CRT/RRT REVIEW EXAM WITH
CORRECT ANSWERS
Four tLife tFunctions t- tcorrect tanswers t-Ventilation, tOxygenation, tCirculation, tand
tPerfusion
Vital tsigns tfor tVentilation t(Life tFunction) t- tcorrect tanswers t-RR, tVt, tchest tmovement,
tbreath tsounds, tPaCO2, tEtCO2
Vital tsigns tfor tOxygenation t(Life tfunction) t- tcorrect tanswers t-Heart trate, tcolor,
tsensorium, tPaO2, tand tSpO2
Vital tSigns tfor tCirculation t(Life tfunction) t- tcorrect tanswers t-Heart trate, tstrength, tand
tcardiac toutput
Vital tSigns tfor tPerfusion t(Life tFunction) t- tcorrect tanswers t-Blood tpressure,
tsensorium, ttemperature, turine toutput, tand themodynamics
Which tlife tfunction tmost toften tis ta tproblem? t- tcorrect tanswers t-Oxygenation
,Sensorium t- tcorrect tanswers t-Level tof tthe tpatient's tconsciousness
Signs tare twhat ttype tof tinformation? t- tcorrect tanswers t-Objective
Symptoms tare twhat ttype tof tinformation? t- tcorrect tanswers t-Subjective
Pack tyears tequation t- tcorrect tanswers t-Pack tYears t= t# tof tpacks/day tX t# tof tyears
tsmoked
Patient's twith tend-stage tdiseases tor tillnesses tshould thave twhat tkind tof tdocument? t-
tcorrect tanswers t-Advance tDirectives
What tis tthe tnormal turine toutput? t- tcorrect tanswers t-40 tmL/hr t(1 tL/day)
Sensible twater tloss t- tcorrect tanswers t-Urine tor tvomiting
Insensible twater tloss t- tcorrect tanswers t-Lungs t(inspiration) tand tskin t(perspiration)
Intake>Output tresults tin: t- tcorrect tanswers t--Weight tgain
-Electrolyte timbalance
-Increase themodynamic tpressures t
-Decrease tlung tcompliance
Changes tin tCVP tcan tindicated tchanges tin twhat? t- tcorrect tanswers t-Fluid tbalance
Normal tCVP tvalue t- tcorrect tanswers t-2-6 tmmHg
Decreased tCVP t(<2) tindicates twhat? tRecommendation? t- tcorrect tanswers t-
Hypovolemia tand trecommend tfluid ttherapy
Increased tCVP t(>6) tindicates twhat? tRecommendation? t- tcorrect tanswers t-
Hypervolemia tand trecommend tdiuretics
Normal tlevel tof tconsciousness t- tcorrect tanswers t-Alert tand tresponsive
Lethargic, tsomnolent, tsleepy t- tcorrect tanswers t-Sleep tapnea tor texcessive tO2 tin
tCOPD'ers
Stuporous/confused t- tcorrect tanswers t-Drug toverdose, tinappropriate tresponses, tor
tintoxication
Semicomatose t- tcorrect tanswers t-response tonly tto tpainful tstimuli
Obtunded t- tcorrect tanswers t-Decreased tcough tor tgag treflex tdue tto tdrowsy tstate
Coma t- tcorrect tanswers t-No tresponse tto tstimuli
, Anxiety/nervous t- tcorrect tanswers t-Respiratory tdistress tor thypoxemia
Anger, tcombative, tirritable t- tcorrect tanswers t-Electrolyte timbalance
Euphoria t- tcorrect tanswers t-Drug toverdose
Panic t- tcorrect tanswers t-Severe thypoxemia, ttension tpneumothorax, tstatus
tasthmaticus
Orthopnea t- tcorrect tanswers t-Difficulty tbreathing texcept tin tupright tposition
Orthopnea tis tfound tin twhat ttype tof tpatients tand twhat twould tyou trecommend? t-
tcorrect tanswers t-CHF, trecommend tcardiac ttesting
General tMalaise t- tcorrect tanswers t-Run tdown tfeeling, tnausea, tweakness, tfatigue,
theadache
General tMalaise tis tfound tin tpatients twith twhat tand twhat twould tyou trecommend? t-
tcorrect tanswers t-Electrolyte timbalance, trecommend ttesting telectrolytes
Dyspnea t- tcorrect tanswers t-Feeling tshortness tof tbreath tor tdifficulty tbreathing
Dysphagia t- tcorrect tanswers t-Difficulty tswallowing
Peripheral tEdema t- tcorrect tanswers t-Swelling tin tthe tperiphery
Pitting tedema t- tcorrect tanswers t-Presence tof texcessive tfluid tin tthe ttissue
Where tdoes tperipheral tedema ttypically toccur? t- tcorrect tanswers t-Arms tand tankles
What tcauses tperipheral tedema? t- tcorrect tanswers t-CHF tand trenal tfailure
Recommendation tfor tperipheral tedema t- tcorrect tanswers t-Diuretic ttherapy
Ascites t- tcorrect tanswers t-Accumulation tof tfluid tin tthe tabdomen
What tcauses tascites? t- tcorrect tanswers t-Liver tfailure
Clubbing tof tfingers t- tcorrect tanswers t-Presence tof tincreased tangle tof tthe tnail tbed
tand tskin.
What tcauses tclubbing tof tfingers? t- tcorrect tanswers t-Chronic thypoxemia
What tdoes tclubbing tof tfingers tsuggest? t- tcorrect tanswers t-Pulmonary tDisease
CORRECT ANSWERS
Four tLife tFunctions t- tcorrect tanswers t-Ventilation, tOxygenation, tCirculation, tand
tPerfusion
Vital tsigns tfor tVentilation t(Life tFunction) t- tcorrect tanswers t-RR, tVt, tchest tmovement,
tbreath tsounds, tPaCO2, tEtCO2
Vital tsigns tfor tOxygenation t(Life tfunction) t- tcorrect tanswers t-Heart trate, tcolor,
tsensorium, tPaO2, tand tSpO2
Vital tSigns tfor tCirculation t(Life tfunction) t- tcorrect tanswers t-Heart trate, tstrength, tand
tcardiac toutput
Vital tSigns tfor tPerfusion t(Life tFunction) t- tcorrect tanswers t-Blood tpressure,
tsensorium, ttemperature, turine toutput, tand themodynamics
Which tlife tfunction tmost toften tis ta tproblem? t- tcorrect tanswers t-Oxygenation
,Sensorium t- tcorrect tanswers t-Level tof tthe tpatient's tconsciousness
Signs tare twhat ttype tof tinformation? t- tcorrect tanswers t-Objective
Symptoms tare twhat ttype tof tinformation? t- tcorrect tanswers t-Subjective
Pack tyears tequation t- tcorrect tanswers t-Pack tYears t= t# tof tpacks/day tX t# tof tyears
tsmoked
Patient's twith tend-stage tdiseases tor tillnesses tshould thave twhat tkind tof tdocument? t-
tcorrect tanswers t-Advance tDirectives
What tis tthe tnormal turine toutput? t- tcorrect tanswers t-40 tmL/hr t(1 tL/day)
Sensible twater tloss t- tcorrect tanswers t-Urine tor tvomiting
Insensible twater tloss t- tcorrect tanswers t-Lungs t(inspiration) tand tskin t(perspiration)
Intake>Output tresults tin: t- tcorrect tanswers t--Weight tgain
-Electrolyte timbalance
-Increase themodynamic tpressures t
-Decrease tlung tcompliance
Changes tin tCVP tcan tindicated tchanges tin twhat? t- tcorrect tanswers t-Fluid tbalance
Normal tCVP tvalue t- tcorrect tanswers t-2-6 tmmHg
Decreased tCVP t(<2) tindicates twhat? tRecommendation? t- tcorrect tanswers t-
Hypovolemia tand trecommend tfluid ttherapy
Increased tCVP t(>6) tindicates twhat? tRecommendation? t- tcorrect tanswers t-
Hypervolemia tand trecommend tdiuretics
Normal tlevel tof tconsciousness t- tcorrect tanswers t-Alert tand tresponsive
Lethargic, tsomnolent, tsleepy t- tcorrect tanswers t-Sleep tapnea tor texcessive tO2 tin
tCOPD'ers
Stuporous/confused t- tcorrect tanswers t-Drug toverdose, tinappropriate tresponses, tor
tintoxication
Semicomatose t- tcorrect tanswers t-response tonly tto tpainful tstimuli
Obtunded t- tcorrect tanswers t-Decreased tcough tor tgag treflex tdue tto tdrowsy tstate
Coma t- tcorrect tanswers t-No tresponse tto tstimuli
, Anxiety/nervous t- tcorrect tanswers t-Respiratory tdistress tor thypoxemia
Anger, tcombative, tirritable t- tcorrect tanswers t-Electrolyte timbalance
Euphoria t- tcorrect tanswers t-Drug toverdose
Panic t- tcorrect tanswers t-Severe thypoxemia, ttension tpneumothorax, tstatus
tasthmaticus
Orthopnea t- tcorrect tanswers t-Difficulty tbreathing texcept tin tupright tposition
Orthopnea tis tfound tin twhat ttype tof tpatients tand twhat twould tyou trecommend? t-
tcorrect tanswers t-CHF, trecommend tcardiac ttesting
General tMalaise t- tcorrect tanswers t-Run tdown tfeeling, tnausea, tweakness, tfatigue,
theadache
General tMalaise tis tfound tin tpatients twith twhat tand twhat twould tyou trecommend? t-
tcorrect tanswers t-Electrolyte timbalance, trecommend ttesting telectrolytes
Dyspnea t- tcorrect tanswers t-Feeling tshortness tof tbreath tor tdifficulty tbreathing
Dysphagia t- tcorrect tanswers t-Difficulty tswallowing
Peripheral tEdema t- tcorrect tanswers t-Swelling tin tthe tperiphery
Pitting tedema t- tcorrect tanswers t-Presence tof texcessive tfluid tin tthe ttissue
Where tdoes tperipheral tedema ttypically toccur? t- tcorrect tanswers t-Arms tand tankles
What tcauses tperipheral tedema? t- tcorrect tanswers t-CHF tand trenal tfailure
Recommendation tfor tperipheral tedema t- tcorrect tanswers t-Diuretic ttherapy
Ascites t- tcorrect tanswers t-Accumulation tof tfluid tin tthe tabdomen
What tcauses tascites? t- tcorrect tanswers t-Liver tfailure
Clubbing tof tfingers t- tcorrect tanswers t-Presence tof tincreased tangle tof tthe tnail tbed
tand tskin.
What tcauses tclubbing tof tfingers? t- tcorrect tanswers t-Chronic thypoxemia
What tdoes tclubbing tof tfingers tsuggest? t- tcorrect tanswers t-Pulmonary tDisease
