Deck 9: Critical Care Procedures

Question 1

The chest lead of this cardiac monitoring setup may monitor any one of the chest leads (V1 to V6).

A) Single wire
B) Three-wire
C) Five-wire
D) Holter monitor

Answer 1

C

Question 2

During CPR, shockable cardiac rhythms include ventricular fibrillation and:

A) asystole.
B) premature ventricular contraction.
C) atrial fibrillation.
D) pulseless ventricular tachycardia.

Answer 2

D

Question 3

Intravenous fluid with high osmotic pressure, intravenous medications, and parenteral nutrition should be infused via the:

A) central vein.
B) artery.
C) peripheral vein.
D) pulmonary artery.

Answer 3

A

Question 4

Hemodynamic values of a patient show PAP 32/16 mm Hg, CVP 6 mm Hg, PCWP 10 mm Hg. This condition may be due to:

A) left-sided heart failure.
B) hypervolemia.
C) pulmonary hypertension.
D) cor pulmonale.

Question 5

Intraosseous access may be used to perform all of the following functions except:

A) collect an arterial blood gas sample.
B) administer drugs.
C) collect blood for laboratory studies.
D) cross-match blood type.

Question 6

During puncture of the greater tuberosity of the humeral head (below the shoulder) for intraosseous access, the groove between the greater and lesser tuberosity must be avoided because it contains the bicep:

A) vein.
B) nerve.
C) artery.
D) tendon.

Question 7

The primary goal of bronchial brushing during flexible bronchoscopy is to collect:

A) tissue samples.
B) cell samples.
C) pulmonary secretions.
D) lymphatic drainage.

Question 8

During flexible bronchoscopy, propofol is used to:

A) provide sedation and analgesia.
B) substitute for fentanyl and lidocaine.
C) substitute for lidocaine and midazolam.
D) reduce secretions and provide bronchodilation.

Question 9

Late complications of flexible bronchoscopy include:

A) pneumothorax.
B) hypoxemia.
C) infection.
D) hemorrhage.

Question 10

A typical mini-BAL (bronchoalveolar lavage) catheter:

A) is used during flexible bronchoscopy.
B) is directional and has a size of 13 or 16 Fr.
C) collects lavage samples under direct vision.
D) has a sharp, radiopaque tip.

Question 11

A diagnosis of pneumonia may be made if the BAL sample:

A) is Gram positive.
B) is Gram negative.
C) has > 102 CFU/mL.
D) has > 104 CFU/mL.

Question 12

A 32-year-old patient in the emergency department has a 35% tension pneumothorax and is being prepared for chest tube insertion. The critical care specialist should recommend a chest tube size of:

A) 36 to 40 Fr.
B) 30 to 34 Fr.
C) 16 to 20 Fr.
D) 8 to 12 Fr.

Question 13

For a large hemothorax, the chest tube should be inserted over the rib from the _______ intercostal space along the _______ line.

A) 4th to 6th; midclavicular line
B) 4th to 6th; midaxillary line
C) 2nd to 3rd; midclavicular line
D) 2nd to 3rd; midaxillary line

Question 14

Trocar tube thoracostomy:

A) creates a larger incision than operative tube thoracostomy.
B) is more likely to puncture the lungs than operative tube thoracostomy.
C) requires use of a hemostat.
D) requires use of a finger.

Question 15

In a three-chamber chest tube drainage system, the vacuum (suction) level to the pleural cavity is determined by the:

A) vacuum setting at the wall outlet.
B) water level in the water seal chamber.
C) Valsalva maneuver.
D) water level in the suction-control chamber.

Question 16

For pleural effusion or hemothorax, the chest tube may be removed when the drainage is:

A) < 100 mL in 24 hours.
B) < 200 mL in 24 hours.
C) < 300 mL in 24 hours.
D) completely stopped.

Question 17

A Heimlich valve may be used when the:

A) patient needs CPAP during transport.
B) endotracheal tube has a leak.
C) chest tube drainage system is overfilled.
D) chest tube drainage system malfunctions.

Question 18

A critically ill patient is being transported to another hospital 30 miles away. Because the ground traffic has major delay due to rush hour traffic and multiple accidents en route, which mode of transportation should be considered?

A) Rotary wing
B) Propeller air craft
C) Jet
D) Boat

Question 19

When a non-MRI compatible ventilator is set up outside the MRI suite by using extremely long ventilator tubing to reach the patient, the:

A) delivered volume is increased.
B) air flow resistance is decreased.
C) trigger pressure is increased.
D) All of these are correct.

Question 20

A medical equipment or device that can be used in an MRI environment is called:

A) MRI conditional.
B) MRI safe.
C) radiation proof.
D) magnetic proof.