NBCRNA Sample Questions Flashcards
What are the hemodynamic goals of hypertrophic cardiomyopathy? (Select 2.)
Decrease contractility
Increase afterload
What are potential complications of pulmonary artery catheter insertion? (Select 2.)
Cardiac Perforation
Pulmonary Infarction
Pharmacologic characteristics that best describe the effect of naloxone at opioid receptors include:
(Select 2.)
Affinity
Reversibility
Abnormal placental implantations beyond the endometrium include: (Select 3.)
Placenta accreta
Placenta increta
Placenta percreta
Characteristics of Eaton-Lambert syndrome include:
Select 3.
Improved strength with activity.
reduced anticholine release.
Sensitivity to all muscle relaxants
Which conditions will result in elevated T4 levels?
Select 2.
Hyperthyroidism
Pregnancy
A Mallampati Class II airway assessment involves visualization of which pharyngeal structures?
(Select 3.)
Soft palate
Tonsillar fauces
Uvula
Which of the following are effects of muscle relaxants?
Select 3.
Blocking acetylcholine from reaching the nicotinic cholinergic receptor
Blocking acetylcholine release from the motor nerve terminal
Causing prolonged depolarization of the motor end plate
Which of the following are mechanisms of action of anticonvulsants? (Select 3.)
Inhibition of NMDA receptors
Inactivation of sodium receptors
Limitation of the activation of calcium channels
- The musculocutaneous nerve arises from which nerve roots? (Select 3.)
C5
C6
C7
Successful laryngoscopy for intubation requires alignment of which 3 axes? (Select 3.)
Oral
Laryngeal
Pharyngeal
Which of the following pulmonary function test results indicate restrictive pulmonary disease?
(Select 3.)
Decreased forced vital capacity (FVC)
Decreased total lung capacity (TLC)
Decreased functional residual capacity (FRC)
Pharmacological management of thyroid storm may include: (Select 3.)
sodium iodide.
hydrocortisone.
propranolol.
What is the BMI for a 70-kg patient who is 1.6 meters tall?
27
Calculate cardiac output given the following hemodynamic parameters: stroke volume, 60 mL; blood pressure, 150/70 mm Hg; heart rate, 50/min.
3L
Use of positive pressure greater than how many mm Hg with a laryngeal mask airway may cause stomach inflation?
20
In the lateral position, blood flow to the dependent lung of the anesthetized patient most represents which zone of flow?
3
What is the hourly maintenance fluid rate for an 11-pound infant?
20
What is the hourly maintenance fluid requirement for an 80-kg male?
120
On the 12-lead ECG, what is the upper limit of the normal R-wave axis?
90
A patient’s blood pressure is 140/70 mm Hg. What is the mean arterial pressure?
93
A patient is 72 inches tall and weighs 200 pounds. Calculate this patient’s BMI.
27
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?
72
Blood Gas Partition Coefficient: Halothane
2.5
Blood Gas Partition Coefficient: Isoflurane
1.46
Blood Gas Partition Coefficient: Sevoflurane
0.65
Blood Gas Partition Coefficient: Desflurane
0.42
Mnemonic of B/G Partition coefficient: Low to high (DSIH)
Des, Sevo, Iso, Halothane
Open system:
No reservoir, no rebreathing
Semi open system
Reservoir, no rebreathing
Closed system:
Complete rebreathing with extremely low fresh gas flow
Semi-closed system is
Reservoir with PARTIAL REBREATHING
Order the relative potencies of the indicated inhalation agents from highest to lowest potency (I-S-DNi)
Isoflurane
Sevoflurane
Desflurane
Nitrous oxide
Establishment of curriculum and standards in schools of nurse anesthesia (curricuLAMB)
Helen Lamb
Earliest known nurse anesthetist is
Sister Mary Bernard
Established the National Association of Nurse Anesthetists (NANA) (AANA) a-a-a
Agatha Hodgins (3 a’s in AANA, 3 a’s in AGATHA)
Mother of Anesthesia is
Alica Magaw (“M” “A”gaw: Mother-Anesthesia)
Autonomic Drug Class:Uterine contraction
Alpha Agonist
Autonomic Drug Class: Vasodilation
Alpha blocker
Autonomic Drug Class: Increased blood sugar
Beta agonist
Autonomic Drug Class: anticholinergic
Tachycardia
1 straight blade use on
1 year old
Depth of ETT insertion on a 10 year old
17 cm ETT insertion depth
Preterm infant appropriate ETT
2.5 uncuffed oral endotracheal tube size
2-year old appropriate ETT
4.5 cuffed endotracheal tube size
Lab test that monitors active FIBRINOLYSIS
D-dimer
Lab test that monitors Nonsteroidal anticoagulant use
Bleeding time
Lab test that monitors Heparin infusion
PTT (partial Thromboplastin time)
Lab test that monitors Warfarin
Prothrombin time (PT)
Stimulus to the factor MOST immediately stimulated by it.
Stimulus Angiotensin I most immediately stimulated by
Angiotensin II
Stimulus Angiotensin II most immediately stimulated by
Aldosterone
Stimulus Hypotension most immediately stimulated by
Renin
Stimulus Renin most immediately stimulated by
Angiotensin I
A non particulate antacid is
Bicitra
A gastric pro kinetic is
Metoclopramide
A proton pump inhibitor is
Omeprazole, - prazole
A histamine-2 antagonist is
ranitidine
ST Elevation : II, III, aVF Part of the heart
Inferior
ST Elevation : V1-V2 Part of the heart
Septal
ST Elevation : V4-V5 Part of the heart
Anterior
ST Elevation :I, aVL Part of the heart
Lateral
Match the twitch response with its corresponding nerve origin: Adductor twitch
Obturator
Match the twitch response with its corresponding nerve origin: Quadriceps twitch
Femoral
Match the twitch response with its corresponding nerve origin: Dorsiflexion
PERONEAL nerve
Match the twitch response with its corresponding nerve origin: Plantar Flexion
Tibial nerve
Chemical classification of Droperinol
Butyrophenone
Classified at a PHENOL
Propofol
Classified as a IMIDAZOLE
EtoMIDAte
Classified as a Phencyclidine
Ketamine