RRT CLINICAL SIMULATIONS
(CSE) – NBRC PRACTICE
SCENARIOS QUESTIONS AND
ANSWERS (LATEST)
If patients body temperature is less than 37C or 98.6 then the patients
actual values will show - ANSWERS-pH increased
PCO2 Decreased
PO2 Decreased
Treatment and management for mild cases of Exposure/Accidental
Hypothermia - ANSWERS-Passive rewarming may be sufficient
Warm, dry clothes
Warm drinks
Isometric exercises to increased heart production
Check core temperature as soon as possible
Treatment and management for moderate cases of
Exposure/Accidental Hypothermia, core temp >30C - ANSWERS-
Active rewarming may be required
Warm water baths
Warm blankets
Heating pads
,Warm oral fluids when patient is alert
Treatment and management for severe cases of Exposure/Accidental
Hypothermia core temp of <30C - ANSWERS-Active rewarming
required
Administration of warm IV solutions, warm gastric lavage or
peritoneal lavage, inhalation of warm gases
Rewarming should proceed no faster than few degrees per hour to
avoid complications
Mechanical ventilation for ventilatory failure
Infectious Disease/Pneumonia - ANSWERS-Result of an
inflammatory process that primarily affects the gas exchange area of
the lung causing capillary fluid to pout into the alveoli. This termed
effusion. If the infection becomes overwhelming it is termed
consolidation
Etiology of Infectious Disease/Pneumonia - ANSWERS-Extremely
common
Causes include: bacteria, virus, fungi, TB, atelectasis and inhalation
Primary assessment of Infectious Disease/Pneumonia - ANSWERS-
Past medical history
Shortness of breath
Cough
Appearance of chest
,Respiratory pattern
Color
Diagnostic chest percussion
Breath sounds
Physical appearance
Vital signs
Secondary assessment of Infectious Disease/Pneumonia -
ANSWERS-CXR
ABG
Pulmonary function
CBC
Sputum
Special tests
CXR finding in Infectious Disease/Pneumonia - ANSWERS-
Increased density from consolidation and atelectasis
Air bronchograms
Pleural effusion
Pulmonary function findings in Infectious Disease/Pneumonia -
ANSWERS-Decreased volumes and capacities
CBC findings in Infectious Disease/Pneumonia - ANSWERS-
Increased WBC with bacterial infection
, Decreased WBC with viral infection
Sputum findings in Infectious Disease/Pneumonia - ANSWERS-
Gram positive or gram negative organisms
Special tests for Infectious Disease/Pneumonia - ANSWERS-CT scan
Acid fast stain for TB
ELISA test for HIV
Treatment and management for Infectious Disease/Pneumonia -
ANSWERS-Oxygen therapy
Pulmonary hygiene therapy
Hyperinflation therapy
Mechanical ventilation for ventilatory failure
VAP protocol for intubated patients
Drug therapy: Antibiotics, Aerosolized antiviral agents
Thoracentesis
Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide
Poisoning - ANSWERS-The inhalation of smoke and hot gases. May
be accompanied by body surface burns. May lead to complete airway
obstruction. Should be expected in the presence of any type of fire
Etiology of Thermal Injuries:Burns/Smoke inhalation/carbon
Monoxide Poisoning - ANSWERS-Fire victims
(CSE) – NBRC PRACTICE
SCENARIOS QUESTIONS AND
ANSWERS (LATEST)
If patients body temperature is less than 37C or 98.6 then the patients
actual values will show - ANSWERS-pH increased
PCO2 Decreased
PO2 Decreased
Treatment and management for mild cases of Exposure/Accidental
Hypothermia - ANSWERS-Passive rewarming may be sufficient
Warm, dry clothes
Warm drinks
Isometric exercises to increased heart production
Check core temperature as soon as possible
Treatment and management for moderate cases of
Exposure/Accidental Hypothermia, core temp >30C - ANSWERS-
Active rewarming may be required
Warm water baths
Warm blankets
Heating pads
,Warm oral fluids when patient is alert
Treatment and management for severe cases of Exposure/Accidental
Hypothermia core temp of <30C - ANSWERS-Active rewarming
required
Administration of warm IV solutions, warm gastric lavage or
peritoneal lavage, inhalation of warm gases
Rewarming should proceed no faster than few degrees per hour to
avoid complications
Mechanical ventilation for ventilatory failure
Infectious Disease/Pneumonia - ANSWERS-Result of an
inflammatory process that primarily affects the gas exchange area of
the lung causing capillary fluid to pout into the alveoli. This termed
effusion. If the infection becomes overwhelming it is termed
consolidation
Etiology of Infectious Disease/Pneumonia - ANSWERS-Extremely
common
Causes include: bacteria, virus, fungi, TB, atelectasis and inhalation
Primary assessment of Infectious Disease/Pneumonia - ANSWERS-
Past medical history
Shortness of breath
Cough
Appearance of chest
,Respiratory pattern
Color
Diagnostic chest percussion
Breath sounds
Physical appearance
Vital signs
Secondary assessment of Infectious Disease/Pneumonia -
ANSWERS-CXR
ABG
Pulmonary function
CBC
Sputum
Special tests
CXR finding in Infectious Disease/Pneumonia - ANSWERS-
Increased density from consolidation and atelectasis
Air bronchograms
Pleural effusion
Pulmonary function findings in Infectious Disease/Pneumonia -
ANSWERS-Decreased volumes and capacities
CBC findings in Infectious Disease/Pneumonia - ANSWERS-
Increased WBC with bacterial infection
, Decreased WBC with viral infection
Sputum findings in Infectious Disease/Pneumonia - ANSWERS-
Gram positive or gram negative organisms
Special tests for Infectious Disease/Pneumonia - ANSWERS-CT scan
Acid fast stain for TB
ELISA test for HIV
Treatment and management for Infectious Disease/Pneumonia -
ANSWERS-Oxygen therapy
Pulmonary hygiene therapy
Hyperinflation therapy
Mechanical ventilation for ventilatory failure
VAP protocol for intubated patients
Drug therapy: Antibiotics, Aerosolized antiviral agents
Thoracentesis
Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide
Poisoning - ANSWERS-The inhalation of smoke and hot gases. May
be accompanied by body surface burns. May lead to complete airway
obstruction. Should be expected in the presence of any type of fire
Etiology of Thermal Injuries:Burns/Smoke inhalation/carbon
Monoxide Poisoning - ANSWERS-Fire victims
