NURSING OFFICER EXAM BULLETS - 1, MEDICAL SURGICAL NURSING

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NURSING OFFICER EXAM BULLETS - 1

MEDICAL SURGICAL NURSING 


 

  1. Occlusion of the right coronary artery could produce an infarction in that area. 
  2. The most common symptom of a myocardial infarction is chest pain, resulting from deprivation of oxygen to the heart. 
  3. The correct landmark for obtaining an apical pulse is the left fifth intercostal space in the midclavicular line. 
  4. The apex of the heart is the point of maximal impulse where heart sounds are heard loudest. 
  5. Rescuers of adult victims should begin compressions rather than opening the airway and delivering breaths. 
  6. The sequence for cardiopulmonary resuscitation is CAB (compressions, airway, breathing) rather than ABC (airway, breathing, compressions). 
  7. Chest compression depth on an adult should be at least 2 inches (5 cm).
  8. All rescuers, trained or not, should deliver high-quality chest compressions by pushing hard to a depth of at least 2 inches (5 cm), at a rate of at least 100 compressions per minute, allowing full chest recoil after each compression, and minimizing interruptions in chest compressions. 
  9. Trained rescuers should also provide cardiopulmonary resuscitation with a compression to ventilation ratio of 30:2.
  10. The outermost layer of the heart is called the epicardium. 
  11. The epicardium is made up of squamous epithelial cells overlying connective tissue. 
  12. The myocardium is the middle layer of the heart and forms most of the heart wall. 
  13. The myocardium has striated muscle fibers that cause the heart to contract. 
  14. The heart’s inner layer is called the endocardium. 
  15. The endocardium consists of endothelial tissue with blood vessels and bundles of smooth muscle. 
  16. The serous pericardium has two layers: the parietal and the visceral layer.
  17. The pericardium surrounds the heart and the roots of the great vessels.
  18. The pericardium has two layers: the fibrous and serous pericardium.
  19. Pulmonic sounds can be auscultated at the left second intercostal space in the midclavicular line. 
  20.  Abnormalities of the pulmonic valve are auscultated at the left second intercostal space along the left sternal border.

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