NURS 6900 Monitoring Lecture Exam Questions With Correct Answers

NURS 6900 Monitoring Lecture Exam
Questions With Correct Answers

What |are |the |minimum |requirements |for |clinical |monitoring? |- |CORRECT |ANSWER✔✔-1. |
Monitor, |evaluate, |and |document |the |patient's |physiologic |status |as |appropriate |for |
procedure/agent

2. |Variable |pitch |and |threshold |alarms |should |be |on |and |audible

3. |BP, |HR, |and |RR |should |be |documented |q |5 |min |

4. |CV: |EKG |and |BP

5. |Resp: |SpO2

6. |Ventilation: |EtCO2

7. |Thermoregulation

8. |Neuromuscular |(when |utilizing |a |NMBD)



What |are |the |monitoring |systems |we |are |being |tested |on? |- |CORRECT |ANSWER✔✔-1. |Cardiac

2. |Respiratory |

3. |Temperature

5. |Neurological



What |cardiac |monitoring |do |we |have |in |anesthesia? |- |CORRECT |ANSWER✔✔-1. |EKG

2. |BP

3. |CVP

4. |PA |catheter



What |is |the |EKG? |- |CORRECT |ANSWER✔✔-This |is |an |electrical |vector |diagram |that |
demonstrates |the |movement |of |electrically |charged |particles |during |a |cardiac |action |potential |

,There |are |bipolar |and |unipolar |leads



Bipolar |leads |- |CORRECT |ANSWER✔✔-There |are |2 |surface |leads, |one |positive |and |one |
negative

I: |+ |lead |on |L |arm, |negative |lead |R |arm

II: |+ |lead |on |L |leg, |negative |lead |on |R |arm |

III: |+ |lead |on |L |leg, |negative |lead |on |L |arm



Unipolar |leads |- |CORRECT |ANSWER✔✔-These |have |one |positive |surface |lead |and |include |aVF, |
aVL, |and |aVR

aVR: |Right |shoulder

aVL: |Left |shoulder

aVF: |Foot



What |are |the |precordial |leads? |- |CORRECT |ANSWER✔✔-AKA |the |chest |leads, |V1-V6

V1: |4th |intercostal, |R |sternal |border

V2: |4th |intercostal, |L |sternal |border

V3: |5th |intercostal |

V4: |5th |intercostal, |midclavicular

V5: |5th |intercostal

V6: |5th |intercostal, |mid-axillary



What |is |the |coloring |for |EKG |placement? |- |CORRECT |ANSWER✔✔-R |arm: |White |

R |leg: |Green

L |arm: |Black |

L |leg: |Red

Precordial: |Brown

, What |are |the |limb |leads? |- |CORRECT |ANSWER✔✔-I, |II, |III, |aVR, |aVL, |aVF

Each |QRS |is |complex |is |different |for |each |limb |lead



What |does |the |QRS |complex |look |like |in |Lead |I? |- |CORRECT |ANSWER✔✔-All |the |defelctions |
are |in |the |same |upward |direction, |QRS |lacks |any |negative |deflection, |small |amplitude



What |does |the |QRS |complex |look |like |in |Lead |II? |- |CORRECT |ANSWER✔✔-Largest |amplitude |of
|QRS |and |T |wave, |both |have |positive |deflections




What |does |the |QRS |complex |look |like |in |Lead |III? |- |CORRECT |ANSWER✔✔-Positive |QRS, |
smaller |amplitude |than |Lead |II



What |does |the |QRS |complex |look |like |in |Lead |aVR? |- |CORRECT |ANSWER✔✔-All |negative |
deflections |of |p |wave, |QRS, |and |T |wave



What |does |the |QRS |complex |look |like |in |Lead |aVL? |- |CORRECT |ANSWER✔✔-Very |small |
amplitude, |both |positve |and |negative |QRS |defelcetion, |postive |T |wave



What |does |the |QRS |complex |look |like |in |Lead |aVF? |- |CORRECT |ANSWER✔✔-Looks |similar |to |
Lead |II, |all |positive |deflections |but |a |little |less |amplitude



What |are |the |precordial |leads? |- |CORRECT |ANSWER✔✔-AKA |chest |leads |

V1-V6

*QRS |starts |negative |and |lead |V1 |and |will |be |positive |in |lead |V6

*Lead |V3 |is |the |"transition" |lead, |there |is |equiphasic |QRS

*There |should |be |gradual |increase |in |QRS |amplitude |in |V1-V4