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1. During mechanical ventilation, the inspiratory cycle has which of the
following effects on the CV system?
a. Decreases HR
b. Decreases CO
c. Increases CO
d. Increases BP
- Correct Answer: B
2. Pt's ABG shows a pO2 of 55 mmHg on FiO2 100%. What ventilator change
should the RN expect?
a. Increase PEEP
b. Increase set rate
c. Decrease set rate
d. Increase tidal volume
- Correct Answer: A
3. Mr. Jones is pulseless with distended neck veins and bilateral breath sounds
equally present. The monitor shows bradycardia. The definitive treatment
for Mr. Jones is to:
a. Administer a fluid bolus
b. Perform a pericardiocentesis
, c. Perform a needle thoracotomy
d. Administer an antidysrhythmic agent
- Correct Answer: B
-
4. The monitor shows ventricular tachycardia at rate of 16o. Patient's BP =
80/40 & dizzy. The initial electrical shock therapy will be ______
cardioversion at ______ biphasic joules.
- Correct Answer: synchronized; 75-150
5. Respiratory acidosis can be caused by:
a. pain
b. fever
c. head trauma
d. renal failure
- Correct Answer: C
6. Which of the following buffers acts slowly, within hours to days?
a. lungs
b. renal buffers
c. blood buffers
d. protein buffers
- Correct Answer: B
7. Given pH 7.11; pCO2 66 mmHg; HCO3 16 mEq; pO2 45 mmHg; O2 sat 63%.
What is the disorder?
a. metabolic acidosis
b. combined acidosis w/ hypoxia
c. combined alkalosis w/ hypoxemia
- Correct Answer: B
,8. Given pH 7.38; pCO2 26 mmHg; HCO3 11 mEq; pO2 82 mmHg; O2 sat 85%.
What is the disorder?
a. normal
b. mixed acidosis disorder
c. compensated metabolic acidosis
d. compensated respiratory acidosis
- Correct Answer: C
9. Given pH 7.25; pCO2 58 mmHg; HCO3 22 mEq; pO2 65 mmHg; O2 sat 79%.
What is the disorder?
a. mixed alkalosis
b. compensated respiratory alkalosis
c. metabolic acidosis with hypoxemia
d. respiratory acidosis with hypoxemia
- Correct Answer: D
10.Given pH 7.34; pCO2 40 mmHg; HCO3 17 mEq; pO2 90 mmHg; O2 sat 95%.
What is the disorder?
- Correct Answer: metabolic acidosis
11.Given pH 7.39; pCO2 60 mmHg; HCO3 37 mEq; pO2 70 mmHg; O2 sat 69%.
What is the disorder?
a. metabolic alkalosis
b. respiratory alkalosis
c. compensated metabolic acidosis
d. compensated respiratory acidosis
- Correct Answer: D
12.A kink in the inspiratory tubing of a ventilatory will trigger which of the
following alarms:
a. o2
b. ratio
, c. high pressure
d. low pressure
- Correct Answer: C
13.The tubing of a ventilatory has become disconnected. Which of the
following alarms will alert you to this problem?
a. o2 alarm
b. high pressure alarm
c. low pressure alarm
d. temperature alarm
- Correct Answer: C
14.Which of the following might indicate that a mechanically ventilated patient
requires suctioning?
a. o2 alarm sounds
b. low pressure alarm sounds
c. pleural friction rub is auscultated
d. increased peak inspiratory pressure (PIP)
- Correct Answer: D
15.Complications associated with endotracheal intubation include all of the
following EXCEPT:
a. rales
b. pneumonia
c. lip necrosis
d. oral infections
- Correct Answer: A
16.To prevent distress during suctioning, which of the following measures is
recommended prior to suctioning?
a. chest physiotherapy