QUESTION: Which of the following actions is NOT necessary to obtain an accurate hemodynamic

reading?
ANSWER: Level transducer to phlebostatic axis, zero transducer to room air, and compare readings to
physical assessment would all needed to obtain accurate hemodynamic readings.
--> Placing a client in high-Fowler’s position with the head elevated no more than 30° is not appropriate
for this scenario.

QUESTION: Select all the hemodynamic pressures that help measure preload
ANSWER: PAWP and CVP

QUESTION: A client in the ICU has an abnormal pulmonary artery wedge pressure. What should the
nurse do?
ANSWER: "Retake the measurement" and "The interrelationships between measurements should be
assessed".
--> Look at this finding in relation to other measurements. The nurse should question any abnormal
reading.When interpreting readings, the nurse should look at patient trends and not one isolated
reading, question abnormal readings, compare the reading with normal client values, not be fooled by
normal readings, and assess the interrelationships between the readings. When interpreting readings,
the nurse should look at patient trends and not one isolated reading, question abnormal readings,
compare the reading with normal client values, not be fooled by normal readings, and assess the
interrelationships between the readings.

QUESTION: A nurse receives an order to administer 0.9% sodium chloride IV at 50 mL/hr. Which of the
following lines can be used for administration? (Select all)
ANSWER: "Peripheral IV site" and "proximal (CVP) lumen of PA catheter".
--> Arterial lines and the distal lumens of pulmonary artery catheters are used for
hemodynamic measurements and the collection of blood samples. They are not to be used for
intravenous fluid administration.

QUESTION: A Nurse obtains the following results: PAS 34mm Hg, PAD 21 mmHg, PAWP 16mmHg, CVP
12mmHg. Which of the following conditions support these values? (select all)
ANSWER: Heart Failure and Pulmonary Hypertension
--> These elevated hemodynamic measurements are consistent with left ventricular failure and
pulmonary problems. Hypovolemic shock is characterized by low hemodynamic values.

QUESTION: A client in the ICU has an elevated pulmonary artery wedge pressure. What should be
included in this client's plan of care?
ANSWER: Monitor Intake and Output
--> Interventions are directed toward optimizing preload by administering diuretics, vasodilators,
nitrates, ACE inhibitors, and inotropics. Sodium and fluid restrictions are also indicated. Also, intake and
output and daily weights should be measured. Activities should be limited and paced to the client's
tolerance level.
1. QUESTION: Which of the following actions is NOT necessary to obtain an accurate hemodynamic
reading?
A. A level balloon catheter, with air.
B. Level transducer to phlebostatic axis, zero transducer to room air, and compare readings to physical
assessment would all needed to obtain accurate hemodynamic readings.
C. Proper assessment and Laboratory tests are in.
D. Either A or C

2. QUESTION: A client is about to have a Central IV catheter placed. The healthcare provider places the
catheter in the subclavian vein. Shortly afterward. The client develops shortness of breath and appears
very restless. Which of the following would the nurse do first?

A. Administer sedatives
B. Advise the client to calm down because it’s just her nerves
C. Listen to breath sounds
D. Check to see if the client can have any medications.

3. QUESTION: A client in the ICU has an abnormal pulmonary artery wedge pressure. What should the
nurse do?
A. the nurse should look at patient trends and not one isolated reading, question abnormal readings.
B. The nurse should question any abnormal reading.
C. The nurse must take always vital signs to monitor.
D. "Retake the measurement" and "The interrelationships between measurements should be assessed".

4. QUESTION: A nurse receives an order to administer 0.9% sodium chloride IV at 50 mL/hr. Which of the
following lines can be used for administration?
A. Peripheral IV site and proximal (CVP) lumen of PA catheter.
B. Arterial IV site
C. proximal (CVP) lumen of PA catheter.
D. Jugular Vein

5. QUESTION: A Nurse obtains the following results: PAS 34mm Hg, PAD 21 mmHg, PAWP 16mmHg, CVP
12mmHg. Which of the following conditions support these values?
A. Heart Failure and Pulmonary Hypertension
B. Diabetes
C. COPD
D. None Of these.

6. QUESTION: A client in the ICU has an elevated pulmonary artery wedge pressure. What should be
included in this client's plan of care?
A. Assess Vital Signs
B. Monitor Blood Pressure
C. Monitor Intake and Output
D. Do Skin test
7. Nurse Art is ordered by the doctor for removal of Catheter in the site where the hemodynamics
monitoring started. Nurse art must monitor for complications in arterial lines. What are the most
common complications in the arterial lines?

A. Hemmorhage
B. Inflammation
C. Bruising
D. Painless

8. Select all the hemodynamic pressures that help measure preload.

A. PAWP
B. CVP
C. PAWP and CVP
D. None of this

9. In patients who are sedated, intubated and on mechanical ventilation what is the method used
measure the cardiac output.

A. O2
B. Electro Cardiogram
C. Rebreathing loop attached to the ventilator along with a co2 sensor, and pulse oximeter.
D. Auscultation

10. Nurse Yang was monitoring the Central venous catheter inserted to the pt. to prevent catheter
related bloodstream infections what intervention nurse Yang must do?

A. keeping all components of the pressure monitoring system sterile.

B. By visual observation and monitoring
C. by submerging the catheter in site water.
D. leaving it and report when unusual ties happen.