Tech Final Additional

Question 1

Normal ranges for pH

Answer 1

7.35 - 7.45

Question 2

Normal ranges for PaHCO3

Answer 2

22 - 26

Question 3

Normal ranges for PaCO2

Answer 3

35 - 45

Question 4

Normal ranges for PaO2

Answer 4

80 - 100

Question 5

What is a pneumothorax?

Answer 5

Air build-up in the pleural space/cavity

Question 6

What causes late-decels?

Answer 6

Placental insufficiency

Question 7

What does VEAL CHOP stand for?

Answer 7

• Variables
• Early deceleration
• Acceleration
• Late deceleration
• Cord compression
• Head compression
• Oxygenation
• Placental insufficiency

Question 8

What vital sign do you want to take last w/ a child?

Answer 8

Temperature or BP

Question 9

What is the normal range of PR interval?

Answer 9

0.12 - 0.20 seconds

Question 10

What is the normal range of the QRS complex?

Answer 10

0.08 - 0.12 seconds

Question 11

What is the normal range for the QT interval?

Answer 11

0.35 - 0.43 seconds

Question 12

What is the reversal agent for opiates (Morphine, Fentanyl, Dilaudid)?

Answer 12

Naloxone (Narcan)

Question 13

Rhythm checks need to be performed after how many cycles of CPR?

Answer 13

5 cycles

Question 14

What 3 categories are measured using the Glasgow Coma Scale (GCS)?

Answer 14

• motor response
• verbal response
• eye opening

Question 15

What med is given to help w/ extravasation?

Answer 15

Regitine/Phentolamine

Question 16

What is extravasation?

Answer 16

• leakage of IV fluid into the skin around a blood vessel when the IV punctures the vessel
• causes damage to surrounding tissue

Question 17

You have how many minutes to start a blood transfusion when you receive the blood and how many hours to infuse it?

Answer 17

• 30 minutes to start
• 4 hours to infuse

Question 18

Is the insertion of a chest tube sterile or clean?

Answer 18

Sterile

Question 19

What do you want to keep at the bedside of a patient with a chest tube?

Answer 19

• Kelly clamps
• sterile gloves
• gauze

Question 20

Is ET suctioning clean or sterile?

Answer 20

Clean

Question 21

After how many days will a patient be switched from an ET tube to a trach?

Answer 21

After 14 days

Question 22

What is the normal range of a fetal HR?

Answer 22

110 - 160

Question 23

If variables and acceleration occur in FHR, what can we do as nurses?

Answer 23

• check mom and placement of Toco and ultrasound device
• turn mom to left side/reposition
• provide O2
• call physician if interventions don’t help

Question 24

At what point are we concerned with an infants HR being too fast?

Answer 24

205+

Question 25

At what point are we worried about a newborns RR being too fast?

Answer 25

60+ breaths/min

Question 26

What is effacement?

Answer 26

Thinning/shortening of the cervix - 0 - 100%

Question 27

What is dilation?

Answer 27

Opening of the cervix - 0 - 10cm

Question 28

What and where is the Toco transducer and the US device for FHR?

Answer 28

- Toco = uterine activity at fundus - US = FHR at bottom over baby's back

Question 29

When would you not give a patient oxytocin/Pitocin?

Answer 29

- immature fetal lungs - active genital herpes - cervix is not ripened

Question 30

At what grade is a fetus at the pelvis?

Answer 30

0

Question 31

What does the APGAR stand for?

Answer 31

- Activity - Pulse - Grimace - Appearance - Respiration

Question 32

Where is the tip of the Swan Ganz catheter placed?

Answer 32

Pulmonary artery

Question 33

ACLS says what drug is 1st line Tx for symptomatic brady?

Answer 33

Atropine

Question 34

What is the drug of choice for V-tach & V-fib?

Answer 34

Amiodarone

Question 35

What is the drug of choice for asystole?

Answer 35

Epinephrine

Question 36

What is MONA? What is it used for?

Answer 36

- Morphine - Oxygen - Nitro - Aspirin Used for MI

Question 37

T/F: you need a mask and sterile gloves to deal with a central venous line device

Answer 37

True

Question 38

With a central line lab blood draw, what port do you use?

Answer 38

Distal port

Question 39

How long do you scrub around the central line when completing a central line dressing change?

Answer 39

30 seconds

Question 40

What port do you use to give meds through a central line?

Answer 40

Proximal port

Question 41

What port on a triple lumen central catheter would you give blood through?

Answer 41

The largest port

Question 42

What do you administer with a blood transfusion?

Answer 42

NS

Question 43

When using an ampule, what type of needle do you use?

Answer 43

Filtered needle

Question 44

For tracheostomy suctioning, a patient should be in what position?

Answer 44

Lateral lying

Question 45

Prior to applying tracheostomy suctioning, what should you do to the patient to help with oxygenation?

Answer 45

Hyper-oxygenate the patient with an ambo-bag

Question 46

How long can suctioning a trach occur?

Answer 46

15 seconds

Question 47

How many passes can occur at one time when suctioning a trach?

Answer 47

3 passes

Question 48

For ET suctioning, what do you do to hyper-oxygenate a patient?

Answer 48

Put ventilator on 100% for 30-60 seconds

Question 49

T/F: you apply suction when guiding tube down for suctioning

Answer 49

False

Question 50

What are the steps of changing out the inner cannula of a trach?

Answer 50

1. Place in semi-fowler 2. Put mask on patient 3. Remove dressing and put O2 on 4. Remove gloves and don sterile gloves 5. Remove tube and clean inside tube w/ NS 6. Place tube in NS and tap on container and place on sterile gauze pad 7. Assess for secretion (suction if indicated) 8. Place cannula in and apply O2 9. Apply dressing 10. Hold in place and put on new gloves 11. Fasten collar

Question 51

In order to ensure Velcro is on right for a trach, how much room should be allowed for collar?

Answer 51

1 finger between skin & collar

Question 52

Electronic fetal monitoring has 2 monitors placed on mom. What are the top and bottom ones used for?

Answer 52

- Top: contractions on fundus measurement - Bottom: FHR

Question 53

CPR ratio for adults of compressions to breaths is what?

Answer 53

30:2

Question 54

number of pregnancies

Answer 54

gravida

Question 55

number of deliveries

Answer 55

para

Question 56

What is the recommended suction pressure for adults?

Answer 56

100 - 150 mm Hg

Question 57

How often should we adjust an ET tube?

Answer 57

every 24 hours (to prevent skin breakdown)

Question 58

What is likely a cause of a low pressure alarm on a mechanical ventilation system?

Answer 58

a disconnected tube

Question 59

What is likely a cause of a high pressure alarm on mechanical ventilation?

Answer 59

a kinked tube or increased chest pressure