NSG 100 Exam 4

Question 1

Sequence of blood flow through the heart valves

Answer 1

Tricuspid - Pulmonic - Mitral - Aortic

Question 2

S1 heart sound

Answer 2

Mitral and tricuspid valves opening

Question 3

S2 heart sound

Answer 3

Aortic and pulmonic valves closing

Question 4

Inspiration is the stimulation of…

Answer 4

chemical receptors in the aorta

Question 5

Right sided heart failure symptoms=

Answer 5

edema, distended neck veins, weight gain

Question 6

Left sided heart failure symptoms=

Answer 6

SOB, crackles, difficulty breathing lying flat

Question 7

Myocardial infarction is…

Answer 7

a lack of blood flow to coronary artery

Question 8

Use to determine presence of afterload… and why?

Answer 8

BP cuff because afterload increases BP

Question 9

Calculate cardiac output=

Answer 9

stroke volume X heart rate

Question 10

stop suctioning if O2 drops below… or if it drops … from baseline

Answer 10

below 90% or 5% from baseline

Question 11

Atelectasis develops when… and how do you prevent it?

Answer 11

Develops when alveoli do not expand and can be prevented by deep breathing

Question 12

Whooshing sound at 5th intercostal space=

Answer 12

regurgitation of the mitral valve

Question 13

life threatening heart rhythm

Answer 13

ventricular tachycardia

Question 14

what type of cough is used to clear central airways?

Answer 14

Huff

Question 15

Sleep apnea improved with…

Answer 15

CPAP and BiPAP

Question 16

Sequence of electrical impulse pathway through the heart

Answer 16

SA node - Intraatrial pathways - AV node - Bundle of His - Purkinje fibers

Question 17

what syringe do you use for U-500 insulin?

Answer 17

Tuberculin syringe

Question 18

When are trough levels drawn in relation to medication administration?

Answer 18

30 min prior to medication administration

Question 19

Vancomycin can affect-

Answer 19

hearing

Question 20

Needle used for deltoid muscle injection

Answer 20

25 gauge X 1 inch

Question 21

Needle used for intradermal injection

Answer 21

27 gauge X 5/8 inch

Question 22

What can increase the chance for medication toxicity?

Answer 22

reduced glomerular filtration rate

Question 23

Acidic meds absorb in the

Answer 23

stomach

Question 24

Basic meds absorb…

Answer 24

after reaching the small intestine

Question 25

What insulin can be administered via IV?

Answer 25

ONLY Regular insulin

Question 26

preferred and safest site for IM injections

Answer 26

Ventrogluteal

Question 27

When are the three accuracy checks for meds?

Answer 27

getting meds from drawer, before going into the pt's room, and at the pt's bedside

Question 28

Rights of medication administration

Answer 28

6 Rights: patient, medication, dose, route, time, documentation

Question 29

Excretion- meds exit the body primarily through the

Answer 29

kidneys

Question 30

Excretion- meds exit the body also through...

Answer 30

liver, bowel, lungs, exocrine glands

Question 31

synergistic effect

Answer 31

when 2 medications react with one another

Question 32

Epiglottitis is...

Answer 32

bacterial form of croup

Question 33

Diffusion is...

Answer 33

the exchange of respiratory gases in the alveoli and capillaries

Question 34

Ventilation is...

Answer 34

the process of moving gases into and out of the lungs