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
Q

Blood Gas Partition Coefficient: Isoflurane

A

1.46

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26
Q

Blood Gas Partition Coefficient: Sevoflurane

A

0.65

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27
Q

Blood Gas Partition Coefficient: Desflurane

A

0.42

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28
Q

Mnemonic of B/G Partition coefficient: Low to high (DSIH)

A

Des, Sevo, Iso, Halothane

29
Q

Open system:

A

No reservoir, no rebreathing

30
Q

Semi open system

A

Reservoir, no rebreathing

31
Q

Closed system:

A

Complete rebreathing with extremely low fresh gas flow

32
Q

Semi-closed system is

A

Reservoir with PARTIAL REBREATHING

33
Q

Order the relative potencies of the indicated inhalation agents from highest to lowest potency (I-S-DNi)

A

Isoflurane
Sevoflurane
Desflurane
Nitrous oxide

34
Q

Establishment of curriculum and standards in schools of nurse anesthesia (curricuLAMB)

A

Helen Lamb

35
Q

Earliest known nurse anesthetist is

A

Sister Mary Bernard

36
Q

Established the National Association of Nurse Anesthetists (NANA) (AANA) a-a-a

A

Agatha Hodgins (3 a’s in AANA, 3 a’s in AGATHA)

37
Q

Mother of Anesthesia is

A

Alica Magaw (“M” “A”gaw: Mother-Anesthesia)

38
Q

Autonomic Drug Class:Uterine contraction

A

Alpha Agonist

39
Q

Autonomic Drug Class: Vasodilation

A

Alpha blocker

40
Q

Autonomic Drug Class: Increased blood sugar

A

Beta agonist

41
Q

Autonomic Drug Class: anticholinergic

A

Tachycardia

42
Q

1 straight blade use on

A

1 year old

43
Q

Depth of ETT insertion on a 10 year old

A

17 cm ETT insertion depth

44
Q

Preterm infant appropriate ETT

A

2.5 uncuffed oral endotracheal tube size

45
Q

2-year old appropriate ETT

A

4.5 cuffed endotracheal tube size

46
Q

Lab test that monitors active FIBRINOLYSIS

A

D-dimer

47
Q

Lab test that monitors Nonsteroidal anticoagulant use

A

Bleeding time

48
Q

Lab test that monitors Heparin infusion

A

PTT (partial Thromboplastin time)

49
Q

Lab test that monitors Warfarin

A

Prothrombin time (PT)

50
Q

Stimulus to the factor MOST immediately stimulated by it.

Stimulus Angiotensin I most immediately stimulated by

A

Angiotensin II

51
Q

Stimulus Angiotensin II most immediately stimulated by

A

Aldosterone

52
Q

Stimulus Hypotension most immediately stimulated by

A

Renin

53
Q

Stimulus Renin most immediately stimulated by

A

Angiotensin I

54
Q

A non particulate antacid is

A

Bicitra

55
Q

A gastric pro kinetic is

A

Metoclopramide

56
Q

A proton pump inhibitor is

A

Omeprazole, - prazole

57
Q

A histamine-2 antagonist is

A

ranitidine

58
Q

ST Elevation : II, III, aVF Part of the heart

A

Inferior

59
Q

ST Elevation : V1-V2 Part of the heart

A

Septal

60
Q

ST Elevation : V4-V5 Part of the heart

A

Anterior

61
Q

ST Elevation :I, aVL Part of the heart

A

Lateral

62
Q

Match the twitch response with its corresponding nerve origin: Adductor twitch

A

Obturator

63
Q

Match the twitch response with its corresponding nerve origin: Quadriceps twitch

A

Femoral

64
Q

Match the twitch response with its corresponding nerve origin: Dorsiflexion

A

PERONEAL nerve

65
Q

Match the twitch response with its corresponding nerve origin: Plantar Flexion

A

Tibial nerve

66
Q

Chemical classification of Droperinol

A

Butyrophenone

67
Q

Classified at a PHENOL

A

Propofol

68
Q

Classified as a IMIDAZOLE

A

EtoMIDAte

69
Q

Classified as a Phencyclidine

A

Ketamine