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POST – QUIZ 40 Items Strictly no cheating… Eyes on your own paper… Good luck…

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Electrical current administered in synchrony w/ the patient’s own QRS complex to stop a dysrhythmia.

ROADICNERSOVI
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Stage of conduction in which the ventricles relax.

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The ability of the cardiac muscle to initiate an electrical impulse.

T AY O I T A T I C M U
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Term used to describe an irregular or erratic heart rhythm.

SHRICHMDTYY
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Triage category signifying potentially life-threatening injuries / illnesses requiring immediate treatment.

RETEMENG

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Electrical stimulation of muscle cells of the ventricles is also known as asystole. A patient in need of emergent care would be tagged using the color yellow. Either hyperkalemia or hypokalemia could cause an irregular heart rhythm. CPR is performed initially only if a defibrillator is not available. The 2 main components of CPR are chest compression & ventilation.

11. c. . b. A slow heart rate that is diagnosed as a bradycardia condition always is abnormal and should be treated occurs in normal people without necessarily being serious predisposing factor for MI causes an increase in blood pressure a. d.

the nurse finds the respirations are 12. b.12. Try to vigorously stimulate normal breathing Ask the RN to assess the vital signs Measure the pulse oximetry Continue to monitor respirations . c. d. Which action should the nurse take first? a. When assessing a client who has just undergone a cardioversion.

c. Absent P waves with irregular QRS complexes. .13. b. Atrial fibrillation Ventricular tachycardia Atrial flutter Ventricular asystole a. d.

the first action the nurse should take is Start a peripheral IV Initiate closed-chest massage Establish an airway Obtain the crash cart a. c. . After calling for help.14. A nurse enters a client's room to discover that the client has no pulse or respirations. b. d.

b. What is the energy level for the first defibrillatory shock in a VF arrest? 250 J 360 J 200 J 400 J a. d. .15. c.

b. . Purkinje fibers Purkinje fibers. Which of these demonstrates the normal pathway? AV node. AV node SA node. Bundle of His. SA node . Purkinje fibers a. Bundle of His. SA node. Purkinje fibers. The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart. AV node. d. AV node.16. SA node. c. Bundle of His Bundle of His.

b. d. c.17. What is the correct ratio of chest compressions to breaths? 15:1 30:1 15:2 30:2 a. .

d. c. type 1 2nd degree AV block. A conduction abnormality whereby no atrial impulse travels through the AV node is known as 1st degree AV block 2nd degree AV block.18. . b. type 2 3rd degree AV block a.

10 secs 0.05 and 0.19.12 and 0.20 secs 0. The PR interval on an ECG strip that reflects normal sinus rhythm would be between: 0.35 secs a. d. .20 and 0.30 secs 0.15 and 0. c. b.

20. a. c. d. The most reliable sign of cardiac arrest is: Absence of a pulse Dilation of the pupils Increase in blood pressure Inaudible heart sounds . b.

21. b. d. The drug of choice during cardiopulmonary resuscitation to suppress ventricular dysrhythmia is: Morphine Epinephrine Atropine Lidocaine a. c. .

c.22. A patient with survivable but lifethreatening injuries (eg. incomplete amputation) would be color-tagged with: Black Green Red Yellow a. b. d. .

The highest level of respiratory protection that includes a self-contained breathing apparatus & a chemical resistant suit is: Level A Level B Level C Level D a. b.23. . d. c.

Levels A & C Levels B & C Levels C & D Levels B & D a. b. Levels most often used in hospital facilities. .24. c. d.

b. c.25. d. a. Specialized techniques in ALS except: Nasogastric intubation Nasopharyngeal airway Oropharyngeal airway Tracheal intubation .

c. hypercholesterolemia and lupus. b. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for a new admission? A middle aged client with a history of being ventilator dependent for over 7 years and admitted with bacterial pneumonia five days ago A young adult with DM Type 2 for over 10 years and admitted with antibiotic induced diarrhea 24hrs ago An elderly client with a history of hypertension. and was admitted with Stevens-Johnson syndrome that morning An adolescent with a positive HIV test and admitted for acute cellulitis of the lower leg 48 hours ago a. d.26. . The hospital has sounded the call for a disaster drill on the evening shift.

d. c. b. . What is the energy level of the 3rd defibrillator shock when resuscitating from pulseless VT? 600 J 360 J 480 J 530 J a.27.

. Dr. b. c. d. Urgua is about to defibrillate a client in ventricular fibrillation & says in a loud voice “clear”.28. What should be action of the nurse? Turn off the mechanical ventilator Shuts off the client’s IV infusion Steps away from the bed & make sure the others have done the same Places conductive gel pads for defibrillation on the client’s chest a.

d. e. b. . c.29. A heart patient with which of the following characteristics is at risk for sudden cardiac death? Coronary artery bypass Myocardial infarction Heart failure Blood relative who has had an SCA All of the above a.

b.30. c. the key consideration in determining treatment is the: atrial rate ventricular rate configuration of the flutter waves PR interval. a. d. In atrial flutter. .

31. b. c. d. . The best way to tell if you are delivering adequate compressions is: the patient's skin color will improve a second rescuer will feel a pulse each time you compress the patient's chest the patient's pupils will dilate the patient's chest will rise and fall each time you compress the chest a.

1) Tap and shout 2) Open airway 3) Check for signs of life (movement & breathing) 4) Check the scene for safety 2. . d.4 4.2 a.32.1.3 4.1.1. c.2. b. Put the following steps.3.3. which are used to check an unconscious adult. in the correct order.1.3.2 4.

c. The first step in assessing a patient in cardiac arrest is to: perform a focused physical exam attach the AED verify pulselessness and apnea begin immediate transport a.33. b. d. .

d. . c. If there is no pulse after applying three shocks with an AED. b.34. the nurse should: immediately apply another three shocks resume CPR begin immediate transport contact an ALS unit a.

a. d.35. b. c. Nurse role in disaster response except: perform duties outside his/her area of expertise may take responsibilities normally held by physicians depends on the specific needs of the facility at the time NOTA .

36. d. Manifestations of cardiac arrest except: (-) pulse (-) consciousness (-) pupil dilation (-) BP . b. c. a.

c. . During the treatment algorithm for ventricular fibrillation adrenaline should be given before any defibrillation the pulse should be checked after every shock if the trace on the ECG changes in morphology.37. d. b. defibrillation must be discontinued amiodarone can be given immediately after adrenaline in the 3rd loop of the algorithm a.

in the anterior axillary line a. d.38. b. . c. The defibrillation pads should always be applied one on the chest wall and one on the back touching each other 2 cms away from the implantable pacemaker one to the right of the upper strenum below the clavicle and the other level with the 5th intercostal space.

c.39. Ventricular Tachycardia should be treated by a precordial thump if there is a pulse same shock sequence as VF in the absence of a pulse giving digoxin before shocks if there is a pulse giving adenosine if there is a pulse a. b. d. .

d. b. c.40. Sinus tachycardia Sinus arrhythmia Sinus bradycardia Normal sinus rhythm . Identify type of sinus node dysrhythmia: a.

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