Exam 2 Review

Question 1

Arterial transducer is higher than bed weight

Answer 1

underestimate BP

Question 2

Arterial transducer is lower than bed weight

Answer 2

overestimate BP

Question 3

Arterial transducer is at phlebostatic axis

Answer 3

accurate BP

Question 4

c wave corresponds with

Answer 4

tricuspid bulging

Question 5

v wave corresponds with

Answer 5

systolic filling of the atrium

Question 6

a wave corresponds with

Answer 6

atrial contraction

Question 7

Which of the following may be a contradiction to placing a pulmonary artery catheter?

Answer 7

Left bundle branch block

Question 8

With your right internal jugular PA catheter inserted to 30-35cm, the wave form should
indicate you are at which location?

Answer 8

Right ventricle

Question 9

When placing a PA catheter, complete heart block may occur if the patient has which pre-
existing condition?

Answer 9

LBBB

Question 10

Which site of arterial cannulation is at highest risk of developing an infection?

Answer 10

Femoral

Question 11

Indications for the placement of a central venous catheter include all the following EXCEPT:

Answer 11

tricuspid valve vegetation-(correct this is contraindicated)

Question 12

What 2 drugs can be used to help sedate the patient for the block as well as for positioning on the OR table prior to total hip replacement surgery.

Answer 12

b. propofol/ ketamine

Question 13

Which of the following is more likely to occur with the use of carbon dioxide for abdominal
insufflation?

Answer 13

Hypercarbia

Question 14

The AANA standard regarding syringe specifically recommends (select 3 correct answers)

c. multi use syringes are acceptable if they are cleaned between patients
e. one alcohol swab
f. one multi dose vial

Answer 14

a. one needle
b. one patient
d. one syringe

Question 15

The following are considered as personal protective equipment and are expected to be worn by all anesthesia providers and all
operating room personnel. (select 3 correct answers)
a. lab coat
e. OR sterile gowns

Answer 15

b. OR masks
c. eye protection
d. OR hats

Question 16

Which of the following practices VIOLATE infection control recommendations? ( select 2
correct answers)
a. The anesthesia machine must be disinfected after every patient use.
c. The anesthesia cables must be disinfected after every patient.

Answer 16

b. The monitoring cables should only be wiped down once a day.
d. The anesthesia machine should only be wiped down once a day.

Question 17

Contraindications to central line placement include (select 2)

Answer 17

a. tumor in right atrium

d. tricuspid valve vegetation

Question 18

When an arterial line transducer is accidentally placed one foot above the phleboatatic level, the resulting arterial blood pressure reading will be:

Answer 18

significantly decreased from the zeroed point

Question 19

Which site of invasive arterial monitoring will result in the largest pulse wave generation as seen on the monitor?

Answer 19

Femoral

Question 20

With regard to placement of central lines, the “seldinger technique refers to what?

Answer 20

Catheter over guidewire technique

Question 21

What is the volume of air required to inflate the balloon of a PA catheter?

Answer 21

1.5ml

Question 22

The most definitive sign of correct placement of a double lumen tube is?

Answer 22

Fiberoptic bronchoscopy

Question 23

The most commonly used double lumen tube is

Answer 23

LEFT

Question 24

The tracheal cuff of the DLT can accommodate up to how many mls of air?

Answer 24

20 ml

Question 25

The bronchial cuff of the DLT can accommodate up to how many mls of air?

Answer 25

3ml

Question 26

When performing laryngoscopy for the placement of a DLT, the stylet should be removed when?

Answer 26

As soon as the tracheal cuff passes the vocal cords

Question 27

Proper sizing of a DLT is based upon a patients

Answer 27

Height

Question 28

indications for the arterial line placement include 3 of the following:

Answer 28

Multiple lab draws Anticipated wide BP swings Beat to beat BP control

Question 29

This is an example of a _______Allen’s test.

Answer 29

positive

Question 30

With the axillary approach to arterial line placement which side is preferred over the other?

Answer 30

Left

Question 31

Three of the following are potential complications of arterial lines a. pneumothorax d. brachial plexus injury

Answer 31

infection nerve damage bleeding

Question 32

Three of the following are potential complications of arterial lines

Answer 32

infection nerve damage bleeding

Question 33

Three of the following are true statements regarding arterial lines

Answer 33

- Quality of the wave form is dependent upon the catheter tubing transducer system. - arterial lines are the gold standard for beat to beat monitoring - false readings may lead to inappropriate interventions.

Question 34

Image could be indicative of what?

Answer 34

Hypovolemia

Question 35

Three disadvantages of a femoral art line are

Answer 35

Infection Pseudoaneurysm Retroperitoneal Hematoma Hemorrhage

Question 36

You want the Allen's test to be

Answer 36

Positive