NBCRNA Sample Questions Flashcards

1
Q

What are the hemodynamic goals of hypertrophic cardiomyopathy? (Select 2.)

A

Decrease contractility

Increase afterload

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2
Q

What are potential complications of pulmonary artery catheter insertion? (Select 2.)

A

Cardiac Perforation

Pulmonary Infarction

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3
Q

Pharmacologic characteristics that best describe the effect of naloxone at opioid receptors include:
(Select 2.)

A

Affinity

Reversibility

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4
Q

Abnormal placental implantations beyond the endometrium include: (Select 3.)

A

Placenta accreta
Placenta increta
Placenta percreta

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5
Q

Characteristics of Eaton-Lambert syndrome include:

Select 3.

A

Improved strength with activity.
reduced anticholine release.
Sensitivity to all muscle relaxants

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6
Q

Which conditions will result in elevated T4 levels?

Select 2.

A

Hyperthyroidism

Pregnancy

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7
Q

A Mallampati Class II airway assessment involves visualization of which pharyngeal structures?
(Select 3.)

A

Soft palate
Tonsillar fauces
Uvula

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8
Q

Which of the following are effects of muscle relaxants?

Select 3.

A

Blocking acetylcholine from reaching the nicotinic cholinergic receptor
Blocking acetylcholine release from the motor nerve terminal
Causing prolonged depolarization of the motor end plate

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9
Q

Which of the following are mechanisms of action of anticonvulsants? (Select 3.)

A

Inhibition of NMDA receptors
Inactivation of sodium receptors
Limitation of the activation of calcium channels

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10
Q
  1. The musculocutaneous nerve arises from which nerve roots? (Select 3.)
A

C5
C6
C7

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11
Q

Successful laryngoscopy for intubation requires alignment of which 3 axes? (Select 3.)

A

Oral
Laryngeal
Pharyngeal

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12
Q

Which of the following pulmonary function test results indicate restrictive pulmonary disease?
(Select 3.)

A

Decreased forced vital capacity (FVC)
Decreased total lung capacity (TLC)
Decreased functional residual capacity (FRC)

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13
Q

Pharmacological management of thyroid storm may include: (Select 3.)

A

sodium iodide.
hydrocortisone.
propranolol.

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14
Q

What is the BMI for a 70-kg patient who is 1.6 meters tall?

A

27

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15
Q

Calculate cardiac output given the following hemodynamic parameters: stroke volume, 60 mL; blood pressure, 150/70 mm Hg; heart rate, 50/min.

A

3L

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16
Q

Use of positive pressure greater than how many mm Hg with a laryngeal mask airway may cause stomach inflation?

A

20

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17
Q

In the lateral position, blood flow to the dependent lung of the anesthetized patient most represents which zone of flow?

A

3

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18
Q

What is the hourly maintenance fluid rate for an 11-pound infant?

A

20

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19
Q

What is the hourly maintenance fluid requirement for an 80-kg male?

A

120

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20
Q

On the 12-lead ECG, what is the upper limit of the normal R-wave axis?

A

90

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21
Q

A patient’s blood pressure is 140/70 mm Hg. What is the mean arterial pressure?

A

93

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22
Q

A patient is 72 inches tall and weighs 200 pounds. Calculate this patient’s BMI.

A

27

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23
Q

What is the cerebral perfusion pressure for a patient with a blood pressure of 130/70 mm Hg and intracranial pressure (ICP) of 18 mm Hg?

A

72

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24
Q

Blood Gas Partition Coefficient: Halothane

A

2.5

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25
Blood Gas Partition Coefficient: Isoflurane
1.46
26
Blood Gas Partition Coefficient: Sevoflurane
0.65
27
Blood Gas Partition Coefficient: Desflurane
0.42
28
Mnemonic of B/G Partition coefficient: Low to high (DSIH)
Des, Sevo, Iso, Halothane
29
Open system:
No reservoir, no rebreathing
30
Semi open system
Reservoir, no rebreathing
31
Closed system:
Complete rebreathing with extremely low fresh gas flow
32
Semi-closed system is
Reservoir with PARTIAL REBREATHING
33
Order the relative potencies of the indicated inhalation agents from highest to lowest potency (I-S-DNi)
Isoflurane Sevoflurane Desflurane Nitrous oxide
34
Establishment of curriculum and standards in schools of nurse anesthesia (curricuLAMB)
Helen Lamb
35
Earliest known nurse anesthetist is
Sister Mary Bernard
36
Established the National Association of Nurse Anesthetists (NANA) (AANA) a-a-a
Agatha Hodgins (3 a's in AANA, 3 a's in AGATHA)
37
Mother of Anesthesia is
Alica Magaw ("M" "A"gaw: Mother-Anesthesia)
38
Autonomic Drug Class:Uterine contraction
Alpha Agonist
39
Autonomic Drug Class: Vasodilation
Alpha blocker
40
Autonomic Drug Class: Increased blood sugar
Beta agonist
41
Autonomic Drug Class: anticholinergic
Tachycardia
42
1 straight blade use on
1 year old
43
Depth of ETT insertion on a 10 year old
17 cm ETT insertion depth
44
Preterm infant appropriate ETT
2.5 uncuffed oral endotracheal tube size
45
2-year old appropriate ETT
4.5 cuffed endotracheal tube size
46
Lab test that monitors active FIBRINOLYSIS
D-dimer
47
Lab test that monitors Nonsteroidal anticoagulant use
Bleeding time
48
Lab test that monitors Heparin infusion
PTT (partial Thromboplastin time)
49
Lab test that monitors Warfarin
Prothrombin time (PT)
50
Stimulus to the factor MOST immediately stimulated by it. | Stimulus Angiotensin I most immediately stimulated by
Angiotensin II
51
Stimulus Angiotensin II most immediately stimulated by
Aldosterone
52
Stimulus Hypotension most immediately stimulated by
Renin
53
Stimulus Renin most immediately stimulated by
Angiotensin I
54
A non particulate antacid is
Bicitra
55
A gastric pro kinetic is
Metoclopramide
56
A proton pump inhibitor is
Omeprazole, - prazole
57
A histamine-2 antagonist is
ranitidine
58
ST Elevation : II, III, aVF Part of the heart
Inferior
59
ST Elevation : V1-V2 Part of the heart
Septal
60
ST Elevation : V4-V5 Part of the heart
Anterior
61
ST Elevation :I, aVL Part of the heart
Lateral
62
Match the twitch response with its corresponding nerve origin: Adductor twitch
Obturator
63
Match the twitch response with its corresponding nerve origin: Quadriceps twitch
Femoral
64
Match the twitch response with its corresponding nerve origin: Dorsiflexion
PERONEAL nerve
65
Match the twitch response with its corresponding nerve origin: Plantar Flexion
Tibial nerve
66
Chemical classification of Droperinol
Butyrophenone
67
Classified at a PHENOL
Propofol
68
Classified as a IMIDAZOLE
EtoMIDAte
69
Classified as a Phencyclidine
Ketamine