N403 Quiz 1

c. Administering insulin slowly decreases the risk of a fluid shift that could cause cerebral edema.

Why do you administer insulin slowly to a patient who is suffering from DKA?
a. You don't administer it slowly, give it as fast as possible to bring down that glucose level
b. Insulin will increase potassium, making the patient hyperkalemic and at risk fo

d. All of the above

What assessments should you do on an AAA resection post-op patient?
a. Check vitals
b. Check peripheral pulses
c. Check abdomen for distention, discoloration, firmness, pulsating, and pulling or dehiscence of incision.
d. All of the above

c. Try to stimulate their vagus nerve by performing a vagal maneuver

What is the first thing that we do when someone is experience SVT?
a. Administer medication
b. Relaxation techniques
c. Try to stimulate their vagus nerve by performing a vagal maneuver
d. Administer a shock to reset the heart

a. Decreased blood pressure, c. Increase heart rate, d. Abdominal distention, e. Diaphoretic, f. Restless and in pain

What are signs and symptoms of a ruptured AAA resection? (select all that apply)
a. Decreased blood pressure
b. Increase temperature
c. Increase heart rate
d. Abdominal distention
e. Diaphoretic
f. Restless and in pain
g. decrease respiration

activates the PNS to slow down the heart rate and respirations by stimulates receptors in the carotid arteries

How do vagal maneuvers work to treat or slow down SVT?

a. Serum glucose level, c. BMP, d. HbA1c, e. ABG, f. Urine Ketones

A 14-year old patient is admitted to the ED after fainting at school. Upon your initial assessment, you note Kussmaul respirations and fruity-smelling breath. Which of the following diagnostic tests would you expect to be ordered for this patient? (select

c. Administer an IV beta blocker

A patient's telemetry monitor is displaying SVT. The patient has a heart rate of 225 bpm, blood pressure of 130/80, and shortness of breath. After trying vagal maneuvers, the SVT is still not terminated. Which of the following should you try next?
a. Prep

b. Dextrose

Which of the following medications do you have to have at the bedside when you are giving IV insulin?
a.Heparin
b. Dextrose
c. Ibuprofen
d. Labetalol

b. Sudden shortness of breath, d. Dizziness, e. Cough

Which of the following are signs/ symptoms of a pulmonary embolism (select all that apply)
a. O2 at 100%
b. Sudden shortness of breath
c. Bradycardia
d. Dizziness
e. Cough

A. Stimulation of the PNS, C. Decreased heart rate, E. Decreased respiratory rate

Which of the following functions occur when a patient uses Valsalva's Maneuver? (Select all that apply).
A. Stimulation of the PNS
B. Increased heart rate
C. Decreased heart rate
D. Increased respiratory rate
E. Decreased respiratory rate

D. Irregularly irregular

Which of the following can be used to describe atrial fibrillation? (Multiple choice).
A. Regularly regular
B. Regularly irregular
C. Irregularly regular
D. Irregularly irregular

a. Administer oxygen, b. Bring a crash cart to the bedside, d. Place the patient in left lateral Trendelenburg position

A nurse removed a central line without educating the patient properly, therefore, the patient now has an air embolism. What should the nurse do to treat this? Select all that apply.
a. Administer oxygen
b. Bring a crash cart to the bedside
c. Begin chest

c. Assess the incision site

A patient is 3 days' post-op a AAA resection, she is complaining of 10/10 pain in her abdominal region, as the nurse you should first:
a. Immediately leave the patient's room to call the MD/surgeon
b. Call rapid response
c. Assess the incision site
d. Tak

c. Air embolism

What is the largest risk related to removal of a central line?
a. Pain
b. Excessive bleeding
c. Air embolism
d. Athroschlerosis

a. Flank or back pain, b. Elevated blood pressure, d. Pulsating abdominal mass

What are common manifestations of an Abdominal Aortic Aneurysm (AAA)?
a. Flank or back pain
b. Elevated blood pressure
c. Hoarseness, cough, SOB, and difficulty swallowing
d. Pulsating abdominal mass

b. ventricular fibrillation or pulseless ventricular tachycardia

When is defibrillation indicated?
a. SVT
b. ventricular fibrillation or pulseless ventricular tachycardia
c. ventricular tachycardia with a pulse
d. atrial dysrhythmias

c. Hold your breath when it leaves the body

Which of the following should you educate to your patient before removing a central line?
a. Sit up at a 90 degree angle
b. Exhale when it leaves the body
c. Hold your breath when it leaves the body
d. Do nothing just relax

a. Bearing down to stimulate vagus nerve, b. Coughing, d. Blow through a straw

Which of the following are ways to slow down SVT? Select all that apply
a. Bearing down to stimulate vagus nerve
b. Coughing
c. Administer Atropine
d. Blow through a straw

b) Potassium

A patient is suffering from DKA and is being given insulin intravenously, as the nurse you know that it is extremely important to monitor which lab value closely?
a) Sodium
b) Potassium
c) BUN
d) RBC's

a. Educate the patient on the importance of holding his or her breath during the procedure, b. Lay the patient down flat, c. Secure IV access

Before removing your patient's central line, you know that it is important to.. (select all that apply)
a. Educate the patient on the importance of holding his or her breath during the procedure
b. Lay the patient down flat
c. Secure IV access
d. Tell the

a. Lay the patient in Trendelenburg position

During the removal of central line, your patient takes a breath and is suddenly short of breath with rapid respirations. As the nurse, what is your first priority?
a. Lay the patient in Trendelenburg position
b. Sit the patient upright and apply oxygen
c.

a. Developing arrhythmias, b. Muscle weakness, c. Diminished deep tendon reflexes

The patient has been placed on insulin drip to correct a blood sugar of 800. As the nurse, you notice his potassium levels are dropping. During your assessment, what signs would indicate hypokalemia? Select all that apply.
a. Developing arrhythmias
b. Mus

C: Ensure patent airway, check blood glucose, and begin administration of 0.9% NaCl solution.

A patient with diabetes is brought to the ED. She is not acting like herself, is more tired than usual, and is vomiting. Select the best action done by the nurse.
A: Establish IV access, begin continuous regular insulin drip, and administer 0.9% NaCl solu

a. Monitor and maintain blood pressure within prescribed parameters., b. Monitor VS frequently, c. Asses for any changes in peripheral pulses, and signs of increasing pain, restlessness, and anxiety

A nurse Is planning post-operative care for a patient following an AAA repair. Which of the following interventions should the nurse include in the care plan? Select that all apply
a. Monitor and maintain blood pressure within prescribed parameters.
b. Mo

1) Most common pediatric cardiac emergency, 2.) Most common pediatric symptomatic arrhythmia, 3.) Affects 1/1000 to 1/250 children, prevalence, 5.) Defined as any tachycardia that requires the participation of tissue above the bifurcation of the bundle of

SVT is... (select all that apply)
1) Most common pediatric cardiac emergency
2.) Most common pediatric symptomatic arrhythmia
3.) Affects 1/1000 to 1/250 children, prevalence 2.25/1000, incidence 13/100,000 per year in children l
4.) Originates in the pur

SVT originates in the atria or atrioventricular junction

Where does SVT originate?

a. T&S determines ABO blood group and Rh type and screens for clinically significant antibodies, b. T&C determines ABO blood group and Rh type and screens for clinically significant antibodies, d. T&C performs a crossmatch between the patient's sample and

When obtaining blood samples from your patient, what is true about getting a type & screen (T&S) and getting a type & cross (T&C)? Select all that apply:
a. T&S determines ABO blood group and Rh type and screens for clinically significant antibodies
b. T&

c. Educate the patient on the importance of holding their breath while you remove the central line, and not to take a deep breath until the central line is fully removed

As a nurse you know the biggest complication related to central line removal is an air embolism, so when preparing a patient for this procedure you:
a. Give the patient prescribed pain medication 1 hour prior
b. Instruct the patient to lay on their left s

A) Albuterol administration, B) Caffeine, C) Anxiety, D) Illicit drug use (e.g. cocaine)

Which of the following may trigger an episode of supraventricular tachycardia? (select all that apply)
A) Albuterol administration
B) Caffeine
C) Anxiety
D) Illicit drug use (e.g. cocaine)

C) Administer more pain medication and check in with the patient again in 30 mins

Which of the following actions is NOT an appropriate response by the nurse if a post operative patient is complaining of 10/10 pain and is becoming hypovolemic?
A) Call the rapid response team
B) Establish large bore IV access and prepare to infuse blood

A) Intravascular thrombus formation at the site of ruptured plaques depends more on the action of platelet aggregation than on the coagulation cascade., C) Anti-platelet medications are effective prophylaxis for MI while avoiding the increased side effect

Why are anti-platelet agents like aspirin preferred over anticoagulants for prophylaxis of myocardial infarction? (Select all that apply).
A) Intravascular thrombus formation at the site of ruptured plaques depends more on the action of platelet aggregati

C) Hypovolemic shock

2) Joan Smith is a 69 year old female who is 3 days status post repair of dissected AAA. Upon your initial evaluation at shift change, Mrs. Smith is pale, cool, tachycardic, and has BP 61/32. She is afebrile, has no cough, and her incision site is clean,

a. The ability to calm down is impaired by the sympathetic nervous system

When a patient is having an anxiety attack, you know that:
a. The ability to calm down is impaired by the sympathetic nervous system
b. The ability to calm down is impaired by the parasympathetic nervous system
c. You should never administer a SSRI
d. You

e. All of the above

Metabolic syndrome is characterized by a cluster of health problems that include: (Select all that apply)
a. Obesity
b. Hypertension
c. Abnormal lipid levels
d. High blood glucose
e. All of the above

b. Hold their breath

When removing a central line catheter from a patient, you should instruct the patient to ________.
a. Count down from 10
b. Hold their breath
c. Take slow deep breaths
d. Pull the catheter out on their own

a. Cardioversion is a synchronized counter shock, d. Defibrillation is an asynchronized counter shock, e. A person in ventricular fibrillation can be defibrillated

Which of the following are true about cardioversions and defibrillation? Select all that apply
a. Cardioversion is a synchronized counter shock
b. Cardioversion is an asynchronized counter shock
c. Defibrillation is a synchronized counter shock
d. Defibri

b. place in Trendelenburg on the left side

What would be the first priority be if a patient developed an air embolism after removing a central line?
a. vital signs
b. place in Trendelenburg on the left side
c. apply supplemental oxygen
d. place additional IV access

b. ventricular tachycardia without a pulse, c. ventricular fibrillation

Which rhythms would you use a defibrillator for? Select all that apply.
a. asystole
b. ventricular tachycardia without a pulse
c. ventricular fibrillation
d. atrial flutter

1. severe illness, 2. severe stress, 3. dehydration

Precipitating factors to consider when suspecting that a patient is presenting with diabetic ketoacidosis (DKA) would include? (Select all that apply)
1. severe illness
2. severe stress
3. dehydration
4. immobility

4. 24

After successful removal of a central line IV from their patient, the nurse knows that they need to educate them on keeping the dry dressing intact where the central line was inserted and that they should not remove the dressing until after ______ hours.

D. C-peptide

What laboratory test can be useful when trying to differentiate if a person is a Type 1 Diabetic or Type 2 Diabetic?
A. Amylase
B. Potassium
C. Creatinine
D. C-peptide

A. Place ice on the patient's face, B. Carotid massage, D. Valsalva maneuver

Select all that apply: What are ways used to stimulate a patient's vagus nerve?
A. Place ice on the patient's face
B. Carotid massage
C. Encourage the patient to walk around
D. Valsalva maneuver
E. Put the patient in Trendelenburg position

b. chest pain, c. tachypnea, d. arrhythmia

Signs and symptoms of an air embolism include (check all that apply)
a. bruising at insertion site
b. chest pain
c. tachypnea
d. arrhythmia

c. a tear that leads to a separation of the aortic layers

What is an aortic dissection?
a. a weakening of the inner wall of the aorta
b. an out-pouching of the aorta
c. a tear that leads to a separation of the aortic layers
d. plaque accumulation in the aorta

b. re-check heart rate for one whole minute, c.obtain an ECG, d. Obtain telemetry bedside monitor to continue monitoring patients heart rate

Select all that apply. When encountering a patient with a hear rate of 150 as a nurse what action can you take?
a. ignore since you checked it 5 minutes ago
b. re-check heart rate for one whole minute
c.obtain an ECG
d. Obtain telemetry bedside monitor to

a. have patient bare down for vagal nerve stimulation

Your patient has a sudden major heart rate increase as a nurse what can you do to help decrease heart rate immediately without medicinal intervention?
a. have patient bare down for vagal nerve stimulation
b. have patient sit up in bed
c. have patient lay