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PERSING REVIEW PRACTICE EXAMINATION QUESTIONS AND CORRECT VERIFIED ANSWERS

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PERSING REVIEW PRACTICE EXAMINATION QUESTIONS AND CORRECT VERIFIED ANSWERS

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PERSING REVIEW PRACTICE
EXAMINATION QUESTIONS AND
CORRECT VERIFIED ANSWERS
TheA2physcianA2ordersA235%A2aerosolA2maskA2toA2beA2setA2upA2forA2aA2ptA2whoA2requiresA
2anA2inspiratoryA2flowA2ofA242lpm.A2WhatA2isA2theA2minimumA2flowA2rateA2toA2whichA2theA2fl
owmeterA2mustA2beA2setA2toA2meetA2ptsA2inspiratoryA2flowA2demands.
A.A26A2lpm
b.A28A2lpm
c.A210A2lpm
d.A212A2lpmA2-A2Ans--8A2lpm

AA2prematureA23A2weekA2oldA2infantA2isA2receivingA22A2lpmA2ofA2O2A2viaA2nasalA2cannulaA2
andA2hasA2aA2PaO2A2ofA243A2torrA2andA2aA2PaCo2A2ofA240A2torr.A2TheA2RTA2shouldA2reco
mmendA2
aA2increaseA2theA2nasalA2cannulaA2toA22A2lpm
bA2intubateA2andA2instituteA2MV
cA2initiateA2CPAPA2ofA24A2cmH20A2andA250%A2O2
dA2increaseA2theA2cannualA2flowA2toA25A2lpmA2-A2Ans--
increaseA2theA2nasalA2cannulaA2toA22A2lpm

PtA2arrivesA2inA2theA2EDA2afterA2beingA2pulledA2fromA2aA2burningA2house.A2TheA2RTA2shoul
dA2recommendA2obtainingA2whichA2ofA2theA2followingA2measurementsA2toA2bestA2determin
eA2theA2severityA2ofA2theA2ptsA2smokeA2inhalation
aA2Spo2
bA2HbCo
cA2PaO2
dA2HbA2-A2Ans--HbCo

TheA2physicianA2hasA2orderedA2O2A2toA2beA2administeredA2toA2anA2activeA23A2yearA2oldA2
withA2anA2Spo2A2ofA286%.A2WhichA2ofA2theA2followingA2deliveryA2devicesA2woulA2youA2reco
mmendA2forA2thisA2pt.
aA21A2-A22A2lpmA2nasalA2cannula
bA2Air-entrainment
cA2simpleA2mask
dA2O2A2hoodA2-A2Ans--1-2A2lpmA2nasalA2cannula

TheA2abilityA2ofA2theA2ptA2toA2followA2instructionsA2wouldA2beA2indicatedA2byA2whichA2ofA2th
eA2followingA2
aA2OrientationA2toA2person
bA2performanceA2ofA2taskA2whenA2asked
cA2abilityA2toA2feedA2himself
dA2awarenessA2ofA2timeA2-A2Ans--performanceA2ofA2taskA2whenA2asked

,YouA2suspectA2aA2ptA2mayA2haveA2aA2pulmonaryA2embolism.A2WhichA2ofA2theA2followingA2
wouldA2beA2theA2mostA2appropriateA2recommendationA2forA2diagnosisA2ofA2thisA2condition
aA2Bronchoscopy
bA2VQA2lungA2scan
cA2coagulationA2studies
dA2shuntA2studyA2-A2Ans--VQA2scan

ToA2mostA2effectivelyA2increaseA2aA2sedated,A2paralyzedA2pt'sA2alveolarA2minuteA2ventilati
onA2whileA2theA2ptA2isA2onA2VC/AC.A2whatA2wouldA2youA2recommend
aA2peep
bA2inspiratoryA2flow
cA2VtA2
dA2RRA2-A2Ans--Vt

FailureA2toA2hyperoxygenateA2aA2patientA2onA2aA2ventilatorA2beforeA2ETA2suctioningA2may
A2resultA2in:
a.A2hypocarbiaA2
b.A2hypoxemia
c.A2hypertensionA2
d.A2bradycardiaA2-A2Ans--hypoxemia

TheA2mostA2reliableA2methodA2ofA2determiningA2whetherA2theA2lungsA2ofA2aA2ptA2receiving
A2MVA2areA2gettingA2stifferA2andA2harderA2toA2ventilateA2isA2toA2measure
aA2staticA2compliance
bA2dynamicA2compliance
cA2spontaneousA2Vt
dA2PaO2A2-A2Ans--staticA2compliance

60A2kgA252A2yearA2oldA2manA2isA2admittedA2toA2theA2ICUA2forA2theA2treatmentA2ofA2refracto
ryA2hypoxemia.A2HeA2isA2currentlyA2onA2VC/
SIMVA2andA2pressureA2supportA2ofA210cmH20A2withA260A2Fio2.A2WhatA2shouldA2theA2RTA2
recommendA2atA2thisA2time
pHA27.49
PaCo2A230A2torr
PaO2A259A2torrA2
HRA2120A2bpm
RRA212A2bpm
SpontaneousA2VtA2400A2ml
VentA2VtA2500A2ml
PeepA25A2cmH20
TotalA2RRA222A2bpm
aA2increaseA2pressureA2supportA2toA215A2cmH20
bA2increaseA2peepA2toA28
cA2increaseA2theA2Fio2A2toA2.70
dA2decreaseA2VtA2toA2400A2mlA2-A2Ans--increaseA2peepA2toA28

,AA2peripheralA2lungA2massA2isA2toA2beA2biopsied.A2WhichA2ofA2theA2followingA2proceduresA
2toA2obtainA2theA2tissueA2sample
aA2electromagneticA2navigationalA2bronchoscopyA2(ENB)
bA2fiberopticA2bronchoscopy
cA2bronchoalveolarA2lavageA2(BAL)
d.A2rigidA2bronchoscopyA2-A2Ans--electromagneticA2navigationalA2bronchoscopy

70kgA2maleA2ptA2isA2receivingA2MV.A2RTA2notesA2theA2ptsA2Spo2A2dropsA2fromA297%A2toA2
86%A2TheA2rightA2lungA2isA2expandingA2moreA2thanA2theA2leftA2withA2clearA2breathA2sound
sA2onA2theA2rightA2butA2absentA2onA2left.A2PtsA2ETA2tubeA2isA2tapedA2atA229A2cmA2markA2atA
2theA2lip.A2WhatA2shouldA2RTA2doA2atA2thisA2time
aA2withdrawA2theA2tubeA2toA2theA224A2cmA2mark
bA2recommendA2anA2immediateA2chestA2xray
cA2advanceA2ETA2tubeA2cm
dA2obtainA2immediateA2ABGA2levelsA2-A2Ans--WithdrawA2theA2tubeA2toA2theA224A2cmA2mark

WhichA2ofA2theA2followingA2setsA2ofA2ABGsA2measureA2compensatedA2respiratoryA2acidos
is
726A2/A260A2/A268A2/A226A2/A20
742A2/A239A2/A287A2/A222A2/A2-1
725A2/A261A2/A275A2/A226A2/A2+1
737A2/A258A2/A260A2/A231A2/A2+8A2-A2Ans--737A2/A258A2/A260A2/A231A2/A2+8

TheA2followingA2dataA2hasA2beenA2collectedA2onA2aA275A2kgA2maleA2ptA2receivingA2VC/
SIMV.A2WhatA2shouldA2RTA2recommend
VtA2600A2ml
RRA24
SpontaneousA2RRA220
Fio2A235%
729/A250A2/A272A2/A226A2/A2+1
aA2increaseA2VtA2toA2650
bA2increaseA2Fio2A2toA240%
cA2increaseA2theA2rateA2toA28bpm
dA2changeA2toA2assistA2controlA2modeA2toA2rateA2ofA215A2bpmA2-A2Ans--
increaseA2theA2rateA2toA28bpm

PtA2receivingA2continuousA2MV.A2WhatA2isA2theA2bestA2interpretation

DelA2VtA2600A2600A2ml
PIPA244A252A2cmH20
SA2CLA225A233A2cmH20
InspireA2Flow.A240A240A2lpm
PEEPA25A25A2cmH20

aA2PIPA2increasedA2asA2aA2resultA2ofA2increasedA2airwayA2resistance

, bA2PIPA2increasedA2asA2resultA2ofA2decreasedA2compliance
cA2ptsA2lungA2complianceA2isA2improving
dA2ptsA2dynamicA2complianceA2isA2increasingA2-A2Ans--
PIPA2increasedA2asA2aA2resultA2ofA2decreasedA2compliance

TrachealA2secretionsA2tendA2toA2dryA2inA2anA2intubatedA2patientA2whenA2inspiredA2airA2has
A2whichA2ofA2theA2followingA2characteristics?
a.A2anA2absoluteA2humidityA2ofA224A2mg/L
b.A2aA2waterA2vaporA2pressureA2ofA247A2torr
cA250mgA2ofA2particulateA2water/lA2ofA2gas
dA244A2mgA2ofA2particulateA2waterA2ofA2gasA2-A2Ans--anA2absoluteA2humidityA2ofA224A2mg/L

ItA2isA2importantA2toA2monitorA2platA2pressureA2inA2aA2ptA2receivingA2MVA2becauseA2itA2best
A2reflectsA2
aA2lungA2compliance
bA2PaO2
cA2PaCO2
dA2ICPA2-A2Ans--LungA2compliance

TheA2RTA2palpatesA2noA2pulseA2onA2aA2ptA2butA2theA2ECGA2monitorA2showsA2QRSA2compl
exesA2onA2theA2tracing.A2TheA2RTA2shouldA2
a.A2getA2aA2STATA2ABG
bA2recommendA2defibrillationA2atA2250A2J
cA2beginA2cardiacA2compressions
dA2recommendA2cardioversionA2atA2120A2jA2-A2Ans--beginA2cardiacA2compressions

PtA2isA2receivingA2VCA2ventilation,A2andA2theA2lowA2pressureA2alarmA2suddenlyA2sounds,A2
theA2correctedA2actionA2isA2toA2
aA2suctionA2theA2pt
bA2beginA2manualA2ventilation
cA2increaseA2theA2flow
dA2determineA2whetherA2theA2ptA2isA2connectedA2fromA2theA2ventilatorA2-A2Ans--
determineA2whetherA2theA2ptA2isA2connectedA2fromA2theA2ventilator

AfterA2theA2ptA2hasA2receivedA2bronchodilatorA2therapy,A2theA2RTA2attemptsA2toA2performA
2nasotrachealA2suctionA2onA2theA2pt.A2AsA2theA2catheterA2entersA2theA2oropharynx,A2theA2f
ollowingA2ECGA2waveformA2isA2observedA2onA2theA2ECGA2monitor:A2Bradycardia.A2ThisA2
ECGA2patternA2isA2mostA2likelyA2theA2resultA2ofA2whichA2ofA2theA2following:
aA2excessiveA2suctionA2pressure
bA2hypoxemia
cA2vagalA2nerveA2stimulation
dA2hypercapniaA2-A2Ans--vagalA2nerveA2stimulation

6A2dayA2oldA2prematureA2infantA2ofA230A2weeksA2gestationalA2ageA2isA2experiencesA2frequ
entA2periodsA2ofA2apneaA2withA2desaturation.A2WhichA2ofA2theA2followingA2medicationsA2sh
ouldA2theA2RTA2recommend.

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