2027 ACTUAL EXAM TEST BANK| MDC 3 FINAL
EXAM REVIEW WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
metabolic alkalosis
high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
▪ change in condition make take priority over ABCs (ex: post op
bleeding is priority over an O2 Sat% of 90%)
▪ pick the patient that is going to die first
Priority questions...something to consider
CPR, press the code button
You walk into your patient's room and they don't have a pulse, what are
you going to do?
,bag resuscitation, press the code button
You walk into your patient's room and they are not breathing but have a
pulse, what are you going to do?
▪ unconscious, pulseless
▪ shock them with the AED!
If you walk into a room with a patient that is in ventricular fibrillation (v
fib)
▪ How will they present?
▪ What must we do to get them out of that state?
▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver)
If you walk into a room and a patient is alert and oriented, speaking to
you, has a pulse, but their cardiac monitor shows they are in ventricular
tachycardia
▪ What are you going to do?
, Supraventricular Tachycardia (SVT)
Which cardiac rhythm requires the patient to take adenosine?
▪ they may end up with a blood clot because the blood is pooling in the
atria
What is our priority concern for a patient in atrial fibrillation (a-fib)?
control RVR for patient:
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
▪ if meds don't work...cardioversion (synchronized shock to re-start the
rhythm)
▪ if cardioversion doesn't work...ablation
Nursing Interventions: A-fib RVR