Exam 2 Review #1
Quiz by ascrombie
Feel free to use or edit a copy
includes Teacher and Student dashboards
Measure skillsfrom any curriculum
Measure skills
from any curriculum
Tag the questions with any skills you have. Your dashboard will track each student's mastery of each skill.
With a free account, teachers can
- edit the questions
- save a copy for later
- start a class game
- automatically assign follow-up activities based on students’ scores
- assign as homework
- share a link with colleagues
- print as a bubble sheet
10 questions
Show answers
- Q1When checking a patient’s pulmonary artery occlusion pressure, the nurse inflates the balloon as ordered, not inflating the balloon for more than 8 to 10 seconds. The patient asks the rationale behind the nurse’s actions. Which statement should the nurse make?“Prolonged inflation can obstruct blood flow, resulting in ischemia.”“Prolonged inflation will reduce tension on the pulmonary artery wall.”“Prolonged inflation increases the risk of catheter balloon rupture.”“Prolonged inflation increases the likelihood of thermistor damage.”60s
- Q2The nurse is caring for a patient who is being monitored with a central venous catheter. In preparing to record a right atrial pressure reading, what is most important for the nurse to keep in mind when recording an accurate value?Low pressures indicate ventricular dysfunctionZero referencing is not needed before every recordingRecord the pressure at the end of expirationHigh pressures are likely to indicate hypovolemia60s
- Q3The nurse is orienting a new RN to the ICU. The nurse begins to review orders recently entered by the cardiologist and to explain their rationale to the new RN. Medication orders include dobutamine (Dobutrex) 400 mg in 250 mL 5% dextrose in water titrated to keep cardiac index >2 L/min/m2. Which statement by the new RN indicates that teaching has been effective?“The cardiac index is the amount of blood ejected with each ventricular contraction.”“The cardiac index is the amount of blood pumped out by a ventricle per minute.”“The cardiac index is the measurement specific to the patient’s size or body area.”“The cardiac index is the pressure created by the volume of blood in the left heart.”60s
- Q4The nurse is caring for a patient in shock. Which is a priority action by the nurse?Prevent third-spacing of fluidsSupport mechanical ventilationMaintain adequate tissue perfusionEnsure adequate cellular hydration60s
- Q5The nurse is caring for a patient with possible distributive shock. Which should the nurse look for on assessment?Blood loss and actual hypovolemiaDecreased cardiac outputThird-spacing of fluids into peritoneal spaceVasodilation and relative hypovolemia60s
- Q6The nurse is caring for a patient with hypovolemia. Which large volume crystalloid solution should the nurse anticipate the health care provider to order?5% dextroseAlbumin0.45% normal saline0.9% Normal saline60s
- Q7The nurse is caring for a patient getting peritoneal dialysis. The patient complains of abdominal pain, chills, and nausea. The dialysate return is cloudy. The nurse notifies the provider that the patient is exhibiting symptoms of:catheter blockagemechanical dysfunction of the dialysateperitonitisintolerance of peritoneal fluid volume60s
- Q8The patient is admitted for general malaise and low urine output. The patient is alert and oriented and states that he has lost 5 pounds over the past few days. His heart rate is 124 beats/min. His blood pressure is 88/40 mm Hg. His mouth is dry and he has flat neck veins and poor skin turgor. The nurse interprets that his low urine output is due to:uremiaprerenal causesfluid overloadintrarenal causes60s
- Q9The nurse anticipates hyperventilation in patients with renal failure as a compensatory mechanism for:metabolic acidosisvolume deficitsinfectionuremic toxins60s
- Q10Which of the following nursing actions is most important for a patient with acute kidney injury?Restrict fluids to 200 mL per dayMaintain accurate intake, output, and daily weight measurementsObtain a drug trough level immediately after an antibiotic is administeredInsert an indwelling urinary catheter60s