Sbumc Heartmate I & II Quiz
Annual Recertification quiz for RN staff which incorporates the clinical operation and patient management of the Heartmate device.
Questions and Answers
- 1.
The heartmate components include:
- A.
System Controller
- B.
Power Based Unit (PBU)
- C.
System Monitor
- D.
PBU Cable
- E.
All of the Above
Correct Answer
E. All of the AboveExplanation
The heartmate components include the System Controller, Power Based Unit (PBU), System Monitor, and PBU Cable. Therefore, the correct answer is "All of the Above."Rate this question:
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- 2.
Discribe the differences between the Heartmate I & II? (Choose as many as apply)
- A.
Heartmate I is pulsatile and and Heartmate II is contant turbine flow
- B.
Heartmate I has constant turbine flow and the Heartmate II is pulsatile
- C.
Heartmate I patients require coumadin and Heartmate II do not require coumadin
- D.
Heartmate II patients require coumadin and Heartmate I do not require coumadin
Correct Answer(s)
A. Heartmate I is pulsatile and and Heartmate II is contant turbine flow
D. Heartmate II patients require coumadin and Heartmate I do not require coumadinExplanation
Heartmate I and Heartmate II are two different types of mechanical circulatory support devices used for patients with heart failure. The main difference between them is in the type of flow they provide. Heartmate I is pulsatile, meaning it mimics the natural pulsations of the heart, while Heartmate II provides constant turbine flow. Another difference is in the requirement of the anticoagulant medication coumadin. Heartmate I patients require coumadin, while Heartmate II patients do not.Rate this question:
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- 3.
Should a Heartmate patient ever receive chest compressions?
- A.
Yes, and chemical resuscitation and defibrillation
- B.
No, only chemical resuscitation and defibrillation
Correct Answer
B. No, only chemical resuscitation and defibrillationExplanation
A Heartmate patient is someone who has a mechanical heart pump called a Heartmate implanted in their chest. This device helps the heart pump blood when it is unable to do so effectively on its own. Since the Heartmate is already assisting with the pumping of blood, chest compressions are not necessary and may even be harmful. Instead, chemical resuscitation and defibrillation are the appropriate methods to use in case of cardiac arrest in a Heartmate patient.Rate this question:
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- 4.
The type of patient that may require the Heartmate is:
- A.
Patient needing coronary bypass grafts
- B.
Patient in heart failure
- C.
Patient in class IV heart failure on max medcal management
Correct Answer
C. Patient in class IV heart failure on max medcal managementExplanation
The Heartmate is a medical device used to assist the heart in pumping blood in patients with heart failure. Class IV heart failure refers to severe heart failure where the patient experiences symptoms even at rest. Max medical management means that the patient is already on the highest possible dose of medications to manage their heart failure. Therefore, a patient in class IV heart failure on max medical management would be the most appropriate candidate for the Heartmate device.Rate this question:
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- 5.
Which of the following is a contraindication for the Heartmate I XVE LVAS?
- A.
Increased PVR
- B.
BSA < 1.5
- C.
Mitral valve regurgitation
Correct Answer
B. BSA < 1.5Explanation
A BSA (Body Surface Area) less than 1.5 is a contraindication for the Heartmate I XVE LVAS. This means that if a patient's BSA is below 1.5, they should not receive this particular LVAS device. BSA is a measurement used to determine the appropriate size and dosage of medications or medical devices for patients, and a BSA less than 1.5 may indicate that the patient is too small or not suitable for this specific LVAS.Rate this question:
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- 6.
In a red Heart Alarm state which of the following is least likely cause?
- A.
Bleeding
- B.
Right Heart Failure
- C.
Cardiac Tamponade
- D.
Controller Malfunction
Correct Answer
D. Controller MalfunctionExplanation
In a red Heart Alarm state, the least likely cause would be a controller malfunction. This is because a red Heart Alarm state typically indicates a severe and life-threatening condition such as bleeding, right heart failure, or cardiac tamponade. A controller malfunction, on the other hand, would not directly cause such a critical state in the heart.Rate this question:
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- 7.
In the heartmate I when should the vent filter be changed?
- A.
Weekly and PRN
- B.
Monthly
- C.
Never
Correct Answer
A. Weekly and PRNExplanation
The vent filter in the Heartmate I should be changed weekly and as needed (PRN). This is because the vent filter helps to prevent any debris or particles from entering the device, which could potentially cause blockages or malfunctions. Regularly changing the vent filter ensures that it remains clean and effective in its function. Additionally, if there are any signs of the filter becoming clogged or dirty, it should be changed as needed to maintain proper functioning of the device.Rate this question:
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- 8.
Before hand pumping in the Heartmate I, you should:
- A.
Disconnect power to the system Controller
- B.
Remove the Controller battery module
- C.
Remove the vent filter
- D.
Both A & C
Correct Answer
D. Both A & CExplanation
Before hand pumping in the Heartmate I, you should disconnect power to the system Controller and remove the vent filter. Disconnecting power to the system Controller ensures that the device is not powered on during the hand pumping process, which could cause complications. Removing the vent filter allows for proper manual pumping of the device without any obstructions. Therefore, both options A and C are correct steps to take before hand pumping in the Heartmate I.Rate this question:
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- 9.
The driveline exit site dressing should be:
- A.
Changed daily
- B.
A sterile procedure
- C.
Changed TID and PRN
- D.
Both A & B
Correct Answer
D. Both A & BExplanation
The driveline exit site dressing should be changed daily and done as a sterile procedure. This is necessary to prevent infection and ensure proper healing of the exit site. Changing the dressing daily helps to keep the area clean and free from bacteria. Performing the dressing change as a sterile procedure reduces the risk of introducing new pathogens to the site. Therefore, both options A and B are correct.Rate this question:
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- 10.
How often should the System Controller self-test be performed?
- A.
Daily
- B.
Weekly
- C.
Never
- D.
When the MD orders it
Correct Answer
A. DailyExplanation
The System Controller self-test should be performed daily to ensure that the system is functioning properly. Regular self-testing helps to identify any potential issues or malfunctions in the system, allowing for timely maintenance or repairs. By performing the self-test daily, any problems can be addressed promptly, minimizing the risk of system failure and ensuring the smooth operation of the system.Rate this question:
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- 11.
Blood flow in the Heartmate patient:
- A.
Right atrium, right ventricle, lungs, left atrium, left ventricle, Heartmate, Aorta
- B.
Right atrium, right ventricle, Heartmate, lungs, left atrium, left ventricle, aorta
- C.
Right atrium, right ventricle, lungs, left atrium Heartmate, left ventricle, aorta
Correct Answer
A. Right atrium, right ventricle, lungs, left atrium, left ventricle, Heartmate, AortaExplanation
The correct answer is the sequence of blood flow in the Heartmate patient is as follows: right atrium, right ventricle, lungs, left atrium, left ventricle, Heartmate, Aorta. This sequence represents the normal blood flow in a Heartmate patient, where the blood enters the right atrium, moves to the right ventricle, then goes to the lungs to get oxygenated, returns to the left atrium, passes through the left ventricle, then flows through the Heartmate device, and finally gets pumped out to the body through the Aorta.Rate this question:
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- 12.
The system controller in the Heartmate II:
- A.
Provides complete backup system operation
- B.
Has event recording and data logging capacity
- C.
Has two seperate controller boards
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The system controller in the Heartmate II provides complete backup system operation, meaning it can take over the functioning of the system if the primary controller fails. It also has event recording and data logging capacity, allowing it to record and store important data and events for later analysis. Additionally, the Heartmate II has two separate controller boards, which provides redundancy and ensures that the system can continue to function even if one of the boards malfunctions. Therefore, all of the given options are correct.Rate this question:
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- 13.
The Heartmate I has 2 modes:
- A.
Fixed and Backup
- B.
Fixed and Auto
- C.
Auto and Backup
Correct Answer
B. Fixed and AutoExplanation
The Heartmate I has two modes: Fixed and Auto. In the Fixed mode, the device operates at a constant speed set by the healthcare provider. This mode is suitable for patients who require a consistent level of support. In the Auto mode, the device adjusts its speed based on the patient's activity level. It can increase or decrease the pump speed to meet the patient's needs. This mode provides more flexibility and allows for a more natural response to the patient's activity level.Rate this question:
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- 14.
True or False: The Heartmate II has one mode, Fixed
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The Heartmate II is a type of ventricular assist device (VAD) used to support heart function in patients with advanced heart failure. It operates in a fixed mode, meaning it provides a continuous flow of blood to the body without any variations in speed or intensity. This fixed mode ensures a consistent level of support to the heart, allowing it to pump blood effectively and improve overall cardiac function. Therefore, the statement that the Heartmate II has one mode, fixed, is true.Rate this question:
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- 15.
The steps that should be taken if the pump has stopped include all except:
- A.
Check the percutaneous lead connection to the System Contorller and the System Controller power lead connections to the power source
- B.
Disconnect then reconnect the percutaneous lead to the System Controller
- C.
Change power sources
- D.
Change the System Controller
Correct Answer
B. Disconnect then reconnect the percutaneous lead to the System ControllerExplanation
The correct answer is "Change power sources". This step is not necessary if the pump has stopped. The other three options are valid steps to be taken if the pump has stopped.Rate this question:
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- 16.
The PBU cable has 2 cords one white one black, what is the functional capacity of the cords?
- A.
Both cords are the same provide power and data
- B.
The white cord provides data and power while the black cord provides power only
- C.
The black cord provides data and power while the black cord provides power only
Correct Answer
B. The white cord provides data and power while the black cord provides power onlyExplanation
The functional capacity of the cords is that the white cord provides both data and power, while the black cord provides power only.Rate this question:
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- 17.
The battery light indicator on the controller each represent what percentage of battery life?
- A.
10%
- B.
50%
- C.
25%
- D.
100%
Correct Answer
C. 25%Explanation
The battery light indicator on the controller represents 25% of the battery life.Rate this question:
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- 18.
In the Heartmate II what could be the cause if there are large changes in the Power number ramping up and down?
- A.
The is normal
- B.
Thrombus
- C.
Fluid Overload
Correct Answer
B. ThrombusExplanation
Large changes in the Power number ramping up and down in the Heartmate II could be caused by a thrombus. A thrombus is a blood clot that can form within the device, obstructing the flow of blood and causing fluctuations in power. This can lead to inefficient pumping and potentially life-threatening complications. It is important to monitor and address thrombus formation promptly to ensure proper functioning of the Heartmate II.Rate this question:
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- 19.
How do you perform the controller self-test?
- A.
Hold down the triangle (I) or battery silence (II) until all the tones and lights start
- B.
It is not possible to perform the controller self-test from the controller
- C.
The heartmate II only has the capability to perform the self-test
Correct Answer
A. Hold down the triangle (I) or battery silence (II) until all the tones and lights startExplanation
To perform the controller self-test, you need to hold down the triangle (I) or battery silence (II) buttons until all the tones and lights start. This action triggers the self-test process and allows you to check the functionality of the controller. The other options mentioned in the question, such as not being able to perform the self-test from the controller or the self-test capability being limited to the Heartmate II, are incorrect. The correct method is to hold down the specified buttons to initiate the self-test.Rate this question:
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- 20.
What is the intervention if the red battery is illuminated?
- A.
Nothing this is normal
- B.
Change power source you have less than 15 minutes of battery remaining
- C.
Start handpumping
Correct Answer
B. Change power source you have less than 15 minutes of battery remainingExplanation
If the red battery is illuminated, it indicates that the battery is running low and there is less than 15 minutes of battery remaining. Therefore, the intervention required in this situation is to change the power source to avoid any disruption or loss of power.Rate this question:
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- 21.
If the patient is being transported to Cat Scan what should be brought with the patient?
- A.
Extra batteries only
- B.
PBU and extra batteries
- C.
PBU, extra batteries, hand pump (1 only), and the extra controller
Correct Answer
C. PBU, extra batteries, hand pump (1 only), and the extra controllerExplanation
When a patient is being transported to a Cat Scan, it is important to bring the Portable Battery Unit (PBU) along with extra batteries. Additionally, a hand pump (only one) and the extra controller should also be brought. These items are necessary to ensure that the patient's medical equipment remains functional and powered during the transportation process.Rate this question:
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- 22.
You are expecting a heartmate patient, where do you find the most up to date and complete documentation for the Heartmate patient?
- A.
Internet
- B.
Print from UHIS Nursing Documents
- C.
Intranet
Correct Answer
B. Print from UHIS Nursing DocumentsExplanation
The most up to date and complete documentation for the Heartmate patient can be found by printing from UHIS Nursing Documents. This suggests that the UHIS Nursing Documents contain the necessary information and updates regarding the Heartmate patient, making it the most reliable source for documentation.Rate this question:
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- 23.
Have you taken care of a heartmate patient?
- A.
Yes, As Primary Nurse
- B.
No, But observed the care
- C.
No, Never seen the device in a patient
Correct Answer
A. Yes, As Primary NurseExplanation
The correct answer is "Yes, As Primary Nurse". This indicates that the person has experience in taking care of a heartmate patient as the primary nurse. They have likely been responsible for providing direct care and managing the patient's needs.Rate this question:
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- 24.
Do you feel prepared for a heartmate patient, if not what additional information/ education would you need to feel comfortable?
- 25.
What are your resources if you have a question about the heartmate?
- A.
Heartmate Binder with the manuals
- B.
Your Educator
- C.
The VAD coordinator
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "All of the above." This means that all of the mentioned resources, including the Heartmate Binder with the manuals, the Educator, and the VAD coordinator, can be used if you have a question about the Heartmate. These resources are likely to provide the necessary information and guidance regarding the Heartmate device.Rate this question:
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- 26.
How many hours aprox will it take to drain the batteries?
- A.
1 hour
- B.
3 hours
- C.
5 hours
- D.
10 hours
Correct Answer
C. 5 hoursExplanation
The correct answer is 5 hours because it is the only option provided that is greater than 1 hour and less than 10 hours.Rate this question:
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- 27.
True or False: When changing the battery, they must be changed one at a time to ensure a power source to the device at all times.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
When changing the battery, it is important to change them one at a time to ensure a continuous power source to the device. By changing one battery at a time, the device can still operate on the power provided by the other battery. This prevents any interruption in power supply and ensures that the device remains functional throughout the battery replacement process.Rate this question:
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- 28.
What other topics would you like to see in this online quiz format?
- 29.
Do you like this new format to review/ assess competency of a topic using an online quiz?
- A.
Yes
- B.
No
Correct Answer
A. YesExplanation
This response suggests that the person does like the new format to review/assess competency of a topic using an online quiz.Rate this question:
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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
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Current Version
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Mar 21, 2023Quiz Edited by
ProProfs Editorial Team -
Jul 26, 2010Quiz Created by
Jenclarinet
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