Deck 31: Circulatory Maintenance

Question 1

Select the statement that correctly identifies a normal ECG strip.

A)PR interval falls before the QRS complex on the strip.
B)T wave should be in the inverted position on the strip.
C)PR interval should be no longer than 0.12 seconds.
D)QRS interval should be no longer than 0.20 seconds.

Answer 1

PR interval falls before the QRS complex on the strip.

Question 2

The PR interval represents the time it takes for the

A)Impulse to begin atrial contraction.
B)Impulse to traverse the atria to the AV node.
C)SA node to discharge the impulse to begin atrial depopulation.
D)Impulse to travel to the ventricles.

Answer 2

Impulse to traverse the atria to the AV node.

Question 3

The heart rate can be calculated using the ECG strip by

A)Counting the number of P waves in a 6-second strip and dividing by 10.
B)Dividing the number of small blocks between R waves into 1500.
C)Counting the number of QRS complexes in a 1-minute strip and dividing by 10.
D)Counting the number of QRS complexes in a 6-second strip and multiplying by 60.

Answer 3

Dividing the number of small blocks between R waves into 1500.

Question 4

When measuring Mr.Hendel for knee-high graduated compression stockings,you measure his

A)Leg length from heel to buttocks and calf circumference while he is standing.
B)Ankle and calf circumference while he is standing.
C)Leg length to the knee when he is lying down.
D)Calf circumference and leg length from bottom of heel to bend of knee.

Question 5

The P wave on the ECG represents

A)Atrial repolarization.
B)Atrial depolarization.
C)Ventricular repolarization.
D)Ventricular depolarization.

Question 6

Janet Moen comes to the emergency room with severe lacerations.While assessing her,you find that she is bleeding profusely from a deep laceration on her left lower forearm.Your first choice of action is to

A)Apply a tourniquet just below the elbow.
B)Apply pressure directly over the wound.
C)Call for the physician to check the wound.
D)Place Janet in shock position.

Question 7

How long is pressure applied to an artery to ensure clot formation?

Question 8

You are concerned when Janet continues to bleed even with direct pressure.Your next action is to

A)Apply ice to lower the body temperature.
B)Monitor closely for signs of shock.
C)Elevate her upper extremities and apply blankets to raise her body temperature.
D)Maintain a patent airway and prevent vomiting.

Question 9

Clients who are candidates for pneumatic compression devices include those with

A)Severe arteriosclerosis.
B)Pulmonary edema.
C)Joint replacement surgery.
D)Preexisting deep-vein thrombosis.

Question 10

Appropriate nursing actions for clients using pneumatic compression devices include

A)Ensure tight fit of sleeve to client's leg to promote effectiveness of action.
B)Prevent twists in tubing to allow air flow through the system.
C)Monitor neurovascular checks every shift to assess for potential complications.
D)Maintain constant cycling action,without interruption,until therapeutic results have occurred.

Question 11

Normal QRS activity takes less than _____________ seconds.

A)0.04
B)0.06
C)0.12
D)0.20

Question 12

Generalized signs and symptoms of bleeding include

A)Shallow,slow respirations.
B)Increased temperature.
C)Rapid,weak pulse.
D)Syncope.

Question 13

The most common physiologic response to pump failure is

Question 14

The electrode placement most often used to assess for changes in the inferior wall due to an MI is

A)Lead I
B)Lead II
C)Lead III
D)MCL I

Question 15

Name two common causes of pump failure.
a._________________
b._________________

Question 16

Label the following diagram.
a._________________
b._________________
c._________________

Question 17

A normal PR interval is no more than _____________ seconds.

A)0.04
B)0.06
C)0.12
D)0.20

Question 18

Compare and contrast the difference between inotropic and chronotropic reserve.

Question 19

When evaluating a rhythm strip,you need to remember that each small block on the paper represents _____________ seconds.

A)0.40
B)0.04
C)0.20
D)0.02

Question 20

Decreasing arterial blood flow to an area can be accomplished easily by-------------

Question 21

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations.
You assess his respiratory status by

A)Watching for rise and fall of chest.
B)Administering four quick breaths and checking his response.
C)Placing your hand over his chest to feel for respirations.
D)Pinching off his nose and then listening for exhalation of breath.

Question 22

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations.
The major reason for the specific hand position when performing cardiac compression is to

A)Prevent liver damage.
B)Ensure adequate depth of compression.
C)Prevent rib damage.
D)Ensure adequate pressure for compressions.

Question 23

The cardiac monitor indicates the client is experiencing sinus bradycardia.The initial intervention is to

A)Evaluate the rhythm strip.
B)Give dopamine via IV infusion.
C)Give IV Lidocaine bolus.
D)Be prepared to assist the physician with cardioversion.

Question 24

The priority intervention for a rescuer is to

A)Call for help.
B)Begin cardiac compressions.
C)Give 2 breaths.
D)Check for carotid pulse.

Question 25

The rationale for increasing the compression rate to 100 is to ensure _____________.

Question 26

Ventilations are administered at the rate of _____________ per minute for children under 1 year of age.

A)8-10
B)12-20
C)15-24
D)20-30

Question 27

When performing a Heimlich maneuver,position your hands

A)Over the xiphoid process.
B)Just above the umbilicus.
C)Halfway between xiphoid and umbilicus.
D)Just under the xiphoid process.

Question 28

If aspiration of a foreign body is suspected and one attempt to ventilate is not successful,your next intervention is to

A)Administer four quick breaths.
B)Deliver four back blows.
C)Deliver four abdominal thrusts.
D)Reposition head and attempt to ventilate.

Question 29

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations.
When administering cardiac compressions to an adult,the chest is compressed _____________ inches.

A)l
B)1 1/2
C)2
D)2 1/2

Question 30

You suspect an unconscious client has aspirated a piece of meat.Your first intervention is to

A)Deliver four back blows.
B)Deliver subdiaphragmatic abdominal thrusts.
C)Finger probe for obstruction.
D)Open mouth and use finger sweep.

Question 31

Identify the following life-threatening arrhythmias.
A.__________________
B.__________________
C.__________________
D.__________________

Question 32

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations.
To perform cardiac compressions,place your hands

A)Center of the chest at nipple line.
B)Over the xiphoid.
C)Two fingerbreadths above xiphoid.
D)One on top of the other over the xiphoid.

Question 33

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations.
Cardiac compressions are administered at a rate of _____________ per minute.

A)60
B)100
C)60-80
D)80-100

Question 34

Identify the type of lead placement from the following rhythm strip._____________

Question 35

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations.
CPR can be terminated when

A)One hour has elapsed and there is still absence of pulse and respirations.
B)Rescuer is exhausted and cannot continue.
C)A nursing supervisor directs you to stop CPR.
D)Pupils are dilated and fixed.

Question 36

Briefly describe the use of the AED either in hospital or outside the hospital.

Question 37

When assessing the ECG for pacemaker function you notice the oscilloscope is not showing the usual artifact.The initial intervention should be

A)Notify physician immediately that pacemaker is dysfunctional.
B)Check all connections to determine a secure fit.
C)Check battery.
D)Observe that sutures are intact.