Quiz On Information Technology With Question And Answer
If you have a problem connecting to the internet in your place of work, or you find yourself with any other issue regarding your computer, you’re probably content to let the IT department fix the issue for you. Today, however, we aim to boost some of your personal knowledge on Information Technology to give you an insight into what makes your computer run smoothly as it should.
- 1.
If video does not load click here or open in another window. http://www.youtube.com/watch?v=xpcUxwpOQ_A
- A.
What in the *HELL* was that?
- B.
Awe, I love Beaker.
- C.
Seriously, the quiz maker must be a freak.... but that was funny.
- D.
All the above.
Correct Answer
D. All the above. -
- 2.
Which of the following is the preferred method of measuring BP during surgery?
- A.
Auscultation
- B.
Arterial Tonometry
- C.
Arterial Line
- D.
Oscillometry
Correct Answer
D. Oscillometry -
- 3.
The Maximal Oscillation during oscillometry correlates to…
- A.
Mean Arterial pressure
- B.
Systolic BP
- C.
Diastolic BP
- D.
Ventricular Contractility
Correct Answer
A. Mean Arterial pressure -
- 4.
What is an appropriate cuff size?
- A.
Equal to diameter of arm
- B.
70-80% of arm diameter
- C.
20-50% greater than the diameter of arm
- D.
Twice arm diameter
Correct Answer
C. 20-50% greater than the diameter of arm -
- 5.
Which of the following is not an adverse effect associated with non-invasive BP monitoring?
- A.
Compartment Syndrome
- B.
Sciatic Nerve Parasthesia
- C.
Thrombophlebitis
- D.
Limb edema & pain
Correct Answer
B. Sciatic Nerve Parasthesia -
- 6.
You are in the middle of a knee arthroscopy when your BP cuff stops working. Your SAO2 is not picking up a good tracing either, though your ECG is working well and shows NSR. What should you do?
- A.
Immediately start CPR, the patient must be in PEA.
- B.
Send someone to go get another BP cuff for you.
- C.
Check for radial pulse, since Systolic must be at least 80 if you can palpate radial pulse.
- D.
Insert a central line.
Correct Answer
C. Check for radial pulse, since Systolic must be at least 80 if you can palpate radial pulse. -
- 7.
Pressure is ______ peripherally than it is centrally. Velocity is _______ peripherally than it is centrally.
- A.
Lower, lower
- B.
Higher, higher
- C.
Lower, higher
- D.
Higher, lower
Correct Answer
D. Higher, lower -
- 8.
Blood Flow is ______ and governed by _____ law.
- A.
Laminar, Poiseiulles
- B.
Turbulent, Renolds
- C.
Mixed, Poiseiulles
- D.
Determined by gradients, Ficks
Correct Answer
A. Laminar, Poiseiulles -
- 9.
Which of the following vessels would have the highest measured pressure?
- A.
Aorta
- B.
Femoral
- C.
Subclavian
- D.
Radial
Correct Answer
B. FemoralExplanation
Hemodynamic ppt slide 7Rate this question:
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- 10.
Which of the following would NOT be an indication for invasive arterial monitoring?
- A.
End organ disease which necessitates precise beat-to-beat blood pressure measurement.
- B.
Need for multiple ABG’s and labs during case.
- C.
Severe hypertension
- D.
Anticipation of wide blood pressure swings
Correct Answer
C. Severe hypertension -
- 11.
A negative Allen’s test indicates there is no collateral blood flow and is an absolute contraindication to a radial artery arterial line.
- A.
True
- B.
False
Correct Answer
B. False -
- 12.
Which site is most frequently used for arterial lines?
- A.
Femoral
- B.
Ulnar
- C.
Brachial
- D.
Radial
Correct Answer
D. Radial -
- 13.
You have attempted a radial arterial line on Mrs. Holten and have not been successful. What site should be your 2nd choice for an arterial line?
- A.
Brachial
- B.
Femoral
- C.
Subclavian
- D.
Jugular
Correct Answer
A. Brachial -
- 14.
Which invasive arterial monitoring site carries the greatest risk of hematoma and is accessible in low-flow states?
- A.
Brachial
- B.
Femoral
- C.
Radial
- D.
Ulnar
Correct Answer
B. Femoral -
- 15.
Electrocautery will NOT interfere with the arterial pressure waveform.
- A.
True
- B.
False
Correct Answer
A. True -
- 16.
When interpreting an arterial waveform you notice that the dicrotic notch is very low on the down slope. What does this mean?
- A.
The line is inserted improperly and needs to be adjusted
- B.
The patient may be hypertensive.
- C.
The patient may have a very low SVR.
- D.
Nothing, so long as the notch is there it is good.
Correct Answer
C. The patient may have a very low SVR. -
- 17.
You are planning to insert an arterial line on a 68 yr old male. What technique would you choose to insert the line?
- A.
Strain Gauge Technique
- B.
High Anterior technique
- C.
Wheatstone technique
- D.
Seldinger Technique
Correct Answer
D. Seldinger Technique -
- 18.
If your arterial line is overdampened….
- A.
Your MAP will still be relatively accurate
- B.
You diastolic BP will be underestimated
- C.
Your systolic BP will be overestimated
- D.
You will have unusually high pressure readings.
Correct Answer
A. Your MAP will still be relatively accurate -
- 19.
Which of the following is not an indication for a central line?
- A.
Acute burn patient with need for aggressive fluid management
- B.
A patient with severe atherosclerosis who recently had a carotid endarterectomy and is on an anticoagulant drip.
- C.
Septic patient who will need several caustic drugs as well as hyperalimentation infused.
- D.
A patient in 3rd degree heart block who requires emergent insertion of transvenous pacing wires.
Correct Answer
B. A patient with severe atherosclerosis who recently had a carotid endarterectomy and is on an anticoagulant drip. -
- 20.
What would be your preferred site of insertion for a CVP line on a patient in acute respiratory failure with no contraindications at any site?
- A.
Left Internal Jugular
- B.
Right Femoral
- C.
Right Internal Jugular
- D.
Left Subclavian
Correct Answer
C. Right Internal Jugular -
- 21.
You are planning to insert a central line on Mr. Jing who is in the ICU for cardiomyopathy. You want to use the High Anterior Approach to insert the line. How would you perform this technique?
- A.
First, obtain a blow gun. Then standing far enough away where the patient can’t see or attempt to hit you, insert a dart into the gun…. Aim at his neck…. And BLOW.
- B.
Find the point that sternal and clavicular heads join the sternocleidomastoid, insert needle 30 degrees at ipsilateral nipple
- C.
Posterior border of sternocleidomastoid and external jugular vein, ispsilateral corner of the sternal notch
- D.
At cricoid level, lateral to carotid, insert needle 30 degrees ipsilateral nipple. Start with 22g finder needle.
Correct Answer
D. At cricoid level, lateral to carotid, insert needle 30 degrees ipsilateral nipple. Start with 22g finder needle. -
- 22.
You are planning to insert a central line on Mr. Dee who is in the ICU for Acute Liver Failure. You want to use the Low Anterior Approach to insert the line. How would you perform this technique?
- A.
Give the needle to your preceptor and say "pretty please? Can you insert this for me?"
- B.
Find the point that sternal and clavicular heads join the sternocleidomastoid, insert needle 30 degrees at ipsilateral nipple
- C.
Posterior border of sternocleidomastoid and external jugular vein, ispsilateral corner of the sternal notch
- D.
At cricoid level, lateral to carotid, insert needle 30 degrees ipsilateral nipple. Start with 22g finder needle.
Correct Answer
B. Find the point that sternal and clavicular heads join the sternocleidomastoid, insert needle 30 degrees at ipsilateral nipple -
- 23.
What does the ‘a’ wave in a CVP waveform represent?
- A.
Atrial pressure during contraction
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
Correct Answer
A. Atrial pressure during contraction -
- 24.
What does the ‘c’ wave in a CVP waveform represent?
- A.
Atrial pressure during contraction
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
Correct Answer
B. Bulging tricuspid, early ventricular contraction -
- 25.
What does the ‘x’ descent in a CVP waveform represent?
- A.
Downward movement of the ventrical during systole
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
Correct Answer
A. Downward movement of the ventrical during systole -
- 26.
What does the ‘v’ wave represent in a CVP waveform?
- A.
Atrial pressure during contraction
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
Correct Answer
D. Venous return(atrium filling) against a closed tricuspid valve -
- 27.
What does the ‘y’ descent represent in a CVP waveform?
- A.
Downward movement of the ventrical during systole
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
Correct Answer
C. Tricuspid valve opening during diastole -
- 28.
Where should the CVP catheter be when inserted properly?
- A.
In the Right Atrium
- B.
At junction of superior vena cava
- C.
In the pulmonary artery
- D.
In the radial artery
Correct Answer
B. At junction of superior vena cava -
- 29.
CVP pressure reflects pressure in the __________ in a normal heart.
- A.
Right Atrium
- B.
Left Atrium
- C.
Right Ventricle
- D.
Left Ventricle
Correct Answer
A. Right Atrium -
- 30.
Which of the following is a complication associated only with PA lines, but not CVP lines?
- A.
Pneumothorax
- B.
Complete heart block in pts with Left BBB.
- C.
Cardiac Perforation
- D.
Air Embolism
Correct Answer
B. Complete heart block in pts with Left BBB. -
- 31.
What would be considered a normal SVO2?
- A.
60%
- B.
90%
- C.
75%
- D.
100%
Correct Answer
C. 75% -
- 32.
You are caring for Mr. Stink-eye, who has a PA line. You notice an increase in your CVP, CI, & PA pressure. As a super cool SRNA, What is your response to this?
- A.
Open up your bag of IV fluids to infuse quicker and add volume.
- B.
Start a dopamine drip
- C.
Start a nitro drip
- D.
Give some lasix
Correct Answer
D. Give some lasix -
- 33.
You are caring for a patient with a PA line and notice an increase in your CVP, while at the same time you see a decrease in your CI, PCWP, & PA Pressure. What does this mean and how would you treat it?
- A.
RV failure, give vasodilators
- B.
LV failure, give inotropes.
- C.
Pulmonary edema, give diuretics
- D.
Hypervolemia, give diuretics
Correct Answer
A. RV failure, give vasodilators -
- 34.
What is the normal range for CVP readings?
- A.
0-3 mm HG
- B.
5-10 mm HG
- C.
12-18 mm HG
- D.
15-30 mm HG
Correct Answer
B. 5-10 mm HG -
- 35.
You are caring for a pt undergoing an extensive bowel resection. On you monitor you have a CVP of 3 and a PCWP of 4. What would be your next intervention?
- A.
Nothing, these values are fine.
- B.
Pt has LV failure, give inotropes.
- C.
Pt is hypovolemic, give volume
- D.
Pt is in RV failure, give vasodilators.
Correct Answer
C. Pt is hypovolemic, give volume -
- 36.
When inserting a PA catheter, at approximately what distance would you inflate your balloon?
- A.
30 cm
- B.
50 cm
- C.
10 cm
- D.
20 cm
Correct Answer
D. 20 cm -
- 37.
Which of the following would NOT cause elevated CVP readings?
- A.
Hypovolemia
- B.
Cardiac Tamponade
- C.
Pulmonary HTN
- D.
Chronic LV failure
Correct Answer
A. Hypovolemia -
- 38.
What changes to your CVP would you expect to observe on a patient with complete AV block?
- A.
Loss of A waves
- B.
Giant Cannon A waves
- C.
Larger V waves
- D.
Loss of C waves
Correct Answer
B. Giant Cannon A waves -
- 39.
What changes to your CVP would you expect to see on a patient with mitral regurgitation?
- A.
Loss of A waves
- B.
Giant Cannon A waves
- C.
Larger V waves
- D.
Loss of C waves
Correct Answer
C. Larger V waves -
- 40.
What changes to your CVP would you expect to see on a patient with atrial fibrillation?
- A.
Loss of A waves
- B.
Giant Cannon A waves
- C.
Larger V waves
- D.
Loss of C waves
Correct Answer
A. Loss of A waves -
- 41.
Which of the following is true regarding Zone III, where we would like to have our PA catheters placed? (More than one answer)
- A.
Pulm Venous Pressure > alveolar pressure > PAP
- B.
PAP > Pulm venous pressure > Alveolar pressure
- C.
Physiologically, not anatomically, defined so it can change.
- D.
Located in Pulmonary Vein
- E.
Alveolar pressure > PAP > pulm venous pressure
Correct Answer(s)
B. PAP > Pulm venous pressure > Alveolar pressure
C. Physiologically, not anatomically, defined so it can change.Explanation
NZ 312Rate this question:
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- 42.
Which of the following will not cause an increase in Pulmonary Artery Pressure?
- A.
Left Ventricular failure
- B.
Mitral Regurge
- C.
Pulmonary HTN
- D.
Ischemia
Correct Answer
D. Ischemia -
- 43.
Which one of the following statements is most correct regarding timing of the CVP/ right atrial pressure waves with ECG tracing?
- A.
The v wave occurs at the RST junction
- B.
The a wave occurs just after the P wave
- C.
The v wave occurs at the end of the QRS complex
- D.
The c wave occurs after the T wave
Correct Answer
B. The a wave occurs just after the P wave -
- 44.
Which one of the following is the most characteristic difference between right ventricular (RV) waveform and the pulmonary artery (PA) waveform?
- A.
The RV systolic pressure is usually more than 10 mm Hg higher than the PA systolic pressure
- B.
The RV diastolic and PA systolic pressure are similar
- C.
The RV diastolic pressure is lower than the PA diastolic pressure
- D.
The mean RV pressure is higher than the mean PA pressure
Correct Answer
C. The RV diastolic pressure is lower than the PA diastolic pressure -
- 45.
Which one of the following statements about the pulmonary artery occlusion pressure (PAOP) is most correct?
- A.
The pulmonary artery occlusion pressure is measured through the most proximal catheter port
- B.
Inflation of the balloon momentarily stops the flow of blood and creates a static column of blood between the tip of the catheter and the right atrium
- C.
The PAOP waveform often contains 3 positive waves (a, c, v)
- D.
During inflation of the balloon the pulmonary artery pressure changes to a right ventricular waveform
Correct Answer
C. The PAOP waveform often contains 3 positive waves (a, c, v) -
- 46.
Which of the following statements about measurement of the pulmonary artery occlusion pressure is most correct?
- A.
The balloon should remain inflated for at least 45 seconds to insure an optimal seal within the pulmonary artery
- B.
Air should be aspirated from the balloon with a syringe following the measurement procedure
- C.
“Overwedging” can only occur with excessive balloon inflation
- D.
The pulmonary artery occlusion pressure is lower than the mean pulmonary artery pressure
Correct Answer
D. The pulmonary artery occlusion pressure is lower than the mean pulmonary artery pressure -
- 47.
Which one of the following statements about hemodynamic waveforms is most correct?
- A.
Hemodynamic pressures rise during inspiration in a patient breathing spontaneously
- B.
Hemodynamic pressures fall during inspiration in a patient receiving positive-pressure mechanical ventilation
- C.
Hemodynamic pressures should be read at end-expiration in a patient breathing spontaneously
- D.
Hemodynamic pressures should be read at peak-inspiration in a patient receiving positive-pressure ventilation
Correct Answer
C. Hemodynamic pressures should be read at end-expiration in a patient breathing spontaneously -
- 48.
You are caring for Mrs. Gil today who has acute pulmonary edema. What sort of reading would you expect to see on her Pulmonary Artery Catheter?
- A.
Increase CVP, CI, PCWP, & PAP
- B.
Increase CVP. Decrease CI, PCWP, & PAP
- C.
Increase CVP, PCWP, & PAP. Decrease CI.
- D.
Decrease CVP, CI, PCWP, & PAP
Correct Answer
C. Increase CVP, PCWP, & PAP. Decrease CI. -
- 49.
What it is an appropriate range for PCWP readings?
- A.
15-25
- B.
5-15
- C.
0-5
- D.
25-40
Correct Answer
B. 5-15 -
- 50.
You are caring Mr. Garjian today. You observe the following values: CVP 15, CI 1.8, PCWP 26, and PAP 43/ 25. What do these failures mean for Mr. Garjian?
- A.
He most likely has right ventricular failure.
- B.
He is hypervolemic.
- C.
He is hypovolemic.
- D.
He most likely has left ventricular failure.
Correct Answer
D. He most likely has left ventricular failure. -
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Mar 21, 2022Quiz Edited by
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Dec 02, 2008Quiz Created by
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