Technology General Knowledge Quiz With Questions And Answers

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    Which site is most frequently used for arterial lines?

    • Femoral
    • Ulnar
    • Brachial
    • Radial
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Technology General Knowledge Quiz With Questions And Answers - Quiz
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  • 2. 

    Which of the following is a not a non-depolarizing muscle relaxant?

    • Rocuronium

    • Mivacurium

    • Succinylcholine

    • Vecuronium

    Correct Answer
    A. Succinylcholine
  • 3. 

    What is an appropriate intubating dose of Succinylcholine?

    • 1-1.5 mg/kg

    • .08-0.1 mg/kg

    • 0.6-1.2 mg/kg

    • 0.15-0.2 mg/kg

    • 0.4-0.5 mg/kg

    Correct Answer
    A. 1-1.5 mg/kg
  • 4. 

    What does the ‘a’ wave in a CVP waveform represent?

    • Atrial pressure during contraction

    • Bulging tricuspid, early ventricular contraction

    • Tricuspid valve opening during diastole

    • Venous return(atrium filling) against a closed tricuspid valve

    Correct Answer
    A. Atrial pressure during contraction
  • 5. 

    Which of the following methods is useful to use for anesthetic titration:

    • Hemodynamic response

    • ETCO2

    • BIS

    • Knowledge and expectation of drug response

    • All of the above

    Correct Answer
    A. All of the above
  • 6. 

    You are currently the SRNA for Mr. Blook.  You used vecuronium during the procedure to paralyze the patient and are now trying to assess adequacy for extubation. The patient currently has 4/4 twitches, with equal amplitude equal to your baseline. He is breathing on his own with a normal tidal volume. Does this patient still require reversal agent?

    • No, non-depolarizers do not require reversal

    • No, if the patient has 4/4 twitches and can breathe and therefore meets criteria to extubate.

    • Yes, patient may still be up to 75% blocked

    Correct Answer
    A. Yes, patient may still be up to 75% blocked
  • 7. 

    What would be an appropriate intubating dose of succinylcholine for a 41 yr old female weighing 75 kg?

    • 110 mg

    • 8 mg

    • 150 mg

    • 16 mg

    Correct Answer
    A. 110 mg
  • 8. 
    You are inserting a PA lin. Where is your catheter located when you see the #2 waveform? - ProProfs

    You are inserting a PA lin. Where is your catheter located when you see the #2 waveform?

    • Right Ventricle

    • Too far in, producing a wedge pressure

    • Right Atrium

    • Pulmonary artery

    Correct Answer
    A. Right Ventricle
  • 9. 
    You are inserting a PA lin. Where is your catheter located when you see the #3 waveform? - ProProfs

    You are inserting a PA lin. Where is your catheter located when you see the #3 waveform?

    • Right Atrium

    • Pulmonary Artery

    • Too far in, producing a wedge pressure

    • Right Ventricle

    Correct Answer
    A. Pulmonary Artery
  • 10. 

    You are in the OR with a exploratory laparotomy patient who you gave Rocuronium to 20 minutes ago.  The surgeon is saying that the patient is moving and he can’t close.  You do a TOF and have 0 twitches, what should you do?

    • Tell the surgeon he is a moron and should hurry up so you can go to lunch

    • Check the electrodes and make sure they are on and in the correct position and recheck your TOF

    • Reparalyze the patient

    • Do nothing and pretend you didn’t hear the surgeon over his loud rock music

    Correct Answer
    A. Check the electrodes and make sure they are on and in the correct position and recheck your TOF
  • 11. 

    You are being pimped at clinical by a nasty CRNA.  They want you to place your twitch monitors over the best nerve to check for intubating status and then move it to the best nerve to assess if the patient is ready to wake up.  Where do you put it first and then at the end?

    • Orbicularis oculi and then flexor hallucis

    • Flexor hallucis and then ulnar

    • Orbicularis oculi and then adductor pollicis

    • Ulnar and then flexor hallucis

    • Ulnar and then orbicularis oculi

    Correct Answer
    A. Orbicularis oculi and then adductor pollicis
  • 12. 

    What is the normal range for CVP readings?

    • 0-3 mm HG

    • 5-10 mm HG

    • 12-18 mm HG

    • 15-30 mm HG

    Correct Answer
    A. 5-10 mm HG
  • 13. 

    Sole reliance of BIS for intraoperative management can:

    • Reduce awareness

    • Improve anesthetic plan/course

    • Improve recovery times

    • Not to be solely used, needs to be in conjunction with traditional monitoring

    Correct Answer
    A. Not to be solely used, needs to be in conjunction with traditional monitoring
  • 14. 

        When you place your twitch monitor leads on the lateral side of the patient’s face, which nerve are you wanting to stimulate?

    • Ulnar

    • Orbicularis Oculi

    • Flexor Hallucis

    • Adductor Pollicis

    Correct Answer
    A. Orbicularis Oculi
  • 15. 

    What do you predict will be the effect of intubation  on BIS, BP & heart rate?

    • Increase BP & HR, BIS may or may not increase

    • BIS will not change, BP and HR will increase

    • BIS will increase, BP and HR will stay same

    • BIS will increase, BP & HR will decrease

    Correct Answer
    A. Increase BP & HR, BIS may or may not increase
  • 16. 

    During periods of rest, there is ______ Potassium outside the cell then in the cell.

    • Less

    • Equal

    • More

    Correct Answer
    A. Less
  • 17. 

    Which nerve is best to monitor on your train of four in order assess for extubation adequacy?

    • Orbicularis Oculi

    • Adductor Pollicis

    • Posterior Tibial Nerve

    • All are equally good options

    Correct Answer
    A. Adductor Pollicis
  • 18. 

    What would be an appropriate intubating dose of vecuronium for a 65 yr old male weighing 85 kg?

    • 120 mg

    • 17 mg

    • 170 mg

    • 8.5 mg

    Correct Answer
    A. 8.5 mg
  • 19. 

    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?

    • Immediately start CPR, the patient must be in PEA.

    • Send someone to go get another BP cuff for you.

    • Check for radial pulse, since Systolic must be at least 80 if you can palpate radial pulse.

    • Insert a central line.

    Correct Answer
    A. Check for radial pulse, since Systolic must be at least 80 if you can palpate radial pulse.
  • 20. 

    Which invasive arterial monitoring site carries the greatest risk of hematoma and is accessible in low-flow states?

    • Brachial

    • Femoral

    • Radial

    • Ulnar

    Correct Answer
    A. Femoral
  • 21. 

      What would be an appropriate BIS value to maintain during maintenance of anesthesia?

    • 100

    • 30

    • 70

    • 50

    Correct Answer
    A. 50
  • 22. 
    You are inserting a PA lin. Where is your catheter located when you see the #1 waveform? - ProProfs

    You are inserting a PA lin. Where is your catheter located when you see the #1 waveform?

    • Right Ventricle

    • Pulmonary Artery

    • Right Atrium

    • Too far in, producing a wedge pressure

    Correct Answer
    A. Right Atrium
  • 23. 

    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?

    • Open up your bag of IV fluids to infuse quicker and add volume.

    • Start a dopamine drip

    • Start a nitro drip

    • Give some lasix

    Correct Answer
    A. Give some lasix
  • 24. 

    The 2 types of intraoperative recall are:

    • Internal/External

    • Implicit/Explicit

    • Implied/Replied

    • Instinct/Distinct

    Correct Answer
    A. Implicit/Explicit
  • 25. 

    Which nerve is best to monitor on train of four in order to assess for intubating conditions?

    • Adductor Pollicis

    • Orbicularis Oculi

    • Posterior Tibial Nerve

    • All are equally good options

    Correct Answer
    A. Orbicularis Oculi
  • 26. 
    You are inserting a PA lin. Where is your catheter located when you see the #4 waveform? - ProProfs

    You are inserting a PA lin. Where is your catheter located when you see the #4 waveform?

    • Too far in, producing a wedge pressure

    • Right Ventricle

    • Pulmonary Artery

    • Right Atrium

    Correct Answer
    A. Too far in, producing a wedge pressure
  • 27. 

    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?

    • Left Internal Jugular

    • Right Femoral

    • Right Internal Jugular

    • Left Subclavian

    Correct Answer
    A. Right Internal Jugular
  • 28. 

    CVP pressure reflects pressure in the __________ in a normal heart.

    • Right Atrium

    • Left Atrium

    • Right Ventricle

    • Left Ventricle

    Correct Answer
    A. Right Atrium
  • 29. 

    Which of the following would NOT cause elevated CVP readings?

    • Hypovolemia

    • Cardiac Tamponade

    • Pulmonary HTN

    • Chronic LV failure

    Correct Answer
    A. Hypovolemia
  • 30. 

    When properly placing a BIS monitor on a patient, where should electrode #1 be placed?

    • In the center of forehead, 2 inches from bridge of nose

    • At the patients temple, level with their eye

    • Directly above the patients eyebrow.

    • On the right side of the pts face, adjacent to electrode #2

    Correct Answer
    A. In the center of forehead, 2 inches from bridge of nose
  • 31. 

    How will an increase in your EMG tone affect your BIS reading?

    • It will cause a decrease in BIS readings.

    • It will not effect your readings.

    • It will make it impossible to get any readings at all.

    • It will cause an increase in your BIS readings.

    Correct Answer
    A. It will cause an increase in your BIS readings.
  • 32. 

    Depolarizing muscle relaxing agents may be reversed using an anticholinesterase drug given with an anticholinergic agent. 

    • True

    • False

    Correct Answer
    A. False
  • 33. 

    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?

    • Nothing, these values are fine.

    • Pt has LV failure, give inotropes.

    • Pt is hypovolemic, give volume

    • Pt is in RV failure, give vasodilators.

    Correct Answer
    A. Pt is hypovolemic, give volume
  • 34. 

    When waking the patient at the end of surgery, you should reverse your muscle relaxation prior to decreasing your anesthetic.

    • True

    • False

    Correct Answer
    A. True
  • 35. 

    Which of the following BIS readings indicates a moderate hypnotic state?

    • 68

    • 23

    • 45

    • 92

    Correct Answer
    A. 45
  • 36. 

    When a patient experiences deliberate recollection of events it is known as….

    • Explicit recall

    • Implicit recall

    • External recall

    • Internal recall

    Correct Answer
    A. Explicit recall
  • 37. 

    Which of the following would only need to bind to 1 of the alpha subunits in order to exert its intended effect?

    • Vecuronium

    • Acetylcholine

    • Succinylcholine

    • All of the above

    Correct Answer
    A. Vecuronium
  • 38. 

    Which of the following is not an adverse effect associated with non-invasive BP monitoring?

    • Compartment Syndrome

    • Sciatic Nerve Parasthesia

    • Thrombophlebitis

    • Limb edema & pain

    Correct Answer
    A. Sciatic Nerve Parasthesia
  • 39. 

    A negative Allen’s test indicates there is no collateral blood flow and is an absolute contraindication to a radial artery arterial line. 

    • True

    • False

    Correct Answer
    A. False
  • 40. 

    You are in the middle of your case and BIS has been running in the 40’s. You notice that your patient’s temp is trending below 36°C, so you decide to turn on the bare hugger. All of the sudden you notice that your BIS is up to 60, what is the most probable cause and what do you do?

    • He started shivering because temp low, give Demerol 25 mg IV stat

    • Check TOF and redose his muscle relaxant to 0/4

    • Maybe artifact from the bare hugger, turn it off and see what happens to your reading

    • Patient is in pain and getting light, need to give pain meds, hypnotics or go up on your VAA

    Correct Answer
    A. Maybe artifact from the bare hugger, turn it off and see what happens to your reading
  • 41. 

    At which BIS value would you see an isoelectric EEG?

    • 0

    • 20

    • 30

    • 40

    Correct Answer
    A. 0
  • 42. 

    What would you use to reverse the muscle relaxant effects of depolarizing muscle relaxants?

    • Neostigmine alone.

    • Neostigmine & glycopyrolate

    • Mivacurium

    • Just wait it out, these agents can not be reversed

    Correct Answer
    A. Just wait it out, these agents can not be reversed
  • 43. 

    The Maximal Oscillation during oscillometry correlates to…

    • Mean Arterial pressure

    • Systolic BP

    • Diastolic BP

    • Ventricular Contractility

    Correct Answer
    A. Mean Arterial pressure
  • 44. 

    What changes to your CVP would you expect to see on a patient with atrial fibrillation?

    • Loss of A waves

    • Giant Cannon A waves

    • Larger V waves

    • Loss of C waves

    Correct Answer
    A. Loss of A waves
  • 45. 

    What BIS reading would indicate your patient is in a light hypnotic state?

    • 68

    • 92

    • 45

    • 23

    Correct Answer
    A. 68
  • 46. 

    You have just given your patient succinycholine and find they have 4/4 weak twitches. All the twitches are of equal amplitude and weaker than your baseline twitches. What phase of block are you in?

    • I have 4/4 twitches, Not enough was given and I am not blocked.

    • I am in Phase 1 block.

    • I am in Phase 2 block

    • Depolarizing muscle relaxants do not produce Phased blocks.

    Correct Answer
    A. I am in Phase 1 block.
  • 47. 

    In a phase 1 block of Succinocholine what would you expect to see on the TOF?

    • 4/4, but decreased amplitude

    • 0/4, no twitches

    • 2/4 with a fade

    • 1/4 because it’s a short acting relaxant

    Correct Answer
    A. 4/4, but decreased amplitude
  • 48. 

    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?

    • Brachial

    • Femoral

    • Subclavian

    • Jugular

    Correct Answer
    A. Brachial
  • 49. 

    When interpreting an arterial waveform you notice that the dicrotic notch is very low on the down slope. What does this mean?

    • The line is inserted improperly and needs to be adjusted

    • The patient may be hypertensive.

    • The patient may have a very low SVR.

    • Nothing, so long as the notch is there it is good.

    Correct Answer
    A. The patient may have a very low SVR.

Quiz Review Timeline (Updated): Mar 18, 2022 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 18, 2022
    Quiz Edited by
    ProProfs Editorial Team
  • Dec 02, 2008
    Quiz Created by
    Scottishduffy
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