NUR 211: EXAM 1 QUESTIONS AND
CORRECT ANSWERS
What is the treatment for a patient with PEA? ANSW✅✅CPR, defib, epi
What are the indications for inserting a central venous access device? ANSW✅✅long term IV
therapy:
- fluids
- chemo
- nutrition
- blood products
- vesicants (meds with pH <5 or >9, osmo >600)
How is CVAD placement verified? ANSW✅✅X-ray -- they are radiopaque
What are the 4 types of CVADs? ANSW✅✅1. peripherally inserted central catheter (PICC)
2. nontunneled central line
3. tunneled central line
4. implanted ports
How long can a PICC line be used? ANSW✅✅7 days to several months
Where is a PICC line inserted? ANSW✅✅peripherally (basilic or cephalic vein at AC)
How are incompatible drugs given to a patient with a PICC line? ANSW✅✅in separate ports
What are the nursing responsibilities when caring for a patient with a PICC line? ANSW✅✅- keep
dressing secured and sterile
- keep line patent by flushing at intervals as ordered and assess patency Q shift
, When teaching a patient with HF about s/sx that indicate a need to contact the primary health care
provider, which clinical manifestations would the nurse include? ANSW✅✅- extreme/ unusual
fatigue
- coughing at night
- difficulty breathing
What ECG changes might you see in a patient with hypokalemia? ANSW✅✅- Inverted T wave
- ST depression
- Prominent U wave
What part of the ECG represents early ventricular repolarization? ANSW✅✅ST segment
What does the P-wave represent? ANSW✅✅atrial depolarization/ contraction in response to the
SA node
What ECG changes would you expect to see in a patient with hyperkalemia? ANSW✅✅peaked T-
waves
Which compensatory changes occur in the C/V system during pregnancy? ANSW✅✅- Increased
blood volume
- Increased cardiac output
- enlargement of the heart
Which adverse hemodynamic effects typically occur when a client develops tachycardia?
ANSW✅✅- decreased ventricular filling time
- lower cardiac output
- weaker pulse quality
what is the expected therapeutic effect of digoxin? ANSW✅✅- increased contractile force of the
myocardium
- slows the HR
- increases CO
- increase the stroke volume of the heart
CORRECT ANSWERS
What is the treatment for a patient with PEA? ANSW✅✅CPR, defib, epi
What are the indications for inserting a central venous access device? ANSW✅✅long term IV
therapy:
- fluids
- chemo
- nutrition
- blood products
- vesicants (meds with pH <5 or >9, osmo >600)
How is CVAD placement verified? ANSW✅✅X-ray -- they are radiopaque
What are the 4 types of CVADs? ANSW✅✅1. peripherally inserted central catheter (PICC)
2. nontunneled central line
3. tunneled central line
4. implanted ports
How long can a PICC line be used? ANSW✅✅7 days to several months
Where is a PICC line inserted? ANSW✅✅peripherally (basilic or cephalic vein at AC)
How are incompatible drugs given to a patient with a PICC line? ANSW✅✅in separate ports
What are the nursing responsibilities when caring for a patient with a PICC line? ANSW✅✅- keep
dressing secured and sterile
- keep line patent by flushing at intervals as ordered and assess patency Q shift
, When teaching a patient with HF about s/sx that indicate a need to contact the primary health care
provider, which clinical manifestations would the nurse include? ANSW✅✅- extreme/ unusual
fatigue
- coughing at night
- difficulty breathing
What ECG changes might you see in a patient with hypokalemia? ANSW✅✅- Inverted T wave
- ST depression
- Prominent U wave
What part of the ECG represents early ventricular repolarization? ANSW✅✅ST segment
What does the P-wave represent? ANSW✅✅atrial depolarization/ contraction in response to the
SA node
What ECG changes would you expect to see in a patient with hyperkalemia? ANSW✅✅peaked T-
waves
Which compensatory changes occur in the C/V system during pregnancy? ANSW✅✅- Increased
blood volume
- Increased cardiac output
- enlargement of the heart
Which adverse hemodynamic effects typically occur when a client develops tachycardia?
ANSW✅✅- decreased ventricular filling time
- lower cardiac output
- weaker pulse quality
what is the expected therapeutic effect of digoxin? ANSW✅✅- increased contractile force of the
myocardium
- slows the HR
- increases CO
- increase the stroke volume of the heart
