Basic ICU Skills Training Program Post test

Which of the following is not an appropriate nursing responsibility in a patient on continuous bedside cardiac monitoring?

• Obtain a baseline six second ECG strip every start of the shift and if there is any rhythm abnormality noted.

• Update the patient’s significant others regarding the patient’s current status.

• Maximize electrode function by retaining electrodes in the same area for as long as possible.

• Adjust monitor lead and sensitivity accordingly.

In preparing a patient for any nursing procedure, the nurse must observe the following except:

• adequate lighting

• charging of equipment

•      completeness of equipment and supplies

• appropriate positioning of patient

Which of the following information must be included especially in obtaining a comprehensive cardiovascular history of a pediatric client?

• Complete maternal history

• Immunization history

•    Developmental milestones

• All of the above

• B and C only

Presence of __________ indicates increased pressure at the right side of the heart.

• Jugular vein distension

• Cyanosis

• Murmur

• Clubbing of the fingernails

In adults, the point of maximum impulse (PMI) can be palpated at the:

• 2^nd intercostal space, left sternal border

• 3^rd intercostal space, left sternal border

• 4^th intercostal space, left of midclavicular line

• 5^th intercostal space, midclavicular line

The following must be observed when performing cardiac auscultation except:

• Use the bell of the stethoscope for auscultation

• Follow the Z-pattern across the precordium

• Focus on the S1 and S2 sounds

• Identify auscultation landmarks from the base of the heart to the apex

The following benefits may be achieved from therapeutic hypothermia except:

• decreased oxygen demand

• improved outcome during recovery from cardiac arrest

• decreased intracranial pressure

• none of the above

In order to remove dead tissues and debris in pressure ulcers, the wound is irrigated with __________ solution using a syringe.

• an isotonic

• a hypertonic

• a hypotonic

• a colloid

Which of the following is not an appropriate nursing action with regards to the care of a patient ongoing thermoregulation?

• Continuous monitoring of patient’s body temperature

• Ensuring direct contact between patient’s skin and thermal blanket

• Regular assessment of patient’s skin integrity

•      Documentation of patient’s response to thermoregulation therapy

Assessment of a patient with temporary pacemaker revealed this ECG. What pacemaker malfunction is present in the patient?

• Oversensing

• Undersensing

• Failure to capture

• Failure to pace