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Which of the following arteries is the arterial line for hemodynamic monitoring MOST commonly inserted?


A) Femoral artery
B) Radial artery
C) Brachial artery
D) Axillary artery

E) A) and C)
F) None of the above

Correct Answer

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During the process of taking a patient's blood pressure,the Korotkoff sound that increases in intensity with a distinct tapping is associated with which of the following clinical interpretations?


A) Systolic pressure
B) Blood flow increasing as artery compression is decreasing
C) Diastolic pressure in <13 years of age
D) Diastolic pressure in adults

E) All of the above
F) A) and D)

Correct Answer

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A patient's inability to clear secretions from the lower airways along with a need for positive-pressure mechanical ventilator assistance is an indication for which of the following airway devices?


A) Oral pharyngeal airway
B) Nasal pharyngeal airway
C) Endotracheal tube
D) Tracheostomy

E) None of the above
F) C) and D)

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C

Electrocardiogram electrodes are used in continuous monitoring of a patient and provide information on heart rate,heart rhythm,and respiratory rate.

A) True
B) False

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The continuous positive airway pressure (CPAP) ventilation system is the treatment of choice for which of the following pulmonary abnormalities?


A) Obstructive sleep apnea
B) Chronic ventilator failure
C) Acute respiratory failure
D) Pulmonary edema

E) A) and B)
F) A) and C)

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A

Which of the following oxygen delivery devices is generally intended for lower flow rates of oxygen between 1 and 6 L/min?


A) Nasal cannula
B) Simple mask
C) Aerosol mask
D) Venturi mask

E) C) and D)
F) A) and D)

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Which of the following bispectral index monitor (BIS) reading value ranges indicates light to moderate sedation?


A) 90 to 100
B) 70 to 85
C) 60 to 70
D) 40 to 55

E) A) and B)
F) B) and C)

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C

Low central venous pressure (CVP) indicates which of the following clinical abnormalities?


A) Fluid overload
B) Right ventricular failure
C) Dehydration
D) Tricuspid insufficiency

E) B) and D)
F) A) and B)

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Which of the following clinical signs is MOST indicative of respiratory distress?


A) Patient is wincing.
B) Color in patient's face is flushed red.
C) Paradoxical breathing.
D) Patient is shivering.

E) None of the above
F) A) and B)

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Which of the following oxygen fraction percentages is the MINIMAL percentage in which humidification is desired to avoid nasal and oral mucosa dryness and irritation?


A) 24%
B) 32%
C) 45%
D) 55%

E) A) and B)
F) None of the above

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Which of the following values BEST reflects normal adult systolic blood pressure at rest?


A) 150 to 165 mm Hg
B) 140 to 150 mm Hg
C) 90 to 135 mm Hg
D) 75 to 90 mm Hg

E) B) and C)
F) C) and D)

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Which of the following statements BEST describes how the intra-aortic balloon pump (IABP) facilitates an increase in cardiac output?


A) The inflated balloon creates a pressure forcing the blood to circulate into the coronary arteries.
B) The deflated balloon creates a pressure gradient enhancing the flow of blood through the aorta during left ventricular systole.
C) The inflated balloon creates a pressure enhancing the blood flow into the chambers of the heart.
D) The deflated balloon enhances relaxation of the heart muscle.

E) B) and C)
F) A) and D)

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Mechanical ventilation that possibly leads to respiratory alkalosis or hyperinflation in a patient with airway obstruction is MOST likely which of the following types of ventilator modes?


A) Assist control
B) Synchronized intermittent mandatory ventilation
C) Pressure support ventilation
D) Continuous positive airway pressure

E) A) and B)
F) A) and C)

Correct Answer

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A central line or central venous pressure (CVP) provides which of the following functions?


A) Continuous monitoring of cardiac function and intravascular fluid status.
B) Route for medication administration.
C) Emergency placement of temporary pacemaker.
D) All of the above functions can be completed through a central line.

E) B) and C)
F) A) and C)

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Which of the following oxygen delivery devices would potentially provide the HIGHEST fraction of inspired oxygen (FiOβ‚‚) ?


A) Simple mask
B) Venturi mask
C) Partial rebreather mask
D) Nonrebreather mask

E) B) and D)
F) B) and C)

Correct Answer

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Which of the following statements is TRUE about mean arterial pressure (MAP) readings?


A) The MAP reading does not vary significantly with motion artifact or movement.
B) The MAP is useful clinically as it relates to cardiac output and systemic vascular resistance.
C) An MAP value of <60 mm Hg may indicate inadequate tissue perfusion.
D) All of the above are true statements.

E) B) and C)
F) A) and B)

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Which of the following factors associated with a patient is NOT considered a cause of inaccurate pulse oximetry readings?


A) Presence of perspiration or sweat
B) Presence of dark nail polish
C) Anemia
D) Low perfusion states (low cardiac output)

E) A) and D)
F) B) and C)

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The physical therapist is scheduled to see a patient mid-afternoon who completed hemodialysis that morning.Which of the following monitoring and intervention pairings would be MOST appropriate?


A) Monitor patient fatigue,complete bedside active range of motion exercise with patient in supine position.
B) Monitor patient symptoms,perform one set of active range of motion extremity exercises in bed and then progress patient to sitting on the edge of the bed.
C) Monitor vital signs and patient symptoms before,during,and after mobility to edge of bed,active exercise in sitting,and low-intensity ambulation.
D) Monitor vital signs and patient symptoms at rest.If stable,assist the patient with mobility out of bed and hall ambulation as tolerated.

E) None of the above
F) A) and B)

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A physical therapist is working with a patient bedside in ICU assisting with bed mobility and repositioning.An irregular rhythm was noted on the single-channel ECG monitor and an alarm sounded.What should the physical therapist do next?


A) The physical therapist should silence the alarm and continue with care.
B) The physical therapist should temporarily stop treatment and determine the cause of the alarm.
C) The physical therapist should temporarily stop the treatment and defer to the nurse about the reason for the alarm.
D) The physical therapist should end the treatment session and notify the nurse an alarm was sounding.

E) All of the above
F) C) and D)

Correct Answer

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Patients with intra-aortic balloon pump can tolerate early activity such as mobilization out of bed and ambulation.

A) True
B) False

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