What Do You Know About Cardiac Drip? Trivia Quiz

15 Questions | Total Attempts: 970

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What Do You Know About Cardiac Drip? Trivia Quiz

The quiz will assess the nurse's knowledge of cardiac drips.


Questions and Answers
  • 1. 
    An asmatic patient's rythym has gone into SVT.  After assessing you determine that he is stable. Which of the following would you not do?
    • A. 

      Obtain 12 lead EKG

    • B. 

      Attempt to slow patient's heart rate through use of vagal maneuvers. Ask patient to cough and bear down.

    • C. 

      Call the physician.

    • D. 

      Give Adenosine 6 mg rapid IV push over 1-3 seconds, with rhythm strip running continuously.

  • 2. 
    The monitor tech informs you that your patient is in SVT. You assess and find he is having chest pain, SOB, Decreased BP and decreased LOC.  Your immediate response is:
    • A. 

      Prepare for Cardioversion

    • B. 

      Notify physician before attempting synchronized cardioversion if time permits.

    • C. 

      Have available: IV access, CRT cart, O2 source, suction

    • D. 

      All the above

  • 3. 
    Your patient is in VT and stable. What is your next step?
    • A. 

      Call Physician and monitor patient.

    • B. 

      Give Adenosine 6 mg rapid IV push over 1-3 seconds, with rhythm strip running continuously.

    • C. 

      Call Code Blue and begin CPR.

    • D. 

      Administer Lidocaine bolus 1-1.5 mg/kg then start Lidocaine drip.

  • 4. 
    The nurse is scheduled to administer a dose of digoxin (Lanoxin) to an adult client with atrial fibrillation.  The client has a potassium level of 4.6 mEq/L.  The nurse interprets that the:
    • A. 

      Dose should be omitted only for that day.

    • B. 

      Client needs a dose of potassium before receiving digoxin.

    • C. 

      Dose should be withheld and the healthcare provider notified.

    • D. 

      Dose should be administered as ordered

  • 5. 
    . As a part of the nursing process, the nurse will evaluate for therapeutic effects of digoxin therapy for the treatment of heart failure.  Desired outcomes would include:CHECK ALL THAT APPLY:_____Apical heart rate greater than or equal to 100 beats/minute_____Increased urinary output_____Diminished peripheral pulses_____Decreased dyspnea and pulmonary crackles_____Improved activity tolerance
  • 6. 
    The Cardiac Action of Nesiritide (Natrecor) is:
    • A. 

      Depresses excitability of cardiac muscle, slows conduction to atrium, bundle of HIS and ventricles.

    • B. 

      Causes vasodilation. Mild diruetic effect.

    • C. 

      Delay in rate of repolarization, prolonged action potential phase, slowing of the speed of electrical conduction through normal and accessory pathways.

    • D. 

      Increases electrical stimulation threshold of ventricle, stabilizes cell membrane, decreases automaticity.

  • 7. 
    The Cardiac Action of Lidocaine is:
    • A. 

      Increases electrical stimulation threshold of ventricle, stabilizes cell membrane, decreases automaticity

    • B. 

      Causes vasodilation. Mild diruetic effect.

    • C. 

      Delay in rate of repolarization, prolonged action potential phase, slowing of the speed of electrical conduction through normal and accessory pathways.

    • D. 

      Depresses excitability of cardiac muscle, slows conduction to atrium, bundle of HIS and ventricles

  • 8. 
    Indications for Diltiazem (Cardizem) include:
    • A. 

      Maligant ventricular ectopy. (frequent PVC's, Vtach, Vfib.

    • B. 

      Unstable or chronic angina in hemodynamically stable patient.

    • C. 

      Atrial flutter or Atrial Fibrillation with rapid ventricular response.

    • D. 

      Decreased cardiac output.

  • 9. 
    Which of the following is the correct way to titrate Nitroglycerine (Nitrate)?
    • A. 

      Titrate by 10 mcg/min every five minutes.

    • B. 

      Titrate by 10 mcg/min every 15 minutes.

    • C. 

      Titrate by 5 mcg/min every 5 minutes.

    • D. 

      Do not titrate, call physician for orders.

  • 10. 
    Your patient is in pulseless Vtach. Which of the following do you do?
    • A. 

      Call Code Blue

    • B. 

      Begin CPR

    • C. 

      Defibrillate immediately at 360 joules (monophasic) or 200 joules (biphasic)

    • D. 

      Check monitor to verify whether rhythm changes

    • E. 

      All the above.

  • 11. 
    When rates are changed on Cardiac Drips, vital signs should:
    • A. 

      Continue as previously checked.

    • B. 

      Be repeated as indicated under "initial monitoring".

    • C. 

      Be checked every 8 hours.

    • D. 

      Every 30 minutes/2 hours.

  • 12. 
    Which of the following is the most important to closely observe with patients on cardiac drips?
    • A. 

      HCT and HGB

    • B. 

      Drowsiness

    • C. 

      Decreased renal function

    • D. 

      Loss of appetite

  • 13. 
    Mrs. Smith requires and IV bolus of Cardizem 0.25 mg/kg.  She weighs 125 pounds (58.8 killograms).  What is the total bolus dose (mg) and how much will you give (cc)? Ampule contains 5 mg/cc.
  • 14. 
    Nitroglycerine drip is to be started at 5 mcg/min.  Bag contains 25/250cc. Find cc/hr.
  • 15. 
    Dopamine drip is ordered at 2 mcg/kg/min.  Patient weighs 180 lbs.  Bag contains 400mg/250cc. Find cc/hr.