Final Exam: NRNP 6566/ NRNP6566 Advanced
Care of Adults in Acute Settings I| Questions and
Verified Answers| 2024/ 2025 New Update-
Walden
Normal pH - answer-7.35-7.45
<7.35 Acid
>7.45 alkalosis
respiratory aklalosis - answer-pH> 7.45, PaC02 low, HC03 low
respiratory acidosis - answer-pH < 7.35
PaCO2 > 45
Hc03 normal 22-26
clinical symptoms that require intubation - answer-neuromuscular depression
or failure.
spinal cord injuries
,guillain barre syndrome
trauma-spinal cord injuries, phrenic nerve injury
myasthenia gravis
shock
status asthmaticus
sustained apnea of any kind
indications for weaning from vent - answer-underlying process that required
the vent is corrected
maintaining oxygen status
no presser support- levophed, epinephrine, etc.
Pa02 >80, FI02 of 0.5, and PEEP <8.0 cm H20
prior to seperation from the vent proceed with this ...... to determine if pt is
able to dc vent - answer-trial of spontaneous breathing
Volume targeted assist control (AC) mode - answer-the clinician determines
tidal volume and rate/ pt can still breath over the vent. example: pt gets RR of
12 but has an additional 2 breaths on their own, pt will still breathe 14
breaths/min. tidal volume is based on the vent.
Synchronized intermittent mandatory ventilation SIMV - answer-clinician sets
rate, and tidal volume, and peak inflation pt can also have their own breaths.
tidal volume is set based on the patient. VENT doesn't specify tidal volume.
, dissociation - answer-type of moderate sedation that occurs when using meds
such as ketamine. dissociation of the limbic system.
ICU delirium - answer-a serious problem encountered in the ICU; patients have
an increased length of stay & increased mortality
treatment for ICU delirium - answer-day and night schedule, reorientation, give
the patient needed DME such as glasses or hearing aids.
treatment for severe agitation and ICU delerium - answer-benzodiazepines
confusion assessment for ICU - answer-CAM-ICU, confusion assessment
method for the ICU
Rapid Sequence Intubation - answer-RSI; Procedure of emergent patient
intubation where the patient is quickly given sedatives, paralytics and cricoid
pressure. STEPS: prep, preoxygenate, pretreat, paralysis with induction,
positioning, placement and post intubation mgmt.
Critical Care Pain Observation Tool (CPOT) - answer-for the non communicative
patient
-facial expression
-body movements
-muscle tension (eval by passive flexion extension and of upper extremities)
-compliance with ventilator OR vocalization
Care of Adults in Acute Settings I| Questions and
Verified Answers| 2024/ 2025 New Update-
Walden
Normal pH - answer-7.35-7.45
<7.35 Acid
>7.45 alkalosis
respiratory aklalosis - answer-pH> 7.45, PaC02 low, HC03 low
respiratory acidosis - answer-pH < 7.35
PaCO2 > 45
Hc03 normal 22-26
clinical symptoms that require intubation - answer-neuromuscular depression
or failure.
spinal cord injuries
,guillain barre syndrome
trauma-spinal cord injuries, phrenic nerve injury
myasthenia gravis
shock
status asthmaticus
sustained apnea of any kind
indications for weaning from vent - answer-underlying process that required
the vent is corrected
maintaining oxygen status
no presser support- levophed, epinephrine, etc.
Pa02 >80, FI02 of 0.5, and PEEP <8.0 cm H20
prior to seperation from the vent proceed with this ...... to determine if pt is
able to dc vent - answer-trial of spontaneous breathing
Volume targeted assist control (AC) mode - answer-the clinician determines
tidal volume and rate/ pt can still breath over the vent. example: pt gets RR of
12 but has an additional 2 breaths on their own, pt will still breathe 14
breaths/min. tidal volume is based on the vent.
Synchronized intermittent mandatory ventilation SIMV - answer-clinician sets
rate, and tidal volume, and peak inflation pt can also have their own breaths.
tidal volume is set based on the patient. VENT doesn't specify tidal volume.
, dissociation - answer-type of moderate sedation that occurs when using meds
such as ketamine. dissociation of the limbic system.
ICU delirium - answer-a serious problem encountered in the ICU; patients have
an increased length of stay & increased mortality
treatment for ICU delirium - answer-day and night schedule, reorientation, give
the patient needed DME such as glasses or hearing aids.
treatment for severe agitation and ICU delerium - answer-benzodiazepines
confusion assessment for ICU - answer-CAM-ICU, confusion assessment
method for the ICU
Rapid Sequence Intubation - answer-RSI; Procedure of emergent patient
intubation where the patient is quickly given sedatives, paralytics and cricoid
pressure. STEPS: prep, preoxygenate, pretreat, paralysis with induction,
positioning, placement and post intubation mgmt.
Critical Care Pain Observation Tool (CPOT) - answer-for the non communicative
patient
-facial expression
-body movements
-muscle tension (eval by passive flexion extension and of upper extremities)
-compliance with ventilator OR vocalization
