STRUCTURED NURSING ASSESSMENT
OVERVIEW GUIDE
◉ A systolic murmur that is auscultated at the 2nd intercostal space,
right sternal border is called: Answer: Aortic stenosis
◉ Which of the following wave patterns indicates proper functioning
of an arterial line? Answer: High to low
◉ After an arterial catheter is removed, direct pressure should be
applied to the artery for how long? Answer: 8-10 minutes
◉ A CVP reading directly reflects pressure in the: Answer: Right
atrium
◉ An elevated CVP reading may indicate: Answer: Rt heart failure
◉ The pulmonary artery occlusive (wedge) pressure (PAOP) reflects
pressure in the: Answer: Lt ventricle
◉ The normal pulmonary artery pressure is: Answer: 11-20
, ◉ How many mmHg is the normal PAOP? Answer: 6-12
◉ An elevated PAOP may indicate: Answer: Lt ventricular failure
◉ Mr Adams, a 68 yo pt, c/o feeling "a little funny in his chest". His
ECG shows Afib/flutter. Which of the following meds could be used
to tx his cardiac rhythm? Answer: Diltiazem
◉ A QRS complex wider that .12 sec most likely indicates: Answer:
BBB
◉ Special care should be exercised when administering IV
Dopamine because Answer: Infiltration leads to tissue necrosis
◉ A strong ventricular stimulus is potentially dangerous when it
lands on the: Answer: T wave
◉ indication for use of external cardiac pacemaker includes Answer:
symptomatic complete heart block
◉ Initial drug tx for sustained V tach when a pulse is present
Answer: Amiodorone 150mg IV over 10 min