NR 341 FINAL TEST PAPER QUESTIONS
AND SOLUTIONS COMPLETE REVIEW
MATERIAL
●● ABG Overview #2
Answer: (graphic #2)
●● ABG Overview #3
Answer: (graphic #3)
●● Fully compensated:
Answer: - pH normal
- PaCO2 & HCO3 abnormal
●● Partially compensated:
Answer: - All values are abnormal
●● Uncompensated
Answer: - pH and one other value is abnormal
●● Measurements of Oxygenation:
,Answer: - 80 - 100mmHG
- SpO2 = 92%-99%
●● Arterial Blood Gas Interpretation:
Answer:
●● Alkalosis:
Answer: (see graphic)
●● Acidosis:
Answer: (see graphic)
●● Potassium Levels in Acidosis:
Answer: - K+ = Elevated
●● Respiratory Acidosis:
Answer: - low pH, high CO2
●● Respiratory Alkalosis:
Answer: - high pH, low CO2
●● Metabolic Acidosis:
,Answer: - low pH, low HCO3
●● Metabolic Alkalosis:
Answer: - high pH, high HCO3
●● Interpret this ABG:
- ph 7.37
- PaCO2 50 mm HG
- Bicarbonate 30 mEq/L
Answer:
●● Rescue Breathing Position:
Answer: - Side lying position
●● Airway Management:
Answer: - Essential nursing skills that maintain natural or artificial
airways for compromised clients
●● NPPV Machine:
Answer: - Non Invasive Positive Pressure Ventilation
, ●● CPAP/BiPap Machine Overview:
Answer: - Indications: acute COPD, cardiogenic pulmonary edema,
early hypoxemic failure in immunocompromised patients, obstructive
sleep apnea, and to prevent re-intubation
- Contraindications: apnea, cardiovascular instability or hypotension,
dysrhythmias, MI, claustrophobia, somnolence, high aspiration risk,
copious secretions, GI surgery, craniofacial trauma, and burns
●● Endotracheal Intubation (ET):
Answer: - Insertion of endotracheal tube through the mouth or
nose...preferred route to reduce infections
- Indications: maintain airway, remove secretions, prevention aspiration,
and provide mechanical ventilation
●● Intubation Equipment:
Answer: - Ambu Bag connected to oxygen
- Laryngoscope & endotracheal tubes
- Suction equipment
- Ventilator
- Device or tape to secure ETT
●● Rapid Sequence Intubation (RSI):
Answer: - Giving medications to sedate (induce) and temporarily
paralyze a patient and then performing orotracheal intubation.
AND SOLUTIONS COMPLETE REVIEW
MATERIAL
●● ABG Overview #2
Answer: (graphic #2)
●● ABG Overview #3
Answer: (graphic #3)
●● Fully compensated:
Answer: - pH normal
- PaCO2 & HCO3 abnormal
●● Partially compensated:
Answer: - All values are abnormal
●● Uncompensated
Answer: - pH and one other value is abnormal
●● Measurements of Oxygenation:
,Answer: - 80 - 100mmHG
- SpO2 = 92%-99%
●● Arterial Blood Gas Interpretation:
Answer:
●● Alkalosis:
Answer: (see graphic)
●● Acidosis:
Answer: (see graphic)
●● Potassium Levels in Acidosis:
Answer: - K+ = Elevated
●● Respiratory Acidosis:
Answer: - low pH, high CO2
●● Respiratory Alkalosis:
Answer: - high pH, low CO2
●● Metabolic Acidosis:
,Answer: - low pH, low HCO3
●● Metabolic Alkalosis:
Answer: - high pH, high HCO3
●● Interpret this ABG:
- ph 7.37
- PaCO2 50 mm HG
- Bicarbonate 30 mEq/L
Answer:
●● Rescue Breathing Position:
Answer: - Side lying position
●● Airway Management:
Answer: - Essential nursing skills that maintain natural or artificial
airways for compromised clients
●● NPPV Machine:
Answer: - Non Invasive Positive Pressure Ventilation
, ●● CPAP/BiPap Machine Overview:
Answer: - Indications: acute COPD, cardiogenic pulmonary edema,
early hypoxemic failure in immunocompromised patients, obstructive
sleep apnea, and to prevent re-intubation
- Contraindications: apnea, cardiovascular instability or hypotension,
dysrhythmias, MI, claustrophobia, somnolence, high aspiration risk,
copious secretions, GI surgery, craniofacial trauma, and burns
●● Endotracheal Intubation (ET):
Answer: - Insertion of endotracheal tube through the mouth or
nose...preferred route to reduce infections
- Indications: maintain airway, remove secretions, prevention aspiration,
and provide mechanical ventilation
●● Intubation Equipment:
Answer: - Ambu Bag connected to oxygen
- Laryngoscope & endotracheal tubes
- Suction equipment
- Ventilator
- Device or tape to secure ETT
●● Rapid Sequence Intubation (RSI):
Answer: - Giving medications to sedate (induce) and temporarily
paralyze a patient and then performing orotracheal intubation.
