Question 1 Volume cycled ventilation guarantees pressure to be delivered from the ventilator: F, Should be guarantees volume Question 2 Intrapleural pressure is always: Negative Question 3 The purpose(s) of chest tubes is/are: Restore negative pressure, drain fluid and air Question 4 Which of the following settings provides total support for ventilatory cycle: Assist/Control Question 5 PEEP is characterized by decreasing functional reserve capacity in the lungs, usually set between 5 and 15 cmH2O pressure, and distends the alveoli. F, it should increase functional reserve capacity Question 6 CPAP is associated with higher intrathoracic pressures and spontaneous breaths. True Question 7 Assess the following arterial blood gas: Question 8 Assess the following arterial blood gas: Question 9 Assess the following arterial blood gas: Question 10 Assess the following arterial blood gas: Question 11 A patient is admitted to the MICU with rales bilaterally, BP: 90/50, HR: 115, skin is warm, dry, urine output 20 ml/hr. A PA catheter was inserted and the following readings were obtained: CO = 3.5 L/min., PAWP = 25 mmHg., PAS = 40 mmHg., PAD = 24 mmHg. These readings and the patient's clinical presentation are consistent with: Left ventricular failure Question 12 Treatment of this patient might include which of the following: Digoxin and diuretic Question 13 Repolarization: Return of cell to resting state caused by reentry of potassium into cell while sodium exits. Question 14 Normal range of Mg+: 1.5 -2.5 Question 15 Normal range of Ca++: 8.5-10.3 Question 16 Which patient(s) would be at risk for developing dysrhythmias? Metabolic alkalosis Question 17 Patient on telemetry exhibits a heart rate of 130/minute and notifies the primary care provider. The nurse should anticipate which of the following management strategies will be used for this patient? Treat underlying cause Question 18 Which of the following has an anticipated intrinsic rate of 40 – 60/minute? Atrioventricular junction Question 19 An example of an anti-coagulant medication is: Warfarin Question 20 Pericarditis has the following characteristics: Inflammation of pericardial lining, can lead to cardiac tamponade and pulsus paradoxus Question 21 Septic shock presents with the following: Decrease preload, increase contractility, decrease afterload Question 22 A sac aneurysm: Saccular dilation of one side of the blood vessel Question 23 A 72 year -old male is admitted with a c/o SOB, and a h/o CAD, MI 12 years prior to admission. V/S: B/P: 190/110, AP: 118, RR: 32/min, circumoral and peripheral cyanosis present. Chest auscultation revealed bilateral rales. O a. pulmonary edema O b. emphysema O c. ARDS O d. cor pulmonale Question 24 Management of this patient in would include: O2, nitroglycerin, digitalization, diuretics Question 25 A nurse instructing a patient who has angina about a new prescription for metoprolol tartarte (Lopressor). Which of the following statements by the patient indicates understanding of the teaching? A. "I should place the tablet under my tongue." B. "I should have my clotting time checked weekly." C. "I will report any ringing in my ears." D. "I will call my doctor if my pulse rate is less than 60." Question 26 Hormones are produced by highly specialized cells and regulate the activity of other cells. True Question 27 Which of the following drives the release of hormones? The low hormone levels Will stopped releasing when enough Negative feedback Question 28 Type 1 Diabetes is characterized by: Insulin producing beta cells in the pancreas are destroyed by a combination of genetic, immunological and environmental factors Results in decrease insulin production, unchecked glucose production by the liver Affects 5% of adults with diabetes All of the above Question 29 What category of insulin is short acting? Humalog/Humulin R Question 30 Risk factors Type 1 is characterized by: Early onset familiar, genetic predisposition, possible immunological or environmental Question 31 Glucagon allows glucose to enter the blood from alpha cells. T (wording is confusing, Glucagon release from alpha cells in pancreas stimulates the release of glucose from the liver by breaking down glycogen into glucose) Question 32 Metformin (Glucophage) possesses which of the following action(s): Reduce gluconeogenesis, increase glucose utilization Question 33 Epinephrine/Norepinephrine are: Catecholamines, rises short term to deal with stress, IS not produced in adrenal cortex (produced in adrenal medulla)
