CCRN

Question 1

Adverse side effects of amioderone if used long term

Answer 1

• Pulm fibrosis
• extrapyramidal symptoms
• peripheral neuropathy
• hepatotoxicity

Question 2

Normal CO

Answer 2

4-8lpm

Question 3

Normal CI

Answer 3

2.5-4.0l/min/m2

Question 4

Normal SV

Answer 4

60-100

Question 5

Normal RAP or CVP

Answer 5

2-6

Question 6

Normal RVP

Answer 6

Sys: 15-30
Dys: 2-8

Question 7

Normal PAP

Answer 7

Sys: 15-30
Dys: 8-15

Question 8

Normal PAOP

Answer 8

6-12

Question 9

Normal LAP

Answer 9

4-12

Question 10

Normal SVR

Answer 10

800-1200

Question 11

Normal ICP

Answer 11

5-15

Question 12

Characteristics of LBBB

Answer 12

• QRS >0.12 sec
• QRS postive in leads V5/V6
• QRS negative in V1/V2
• Pardoxical (opposite of norm) split S2 on EXPIRATION

Question 13

Goal CPP in pt with axonal brain injury

Answer 13

60mmHg, (CPP = MAP -ICP)

Question 14

Normal ESR

Answer 14

0-29

Question 15

What is Kernigs sign

Answer 15

Stiffness of hamstrings and inability to straighten leg when hip flexed 90 degrees

Question 16

What is Brudzinki’s sign

Answer 16

Neck flexed = hips/knees flex

Question 17

Criteria for ARF

Answer 17

• pO2 <60mmHG
• O2 sat <91%
• pH <7.35
• pCO2 >50mmHG

Question 18

What does S4 heart sound indicate?

Answer 18

-diastolic dysfunction caused by ventricular noncompliance

Question 19

What does a heart murmur indicate?

Answer 19

-intracardiac turbulence (septal defect/valve problem)

Question 20

What does midsystolic click indicate?

Answer 20

-mitral valve prolapse

Question 21

What does S3 heart sound indicate?

Answer 21

-systolic dysfunction (pump failure)

Question 22

Cranial Nerve I fxn

Answer 22

-Olfactory: SENSE of Smell

Question 23

Cranial Nerve II fxn

Answer 23

Optic: Vision (S)

Question 24

CN III fxn

Answer 24

Oculomotor: Serves muscle of the eyes (B)

Question 25

CN IV fxn

Answer 25

Trochlear: Serves superior oblique of eye muscle (B)

Question 26

CN V fxn

Answer 26

Trigeminal: Face/Mouth (chewing) (B)

Question 27

CN VI fxn

Answer 27

Abducens: lateral rectus of eye, abducts eye

Question 28

CN VII fxn

Answer 28

Facial: Muscles of facial expression, lacrimal glands, salivary glands, taste

Question 29

CN VIII fxn

Answer 29

Vestibulochochlear: equilibrium, hearing

Question 30

CN IX fxn

Answer 30

Glossopharangeal: taste, pharynx (swallowing), posterior 3rd of tongue, parotid salivary gland, gag reflex

Question 31

CN X fxn

Answer 31

Vagus: gag reflex, PNS

Question 32

CN XI fxn

Answer 32

Accessory: muscles that move neck, head, shoulders

Question 33

CN XII fxn

Answer 33

Hypoglossal: tongue, swallowing, speech

Question 34

Which leads show the anterior wall of left ventricle?

Answer 34

V3, V4 | LAD occlusion

Question 35

Which leads show the lateral wall of left ventricle?

Answer 35

I, AVL, V5, V6 | LCx, Distal LAD, RCA

Question 36

Which leads show inferior MI and occluded RCA

Answer 36

II, aVF, III

Question 37

Which lead shows septal MI and occluded proximal LAD

Answer 37

VI, V2

Question 38

What value do you look for to determine if pt with asthma is deterioriating?

Answer 38

paCO2 increasing despite breathing fast

Question 39

Drugs that may cause Torsades or prolongation of QTi

Answer 39

- amitriptyline (Elavil) - procainamide - quinidine - disopyramide - sotalol - amioderone - tricyclic antidepressants (imipramine) - phenothiazines

Question 40

Significance of A waves in ICP

Answer 40

Indicates rapid increases in pressure between 50-200 that last 5min or more and cause cerebral ischemia

Question 41

What is Kehrs sign?

Answer 41

Pain in left shoulder referred from spleen rupture