NURSING SKILLS 431 FINAL QUIZ
QUESTIONS WITH COMPLETE
ANSWERS
You have completed your first 2-min period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action?
A. Administer normal saline at 20 mL/kg
B. Obtain a BP & O2 sat
C. Administer epinephrine at 1 mg/kg IV
D. Have a team member attempt to palpate a carotid pulse - Answer-D. Have a team
member attempt to palpate a carotid pulse
Which of the following is a sign of effective CPR?
A. Measured UOP of 1 mL/kg/hr
B. PETCO2 > 10 mmHg
C. Pt temp > 32 oC
D. BP of 120/80 mmHg - Answer-B. PETCO2 > 10 mmHg
What is the purpose of a medical emergency team (MET) or rapid response team
(RRT)?
A. Providing online consultation to EMS personnel in the field
B. Providing diagnostic consultation to emergency department pts
C. Improving pt outcomes by identifying & treating early clinical deterioration
D. Improving care for deteriorating pts admitted to critical care units - Answer-C.
Improving pt outcomes by identifying & treating early clinical deterioration
Which treatment or medication is appropriate for the treatment of a pt in asystole?
A. epinephrine
B. Defibrillation
C. Atropine
D. Transcutaneous pacing - Answer-A. epinephrine
What is the recommended next step after a defibrillation attempt?
A. Check the ECG for evidence of a rhythm
B. Determine if a carotid pulse is present
C. Open the pts airway
D. Begin CPR, starting w/ chest compressions - Answer-D. Begin CPR, starting w/
chest compressions
The nurse is unable to flush a central venous access device and suspects occlusion.
The best nursing intervention would be to:
A. Apply warm moist compresses to the insertion site
B. Place the patient on the left side with the head-down position
, C. Attempt to force 10mL of normal saline into the device
D. Instruct the patient to change positions, raise arm and cough - Answer-B. Place the
patient on the left side with the head-down position
To establish hemodynamic monitoring for a patient, the nurse zeros the:
A. Cardiac output monitoring system to the level of the left ventricle
B. Pressure monitoring system to the level of the atrium, identified as the phlebostatic
axis
C. Pressure monitoring system to the level of the catheter tip located in the patient
D. Pressure monitoring system to the level of the atrium, identified as the midclavicular
line - Answer-B. Pressure monitoring system to the level of the atrium, identified as the
phlebostatic axis
In order to maintain catheter patency and adequate waveforms, the pressure bag
should be inflated to:
A. 400 mmhg
B. 100 mmhg
C. 200 mmhg
D. 300 mmhg - Answer-D. 300 mmhg
Steps to remove CVL include:
A. Forcibly removing the catheter when meeting resistance
B. Letting the site openly bleed for a few minutes after removal
C. Having the patient perform the Valsalva maneuver during removal
D. Positioning patient so that the insertion site is above the heart - Answer-C. Having
the patient perform the Valsalva maneuver during removal
In order to prevent nosocomial infection of a CVL, the nurse should:
a. Perform CVL dressing changes every 10 days
b. Always discard 20mL of blood prior to obtaining sample
C. group multiple blood draws together
d. Leave the port on the CVL open to air - Answer-C. group multiple blood draws
together
You are checking for a pulse in an unresponsive patient. How long do you continue to
check for a pulse before starting chest compressions?
A. 3-5 seconds
B. 1-3 seconds
C. at least 10 seconds
D. 5-10 seconds - Answer-D. 5-10 seconds
What is the preferred method of access for epinephrine administration during cardiac
arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Peripheral Intravenous
QUESTIONS WITH COMPLETE
ANSWERS
You have completed your first 2-min period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action?
A. Administer normal saline at 20 mL/kg
B. Obtain a BP & O2 sat
C. Administer epinephrine at 1 mg/kg IV
D. Have a team member attempt to palpate a carotid pulse - Answer-D. Have a team
member attempt to palpate a carotid pulse
Which of the following is a sign of effective CPR?
A. Measured UOP of 1 mL/kg/hr
B. PETCO2 > 10 mmHg
C. Pt temp > 32 oC
D. BP of 120/80 mmHg - Answer-B. PETCO2 > 10 mmHg
What is the purpose of a medical emergency team (MET) or rapid response team
(RRT)?
A. Providing online consultation to EMS personnel in the field
B. Providing diagnostic consultation to emergency department pts
C. Improving pt outcomes by identifying & treating early clinical deterioration
D. Improving care for deteriorating pts admitted to critical care units - Answer-C.
Improving pt outcomes by identifying & treating early clinical deterioration
Which treatment or medication is appropriate for the treatment of a pt in asystole?
A. epinephrine
B. Defibrillation
C. Atropine
D. Transcutaneous pacing - Answer-A. epinephrine
What is the recommended next step after a defibrillation attempt?
A. Check the ECG for evidence of a rhythm
B. Determine if a carotid pulse is present
C. Open the pts airway
D. Begin CPR, starting w/ chest compressions - Answer-D. Begin CPR, starting w/
chest compressions
The nurse is unable to flush a central venous access device and suspects occlusion.
The best nursing intervention would be to:
A. Apply warm moist compresses to the insertion site
B. Place the patient on the left side with the head-down position
, C. Attempt to force 10mL of normal saline into the device
D. Instruct the patient to change positions, raise arm and cough - Answer-B. Place the
patient on the left side with the head-down position
To establish hemodynamic monitoring for a patient, the nurse zeros the:
A. Cardiac output monitoring system to the level of the left ventricle
B. Pressure monitoring system to the level of the atrium, identified as the phlebostatic
axis
C. Pressure monitoring system to the level of the catheter tip located in the patient
D. Pressure monitoring system to the level of the atrium, identified as the midclavicular
line - Answer-B. Pressure monitoring system to the level of the atrium, identified as the
phlebostatic axis
In order to maintain catheter patency and adequate waveforms, the pressure bag
should be inflated to:
A. 400 mmhg
B. 100 mmhg
C. 200 mmhg
D. 300 mmhg - Answer-D. 300 mmhg
Steps to remove CVL include:
A. Forcibly removing the catheter when meeting resistance
B. Letting the site openly bleed for a few minutes after removal
C. Having the patient perform the Valsalva maneuver during removal
D. Positioning patient so that the insertion site is above the heart - Answer-C. Having
the patient perform the Valsalva maneuver during removal
In order to prevent nosocomial infection of a CVL, the nurse should:
a. Perform CVL dressing changes every 10 days
b. Always discard 20mL of blood prior to obtaining sample
C. group multiple blood draws together
d. Leave the port on the CVL open to air - Answer-C. group multiple blood draws
together
You are checking for a pulse in an unresponsive patient. How long do you continue to
check for a pulse before starting chest compressions?
A. 3-5 seconds
B. 1-3 seconds
C. at least 10 seconds
D. 5-10 seconds - Answer-D. 5-10 seconds
What is the preferred method of access for epinephrine administration during cardiac
arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Peripheral Intravenous
