post test cardiac ms.pptx

8/14/2019 POST TEST CARDIAC MS.pptx

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POSTQUIZ40 Items

Strictly no cheating

Eyes on your own paperGood luck


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1. Electrical current administered in synchrony w/ thepatients own QRS complex to stop a dysrhythmia.ROAD ICNERSOV I

2. Stage of conduction in which the ventricles relax.TSLD IAEO

3. The ability of the cardiac muscle to initiate anelectrical impulse.

TAYO ITAT ICMU4. Term used to describe an irregular or erratic heart

rhythm.

SHR ICHMDTYY 5. Triage category signifying potentially life-threatening

injuries / illnesses requiring immediate treatment.RETEMENG


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6. Electrical stimulation of muscle cells of the

ventricles is also known as asystole.

7. A patient in need of emergent care would be

tagged using the color yellow.8. Either hyperkalemia or hypokalemia could

cause an irregular heart rhythm.

9. CPR is performed initially only if a defibrillator is

not available.10. The 2 main components of CPR are chest

compression & ventilation.


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11.A slow heart rate that is diagnosed as a

bradycardia condition

a. always is abnormal and should be treated

b. occurs in normal people without

necessarily being serious

c. predisposing factor for MId. causes an increase in blood pressure


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12. When assessing a client who has justundergone a cardioversion, the nurse findsthe respirations are 12. Which action shouldthe nurse take first?

a. Try to vigorously stimulate normal breathingb. Ask the RN to assess the vital signsc. Measure the pulse oximetry

d. Continue to monitor respirations


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13.Absent P waves with irregular QRS

complexes.

a. Atrial fibrillation

b. Ventricular tachycardia

c. Atrial flutter

d. Ventricular asystole


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14.A nurse enters a client's room to discover

that the client has no pulse or

respirations. After calling for help, the first

action the nurse should take is

a. Start a peripheral IV

b. Initiate closed-chest massagec. Establish an airway

d. Obtain the crash cart


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15. What is the energy level for the first

defibrillatory shock in a VF arrest?

a. 250 J

b. 360 J

c. 200 J

d. 400 J


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17. What is the correct ratio of chest

compressions to breaths?

a. 15:1

b. 30:1

c. 15:2

d. 30:2


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18.A conduction abnormality whereby no

atrial impulse travels through the AV node

is known as

a. 1stdegree AV block

b. 2nddegree AV block, type 1

c. 2nddegree AV block, type 2d. 3rddegree AV block


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19. The PR interval on an ECG strip that

reflects normal sinus rhythm would be

between:

a. 0.05 and 0.10 secs

b. 0.15 and 0.30 secs

c. 0.12 and 0.20 secsd. 0.20 and 0.35 secs


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20. The most reliable sign of cardiac arrest is:

a. Absence of a pulse

b. Dilation of the pupils

c. Increase in blood pressure

d. Inaudible heart sounds


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21. The drug of choice during

cardiopulmonary resuscitation to

suppress ventricular dysrhythmia is:

a. Morphine

b. Epinephrine

c. Atropined. Lidocaine


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22.A patient with survivable but life-

threatening injuries (eg. incomplete

amputation) would be color-tagged with:

a. Black

b. Green

c. Redd. Yellow


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23. The highest level of respiratory protection

that includes a self-contained breathing

apparatus & a chemical resistant suit is:

a. Level A

b. Level B

c. Level Cd. Level D


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24. Levels most often used in hospital

facilities.

a. Levels A & C

b. Levels B & C

c. Levels C & D

d. Levels B & D


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25. Specialized techniques in ALS except:

a. Nasogastric intubation

b. Nasopharyngeal airway

c. Oropharyngeal airway

d. Tracheal intubation


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26. The hospital has sounded the call for a disaster drill on theevening shift. Which of these clients would the nurse put first

on the list to be discharged in order to make a room available

for a new admission?

a. A middle aged client with a history of being ventilatordependent for over 7 years and admitted with bacterial

pneumonia five days ago

b. A young adult with DM Type 2 for over 10 years and admitted

with antibiotic induced diarrhea 24hrs agoc. An elderly client with a history of hypertension,

hypercholesterolemia and lupus, and was admitted with

Stevens-Johnson syndrome that morning

d. An adolescent with a positive HIV test and admitted for acute

cellulitis of the lower leg 48 hours ago


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27. What is the energy level of the 3rd

defibrillator shock when resuscitating

from pulseless VT?

a. 600 J

b. 360 J

c. 480 Jd. 530 J


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28. Dr. Urgua is about to defibrillate a client inventricular fibrillation & says in a loud voiceclear. What should be action of the nurse?

a. Turn off the mechanical ventilatorb. Shuts off the clients IV infusionc. Steps away from the bed & make sure the

others have done the same

d. Places conductive gel pads for defibrillationon the clients chest


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29.A heart patient with which of the following

characteristics is at risk for sudden

cardiac death?

a. Coronary artery bypass

b. Myocardial infarction

c. Heart failured. Blood relative who has had an SCA

e. All of the above


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30. In atrial flutter, the key consideration in

determining treatment is the:

a. atrial rate

b. ventricular rate

c. configuration of the flutter waves

d. PR interval.


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31. The best way to tell if you are delivering

adequate compressions is:

a. the patient's skin color will improve

b. a second rescuer will feel a pulse each

time you compress the patient's chest

c. the patient's pupils will dilated. the patient's chest will rise and fall each

time you compress the chest


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32. Put the following steps, which are used to check anunconscious adult, in the correct order.

1) Tap and shout2) Open airway

3) Check for signs of life (movement &breathing)

4) Check the scene for safety

a. 2,1,3,4b. 4,1,2,3c. 4,3,1,2d. 4,1,3,2


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33. The first step in assessing a patient in

cardiac arrest is to:

a. perform a focused physical exam

b. attach the AED

c. verify pulselessness and apnea

d. begin immediate transport


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34. If there is no pulse after applying three

shocks with an AED, the nurse should:

a. immediately apply another three shocksb. resume CPR

c. begin immediate transport

d. contact an ALS unit


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35. Nurse role in disaster response except:

a. perform duties outside his/her area of

expertiseb. may take responsibilities normally held by

physicians

c. depends on the specific needs of thefacility at the time

d. NOTA


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36. Manifestations of cardiac arrest except:

a. (-) pulse

b. (-) consciousnessc. (-) pupil dilation

d. (-) BP


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37. During the treatment algorithm for ventricularfibrillation

a. adrenaline should be given before any

defibrillationb. the pulse should be checked after every shockc. if the trace on the ECG changes in morphology,

defibrillation must be discontinued

d. amiodarone can be given immediately afteradrenaline in the 3rd loop of the algorithm


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38. The defibrillation pads should always beapplied

a. one on the chest wall and one on the backb. touching each otherc. 2 cms away from the implantable

pacemakerd. one to the right of the upper strenum below

the clavicle and the other level with the 5thintercostal space, in the anterior axillary line


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39. Ventricular Tachycardia should be treated

by

a. a precordial thump if there is a pulseb. same shock sequence as VF in the

absence of a pulse

c. giving digoxin before shocks if there is apulse

d. giving adenosine if there is a pulse


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40. Identify type of sinus node dysrhythmia:

a. Sinus tachycardia

b. Sinus arrhythmia

c. Sinus bradycardia

d. Normal sinus rhythm


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post test cardiac ms.pptx

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