NUR 436 MIDTERM QUESTIONS WITH COMPLETE
SOLUTIONS
1ST DEGREE BLOCK Correct Answers pr interval consistenly
prolonged
2ND DEGREE BLOCK TYPE 2 Correct Answers occasionally
no QRS after p-wave
rate usually slower
2ND DEGREE BOCK TYPE 1 Correct Answers pr interval
progressively longer until QRS dropped
rate usually slower
3RD DEGREE AV BLOCK Correct Answers rate: 20-40
atria and ventricles have no relationship
LETHAL
QRS often wide
EMERGENCY transcutaneous pacing/permanent pacemaker
AFIBRILLATION Correct Answers only thing normal is QRS
chronic AFIb anticoagulants
uncontrolled acute AFib cardioversion, amiodarone, beta
blockers, CCBs, ablation
AFLUTTER Correct Answers Only thing normal is QRS
Atrial rate: regular at 240-320 ventricular rate depends
Uncontrolled acute AFib cardioversion, amiodarone, beta-
blockers, CCBs, ablation
,All pediatric procedures should be completed with another
trained individual to assist with holding the child, providing
support and helping out as necessary.
TRUE OR FALSE Correct Answers TRUE
An infant not critically ill is being transported to radiology for a
test. Mom is at bedside with the child. Which means of
transportation is most appropriate?
a. Transport infant on a gurney with side rails up.
b. Transport infant in a wheelchair held in mom's arms.
c. Have caregiver carry the child and walk to radiology.
d. Lay infant in a wagon and have nurse pull to radiology.
Correct Answers B
Anastasiya Tarasova Correct Answers 12 YO FEMALE
DKA
CHIEF COMPLAINT--NAUSEA/VOMITING
ALLERGIC TO PEANUTS
DIAGNOSED W TYPE 1 DM 6 MONTHS AGO
APPROPRIATE SUCTION DEVICE PRESSURES Correct
Answers 60 to 100 mm Hg for infants and children and from 40
to 60 mm Hg for preterm infants
ARNES ARDING Correct Answers 61 YO MALE
PNEUMONIA SECONDARY TO RESPIRATORY FAILURE
CHIEF COMPLAINT--LETHARGY, ALOC
arterial line monitoring complications Correct Answers
Hemorrhage
, Infection
Thrombus formation
Neurovascular impairment
Loss of limb
arterial pressure monitoring care Correct Answers Continuous
flush irrigation system
Delivers 3 mL of saline/hour
Maintains line patency
Limits thrombus formation
Assess neurovascular status distal to arterial insertion site hourly
Arterial Pressure-Based CO (APCO) Monitoring Correct
Answers Calculates continuous CO and CCI
Used to assess patient's ability to respond to fluids
Uses arterial waveform characteristics and patient demographic
data to calculate SV and pulse rate (PR) to calculate CCO/CCI,
and SV/SVI every 20 seconds
ASYSTOLE Correct Answers CPR/epinephrine
DO NOT pace, defibrillate, give atropine
Bottle of Sterile 0.9% Saline Irrigation Solution Correct
Answers Check expiration
date
SOLUTIONS
1ST DEGREE BLOCK Correct Answers pr interval consistenly
prolonged
2ND DEGREE BLOCK TYPE 2 Correct Answers occasionally
no QRS after p-wave
rate usually slower
2ND DEGREE BOCK TYPE 1 Correct Answers pr interval
progressively longer until QRS dropped
rate usually slower
3RD DEGREE AV BLOCK Correct Answers rate: 20-40
atria and ventricles have no relationship
LETHAL
QRS often wide
EMERGENCY transcutaneous pacing/permanent pacemaker
AFIBRILLATION Correct Answers only thing normal is QRS
chronic AFIb anticoagulants
uncontrolled acute AFib cardioversion, amiodarone, beta
blockers, CCBs, ablation
AFLUTTER Correct Answers Only thing normal is QRS
Atrial rate: regular at 240-320 ventricular rate depends
Uncontrolled acute AFib cardioversion, amiodarone, beta-
blockers, CCBs, ablation
,All pediatric procedures should be completed with another
trained individual to assist with holding the child, providing
support and helping out as necessary.
TRUE OR FALSE Correct Answers TRUE
An infant not critically ill is being transported to radiology for a
test. Mom is at bedside with the child. Which means of
transportation is most appropriate?
a. Transport infant on a gurney with side rails up.
b. Transport infant in a wheelchair held in mom's arms.
c. Have caregiver carry the child and walk to radiology.
d. Lay infant in a wagon and have nurse pull to radiology.
Correct Answers B
Anastasiya Tarasova Correct Answers 12 YO FEMALE
DKA
CHIEF COMPLAINT--NAUSEA/VOMITING
ALLERGIC TO PEANUTS
DIAGNOSED W TYPE 1 DM 6 MONTHS AGO
APPROPRIATE SUCTION DEVICE PRESSURES Correct
Answers 60 to 100 mm Hg for infants and children and from 40
to 60 mm Hg for preterm infants
ARNES ARDING Correct Answers 61 YO MALE
PNEUMONIA SECONDARY TO RESPIRATORY FAILURE
CHIEF COMPLAINT--LETHARGY, ALOC
arterial line monitoring complications Correct Answers
Hemorrhage
, Infection
Thrombus formation
Neurovascular impairment
Loss of limb
arterial pressure monitoring care Correct Answers Continuous
flush irrigation system
Delivers 3 mL of saline/hour
Maintains line patency
Limits thrombus formation
Assess neurovascular status distal to arterial insertion site hourly
Arterial Pressure-Based CO (APCO) Monitoring Correct
Answers Calculates continuous CO and CCI
Used to assess patient's ability to respond to fluids
Uses arterial waveform characteristics and patient demographic
data to calculate SV and pulse rate (PR) to calculate CCO/CCI,
and SV/SVI every 20 seconds
ASYSTOLE Correct Answers CPR/epinephrine
DO NOT pace, defibrillate, give atropine
Bottle of Sterile 0.9% Saline Irrigation Solution Correct
Answers Check expiration
date
