NU335 Hamodynamics Spring 2026 at Baton Rouge Community College

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Free NU335 Hamodynamics Spring 2026 at Baton Rouge Community College Questions

1.

The nurse is caring for a patient with a radial arterial line. Prior to obtaining a reading, which action is most appropriate?

  • Flush line for 10 seconds

  • Level at sternal angle

  • Perform an Allen test

  • Reference and zero the line

Explanation

Correct Answer: D. Reference and zero the line
Explanation:
Before obtaining a reading from an arterial line, it is essential to reference and zero the line. This ensures that the pressure monitoring system is accurately calibrated to the patient’s baseline pressure. Zeroing the line eliminates any potential errors caused by changes in atmospheric pressure or equipment calibration, providing accurate readings for the patient's blood pressure and hemodynamics.
2.

The nurse is analyzing the patient's arterial waveform. The dicrotic notch on the descending limb of the waveform signifies which action?

  • Closure of the aortic valve

  • Opening of the aortic valve

  • Closure of the mitral valve

  • Opening of the mitral valve

Explanation

Correct Answer: A. Closure of the aortic valve
Explanation:
The dicrotic notch on the descending limb of the arterial waveform represents the closure of the aortic valve. It occurs after the peak of the arterial pressure curve (systole), marking the transition from systole to diastole. The closure of the aortic valve causes a brief retrograde flow of blood that is seen as the dicrotic notch. This notch is an important feature in the arterial waveform and is used to assess the functioning of the aortic valve.
3.

An RN is observing a nursing student who is performing closed suctioning on a hospitalized patient with an endotracheal (ET) tube in place. Which actions by the student requires the RN to intervene? Select all that apply.

  • Applies suction while inserting the catheter.

  • Adjusts wall suction to 100-120 mm Hg.

  • Add air to ET tube and slightly deflates the cuff.

  • Hyperoxygenates the patient with 100% FIO2 before suctioning.

  • Inserts the catheter until resistance is met.

Explanation

Correct Answers: A. Applies suction while inserting the catheter, E. Inserts the catheter until resistance is met
Explanation:
A. Applies suction while inserting the catheter
This is incorrect. Suction should only be applied after the catheter is inserted into the trachea. Suctioning while inserting the catheter can cause damage to the mucosa and may lead to trauma or discomfort for the patient.
E. Inserts the catheter until resistance is met
This is incorrect. The catheter should not be inserted until resistance is met. Inserting the catheter too deeply can cause trauma to the airway or potentially cause dislodgement of the ET tube. The catheter should be inserted gently and only as far as necessary to suction effectively.
4.

The nurse interprets the patient's 6-second strip as which rhythm? See attachment.

  • A Atrial fibrillation

  • B Normal sinus rhythm with premature atrial contractions (PACs)

  • C Ventricular Fibrillation

  • D Atrial flutter

Explanation

Correct Answer: D. Atrial flutter
Explanation:
The rhythm on the strip shows a regular, rapid rhythm with sawtooth-shaped P waves, which is characteristic of atrial flutter. In atrial flutter, the atria contract very rapidly, often at rates between 250-350 beats per minute, but the ventricular response is typically slower due to a block at the AV node. The hallmark of atrial flutter is the presence of sawtooth waves in the P wave portion of the EKG, which is consistent with what is seen in this strip.
5.

A nurse is participating in a Code Blue. Which actions are important to maintain therapeutic communication during the code? Select all that apply.

  • Announce interventions given

  • Repeat orders x 3

  • Control tone of voice

  • Speak clearly

  • Use closed-loop communication

Explanation

Correct Answers:
A. Announce interventions given
C. Control tone of voice
D. Speak clearly
E. Use closed-loop communication

Explanation:
A. Announce interventions given
It is essential to announce interventions clearly to keep everyone on the team informed of actions taken. This ensures that all team members are aware of what has been done and prevents duplication of efforts.
C. Control tone of voice
In a high-stress situation like a Code Blue, controlling the tone of voice helps maintain a calm, composed atmosphere. This prevents panic and allows the team to focus on providing care effectively.
D. Speak clearly
Speaking clearly is critical during a Code Blue. Miscommunication can lead to errors in patient care, so every instruction and intervention must be articulated clearly to ensure understanding by the entire team.
E. Use closed-loop communication
Closed-loop communication is essential for ensuring accuracy in conveying and understanding orders and information. This method involves repeating the information back to the person who gave the order, confirming it, and ensuring it is understood by all team members.
6.

A cardiac arrest patient has been resuscitated and immediately transferred to ICU. What is the priority assessment by the ICU nurse for the best outcome?

  • Assess if patient can follow commands

  • Assess for signs of chest pain

  • Auscultate bilateral breath sounds

  • Assess skin for signs of shock

Explanation

Correct Answer: C. Auscultate bilateral breath sounds
Explanation:
After resuscitation, it is critical to assess for adequate ventilation and oxygenation. The nurse should immediately auscultate bilateral breath sounds to ensure that the patient has proper lung expansion and that the endotracheal tube is in the correct position. This assessment helps detect potential issues such as pneumothorax, airway obstruction, or intubation malposition, which are urgent concerns that can affect the patient's oxygenation and overall stability.
7.

The nurse notes that a patient's endotracheal tube (ET), which was at the 21-cm mark, is now at the 24-cm mark and the patient appears anxious and restless. Which action should the nurse take first?

  • Notify the patient's health care provider.

  • Bag the patient at an FIO2 of 100%.

  • Offer reassurance to the patient.

  • Listen to the patient's lungs.

Explanation

Correct Answer: B. Bag the patient at an FIO2 of 100%.
Explanation:
The movement of the endotracheal tube (ET) from the 21-cm mark to the 24-cm mark may indicate that the tube has been dislodged or shifted, which can lead to inadequate ventilation and oxygenation. The priority action is to immediately bag the patient with 100% oxygen (FIO2 100%) to ensure oxygenation and prevent hypoxia while further assessment and corrective actions are taken. The patient’s restlessness and anxiety could be signs of inadequate oxygenation.
8.

Prescribed: Amiodarone hydrochloride 5 mg/kg as IV push now
Available: Amiodarone hydrochloride 150 mg/3 mL
Patient weight: 80 kg

How many mL will the nurse administer for the prescribed dose?

  • 8 mL

  • 10 mL

  • 12 mL

  • 15 mL

Explanation

Correct Answer: A. 8 mL
Solution:
  1. First, calculate the total prescribed dose:
    • 5 mg/kg × 80 kg = 400 mg
  2. Next, determine how many mL are needed for the 400 mg dose using the available concentration:
    • 150 mg/3 mL = 50 mg/mL
    • 400 mg ÷ 50 mg/mL = 8 mL
9.

A patient on mechanical ventilation becomes very frustrated when trying to communicate. Which intervention should the nurse perform to assist the patient?

  • Ask a close family member to assist with communication.

  • Encourage the patient to use sign language to communicate.

  • Ask the patient to write or spell words with an alphabet board.

  • Consult speech therapy to teach the patient voice exercises.

Explanation

Correct Answer: C. Ask the patient to write or spell words with an alphabet board.
Explanation
Patients on mechanical ventilation may be unable to speak, leading to frustration. One effective way to help patients communicate is by providing an alternative method, such as using an alphabet board to write or spell out words. This allows the patient to express their needs and reduce feelings of frustration. It's a practical and immediate intervention that can be used when verbal communication is not possible.
10.

When the ventilator alarm sounds, the nurse finds the ICU patient lying in bed holding the endotracheal tube (ET). Which action would the nurse take first?

  • Assess for respiratory distress and offer reassurance to the patient.

  • Support oxygenation as needed by applying a nasal cannula or manually ventilating the patient with 100% oxygen.

  • Immediately call the health care provider and assess the need to reintubate.

  • Provide sedation and place the patient on their left side.

Explanation

Correct Answer: B. Support oxygenation as needed by applying a nasal cannula or manually ventilating the patient with 100% oxygen.
Explanation
When an ICU patient is found holding the ET tube, the priority is to ensure adequate oxygenation and ventilation. The nurse should immediately support oxygenation, either by applying a nasal cannula or manually ventilating the patient with 100% oxygen. This action ensures that the patient’s oxygenation is maintained while further assessment is done to address the cause of the alarm and check the ET tube placement.

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