Correct Answers s
Withinsonessecondsaftersinitiatingsasforcedsvitalscapacitys(FVC)smaneuver,saspatientsw
ithsnormalslungssshouldsbesablesexhaleswhatspercentsofsthesFVC?
A.s35-
50%sofsthesFVCsB.s50-
70%sofsthesFVCsC.s70-
83%sofsthesFVCsD.s84-
93%sofsthesFVC
✓ ~~~s 70stos83%sofsthesFVC
SimplesspirometrysCANNOTsbesusedstosmeasuresthe:
A. vitalscapacity
B. residualsvolumes
C.stidalsvolume
D.sinspiratorysreservesvolume
✓ ~~~s residualsvolume
Whichsofsthesfollowingsapproachesscansbesusedstosobtainsasmedicationshistorysfromsaspa
tientswithsasdepressedslevelsofsconsciousnesssorswhosissseverelysagitated?
A. obtainsandsreviewsthespatient'sspastsmedicalshistory
B. asksthespatient'ssnursesaboutsthespatient'ssprescriptions
C. requeststhatstheslabsrunsascomprehensivesbloodsdrugsscreens
D.sobtainsthespatient'sscurrentsprescriptionsvialssfromsthesfamily
✓ ~~~s obtainsthespatient'sscurrentsprescriptionsvialssfromsthesfamily
Whichsofsthesfollowingsthoracicsultrasoundsfindingssissconsistentswithsthespresencesofsas
pneumothorax?
A.spresencesofsglidingssigns
B.sabsencesofsA-lines
C.spresencesofsbarcodessigns
D.spresencesofsseashoressign
✓ ~~~s presencesofsbarcodessign
Whichsofsthesfollowingswouldstendstosincreasesinsensibleswatersloss?
A. hypothermia
B. bypassedsuppersairways
C.shypoventilation
D.sdiureticsadministration
✓ ~~~s bypassedsuppersairway
Whichsofsthesfollowingswouldstendstosdecreasesaspatient'ssenergysexpenditure?
,A.shypothermias
B.sinflammations
C.smajorstraumas
D.sagitation/pain
✓ ~~~s hypothermia
Aspatientshassacutesrespiratorysacidosis.sYouswouldsexpectsthesbasesexcesss(BE)stosrang
esbetween:
A.s+s6smEq/LsB
.s-
s6smEq/L sC.s+/-
s2smEq/LsD.s+/-
s8 smEq/L
✓ ~~~s +/-s2smEq/L
ThesAPGARsscoresforsasnormalsnewbornsinfantsrangessbetween:
A.s1-4
B.s4-7
C.s7-10
D.s10-13
✓ ~~~s 7stos10
Whichsofsthesfollowingsarterialsbloodsgassresultsswouldsmostslikelysbesreportedsforsasp
atientswhosisshavingsasmildsasthmasattack?
A. pHs=s7.31sPCO2s=s50storrsPO2s=s60storr
B. pHs=s7.40sPCO2s=s50storrsPO2s=s50storr
C. pHs=s7.47sPCO2s=s32storrsPO2s=s60storr
D. pHs=s7.47sPCO2s=s40storrsPO2s=s50storr
✓ ~~~s pHs=s7.47sPCO2s=s32storrsPO2s=s60storr
Asthmasissrespiratorysalkalosis
Onsinspectionsofsaspatient'ssECGsstrip,syousnotesnosidentifiablesPswaves;srapidsirreg
ularsundulationssofsthesisoelectricsline;sandsansirregularsventricularsrhythm.sInsadditi
on,sthesprecordialscardiacsratesissgreatersthansthesperipheralspulsesrate.sThesmostsli
kelysproblemsis:
A.s2ndsdegrees(Wenckebach)sheartsblocks
B.sventricularsfibrillation
C.satrialsfibrillation
D.sventricularstachycardia
✓ ~~~s atrialsfibrillation
Thesnormalsrangesforsvitalscapacitysinsasyoungshealthysmalesofsaveragessizesis:
,A.s5000stos6000smls
B.s2000stos3000smls
C.s3000stos4000smls
D.s4000stos5000sml
✓ ~~~s 4000stos5000sml
Pulmonarysfunctionsparameterssthatssignifysansobstructivesdiseasesprocesssincludesw
hichsofsthesfollowing?
A. IncreasesAirwaysResistances-
sYESsDecreasedsLungsVolumess -
sNOsDecreasedsForcedsExpiratorysFlows s-
sYESsAIrsTrappings-sYES
B. IncreasesAirwaysResistances-
sNOsDecreasedsLungsVolumess-
sYESsDecreasedsForcedsExpiratorysFlowss-
sYESsAIrsTrappings-sYES
C. IncreasesAirwaysResistances-
sYESsDecreasedsLungsVolumess-
sYESsDecreasedsForcedsExpiratorysFlowss-
sYESsAIrsTrappings-sYES
D. IncreasesAirwaysResistances-
sYESsDecreasedsLungsVolumess-
sYESsDecreasedsForcedsExpiratorysFlow
ss-NOsAIrsTrappings-sNO
✓ ~~~s IncreasesAirwaysResistances-sYES
DecreasedsLungsVolumess-
sNOsDecreasedsForcedsExpiratorysFlows s-
sYESsAIrsTrappings-sYES
Thesamountsofsgassthatscansbesinhaledsoversandsabovesthatsnormallysinhaledsduringsquiets
breathingsissthe:
A.sIRVs
B.sFRCs
C.sERVs
D.sVC
✓ ~~~s IRV
Thesresultssofsansarterialsbloodsgassanalysissaresbelow:
pHs-s7.28
PaCO2s-s22storr
HCO2s-
s10smEq/LsBEs-15
PaO2s-s110storr
, Thesesdatasindicateswhichsofsthesfollowing?
A.sprimarysmetabolicsacidosissB
.sprimarysmetabolicsalkalosissC.s
primarysrespiratorysalkalosissD.s
primarysrespiratorysacidosis
✓ ~~~s primarysmetabolicsacidosis
WhilesexaminingsaspatientsinsthesICU,syousnotesthatsshesappearsssomewhatsedematous
sandsthesnurseshassindicatedsthatsthespatient'ssurinesoutputsiss"minimal." sInswhatssections
ofsthesmedicalsrecordswouldsyouscheckstosdeterminesthespatient'ssfluidsbalances(intakesv
s.soutput)?
A.sphysiciansorderss
B.sconsent
C.slabsresults
D.snurses'snotessandsflowsheet
✓ ~~~s nurses'snotessandsflowsheet
WhensinspectingsthesmonitorsofsansadultspatientsinsICU,syousnotesasheartsratesofs138/mi
nswithsasregularsrhythm.sWhichsofsthesfollowingsissthesmostslikelyscausesofsthissobservati
on?
A.sbeta-
blockersadminstrationsB.s ther
apeutics hypothemiasC.sarteri
alshypertension
D.sanxietysorsagitation
✓ ~~~s anxietysorsagitation
Insreviewingsassleepsstudy,syousnotes20stos25sepisodesspershourslike.sWhatstypesofsabn
ormalsrespiratoryseventsdoessthissindicate?
A.scentralssleepsapneas
B.smixedssleepsapnea
C.sobstructivessleepsapnea
D.srespiratorysefforts-srelatedsarousal
✓ ~~~s centralssleepsapnea
Thesgoldsstandardsforsmonitoringsintracranialspressures(ICP)sissthe:
A.sintraparenchymalsprobes
B.ssubarachnoidsbolt
C.sintraventricularscatheters
D.sepiduralssensor
✓ ~~~s intraventricularscatheter