Vascular Access Exam Prep - Question List

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66. What is the normal range of central venous pressure when measured with a transducer?
  1. 2 to 6 mmHg
  2. 7 to 10 mmHg
  3. 12 to 20 mmHg
  4. 25 to 50 mmHg
67. Which of the following is the most important aspect of assessing a patient’s readiness for education?
  1. The amount of time before the procedure
  2. What procedure the patient is going to have
  3. The patient’s health status
  4. The time of day in which the surgery is scheduled
68. The nurse is in a patients’ room, about to collect a blood specimen. During her examination of the patient’s arm for a potential site, she observes areas of pinpoint, red dots scattered over both of the patient’s arms. What is the clinical name for this phenomenon, and what does the presence of pinpoint red dots indicate?
  1. It is known as petechiae, indicating possible excessive bleeding after blood collection.
  2. It is known as measles, indicating possible infectious disease exposure.
  3. It is known as psoriasis, indicating a possible skin disorder and should be avoided as a potential venipuncture site.
69. A patient is receiving thrombolytic therapy to treat a large clot that has formed as a pulmonary embolism while on the post-surgical unit. The patient begins to bleed profusely from the nose and the intravenous line. What is the nurse’s response?
  1. Apply direct pressure to major sites of bleeding to induce clotting.
  2. Increase the rate of fluid and electrolytes while decreasing the thrombolytic therapy.
  3. Apply cold compresses to bleeding sites and assess respiratory function.
  4. Stop the thrombolytic therapy completely and notify the physician.
70. A nurse is working in the hospital’s blood bank. He is collecting an autologous blood donation from a patient who will have surgery in a few weeks. Because the patient’s surgery could involve significant blood loss, she has been coming to the hospital’s blood bank every week for the past four weeks. While collecting the blood, the patient complains of feeling faint. The nurse observes that the patient is pale, her skin is cool and clammy, and her breathing appears very rapid and shallow. He immediately clamps the blood collection tubing, covers the patient with a blanket, re-positions the blood donor chair into the Trendelenburg position, and calls for help. Why did the nurse do this?
  1. The nurse believes her patient is about to faint.
  2. The nurse is overreacting.
  3. The nurse has observed the symptoms of hypovolemic shock.
  4. The nurse believes her patient is experiencing an allergic reaction.

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