Post Test
1. Which is NOT another name for PA Catheter?
a.
Swan Ganz
b.
Left Heart Catheter
c.
Right Heart Catheter
d.
Pulmonary Artery Catheter
2. Which of the following reasons have clinicians traditionally used PA Catheters?
a.
Managing high risk patients during and after cardiac surgeries only
b.
Managing high risk patients during and after major noncardiac
surgeries only
c.
Managing low risk patients during and after both cardiac and major
non-cardiac surgeries
d.
Managing high risk patients during and after both cardiac and major
non-cardiac surgeries
3. PA Catheters allow for measuring which of the following hemodynamic
parameters?
a.
Heart rate
b.
Blood pressure
c.
Body mass index
d.
Mixed venous oxygenation
4. PA Catheters are helpful in which of the following clinical scenarios?
a.
Aplastic anemia
b.
Diagnosis of an intracranial injury
c.
Guiding therapy related to renal failure
d.
None of the above
5. Why are there associated risks with PA catheterization?
a.
PA Catheter is an invasive monitoring device
b.
There are no contraindications for PA Catheter use
c.
PA Catheters are not popular in critical care settings
d.
Clinicians are well educated on the PA Catheter use
6. Studies examining the risks related to PA Catheter use have concluded that the
overall incidence of complications is:
a.
High.
b.
Very low.
c.
Related to insertion technique.
d.
More common in men than women.
7. In the list below, what is the most serious potential complication of PA
catheterization?
a.
Pneumothorax
b.
Catheter knotting
c.
Ventricular arrhythmias
d.
Pulmonary artery rupture
8. The most serious complication with the use of PA catheter is:
a.
Balloon migration.
b.
Ventricular rupture.
c.
Pulmonary artery rupture.
d.
Catheter related infection.
9. Additional ports of the swan are used for:
a.
Defibrillation.
b.
Obtaining ABGs.
c.
ST measurement.
d.
SVO2 Monitoring.
10. The balloon of the lumen should be inflated:
a.
2.0 - 4.0 ml.
b.
2.0 - 2.5 ml.
c.
1.0 - 1.5 ml.
d.
As much air as you need to make the balloon inflate.
11. When flushing the transducer system, the nurse should use:
a.
D5W in water.
b.
Normal saline.
c.
Heparinized dextrose.
d.
None of the above.
12. The pressure transducer system should be pressurized with an ometer at ___ mm
Hg. Omit!
13. Which of the following statements is false?
a.
The PA Catheter is 110 cm long
b.
PA Catheter can be from 5.0 - 8.0 French
c.
The PA Catheter is made of polyvinyl chloride
d.
When using subclavian, the PA Catheter should be reached by 2535cm
14. The following are sites that can be used for insertion of the PA Catheter.
a.
Radial and brachial
b.
Brachial and femoral
c.
femoral and interthoracic
d.
Internal jugular and subclavian
15. The following is the waveform when the catheter is in the:
a.
Left atrium.
b.
Right atrium.
c.
Right ventricle.
d.
Wedge position.
16. The following is the waveform when the catheter is in the::
a.
Right atrium.
b.
Left ventricle.
c.
Right ventricle.
d.
Wedge position.
17. The imaginary vertical line from the fourth intercostal space at the sternal border
to the right side of the chest is known as the:
a.
Aortic junction.
b.
Pivital axis.
c.
Phlebostatic axis.
d.
Babinski's pathway.
18. When performing the patient's hemodynamic numbers, the head of bed should be
at:
a.
0 degrees.
b.
30 degrees.
c.
45 degrees.
d.
The angle doesn't matter.
19. When a nurse documents the patient's hemodynamic values, it is also important to
make note of the:
a.
Angle of Willis.
b.
Foot of the bed.
c.
Plebostatic Axis.
d.
PA Catheter placement.
20. The wedge pressure is the:
a.
CVP.
b.
RAP.
c.
PAP.
d.
PAWP.
21. The pulmonary artery may rupture with a PA Catheter if the nurse or physician:
a.
Inflates the balloon with 1.0 ml of air.
b.
Leaves the balloon in a permanent wedge.
c.
Deflates the balloon before withdrawing the catheter.
d.
Does not flush the catheter while the balloon is inflated.
22. The following PEEP pressure requires a calculation of the PAWP:
a.
5
b.
7
c.
10
d.
20
23. If the patient's PEEP is 25 and the PCWP is 40. What is the patient's real wedge?
a.
16
b.
22
c.
26
d.
31
24. Which of the following is an abnormal hemodynamic value?
a.
CI 3.0 L/min.
b.
RAP 4 mm Hg.
c.
PAP 50/16 mm Hg.
d.
PVR 80 dynes/sec/cm-5.
25. When removing a PA Catheter, the nurse should:
a.
Have patient exhale.
b.
Have patient hold his/her breath.
c.
Turn patient's head toward the catheter.
d.
Leave in all intravenous solutions infusing to catheter.
Answers: 1. b, 2. d, 3. d, 4. c, 5. a, 6. b, 7. c, 8. c, 9. d, 10. c, 11. b, 12. omit, 13. d,
14. d, 15. c, 16. d, 17. c, 18. d, 19. d, 20. d, 21. b, 22. d, 23. d, 24. c, 25. b