Question

1. When should vasopressors be administered during the management of septic shock?
   • If the individual develops pulmonary edema
   • Vasopressors are never used for septic shock.
   • Always indicated as soon as IV access is obtained
   • If the individual is severely hypotensive despite proper fluid management
2. Uninterrupted chest compressions are critical when treating individuals in cardiac arrest. You should only interrupt chest compressions to do the following:
   • Evaluate cardiac rhythm and administer shocks.
   • Administer medications.
   • Place an endotracheal tube.
   • Obtain central IV access
3. Which medication is used for the treatment of metabolic acidosis?
   • Magnesium sulfate
   • Sodium chloride
   • Milrinone
   • Sodium bicarbonate
4. Which statement about cardiovascular support during post-resuscitation management is NOT correct?
   • Cardiac dysfunction can last for hours after resuscitation.
   • Invasive techniques should never be used to monitor blood pressure in individuals with poor perfusion or frequent arrhythmia.
   • You should monitor urine output.
   • Shock and respiratory failure may produce decreased tissue perfusion and oxygenation, which may cause continued cardiovascular problems.
5. Which statement about sinus bradycardia is correct?
   • Sinus bradycardia always originates at the AV node.
   • Sinus bradycardia often is the result of increased metabolic demand.
   • Sinus bradycardia may be an abnormal heart rate resulting from a pathological condition.
   • Sinus bradycardia is never a normal rhythm.
6. Children under the age of ten have _________ normal heart rates when awake compared to adults.
   • Completely unpredictable
   • Roughly equal
   • Lower
   • Higher
7. Which of the following is NOT part of the primary circulatory assessment?
   • Capillary refill time
   • Blood pressure
   • Pulse
   • Arterial blood gas analysis
8. You should immediately begin chest compressions on a bradycardic individual if they:
   • A. Have heart rate below 50 bpm
   • B. Show signs of respiratory distress
   • C. Show signs of poor perfusion
   • D. Both A and B
9. Untreated shock can lead to:
   • Cardiopulmonary problems
   • Hypotension
   • Cardiac arrest
   • All of the above
10. Which statement about post-resuscitation management is correct?
    • Acid-base and electrolyte imbalances may need to be corrected.
    • It is important to prevent hypothermia after cerebral insult.
    • Analgesics and sedatives should never be used due to potential respiratory problems.
    • Post-resuscitation management should not start until organ systems are functioning normally.
11. Which statement about albumin is NOT correct?
    • Albumin is a plasma volume expander.
    • Albumin is used in hypovolemia.
    • Albumin is indicated for shock, trauma, and burns.
    • Albumin should be used by mouth only.
12. When can post-resuscitation management be necessary?
    • After cardiac arrest
    • After severe shock
    • After respiratory failure
    • All of the above
13. All of the following are examples of upper airway obstruction EXCEPT:
    • Laryngitis
    • Anaphylaxis
    • Croup
    • Asthma

Answer 1

1. The correct option is - If the individual is severely hypotensive despite proper fluid management. Vasopressors are the drugs which act by constriction of blood vessels and increases the blood pressure .

2. The correct option is - Evaluate cardiac rhythm and administer shocks. During CPR , chest compression are interrupted for assessing pulse , providing shock etc .

3. The correct option is - sodium bicarbonate . Buffers metabolic acidosis and lactic acid buildup in the body caused by anaerobic metabolism secondary to severe hypoxia by reacting with hydrogen ions to form water and carbon dioxide.

4. The correct option is - Invasive techniques should never be used to monitor blood pressure in individuals with poor perfusion or frequent arrhythmia.