Pre-test

Residency ED Rotation: Arterial Line - Residency ED
Rotation: Arterial Line
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1. Which of the following is an indication for arterial line placement?
Patient with hemodynamic stability
Patient with significant ventilatory deficits
Patient with thromboangiitis obliterans
Patient with Raynaud’s phenomenon
2. Which of the following is NOT a contraindication for arterial line
placement?
Infection at the site of placement
Traumatic injury proximal to the proposed insertion site
Deficiencies in collateral circulation
Hemodynamic instability in a patient who requires vasopressor
medication
3. After assessing the risks of the procedure and obtaining consent from
the patient, the first task should be?
Cleaning the insertion site with sterile preparation solution
Tape is used to secure the wrist
A flexible board or roll is placed under the wrist
Lidocaine is infused at the insertion site
4. What should be observed before advancing the wire in the over-the-wire
technique or advancing the catheter in the over-the-needle technique?
Flash of blood
Lidocaine has been infused
Pulsatile blood flow
Arterial spasm
5. Which adjustment is NOT used when the wire or catheter cannot be
passed despite the return of pulsatile blood?
Rotation of needle
Adjustment of needle angle
Slight advance of needle
Withdrawal of needle
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