse in planning care for this patient?
, A. Troponin 3.6 ng/mL
B. Creatinine 1.7 ng/mL
C. Creatine kinase (CK) 50 units/L
D. Potassium 3.1 mEq/L CORRECT ANSWERS A. Troponin 3.6 ng/mL
The nurse observes asystole on the patient's telemetry monitor. What is the first action?
A. Carry out defibrillation
B. Notify the physician
C. Assess the patient
D. Administer atropine IV CORRECT ANSWERS C. Assess the patient
The nurse is caring for a patient with a mitral valve replacement who is now 3 hours
post op. The nurse recognizes that the patient had a synthetic mechanical valve
implanted, but the patient is not anti-coagulated upon return from surgery. What is the
reason the patient would require anti-coagulation?
A. The valve will not open if the patient is not anti-coagulated
B. The patient is at a greater risk for the development of endocarditis if they are not anti-
coagulated
C. The patient will be at a high risk for clot formation around the new valve without anti-
coagulation, which could lead to an increased risk of stroke.
D. These patients do not get anti-coagulated because they just had the surgical repair
of the malfunctioning valve. CORRECT ANSWERS C. The patient will be at a high risk
for clot formation around the new valve without anti-coagulation, which could lead to an
increased risk of stroke.
Cardioversion CORRECT ANSWERS controlled electrical discharge of energy at the
peak of the R-wave
pulse, tachycardia, SVT, v-tach with a pulse
*timed shock*
Defibrilation CORRECT ANSWERS uncontrolled electrical discharge of energy
ANYWHERE during the cardiac cycle
pulseless, vtach without a pulse, ventricular fib, torsods
ECG/EKG (electrocardiogram) CORRECT ANSWERS if there are no symptoms no
need to treat = may be their normal
QRS Complex CORRECT ANSWERS depolarization of the ventricles
ST Segment CORRECT ANSWERS Beginning of ventricule repolarization.
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