NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS, Exams of Nursing

Download NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS and more Exams Nursing in PDF only on Docsity! NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS A patient presents to the emergency department with new onset of dizziness and fatigue. On examination, the patient's heart rate is 35/min, the blood pressure is 70/50 mm Hg, the respiratory rate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first medication? correct answerAtropine 0.5mg A patient with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial atropine dose was ineffective, and your monitor/defibrillator is not equipped with a transcutaneous pacemaker. What is the appropriate dose of dopamine for this patient? correct answer2 to 10 mcg/kg per minute A patient has sudden onset of dizziness. The patient's heart rate is 180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room air. The lead II ECG is shown below: correct answerVagal manuever. A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular access at the left internal jugular vein, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is the next recommended intervention? correct answerAdenosine 6mg IV push You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? correct answerDivert the patient to a hospital 15 minutes away with CT capabilities. Choose an appropriate indication to stop or withhold resuscitative efforts. correct answerEvidence of rigor mortis. A 49-year-old woman arrives in the emergency department with persistent epigastric pain. She had been taking oral antacids for the past 6 hours because she thought she had heartburn. The initial blood pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 96%. Which is the most appropriate intervention to perform next? correct answerObtain a 12 lead ECG. NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS A patient in respiratory failure becomes apneic but continues to have a strong pulse. The heart rate is dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What intervention has the highest priority? correct answerSimple airway manuevers and assisted ventilations. What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected? correct answerSuction during withdrawal but for no longer than 10 seconds. While treating a patient with dizziness, a blood pressure of 68/30 mm Hg, and cool, clammy skin, you see this lead II ECG rhythm:What is the first intervention ? correct answerAtropine 0.5mg A 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14 breaths/min, and a pulse oximetry reading of 97%. The lead II ECG displays sinus rhythm. What is the most appropriate action for the EMS team to perform next? correct answerCincinnati Prehospital Stroke Scale assessment EMS is transporting a patient with a positive prehospital stroke assessment. Upon arrival in the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95% on room air. The lead II ECG displays sinus rhythm. The blood glucose level is within normal limits. What intervention should you perform next? correct answerHead CT scan What is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place? correct answer8-10 breaths per minute A 62-year-old man in the emergency department says that his heart is beating fast. He says he has no chest pain or shortness of breath. The blood pressure is 142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and pulse oximetry is 95% on room air. What intervention should you perform next? correct answerObtain a 12 lead ECG. You are evaluating a 48-year-old man with crushing substernal chest pain. The patient is pale, diaphoretic, cool to the touch, and slow to respond to your questions. The blood pressure is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18 breaths/min, and the pulse oximeter is unable to NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. The next intervention is to correct answeradminister a second shock. What is the recommended next step after a defibrillation attempt? correct answerBegin CPR, starting with chest compressions. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? correct answerAntecubital vein Which finding is a sign of ineffective CPR? correct answerPETCO2 <10 mm Hg How often should the team leader switch chest compressors during a resuscitation attempt? correct answer. Every 2 minutes IV/IO drug administration during CPR should be correct answergiven rapidly during compressions What is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? correct answer300 mg A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What element of effective resuscitation team dynamics does this represent? correct answerClosed-loop communication How long should it take to perform a pulse check during the BLS Survey? correct answer5 to 10 seconds Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive and notice that he is taking agonal breaths. What is the next step in your assessment and management of this patient? correct answerCheck the patient's pulse. NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS An AED advises a shock for a pulseless patient lying in snow. What is the next action? correct answerAdminister the shock immediately and continue as directed by the AED. Which treatment or medication is appropriate for the treatment of a patient in asystole? correct answerEpinephrine What is the minimum depth of chest compressions for an adult in cardiac arrest? correct answer2 inches A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? correct answerStart chest compressions at a rate of at least 100/min. You have completed your first 2-minute period of CPR. You see an organized, nonshockable rhythm on the ECG monitor. What is the next action? correct answerHave a team member attempt to palpate a carotid pulse. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. What is the next most preferred route for drug administration? correct answerIntraosseous (IO) What is the appropriate rate of chest compressions for an adult in cardiac arrest? correct answerAt least 100/min You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? correct answerDivert the patient to a hospital 15 minutes away with CT capabilities. A 53-year-old man has shortness of breath, chest discomfort, and weakness. The patient's blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed below. A patent peripheral IV is in place. What is the next action? correct answerVagal maneuvers NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient's 12-lead ECG shows ST-segment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses of nitroglycerin. What is the next action? correct answerAdminister 2 to 4 mg of morphine by slow IV bolus. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. The lead II ECG displays a wide-complex tachycardia. What is the next action after establishing an IV and obtaining a 12-lead ECG? correct answerSeeking expert consultation A postoperative patient in the ICU reports new chest pain. What actions have the highest priority? correct answerObtain a 12-lead ECG and administer aspirin if not contraindicated. An 80-year-old woman presents to the emergency department with dizziness. She now states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg. She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the next action? correct answerConduct a problem- focused history and physical examination. What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? correct answer160 to 325 mg A responder is caring for a patient with a history of congestive heart failure. The patient is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a heart rate of 190/min. The patient's lead II ECG is displayed below. correct answerstable supraventricular tachycardia What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? correct answerSynchronized cardioversion NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS after the the third shock. What drug should the team leader request to be prepared for administration next? correct answersecond dose of epinephrine 1 mg A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine has been given. Which is the next drug to anticipate to administer? correct answeramiodarone 300 mg You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. You observe the following rhythm on the cardiac monitor. A defibrillator is present. What is your first action? correct answerGive a single shock what do you do after return of spontaneous circulation correct answermaintain O2 sat at 94% treat hypotension (fluids vasopressor) 12 lead EKG if in coma consider hypothermia if not in coma and ekg shows STEMI or AMI consider re-perfusion what are the 5 h's and 5 t's correct answerThe Hs and Ts is a mnemonic used to aid in remembering the possible reversible causes of cardiac arrest.[1] A variety of disease processes can lead to a cardiac arrest; however, they usually boil down to one or more of the "Hs and Ts". hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia tension pneumothorax tamponade, cardiac NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS toxins thrombosis, pulmonary (PE) thrombosis, coronary Bradycardia require treatment when? correct answerchest pain or shortness of breath is present how do you treat non-symptomatic bradycardia correct answermonitor and observe what constitutes symptomatic bradycardia correct answerhypotension altered mental status signs of shock chest pain acute heart failure A patient with sinus bradycardia and a heart rate of 42 has diaphoresis and blood pressure of 80/60. What is the initial dose of atropine? correct answer0.5 mg how do you treat symptomatic bradycardia correct answergive 0.5mg atropine every 3-5 mins to max of 3mg if that doesn't work try one of the following: transcutaneous pacing 2-10mcg/kg / minute dopamine infusion 2-10mcg per minute epinephrine infusion what is considered a tachycardia requiring treatment correct answerover 150 per minute NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS when do you consider cardioversion correct answerif persistent tachycardia is causing: hypotension altered mental status signs of shock chest pain acute heart failure if persistent tachycardia does not present with symptoms what do you need to consider correct answerwide QRS? greater than 0.12 seconds Your patient has been intubated. IV/IVO access is not available. Which combination of drugs can be administered by endotracheal route? correct answerLidocaine, epinephrine, vasopressin reentry supraventricular tachycardia correct answer polymorphic ventricular tachycardia - aka torsades correct answer atrial fibrilation correct answer sinus tachycardia correct answer coarse ventricular fibrillation correct answer atrial flutter correct answer NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS A 35 year old woman has palpitations, light headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. What drug should be administered? correct answeradenosine 6 mg A 57 year old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180 bpm. She becomes diaphoretic and her blood pressure is 80/60 mm Hg. What is the next action? correct answercardioversion when does bradycardia require treatment? correct answerhypotension You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised "no shock indicated". A rhythm check now finds asystole. After resuming high-quality compressions, your next action is to what? correct answerestablish IV or IO access you are caring for a 66 year old man with a history of a large intracerebral hemorrhage 2 months ago. He is being evaluated for another acute stroke. the ct scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg. Which drug do you anticipate giving? correct answeraspirin A 62 year old man suddenly experienced difficulty speaking and left-sided weakness. He was brought into the emergency department. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. What are the guidelines for antiplatelet and fibrinolytic therapy? correct answerhold aspirin for at least 24 hours if rtPA is administered a 45 year old woman has a history of palpitations develops lightheadedness and palpitations. She has received adenosine 6 mg IV for SVT without conversion. BP 128/70. next step? correct answeradenosine 12 mg STEMI intervention is most important in reducing patients in hospital and 30 day mortality? correct answerreperfusion therapy NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS a patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the patient becomes unresponsive, with the rhythm VT. What tx is indicated correct answerunsynchronized high energy shock which action should you take immediately after providing an AED shock correct answerresume chest compressions which action causes air to enter victim's stomach (gastric inflation) during bag-mask ventilation correct answerventilation too quickly, A patient becomes unresponsive. You are uncertain if a faint pulse is present with the rhythm below. What is your next action? correct answerCPR you are the code team leader and arrive to find a patient with CPR in progress. On next rhythm check NSR. Pt reported chest discomfort and then collapsed. She has no pulse or respirations. Bag-mask ventilations are producing visible chest rise and IO access has been established. Intervention? correct answerEPI 1 mg refractory ventricular fibrillation. 3rd shock just administered. what is next action correct answerresume high-quality chest compression 2nd degree mobitz correct answer 2nd degree wenckebach correct answer coarse V fib correct answer PEA correct answer NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS fine V Fib correct answer A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your team looks to you for instructions. Your immediate next order is? correct answerresume high quality chest compressions A patient with sinus bradycardia and a heart rate of 42 bpm has diaphoresis and a BP of 80/60 mm Hg. What is the initial dose of atropine? correct answer0.5 mg When can you use magnesium in cardiac arrest? correct answerVF/pulseless VT associated with torsades de pointes A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history of angina. What should you do? correct answerSeek expert consultation A patient with possible ST-segment elevation MI has ongoing chest discomfort. What is a containdication to the administration of nitrates? correct answerPhosphodiesterase inhibitor within 12 hours Bradycardia requires treatment when? correct answerChest pain or shortness of breath You patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route? correct answerLidocaine, epinephrine, vasopressin A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug and dose should be administered first by the IV/IO route? correct answerEpinephrine 1 mg A patient is in refractory ventricular fibrillation. High quality CPR is in progress, and shocks have been given. One dose of epinephrine was given after the second shock. An antiarrhythmic drug was given NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS Ventricular fibrillation correct answer Third deg AV block correct answer Sinus bradycardia correct answer Ventricular fibrillation correct answer Atrial flutter correct answer Pulseless electrical activity correct answerPush Epi Always Second deg AV block: Mobitz 2 correct answer Supraventricular tachycardia correct answer Polymorphic ventricular tachycardia correct answer Sinus bradycardia correct answer Sinus tachycardia correct answer Ventricular fibrillation correct answer Agonal rhythm into asystole correct answer NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS If patient is in cardiac arrest and the rhythm is asystole and CPR is beign given. What is the first drug you should give? (a) Atropine 0.5 mg IV/IO (b) Atropine 1 mg IV/IO (c) Dopamine 2 to 20 mcg/kg per min IV/IO (d) Epinephrine 1 mg IV/IO correct answer(d) Epinephrine 1 mg IV/IO A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138 bpm. He is asymptomatic, with a blood pressure of 110/70. He has a history of angina. What action is recommended next? (a) Giving adenosine 6 mg IV bolus (b) Giving lidocaine 1 to 1.5 mg IV bolus (c) Performing synchroniczed cardioversion (d) Seeking expert consultation correct answer(d) Seeking expert consultation A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first? (a) Atropine 1 mg IV/IO (b) Epinephrine 1 mg IV/IO (c) Lidocaine 1 mg/kg IV/IO (d) Sodium bicarbonate 50 mEq IV/IO correct answer(b) Epinephrine 1 mg IV/IO You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised "no shock indicated." A rhythm check now finds asystole. After resuming high-quality compressions, which action do you take next? (a) Call for a pulse check (b) Establish IV or IO access NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS (c) Insert a laryngeal airway (d) Perform endotracheal intubation correct answer(b) Establish IV or IO access A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be given next? (a) Adenosine 6 mg (b) Amiodarone 300 mg (c) Epinephrine 3 mg (d) Lidocaine 0.5 mg/kg correct answer(b) Amiodarone 300 mg A 35 yr old female has palpitation, light-headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal manuevers have not been effective in terminating the rhythm. An IV has been established. Which drug should be administered? (a) Adenosine 6 mg (b) Atropine 0.5 mg (c) Epinephrine 2 to 10 mcg/kg per minute (d) Lidocaine correct answer(a) Adenosine 6 mg Pt is in refractory ventricular fibrilation. CPR is in progress. 1 dose of epinephrine given after second shock. An antiarrhythmic drug was given immediately after third shock. Which med is next? (a) Epinephrine 1 mg (b) Epinephrine 3 mg (c) Sodium bicarb 50 mEq (d) Second dose of antiarrhythmic drug correct answer(a) Epinephrine 1 mg What is the indication for use of magnesium in cardiac arrest? (a) Ventricular tachycardia associated with a normal QT interval NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS (c) Perform electrical cardioversion (d) Seek expert consultation correct answer(c) Perform electrical cardioversion Pt w/ sinus bradycardia and a heart rate of 42 has diaphoresis and a blood pressure of 80/60. What is the initial dose of atropine? (a) 0.1 mg (b) 0.5 mg (c) 1 mg (d) 3 mg correct answer(b) 0.5 mg A pt w/ STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hr are being administered. The pt did not take aspirin because he has a hx of gastritis, which was treated 5 yrs ago. What is your next action? (a) Give aspirin 160 to 325 mg to chew (b) Give clopidogrel 300 mg orally (c) Give enteric-coated aspirin 75 mg orally (d) Give enteric-coated aspirin 325 mg rectally correct answer(a) Give aspirin 160 to 325 mg to chew 62 yr old man suddenly expereinced difficulty speaking and left-sided weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? (a) Give aspirin 160 to 325 mg to be chewed immediately (b) Give aspirin 160 mg and clopidogrel 75 mg orally (c) Give heparin if the CT scan is negative for hemorrhage (d) Hold aspirin for at least 24 hrs if rtPA is administered correct answer(d) Hold aspirin for at least 24 hrs if rtPA is administered NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS A patient has sinus bradycardia w/ a heart rate of 36. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The pt is confused, and her BP is 88/56. Which therapy is now indicated? (a) Atropine 1 mg (b) Epinephrine 2 to 10 mcg/min (c) Adenosine 6 mg (d) Normal saline 250 mL to 500 mL bolus correct answer(b) Epinephrine 2 to 10 mcg/min A 45 yr old woman with a hx of palpitations develops light-headedness and palpitations. She has received adenosine 6 mg IV for the rhythm shown here, without conversion of the rhythm. She is now extremely apprehensive. Her BP is 128/70 mm Hg. What is the next appropriate intervention? (a) Administer adenosine 12 mg IV (b) Perform unsynchronized cardioversion (c) Perform vagal maneuvers (d) Perform synchronized cardioversion correct answer(a) Administer adenosine 12 mg IV Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? (a) Giving breaths over 1 second (b) Ventilating too quickly (c) Providing a good seal btwn the face and mask (d) Providing just enough volume for chest to rise correct answer(b) Ventilating too quickly What is the recommended depth of chest compressions for an adult victim? correct answerAt least 2 inches You are the code team leader and arrive to find a patient with CPR in progress. On the next rhythm check, you see electrical activity on the monitor. She has no pulse or respirations. Bag-mask ventilations NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS are producing visible chest rise, and IO access has been established. Which intervention would be your next action? (a) Atropine 1 mg (b) Dopamine at 10 to 20 mcg/kg per min (c) Epinephrine 1 mg (d) Intubation and administration of 100% oxygen correct answer(c) Epinephrine 1 mg How often should you switch chest compressors to avoid fatigue? correct answerEvery 2 minutes You are providing bag-mask ventilation to a pt in respiratory arrest. How often should you provide ventilations? correct answerAbout every 5-6 secs Which intervention is most important in reducing this patient's in-hospital and 30 day mortality rate? (a) Application of transcutaenous pacemaker (b) Atropine administration (c) Nitroglycerin administration (d) Reperfusion therapy correct answer(d) Reperfusion therapy How does complete chest recoil contribute to effective CPR? (a) Allows maximum blood return to the heart (b) Reduces rescuer fatigue (c) Reduces the risk of rib fractures (d) Increases the rate of chest compressions correct answer(a) Allows maximum blood return to the heart A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your team looks to you for instructions. What is your next action? NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS What is more important to start for a nonresponsive patient with no pulse, putting on an AED or starting rescue breathing? correct answerStarting rescue breathing You arrive on scene to find CPR in progress. Nursing staff report the pt was recovering from a pulmonary embolism and suddenly collapsed. Two shocks have been delivered, and an IV has been initiated. What do you administer now? (a) Atropine 0.5 mg IV (b) Epinephrine 1 mg IV (c) Endotracheal intubation (d) Transcutaneous pacing correct answer(b) Epinephrine 1 mg IV A patient becomes unresponsive. You are uncertain if a faint pulse is present. An IV is in place. Which action do you take next? (a) Begin transcutaneous pacing (b) Start high-quality CPR (c) Administer atropine 1 mg (d) Administer epinephrine 1 mg IV correct answer(b) Start high-quality CPR If cases where is the likely cause of cardiac arrest, VENTILATION becomes much more important correct answerhypoxia correlates w/ ROSC correct answerHigh quality CPR What are the consequences of interrupting CPR? correct answercoronary perfusion falls can help indicate coronary perfusion pressure correct answerCapnography NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS Adequate CPR compression are at least correct answer2 inches Why should chest compressions recoil? correct answerTo ensure adequate coronary perfusion pressure Chest compression fraction should be around correct answer60-80% Don't spend more than seconds without compressions correct answer10 seconds What should the tidal volume be for adequate ventilations? correct answer500-600 mL or half of a bag squeeze What should be the first thing you do when you arrive on scene? correct answerSee if patient is conscious or unconscious What do you do next If the patient is unconscious when you first arrive on scene? correct answerInitiate BLS If a patient is not responsive when you first arrive on scene, what should you do next? correct answerCall code Get AED During BLS, should you check breathing and pulse (a) Separately (b) Simultaenously correct answer(b) Simultaenously If pt is not breathing normally but has pulse, what should you do? correct answerBypass chest compressions and ventilate every 5-6 seconds NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS After intubating someone, what should you do next? correct answerProvide 1 ventilation every 6 seconds What should you assess for in the Disability function of ABCDE? correct answerNeurologic function - Alert - Pain - Voice - Unresponsive What are the H's of PEA? correct answerHypovolemia Hypoxia H+ (acidosis) HyperK+ HypoK+ Hypothermia What are the T's of PEA? correct answerTrauma Tension PTX Tamponade Toxins Thrombosis (Pulmonary or Coronary) Why should you not excessively ventilate? correct answerCauses gastric insufflation Incr intrathoracic pressure Decr venous return and CO NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS What should you do if you encounter a pt who has a pulseless tachycardia? correct answerManage it like a cardiac arrest algorithm Most symptomatic tachycardias will present with a HR of greater than correct answer150 If a tachycardia patient is hemodynamically stable, what is the next thing you should assess? correct answerIf QRS is wide (>= 0.120 sec) If QRS is not wide for a tachycardia patient, what should you do next? correct answer(1) Vagal manuevers (2) Adenosine (3) Bblock or CCB (4) Expert consultation What things do you need to do after ROSC? correct answer(1) Optimize ventilation and oxygenation (2) Treat Hypotension (3) EKG (4) See if pt follows commands During post ROSC, what things do you need to do to optimize ventilation and oxygenation? correct answer- O2 > 94% - Advanced airway + capnography - Don't hyperventilate During post ROSC, if a pt cannot follow commands, what do you need to do? correct answerInitiate targeted temperature management NURS 412 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 A+ ASSUARED SUCCESS If a patient is responsive and talking, what is the next step of the ACS algorithm? correct answerObtain a 12 lead ECG What is the dosing of nitroglycerin according to the ACS algorithm? correct answerEvery 3-5 minutes for a maximum of 3 doses What are the contraindications of nitroglycerin according to the ACS algorithm? correct answer- Severe bradycardia - Tachycardia - Hypotension - Phosphodiesterase inhibitors Initiation of fibrinolytic therapy, if appropriate, within of hospital arrival and from onset of symptoms correct answerInitiation of fibrinolytic therapy, if appropriate, within 1 hour of hospital arrival and 3 hours from onset of symptoms In ACS algorithm, what determines whether or not a STEMI gets reperfusion or not? correct answerWhether or not the sxs of onset are less than 12 hrs