Otterbein/Grant CRNA Basic/Advanced Monitoring Review

36 Questions | Total Attempts: 49

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Otterbein/Grant CRNA Basic/Advanced Monitoring Review - Quiz

Questions and Answers
  • 1. 
    According to the Scope and Standards for Nurse Anesthesia Practice, you must monitor cardiovascular status continuously via EKG and heart sounds, recording BP and HR at least every __ minutes.
  • 2. 
    Body temperature only needs to be recorded for pediatric patients receiving general anesthesia.
    • A. 

      True

    • B. 

      False

  • 3. 
    Pulse oximetry results will be altered with each of the following except:
    • A. 

      Anemia

    • B. 

      Methemoglobin

    • C. 

      Carboxyhemoglobin

    • D. 

      Fetal hemoglobin

    • E. 

      Hemoglobin S

  • 4. 
    Utilizing a three lead ECG, which lead should you monitor?
    • A. 

      I

    • B. 

      II

    • C. 

      III

    • D. 

      You need no leads due to your strange but useful ability to sense arrhythmias via sense of smell.

  • 5. 
    Which of the following is NOT considered a core temperature?
    • A. 

      Skin/axillary

    • B. 

      Esophageal

    • C. 

      Rectal/Bladder

    • D. 

      Tympanic

  • 6. 
    —Hypothermia is defined as body temperature of less than __ C.
  • 7. 
    —Inadequate output (oliguria) is defined as urine output less than ___ mL/kg/hour
  • 8. 
    When performing nerve stimulation at the end of a case you know that the ulnar nerve will return before the facial nerve.
    • A. 

      True

    • B. 

      False

  • 9. 
    When performing an Allen's test, the patient squeezes their fist until their hand is blanched, you occlude both radial and ulnar arteries, the patient opens their hand and you release pressure from which artery?
    • A. 

      Ulnar

    • B. 

      Radial

  • 10. 
    ______ nerve damage is associated with brachial arterial line placement.
  • 11. 
    When performing an axillary arterial line placement, the right side is preferred.
    • A. 

      True

    • B. 

      False

  • 12. 
    Which arterial line placement site is associated with retroperitoneal hemorrhage?
    • A. 

      Femoral

    • B. 

      Axillary

    • C. 

      Radial

    • D. 

      Temporal

  • 13. 
    The onset of diastole is at the dicrotic notch on an arterial waveform.
    • A. 

      True

    • B. 

      False

  • 14. 
    The upstroke on an a-line reflects cardiac contractility and SVR.  A rapid upstroke = increases contractility or low SVR, a slow upstroke = low contractility or high SVR.
    • A. 

      True

    • B. 

      False

  • 15. 
    There is decreases arterial compliance in the periphery.  Systolic pressure becomes higher, diastolic pressure _________.
    • A. 

      Lowers

    • B. 

      Rises

    • C. 

      Stays the same

  • 16. 
    Renal cell tumor extension to the right atrium and fungus at the tricuspid valve are contraindications to CVP placement.
    • A. 

      True

    • B. 

      False

  • 17. 
    Which of the following is the most common complication of CVP placement?
    • A. 

      Infection

    • B. 

      Hematoma

    • C. 

      Artery puncture

    • D. 

      Nerve damage

  • 18. 
    False ________ of CVP will occur with positive pressure ventilation.
    • A. 

      Elevation

    • B. 

      Depression

  • 19. 
    Choose the correct progression from 1, 2, 3 to 4.
    • A. 

      RA, RV, PA, PCWP

    • B. 

      RV, PA, RA, PCWP

    • C. 

      PA, PCWP, RV, RA

    • D. 

      PCWP, PA, RA, RV

  • 20. 
    When inserting a PA catheter, you should not use the ____ internal jugular if possible due to possible damage to the thoracic duct.
  • 21. 
    Which West zone should the PA catheter tip be positioned in?
    • A. 

      Zone III

    • B. 

      Zone I

    • C. 

      Zone II

    • D. 

      Zone IV

  • 22. 
    —The most prominent and easily-identifiable abnormality on a PA catheter waveform is the tall V waves seen with _______ regurgitation. 
  • 23. 
    When should you measure cardiac output?
    • A. 

      End of expiration

    • B. 

      Beginning of expiration

    • C. 

      End of inspiration

    • D. 

      Beginning of inspiration

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