NBRC RRT EXIT EXAM VERIFIED QUESTIONS AND ANSWERS 2024

Signs - Things you can see or measure symptoms - Subjective information (The patient must tell you) Pack years - Packs per day multiplied by the number of years. Advanced directives are? - documents that provide instructions incase the patient is unable to. These instructions should be notarized and copies given to the family and physician. If a patient has a DNI order you can still? - Provide non invasive ventilation ( BiPAP) A durable power of attorney allows? - A person to make decisions for the patient. What is normal urine output? - 40mL per hour or 1 Liter per day. Where does sensible water loss occur? - Through the urine or vomiting, Diarrhea. Where does insensible water loss occur? - Through the skin or exhalation. What is normal Central venous pressure? - 2 to 6 mmHg What should you recommend for patients with an elevated CVP? - Diuretics What should you recommend for a patient with a low CVP? - Fluids. The abbreviation ADL stands for? - Activities of daily living. What is Orthopnea? - Difficulty breathing while laying flat. Often seen in CHF patients. What is general malaise? - A generalized run down feeling, nauseas, weak, fatigued, headache. Think electrolyte imbalance. What does Dysphagia mean? - Difficulty swallowing. Why does peripheral edema most commonly occur? - edema is most likely caused by CHF or renal failure. What is Acites? - Acites is fluid in the abdomen. Typically caused by liver failure. What causes clubbing of the fingers? - Chronic hypoxemia. How fast should color return to a finger during a capillary refill test? - Blood should return in less than 3 seconds. What is Diaphoresis? - A state of profuse sweating. What is Jaundice? - A yellowish appearance of the skin caused by increased bilirubin in the blood and tissue. What is Erythema? - Redness of the skin due from capillary congestion, inflammation, or infection. Cyanosis is caused by? - Reduced oxyhemoglobin. How much oxyhemoglobin loss is required to cause cyanosis? - 5 Grams. Barrel chest is caused by? - Air trapping in the lungs for long periods of time. Cheyne stokes respirations - gradually increasing then decreasing rate and depth with periods of apnea. Biot's respirations - Increased rate and depth with irregular periods of apnea. Each breath has the same depth. Kussmauls respirations - Fast and Deep The normal muscles of ventilation are? - The Diaphragm and external intercostals. Retractions and nasal flaring mean? - An obstructed airway. What is macroglossia? - an enlarged tongue. What is the most common cause of tachycardia? - Hypoxemia. How much change in heart rate signifies an adverse reaction. - A change of 20bpm indicates an adverse reaction. What is pulsus paradoxus? - A pulse or blood pressure that varies during respiration. What is tactile fremitus? - Vibrations that can be felt on the chest wall. Such as rhonchi, pleural rubbing, vocal. What is crepitus? - Bubbles of air under the skin that can be palpated (Subcutaneous emphysema)