NURS 3381-Escape Room Exam 1 – ICU
Questions and Answers
Which of the following are part of the renal system regulation? - ANSWER-secretion of
free hydrogen ions
combining H+ with ammonia (NH3)
conserving bicarbonate
Which of the following ABG would you expect to see on a healthy individual? -
ANSWER-pH: 7.38 CO2: 40
HCO3: 26 PaO2: 80
Which of the following are compensatory responses to a pH of 7.50? - ANSWER-
decreased respiratory rate and depth
increased excretion of HCO3
Which of the following are interventions/treatment for a a pH of 7.50? - ANSWER-
decrease rate/volume
give benzos
fix underlying issue
give acetazolamide
Which of the following are compensatory responses to a pH of 7.30? - ANSWER-
Increased rate and depth of respirations
Increase H excretion
HCO3 retention
Which of the following are manifestations of ARDS? - ANSWER-Increased resistance
Change in LOC
Decreased compliance
Refractory hypoxemia
The goal in managing ARDS is to have a PaO2 of at least 60 on the least amount of
FiO2. - ANSWER-True
What is the mnemonic to assist with identifying the cause of an acid/base imbalance? -
ANSWER-Respiratory Opposite Metabolic Equal
In metabolic acidosis you want to monitor hypokalemia. - ANSWER-False
Which of the following are treatment/interventions for a pH of 7.30, PaCO2 of 32 and
HCO3 of 19? - ANSWER-Fix the underlying issue
Give NaHCO3
, These are good ABG results for a client with COPD: pH 7.37, CO2 58, HCO3 29, PaO2
72 - ANSWER-True
An indication that client has moved from respiratory distress to failure would be a
sudden drop in the RR from fatigue. - ANSWER-True
The purpose of maintaining a water seal for chest tubes it 1o maintain positive
intrathoracic pressure. - ANSWER-False
Which of the following are reasons for a chest tube being inserted? - ANSWER-
Pneumothorax
Post open thoractomoy
chylothorax
hemothorax
Which of the following are indications the chest tube is functioning appropriately? -
ANSWER-Tidaling/fluctuation in water seal chamber
Improved breath sounds on affected side
Continuous bubbling in suction chamber of a wet system
Why is there a cuff on the endotracheal tube? - ANSWER-Decrease the risk of
aspiration of oral secretion.
Maintain positive pressure in the lungs.
A client's sudden change in LOC is always a major concern and requires an immediate
assessment for cause. - ANSWER-True
Which of the following are possible complications of an ET tube? - ANSWER-
Dislodgement
Occlusion
Aspiration
Laryngeal nerve damage
Disadvantages to nasal intubation include - ANSWER-Predisposition to sinusitis
Pressure necrosis of nares
Increased risk of bleeding
Clients with an endotracheal tube need to be monitored for adequate hydration since
the ET tube bypasses the functions of warming, filtering, & humidifying of the body. -
ANSWER-True
Immediate confirmation of ET tube placement is presence of bilateral breath sounds. -
ANSWER-True
The tip of the ET tube should sit 2 cm into the right bronchus. - ANSWER-False
Questions and Answers
Which of the following are part of the renal system regulation? - ANSWER-secretion of
free hydrogen ions
combining H+ with ammonia (NH3)
conserving bicarbonate
Which of the following ABG would you expect to see on a healthy individual? -
ANSWER-pH: 7.38 CO2: 40
HCO3: 26 PaO2: 80
Which of the following are compensatory responses to a pH of 7.50? - ANSWER-
decreased respiratory rate and depth
increased excretion of HCO3
Which of the following are interventions/treatment for a a pH of 7.50? - ANSWER-
decrease rate/volume
give benzos
fix underlying issue
give acetazolamide
Which of the following are compensatory responses to a pH of 7.30? - ANSWER-
Increased rate and depth of respirations
Increase H excretion
HCO3 retention
Which of the following are manifestations of ARDS? - ANSWER-Increased resistance
Change in LOC
Decreased compliance
Refractory hypoxemia
The goal in managing ARDS is to have a PaO2 of at least 60 on the least amount of
FiO2. - ANSWER-True
What is the mnemonic to assist with identifying the cause of an acid/base imbalance? -
ANSWER-Respiratory Opposite Metabolic Equal
In metabolic acidosis you want to monitor hypokalemia. - ANSWER-False
Which of the following are treatment/interventions for a pH of 7.30, PaCO2 of 32 and
HCO3 of 19? - ANSWER-Fix the underlying issue
Give NaHCO3
, These are good ABG results for a client with COPD: pH 7.37, CO2 58, HCO3 29, PaO2
72 - ANSWER-True
An indication that client has moved from respiratory distress to failure would be a
sudden drop in the RR from fatigue. - ANSWER-True
The purpose of maintaining a water seal for chest tubes it 1o maintain positive
intrathoracic pressure. - ANSWER-False
Which of the following are reasons for a chest tube being inserted? - ANSWER-
Pneumothorax
Post open thoractomoy
chylothorax
hemothorax
Which of the following are indications the chest tube is functioning appropriately? -
ANSWER-Tidaling/fluctuation in water seal chamber
Improved breath sounds on affected side
Continuous bubbling in suction chamber of a wet system
Why is there a cuff on the endotracheal tube? - ANSWER-Decrease the risk of
aspiration of oral secretion.
Maintain positive pressure in the lungs.
A client's sudden change in LOC is always a major concern and requires an immediate
assessment for cause. - ANSWER-True
Which of the following are possible complications of an ET tube? - ANSWER-
Dislodgement
Occlusion
Aspiration
Laryngeal nerve damage
Disadvantages to nasal intubation include - ANSWER-Predisposition to sinusitis
Pressure necrosis of nares
Increased risk of bleeding
Clients with an endotracheal tube need to be monitored for adequate hydration since
the ET tube bypasses the functions of warming, filtering, & humidifying of the body. -
ANSWER-True
Immediate confirmation of ET tube placement is presence of bilateral breath sounds. -
ANSWER-True
The tip of the ET tube should sit 2 cm into the right bronchus. - ANSWER-False
