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Exam (elaborations)

NURS 275 Exam 2 Questions And Answers

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NURS 275 Exam 2 Questions And Answers NURS 275 Exam 2 Questions And Answers NURS 275 Exam 2 Questions And Answers

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  • September 15, 2024
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  • Exam (elaborations)
  • Questions & answers
  • NURS 275
  • NURS 275
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lectjoseph
NURS 275 Exam 2 Questions And
Answers
TRUE or FALSE: Ventricular fibrillation (V-fib) is a lethal rhythm that results in the quivering of the
ventricles which leads to a rapid fall in cardiac output.



A. True

B. False - CORRECT ANS A



The nurse sees Vfib on the ECG. The patient is unresponsive and has no pulse. The nurse calls a code
blue and takes what step next?



A. Prepare for defibrillation

B. Administer Epinephrine

C. Start high-quality CPR

D. Notify the physician - CORRECT ANS C



What other medications can be administered to a patient experiencing Ventricular fibrillation (V-fib)
during a code resuscitation attempt? Select all that apply:



A. Atropine

B. Epinephrine

C. Amiodarone

D. Lidocaine - CORRECT ANS B, C, D



You're patient is in ventricular fibrillation (v-fib). You've started CPR and the airway is supported. A
rhythm check is performed and shows the patient is still in ventricular fibrillation. The next action
the code team will take in addition to performing high-quality CPR is to?



A. Administer Atropine

B. Defibrillate

C. Administer Epinephrine

D. Synchronized cardiovert - CORRECT ANS B

,TRUE or FALSE: Torsades de pointes is known as a type of monomorphic ventricular tachycardia.
(Required)



A. True

B. False - CORRECT ANS B



Your patient is unresponsive and the cardiac monitor shows Torsades de Pointes as the patient's
rhythm. As the code team is attempting to resuscitate the patient, you look through the patient's
electronic health record to try to determine a potential cause for this rhythm. What found in the
patient's record is a cause of this rhythm?



A. Magnesium level 2 mg/dL

B. Amiodarone

C. Potassium 5 mEq/L

D. Glyburide - CORRECT ANS B (can cause prolonged QT interval- common cause of Torsades)



The patient is experiencing Vtach. You assess the patient and find the patient is having no symptoms
and a pulse is present. What type of treatment do you anticipate will be ordered for this patient?



A. CPR

B. Defibrillation

C. Amiodarone IV

D. Digoxin IV - CORRECT ANS C



The patient is experiencing vtach. The patient is presenting with a blood pressure of 70/42, mental
status changes, and is clammy and pale. A pulse is present. The nurse preps the patient for?



A. CPR

B. Synchronized cardioversion

C. Defibrillation

D. Atropine IV - CORRECT ANS B

,The patient is experiencing torsades de pointes. The patient is unresponsive and has no pulse. What
order below would the nurse ask for clarification if received?



A. IV Amiodarone

B. IV Magnesium Sulfate

C. Defibrillation

D. IV epinephrine - CORRECT ANS A



A patient is experiencing ventricular tachycardia and is unresponsive with no pulse. After activating
the emergency response system, the nurse would immediately?



A. Prep the patient for defibrillation

B. Administer IV epinephrine

C. Secure the airway

D. Start chest compressions - CORRECT ANS D



TRUE or FALSE: Asystole requires immediate defibrillation to increase the patient's chances of
survival.



A. True

B. False - CORRECT ANS B



The cardiac monitor is showing asystole for the patient's rhythm. However, the patient is alert and
oriented with a strong pulse when palpated. The nurse should perform what action next?



A. Press the code blue button

B. Start CPR

C. Check the monitor's cable and electrode connection

D. Continue to monitor - CORRECT ANS C



The patient's EKG shows asystole. The patient is unresponsive and no pulse is present. The nurse
calls a code blue and then should do what next?

, A. Prepare the patient for defibrillation

B. Check the H's and T's

C. Administer Atropine

D. Start CPR - CORRECT ANS D



What medication can be administered during resuscitation to a patient who is in asystole?



A. Amiodarone

B. Epinephrine

C. Atropine

D. Adenosine - CORRECT ANS B



An attempt by a primary health care provider to intubate a client for mechanical ventilation is
unsuccessful after 45 seconds. What is the nurse's priority action?



A. Placing a nasotracheal tube

B. Assessing for bilateral breath sounds

C. Assessing O2 sat by pulse oximetry

D. Applying oxygen with a bag valve mask device - CORRECT ANS D



Which actions does the nurse ensure are performed for a client being mechanically ventilated to
prevent ventilator associated pneumonia (VAP)? Select all that apply:



A. Assessing temp every 4 hours

B. Checking the ventilator settings every 4 hours

C. Getting the patient out of bed as soon as prescribed

D. Keeping the head of bed elevated to 30 degrees or above

E. Maintaining the client in prone position

F. Providing adequate humidification

G. Providing meticulous mouth care every 12 hours

H. Suggesting that pneumonia vaccine be prescribed - CORRECT ANS C, D, G

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