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Arterial Lines

Total questions: 13

Worksheet time: 7mins

Name
Class
Date
1.

Which of the following is not an indication for an arterial line?

a)

Hypotension

b)

ABG for a one-time draw

c)

Alternative IABP trigger

d)

Patient is on multiple vasoactive meds

2.

Phlebostatic Axis

a)

4th ICS, midaxillary line

b)

3rd ICS, midaxillary line

c)

4th ICS, anterior axillary line

d)

3rd ICS, anterior axillary line

3.

The most common cause of error in art line monitoring

a)

Accidental introduction of air into line

b)

Incorrect arterial line placement

c)

Failure to draw enough blood into the vamp

d)

Incorrect transducer level

4.

What can a slurred dicrotic notch represent?

a)

Aortic valve closure

b)

Aortic valve stenosis

c)

Mitral valve stenosis

d)

Mitral valve closure

5.

According to the Art Line Rule of 3s, at what rate should fluid be delivered into the line?

a)

30ml/hr

b)

3ml/min

c)

3ml/hr

d)

300ml/hr

6.

How much pressure should your arterial line pressure bag be under?

a)

100mmHg

b)

200mmHg

c)

300mmHg

d)

400mmHg

7.

You've just done a square wave test after zeroing your transducer. You should expect to see no more than ___ oscillations before returning to baseline.

a)

2

b)

3

c)

4

d)

5

8.

You suspect an issue with your transducer. The DBP is being overestimated and the SBP is being underestimated. This indicates:

a)

Overdamping

b)

Underdamping

c)

Loss of Zero

d)

Noncompliant Tubing

9.

An obstruction to the transducer will cause:

a)

Overestimated blood pressures

b)

Underestimated blood pressures

c)

Overestimated DBP and ununderestimated SBP

d)

Underestimated DBP and overestimated SBP

10.

You notice the transducer is below the phlebostatic axis. What effect is this likely to have?

a)

Overdamping; the DBP will be overestimated and the SBP will be underestimated

b)

Overdamping: the DBP will be underestimated and the SBP will be overestimated

c)

Underdamping: the DBP will be overestimated and the SBP will be underestimated

d)

Underdamping: the DBP will be underestimated and the SBP will be overestimated

11.

You notice the transducer is too high. What effect is this likely to have?

a)

Overdamping: the DBP will be overestimated and the SBP will be underestimated

b)

Overdamping: the DBP will be underestimated and the SBP will be overestimated

c)

Underdamping: the DBP will be underestimated and the SBP will be overestimated

d)

Underdamping: the DBP will overestimated and the SBP will be underestimated

12.

The pressure bag is not full. What might this cause?

a)

The DBP to be underestimunderestimated and the SBP to be overestimated

b)

The DBP to be overestimated and the SBP to be underestimated

c)

The pressures to be overestimated

d)

The pressures to be underestimated

13.

The dicrotic notch represents:

a)

Tricuspid valve closure

b)

Pulmonic valve closure

c)

Mitral valve closure

d)

Aortic valve closure