age 1 of 66
EXAM 1 CRITICAL CARE WEEK 1 AND 2 EXAM WITH
CORRECT ANSWERS
When administering nitroglycerin, which possible outcome does
the nurse need to monitor the patient for?
A. Peripheral vasoconstriction with tissue necrosis
B. Increased afterload
C. Peripheral vasodilation
D. Increased preload ......ANSWER........C. peripheral
vasodilation
A patient is admitted to the ICU with a pulmonary artery (PA)
catheter in the left internal jugular. During the nurse's shift, the
PA pressure increases. What additional priority assessment does
the nurse need to perform next?
Assess the patient's urine output
B. Assess the patient's lung sounds
C. Assess the patient's blood pressure
,age 2 of 66
D. Assess the patient's heart rhythm ......ANSWER........B. Assess
the patient's lung sounds
The nurse is caring for a patient with an internal jugular central
line and a left radial arterial line. The patient asks the nurse
why he needs two lines and what the difference is. What will the
nurse include in the explanation?
A. "The internal jugular line is only for medication administration
and the arterial line monitors your central venous pressure."
B. "The internal jugular line is for monitoring your central venous
pressure and the arterial line is only for medication
administration."
C. "The internal jugular line is only for monitoring your central
venous pressure and the arterial line is for monitoring your blood
pressure."
D. "The internal jugular line is for monitoring your central venous
pressure and medication administration. The arterial line is for
,age 3 of 66
monitoring your blood pressure." ......ANSWER........D. "The
internal jugular line is for monitoring your central venous
pressure and medication administration. The arterial line is for
monitoring your blood pressure."
The nurse observes asystole on the patient's telemetry monitor.
What is the nurse first action?
A. Carry out defibrillation.
B. Notify the physician.
C. Assess the patient.
D. Administer atropine IV. ......ANSWER........C. Assess the patient.
When reviewing the patient's medication administration record
(MAR) the notes the medication atropine listed.
The nurse understands that this medication is administered for
which problem?
A. Symptomatic bradycardia
B. Symptomatic tachycardia
, age 4 of 66
C. Supraventricular tachycardia
D. Ventricular dysthymias ......ANSWER........A. Symptomatic
bradycardia
A patient has an intraaortic balloon pump (IABP) in the left
groin. Which assessment finding requires immediate action by
the nurse?
A. Heart rate of 60 beats per minute
B. New onset confusion
C. Blood pressure of 90/55
D. Scant amount of blood on the left groin dressing
......ANSWER........B. New onset confusion
The nurse is caring for a patient with a congestive heart failure
and a central venous pressure (CVP) of 15.. The nurse
administers 40mg Lasix IVP as per physician order. What will
the nurse monitor to evaluate the effectiveness of the treatment?
A. Assess the patient's skin turgor.
EXAM 1 CRITICAL CARE WEEK 1 AND 2 EXAM WITH
CORRECT ANSWERS
When administering nitroglycerin, which possible outcome does
the nurse need to monitor the patient for?
A. Peripheral vasoconstriction with tissue necrosis
B. Increased afterload
C. Peripheral vasodilation
D. Increased preload ......ANSWER........C. peripheral
vasodilation
A patient is admitted to the ICU with a pulmonary artery (PA)
catheter in the left internal jugular. During the nurse's shift, the
PA pressure increases. What additional priority assessment does
the nurse need to perform next?
Assess the patient's urine output
B. Assess the patient's lung sounds
C. Assess the patient's blood pressure
,age 2 of 66
D. Assess the patient's heart rhythm ......ANSWER........B. Assess
the patient's lung sounds
The nurse is caring for a patient with an internal jugular central
line and a left radial arterial line. The patient asks the nurse
why he needs two lines and what the difference is. What will the
nurse include in the explanation?
A. "The internal jugular line is only for medication administration
and the arterial line monitors your central venous pressure."
B. "The internal jugular line is for monitoring your central venous
pressure and the arterial line is only for medication
administration."
C. "The internal jugular line is only for monitoring your central
venous pressure and the arterial line is for monitoring your blood
pressure."
D. "The internal jugular line is for monitoring your central venous
pressure and medication administration. The arterial line is for
,age 3 of 66
monitoring your blood pressure." ......ANSWER........D. "The
internal jugular line is for monitoring your central venous
pressure and medication administration. The arterial line is for
monitoring your blood pressure."
The nurse observes asystole on the patient's telemetry monitor.
What is the nurse first action?
A. Carry out defibrillation.
B. Notify the physician.
C. Assess the patient.
D. Administer atropine IV. ......ANSWER........C. Assess the patient.
When reviewing the patient's medication administration record
(MAR) the notes the medication atropine listed.
The nurse understands that this medication is administered for
which problem?
A. Symptomatic bradycardia
B. Symptomatic tachycardia
, age 4 of 66
C. Supraventricular tachycardia
D. Ventricular dysthymias ......ANSWER........A. Symptomatic
bradycardia
A patient has an intraaortic balloon pump (IABP) in the left
groin. Which assessment finding requires immediate action by
the nurse?
A. Heart rate of 60 beats per minute
B. New onset confusion
C. Blood pressure of 90/55
D. Scant amount of blood on the left groin dressing
......ANSWER........B. New onset confusion
The nurse is caring for a patient with a congestive heart failure
and a central venous pressure (CVP) of 15.. The nurse
administers 40mg Lasix IVP as per physician order. What will
the nurse monitor to evaluate the effectiveness of the treatment?
A. Assess the patient's skin turgor.
