Examl 1:l NRl 324/l NR324l (NEWl 2026/l
2027l Update)l Adultl Healthl Il Guide|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)l -Chamberlain
QUESTION
Whatl healthl problemsl frequentlyl leadl tol acid-basel imbalances?
Answer:
Diabetesl mellitus,l COPD,l andl kidneyl disease
QUESTION
Normall pHl range
Answer:
7.35-7.45
QUESTION
Acid-Basel regulatoryl mechanisms
Answer:
Buffers-l reactl immediatelyl
Respiratoryl system-l respondsl inl minutesl andl reachesl maxl effectivenessl inl hoursl
Renall system-l takesl 2l tol 3l daysl tol respond,l butl kidneysl canl maintainl balancel
indefinitelyl inl chronicl imbalances
QUESTION
Interpretl thel ABG:l pHl 7.5,l CO2l 25,l HCO3l 25
Answer:
Respiratoryl alkalosis
,QUESTION
Interpretl thel ABG:l pHl 6.96,l PaO2l 55,l CO2l 65,l HCO3l 16
Answer:
Combinedl respiratoryl andl metabolicl acidosis
QUESTION
Respiratoryl acidosisl S/S
Answer:
Hypoventilation
Drowsiness
Headache
Hypotension
Seizure
QUESTION
Metabolicl Acidosisl S/S
Answer:
Kussmaull respirations
Drowsiness
Headache
Hypotensionl
N/V
Diarrhea
QUESTION
Respiratoryl Alkalosisl S/S
Answer:
Hyperventilation
Dizzy
Tachycardia
N/V
Hyperreflexial
Seizures
,QUESTION
Metabolicl Alkalosisl S/S
Answer:
Irritability,l twitching,l picking,l confusion,l N/V,l diarrhea
QUESTION
Normall seruml electrolytel valuesl forl Sodium-Potassium-Calcium-Magnesium
Answer:
Na+l 135-145l mEq/L
K+l 3.5-5.0l mEq/L
Ca+l 8.6-10.2l mg/dL
Mg2l 1.5-2.5l mEq/L
QUESTION
resonant
Answer:
normall percussionl soundl overl lungs
QUESTION
Finel crackles
Answer:
seriesl ofl short-duration,l discontinuous,l high-pitchedl soundsl heardl justl beforel thel endl ofl
inspiration
(similarl soundl madel byl rollingl hairl betweenl fingersl behindl ear)
QUESTION
Coursel crackles
Answer:
al seriesl ofl long-duration,l discontinuous,l low-pitchedl soundsl causedl byl airl passingl
throughl airwayl intermittentlyl occludedl byl mucus,l unstablel bronchiall wall,l orl foldl ofl
mucosa
-evidentl onl inspirationl andl atl timesl expiration
, (similarl soundl tol blowingl throughl strawl underl water)
QUESTION
Whatl isl thel differencel betweenl cracklesl andl rhonchi?
Answer:
Cracklesl isl airl throughl fluidl (basel ofl lungs)
Rhonchil isl airl throughl mucusl (upperl airway)
QUESTION
Wheezes
Answer:
continuousl high-pitchedl squeakingl orl musicall soundsl causedl byl rapidl vibrationl ofl
bronchiall walls
-firstl evidentl onl expirationl butl possiblyl evidentl onl inspirationl asl obstructionl ofl airwayl
increases
QUESTION
Stridor
Answer:
al continuousl musicall orl crowingl soundl ofl constantl pitch.l Resultl ofl partiall obstructionl
ofl larynxl orl trachea
QUESTION
Pleurall frictionl rub
Answer:
al creakingl orl gratingl soundl froml roughened,l inflamedl pleurall surfacesl rubbingl together
-Evidentl duringl inspiration,l expiration,l orl bothl andl nol changel withl coughing
-Oftenl uncomfortable,l especiallyl onl deepl inspiration
QUESTION
Egophony
Answer:
2027l Update)l Adultl Healthl Il Guide|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)l -Chamberlain
QUESTION
Whatl healthl problemsl frequentlyl leadl tol acid-basel imbalances?
Answer:
Diabetesl mellitus,l COPD,l andl kidneyl disease
QUESTION
Normall pHl range
Answer:
7.35-7.45
QUESTION
Acid-Basel regulatoryl mechanisms
Answer:
Buffers-l reactl immediatelyl
Respiratoryl system-l respondsl inl minutesl andl reachesl maxl effectivenessl inl hoursl
Renall system-l takesl 2l tol 3l daysl tol respond,l butl kidneysl canl maintainl balancel
indefinitelyl inl chronicl imbalances
QUESTION
Interpretl thel ABG:l pHl 7.5,l CO2l 25,l HCO3l 25
Answer:
Respiratoryl alkalosis
,QUESTION
Interpretl thel ABG:l pHl 6.96,l PaO2l 55,l CO2l 65,l HCO3l 16
Answer:
Combinedl respiratoryl andl metabolicl acidosis
QUESTION
Respiratoryl acidosisl S/S
Answer:
Hypoventilation
Drowsiness
Headache
Hypotension
Seizure
QUESTION
Metabolicl Acidosisl S/S
Answer:
Kussmaull respirations
Drowsiness
Headache
Hypotensionl
N/V
Diarrhea
QUESTION
Respiratoryl Alkalosisl S/S
Answer:
Hyperventilation
Dizzy
Tachycardia
N/V
Hyperreflexial
Seizures
,QUESTION
Metabolicl Alkalosisl S/S
Answer:
Irritability,l twitching,l picking,l confusion,l N/V,l diarrhea
QUESTION
Normall seruml electrolytel valuesl forl Sodium-Potassium-Calcium-Magnesium
Answer:
Na+l 135-145l mEq/L
K+l 3.5-5.0l mEq/L
Ca+l 8.6-10.2l mg/dL
Mg2l 1.5-2.5l mEq/L
QUESTION
resonant
Answer:
normall percussionl soundl overl lungs
QUESTION
Finel crackles
Answer:
seriesl ofl short-duration,l discontinuous,l high-pitchedl soundsl heardl justl beforel thel endl ofl
inspiration
(similarl soundl madel byl rollingl hairl betweenl fingersl behindl ear)
QUESTION
Coursel crackles
Answer:
al seriesl ofl long-duration,l discontinuous,l low-pitchedl soundsl causedl byl airl passingl
throughl airwayl intermittentlyl occludedl byl mucus,l unstablel bronchiall wall,l orl foldl ofl
mucosa
-evidentl onl inspirationl andl atl timesl expiration
, (similarl soundl tol blowingl throughl strawl underl water)
QUESTION
Whatl isl thel differencel betweenl cracklesl andl rhonchi?
Answer:
Cracklesl isl airl throughl fluidl (basel ofl lungs)
Rhonchil isl airl throughl mucusl (upperl airway)
QUESTION
Wheezes
Answer:
continuousl high-pitchedl squeakingl orl musicall soundsl causedl byl rapidl vibrationl ofl
bronchiall walls
-firstl evidentl onl expirationl butl possiblyl evidentl onl inspirationl asl obstructionl ofl airwayl
increases
QUESTION
Stridor
Answer:
al continuousl musicall orl crowingl soundl ofl constantl pitch.l Resultl ofl partiall obstructionl
ofl larynxl orl trachea
QUESTION
Pleurall frictionl rub
Answer:
al creakingl orl gratingl soundl froml roughened,l inflamedl pleurall surfacesl rubbingl together
-Evidentl duringl inspiration,l expiration,l orl bothl andl nol changel withl coughing
-Oftenl uncomfortable,l especiallyl onl deepl inspiration
QUESTION
Egophony
Answer: