NURS 5355 Final Exam Questions With Complete Solutions
<pO2 60 & <O280%, oxyhemoglobin saturation curve? Correct
Answer steep, large changes in oximetry mean small changes in
oxygenation
1% Lidocaine with epi used on? Correct Answer Thoracostomy
& Paracentesis
2 kinds of failure lead to error? Correct Answer error of
execution (poor handwashing)
error of planning
3rd leading cause of death? Correct Answer medical errors
A-a gradient normal? Correct Answer reduced alveolar
ventilation/hypoventilation
A-a gradient? Correct Answer PAO2 - PaO2
absolute CI for paracentesis? Correct Answer fibrinolysis or
DIC
absolute CI in endotracheal intubation? Correct Answer total
upper airway obstruction or loss of oropharyngeal landmarks
from trauma or burns
absolute CI in LP? Correct Answer infection in tissue at
puncture site
,absolute CI in Thoracentesis and Thoracostomy? Correct
Answer none for Thoracentesis
lung adherent to entire hemithorax or when thoracotomy should
be performed
absolute CI to ETT intubation? Correct Answer total upper
airway obstruction or loss of oropharyngeal landmarks; need
surgical airway
adequate BVM depends on? Correct Answer patent airway,
proper mask seal, and proper ventilation
airway adjuncts used for? Correct Answer BVM; to open the
airway
airway management per AHA? Correct Answer CAB
albumin replacement for total paracentesis? Correct Answer
25%, 6-8g/L removed
albumin with less volume and less sodium load? Correct
Answer 25% Albumin
aligns the oral, pharyngeal, and laryngeal axes? Correct Answer
sniffing position for intubation
Aline steps? Correct Answer insert catheter/needle, then
stabilize the introducer and advance guide wire using actuating
lever, push needle/catheter another 1-2mm, hold wire and
remove needle while advancing catheter, remove wire
, Allen's Test performed? Correct Answer prior to radial arterial
line placement; Doppler eval in high risk patients
apply constant negative pressure when? Correct Answer
inserting needle for CVC placement
Ascites? Correct Answer accumulation of fluid in the
peritoneal cavity >25mL
aseptic technique? Correct Answer reduce/prevention of flora
and re-growth
blades for laryngoscope? Correct Answer Macintosh or Miller-
size 3 or 4 for adults
carotid sheath? Correct Answer IJ vein, carotid artery, and
vagus nerve
causes postexpansion pulmonary edema? Correct Answer
removing more than 1500ml of pleural fluid during thoracentesis
central lines sit in? Correct Answer SVC, except femoral is in
IVC
chest tube air leak beyond 2 days? Correct Answer surgical
consult
CI to CVC placement? Correct Answer No absolutes;
Relative:coagulopathy & thrombocytopenia- plt <50, INR >1.5,
PTT >50
<pO2 60 & <O280%, oxyhemoglobin saturation curve? Correct
Answer steep, large changes in oximetry mean small changes in
oxygenation
1% Lidocaine with epi used on? Correct Answer Thoracostomy
& Paracentesis
2 kinds of failure lead to error? Correct Answer error of
execution (poor handwashing)
error of planning
3rd leading cause of death? Correct Answer medical errors
A-a gradient normal? Correct Answer reduced alveolar
ventilation/hypoventilation
A-a gradient? Correct Answer PAO2 - PaO2
absolute CI for paracentesis? Correct Answer fibrinolysis or
DIC
absolute CI in endotracheal intubation? Correct Answer total
upper airway obstruction or loss of oropharyngeal landmarks
from trauma or burns
absolute CI in LP? Correct Answer infection in tissue at
puncture site
,absolute CI in Thoracentesis and Thoracostomy? Correct
Answer none for Thoracentesis
lung adherent to entire hemithorax or when thoracotomy should
be performed
absolute CI to ETT intubation? Correct Answer total upper
airway obstruction or loss of oropharyngeal landmarks; need
surgical airway
adequate BVM depends on? Correct Answer patent airway,
proper mask seal, and proper ventilation
airway adjuncts used for? Correct Answer BVM; to open the
airway
airway management per AHA? Correct Answer CAB
albumin replacement for total paracentesis? Correct Answer
25%, 6-8g/L removed
albumin with less volume and less sodium load? Correct
Answer 25% Albumin
aligns the oral, pharyngeal, and laryngeal axes? Correct Answer
sniffing position for intubation
Aline steps? Correct Answer insert catheter/needle, then
stabilize the introducer and advance guide wire using actuating
lever, push needle/catheter another 1-2mm, hold wire and
remove needle while advancing catheter, remove wire
, Allen's Test performed? Correct Answer prior to radial arterial
line placement; Doppler eval in high risk patients
apply constant negative pressure when? Correct Answer
inserting needle for CVC placement
Ascites? Correct Answer accumulation of fluid in the
peritoneal cavity >25mL
aseptic technique? Correct Answer reduce/prevention of flora
and re-growth
blades for laryngoscope? Correct Answer Macintosh or Miller-
size 3 or 4 for adults
carotid sheath? Correct Answer IJ vein, carotid artery, and
vagus nerve
causes postexpansion pulmonary edema? Correct Answer
removing more than 1500ml of pleural fluid during thoracentesis
central lines sit in? Correct Answer SVC, except femoral is in
IVC
chest tube air leak beyond 2 days? Correct Answer surgical
consult
CI to CVC placement? Correct Answer No absolutes;
Relative:coagulopathy & thrombocytopenia- plt <50, INR >1.5,
PTT >50
