Rasmussen - MDC III - Final Exam Questions
with Correct Answers 2025/2026
Respiratory alkalosis - CORRECT ANSWER -high ph, low CO2
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
Metabolic acidosis - CORRECT ANSWER -low ph, low HCO3
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
Respiratory acidosis - CORRECT ANSWER -low ph, high CO2
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
Metabolic alkalosis - CORRECT ANSWER -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 - CORRECT ANSWER -Priority questions...something to
consider
CPR, press the code button - CORRECT ANSWER -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 - CORRECT ANSWER -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! - CORRECT ANSWER -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) - CORRECT ANSWER -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) - CORRECT ANSWER -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 - CORRECT
ANSWER -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 - CORRECT ANSWER -Nursing Interventions: *A-fib
RVR*
▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation - CORRECT ANSWER -If you have a patient who comes into the ED
and they are having an MI, what are the signs/symptoms? Lab values to confirm this?
*Oxygen* - 1st
*Nitro* - given sublingual, 3 doses q 5 min (home), drip (hospital), drops BP (vasodilator)
*Aspirin* - antiplatelet, stops clotting, 325 mg, chew it
with Correct Answers 2025/2026
Respiratory alkalosis - CORRECT ANSWER -high ph, low CO2
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
Metabolic acidosis - CORRECT ANSWER -low ph, low HCO3
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
Respiratory acidosis - CORRECT ANSWER -low ph, high CO2
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
Metabolic alkalosis - CORRECT ANSWER -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 - CORRECT ANSWER -Priority questions...something to
consider
CPR, press the code button - CORRECT ANSWER -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 - CORRECT ANSWER -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! - CORRECT ANSWER -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) - CORRECT ANSWER -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) - CORRECT ANSWER -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 - CORRECT
ANSWER -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 - CORRECT ANSWER -Nursing Interventions: *A-fib
RVR*
▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation - CORRECT ANSWER -If you have a patient who comes into the ED
and they are having an MI, what are the signs/symptoms? Lab values to confirm this?
*Oxygen* - 1st
*Nitro* - given sublingual, 3 doses q 5 min (home), drip (hospital), drops BP (vasodilator)
*Aspirin* - antiplatelet, stops clotting, 325 mg, chew it
