MULTIDIMENSIONAL CARE 3 FINAL EXAM
SCRIPT 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ metabolic acidosis. Answer: low pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
◉ respiratory acidosis. Answer: low pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
◉ metabolic alkalosis. Answer: high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
,◉ ▪ change in condition make take priority over ABCs (ex: post op
bleeding is priority over an O2 Sat% of 90%)
▪ pick the patient that is going to die first. Answer: Priority
questions...something to consider
◉ CPR, press the code button. Answer: You walk into your patient's
room and they *don't have a pulse*, what are you going to do?
◉ bag resuscitation, press the code button. Answer: You walk into
your patient's room and they are *not breathing but have a pulse*,
what are you going to do?
◉ ▪ unconscious, pulseless
▪ shock them with the AED!. Answer: If you walk into a room with a
patient that is in *ventricular fibrillation (v fib)*
▪ How will they present?
▪ What must we do to get them out of that state?
◉ ▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver). Answer: If you walk into a
room and a patient is alert and oriented, speaking to you, has a
, pulse, but their cardiac monitor shows they are in *ventricular
tachycardia*
▪ What are you going to do?
◉ Supraventricular Tachycardia (SVT). Answer: Which cardiac
rhythm requires the patient to take *adenosine*?
◉ ▪ they may end up with a *blood clot* because the blood is
pooling in the atria. Answer: What is our priority concern for a
patient in *atrial fibrillation (a-fib)*?
◉ *control RVR for patient:*
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
▪ if meds don't work...cardioversion (synchronized shock to re-start
the rhythm)
▪ if cardioversion doesn't work...ablation. Answer: Nursing
Interventions: *A-fib RVR*
◉ ▪ chest pain
▪ SOB
▪ diaphoresis
SCRIPT 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ metabolic acidosis. Answer: low pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
◉ respiratory acidosis. Answer: low pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
◉ metabolic alkalosis. Answer: high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
,◉ ▪ change in condition make take priority over ABCs (ex: post op
bleeding is priority over an O2 Sat% of 90%)
▪ pick the patient that is going to die first. Answer: Priority
questions...something to consider
◉ CPR, press the code button. Answer: You walk into your patient's
room and they *don't have a pulse*, what are you going to do?
◉ bag resuscitation, press the code button. Answer: You walk into
your patient's room and they are *not breathing but have a pulse*,
what are you going to do?
◉ ▪ unconscious, pulseless
▪ shock them with the AED!. Answer: If you walk into a room with a
patient that is in *ventricular fibrillation (v fib)*
▪ How will they present?
▪ What must we do to get them out of that state?
◉ ▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver). Answer: If you walk into a
room and a patient is alert and oriented, speaking to you, has a
, pulse, but their cardiac monitor shows they are in *ventricular
tachycardia*
▪ What are you going to do?
◉ Supraventricular Tachycardia (SVT). Answer: Which cardiac
rhythm requires the patient to take *adenosine*?
◉ ▪ they may end up with a *blood clot* because the blood is
pooling in the atria. Answer: What is our priority concern for a
patient in *atrial fibrillation (a-fib)*?
◉ *control RVR for patient:*
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
▪ if meds don't work...cardioversion (synchronized shock to re-start
the rhythm)
▪ if cardioversion doesn't work...ablation. Answer: Nursing
Interventions: *A-fib RVR*
◉ ▪ chest pain
▪ SOB
▪ diaphoresis
