NUR 425 CC Quizzes Exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
Which of the following is the body's first Chemical and protein buffers
line of defense against an acid base
imbalance?
In regards to acid-base imbalance, what It is the body's attempt to correct the acid-base imbalance
does "compensation" mean?
A patient rescued from a drowning
Which of the following places a patient at
A patient with severe diarrhea
risk for a state of acidosis?
A patient with kidney failure
In general, respiratory alkalosis is due to Breathing too quickly and/or deeply
what?
pH: 7.5
Which of the following values is associated
CO2: 30
with alkalosis?
HCO3: 45
What is Ventilation? The movement of air into the alveoli
What is Oxygenation? The movement of oxygen from alveoli to blood
What is Perfusion? The transportation of blood to alveoli
Give an example of a cause of failure to Rib fractures
ventilate
Give an example of a cause of failure to Pulmonary edema
oxygenate
Give an example of a cause of failure to Myocardial infarction
perfuse
Diffusion Limitation (Defect) Compromised gas exchange across the alveolar capillary membrane
V/Q Mismatch with V>Q Failing to oxygenate due to poor ventilation with normal perfusion
, Give an example of an intervention for a BIPAP machine (positive airway pressure ventilation)
patient who is hyperventilating
What is the substance that maintains Surfactant
surface tension to keep alveoli open?
Which of the following describes how FiO2
much oxygen is in the air delivered to the
patient?
A patient has just been intubated Chest x-ray
emergently at the bedside. Which of the
following is an appropriate way to confirm
placement of the endotracheal tube?
When placing the CO2 detector on the Yellow
endotracheal tube after placement, what
color demonstrates the tube is correctly
placed?
Which of the following are important Make sure a bag valve mask is in the patient's room at all times
considerations for the nurse once the
endotracheal tube has been inserted and Document the depth of the tube
placement confirmed? (select all that
apply) Ensure the tube is secured to the patient's face
Which of the following is the amount of air Tidal volume
in milliliters that will be delivered with each
breath by the mechanical ventilator?
Your patient has the following Ventilator Change the mode to SIMV
settings and ABG. What is your most
appropriate nursing action?
Ventilator Settings:
AC: RR: 11 Vt: 600mL FiO2: 80% PEEP:
7cmH20
ABG:
pH: 7.59; CO2: 24; HCO3: 22; PaO2: 119
Your patient's RR is 20, O2sats are 100%,
and appears somewhat anxious.
Your patient is on a Pancuronium drip, a Turn down the Pancuronium
Fentanyl drip and a Propofol drip. When
assessing train of four, your patient has a 1
twitch response. Which of the following is
an appropriate nursing action
Your patient has the following Ventilator Turn up the respiratory rate setting
settings and ABG. What is your most
appropriate nursing action?
Ventilator Settings:
SIMV: RR: 7 Vt: 400mL FiO2: 40% PEEP:
7cmH20
ABG: pH: 7.19; CO2: 59; HCO3: 22; PaO2: 70
Answers
Which of the following is the body's first Chemical and protein buffers
line of defense against an acid base
imbalance?
In regards to acid-base imbalance, what It is the body's attempt to correct the acid-base imbalance
does "compensation" mean?
A patient rescued from a drowning
Which of the following places a patient at
A patient with severe diarrhea
risk for a state of acidosis?
A patient with kidney failure
In general, respiratory alkalosis is due to Breathing too quickly and/or deeply
what?
pH: 7.5
Which of the following values is associated
CO2: 30
with alkalosis?
HCO3: 45
What is Ventilation? The movement of air into the alveoli
What is Oxygenation? The movement of oxygen from alveoli to blood
What is Perfusion? The transportation of blood to alveoli
Give an example of a cause of failure to Rib fractures
ventilate
Give an example of a cause of failure to Pulmonary edema
oxygenate
Give an example of a cause of failure to Myocardial infarction
perfuse
Diffusion Limitation (Defect) Compromised gas exchange across the alveolar capillary membrane
V/Q Mismatch with V>Q Failing to oxygenate due to poor ventilation with normal perfusion
, Give an example of an intervention for a BIPAP machine (positive airway pressure ventilation)
patient who is hyperventilating
What is the substance that maintains Surfactant
surface tension to keep alveoli open?
Which of the following describes how FiO2
much oxygen is in the air delivered to the
patient?
A patient has just been intubated Chest x-ray
emergently at the bedside. Which of the
following is an appropriate way to confirm
placement of the endotracheal tube?
When placing the CO2 detector on the Yellow
endotracheal tube after placement, what
color demonstrates the tube is correctly
placed?
Which of the following are important Make sure a bag valve mask is in the patient's room at all times
considerations for the nurse once the
endotracheal tube has been inserted and Document the depth of the tube
placement confirmed? (select all that
apply) Ensure the tube is secured to the patient's face
Which of the following is the amount of air Tidal volume
in milliliters that will be delivered with each
breath by the mechanical ventilator?
Your patient has the following Ventilator Change the mode to SIMV
settings and ABG. What is your most
appropriate nursing action?
Ventilator Settings:
AC: RR: 11 Vt: 600mL FiO2: 80% PEEP:
7cmH20
ABG:
pH: 7.59; CO2: 24; HCO3: 22; PaO2: 119
Your patient's RR is 20, O2sats are 100%,
and appears somewhat anxious.
Your patient is on a Pancuronium drip, a Turn down the Pancuronium
Fentanyl drip and a Propofol drip. When
assessing train of four, your patient has a 1
twitch response. Which of the following is
an appropriate nursing action
Your patient has the following Ventilator Turn up the respiratory rate setting
settings and ABG. What is your most
appropriate nursing action?
Ventilator Settings:
SIMV: RR: 7 Vt: 400mL FiO2: 40% PEEP:
7cmH20
ABG: pH: 7.19; CO2: 59; HCO3: 22; PaO2: 70
