CMSRN ALL STUDY LATEST QUESTIONS AND
ANSWERS SET A+
✔✔what does it mean with an ABG if pH is normal but both CO2 and HCO3 are
abnormal? - ✔✔compensated
✔✔normal anion gap - ✔✔8-16 mEq/L
✔✔what causes an anion gap to be greater than 16? - ✔✔ketoacidosis, uremia, lactic
acidosis, toxins
✔✔Cause for respiratory alkalosis - ✔✔HYPERventilation: anxiety, pain, PE,
mechanical ventilation, salicylate OD
✔✔cause for respiratory acidosis - ✔✔HYPOventilation: OD opioids, cardiac arrest,
pulm disease, musculoskeletal disorders, head trauma, over sedation
✔✔cause for metabolic alkalosis - ✔✔acid is lost or base is gained: diuretics, cushings
r/t corticosteroid therapy, excessive antacids, NG suction, vomiting
✔✔Cause for metabolic acidosis - ✔✔acid is gained or base is lost: renal failure, DKA,
poisoning, diarrhea
✔✔Which pulmonary disease is characterized by chronic productive cough, SOB,
airway remodeling, mucus production that leads to increased risk for infection? -
✔✔chronic bronchitis
✔✔which pulmonary disease is characterized by very little sputum, barrel chest from
enlarged alveoli, and sitting on side of bed using accessory muscles to breathe? -
✔✔emphysema
, ✔✔which pulmonary disease would have a nursing assessment that shows local
crackles, exp wheezes, tachypnea, and hacking/rasping/productive cough with thick
mucoid sputum - ✔✔chronic bronchitis
✔✔which pulmonary disease would have a nursing assessment that shows fine
crackles, tachypnea/dyspnea, mildly hypoxic, little to no sputum - ✔✔emphysema
✔✔diet for patient with COPD? - ✔✔high protein, high calorie
✔✔which type of medications for asthma are used for maintenance? - ✔✔anti
inflammatory, long acting bronchodilators, singulair
✔✔which type of medications for asthma are used for rescue? - ✔✔short acting
bronchodilators, theophyllines
✔✔which type of bacterial pneumonia is most common? - ✔✔steptococcus pneumoniae
✔✔which type of rare pneumonia requires isolation? - ✔✔meningococcal pneumonia
✔✔Treatment of pneumothorax - ✔✔reestablish negative pressure: chest tube, needle
aspiration, oxygen
✔✔should there be continuous bubbles in the water seal chamber of a chest tube? -
✔✔NO- there may be tidaling but shouldn't be continuous
✔✔what is the risk factor identification method for pulmonary embolism that takes into
account blood stasis (circulatory status), endothelial damage, and hypercoagulation? -
✔✔virchows triad
✔✔what respiratory disorder is characterized by pink frothy sputum, crackles, dyspnea,
and a feeling of fear? - ✔✔pulmonary edema
✔✔what organ are platelets stored in? - ✔✔spleen
✔✔Which WBC is the first line of defense? - ✔✔neutrophils
✔✔which WBC is the most effective bacterial killer? - ✔✔monocytes/macrophages
✔✔Which type of lymphocyte attacks and destroys infected body cells? - ✔✔T
lymphocyte
✔✔which type of lymphocyte becomes an antibody when exposed to something seen
as a long term threat? - ✔✔B lymphocyte
ANSWERS SET A+
✔✔what does it mean with an ABG if pH is normal but both CO2 and HCO3 are
abnormal? - ✔✔compensated
✔✔normal anion gap - ✔✔8-16 mEq/L
✔✔what causes an anion gap to be greater than 16? - ✔✔ketoacidosis, uremia, lactic
acidosis, toxins
✔✔Cause for respiratory alkalosis - ✔✔HYPERventilation: anxiety, pain, PE,
mechanical ventilation, salicylate OD
✔✔cause for respiratory acidosis - ✔✔HYPOventilation: OD opioids, cardiac arrest,
pulm disease, musculoskeletal disorders, head trauma, over sedation
✔✔cause for metabolic alkalosis - ✔✔acid is lost or base is gained: diuretics, cushings
r/t corticosteroid therapy, excessive antacids, NG suction, vomiting
✔✔Cause for metabolic acidosis - ✔✔acid is gained or base is lost: renal failure, DKA,
poisoning, diarrhea
✔✔Which pulmonary disease is characterized by chronic productive cough, SOB,
airway remodeling, mucus production that leads to increased risk for infection? -
✔✔chronic bronchitis
✔✔which pulmonary disease is characterized by very little sputum, barrel chest from
enlarged alveoli, and sitting on side of bed using accessory muscles to breathe? -
✔✔emphysema
, ✔✔which pulmonary disease would have a nursing assessment that shows local
crackles, exp wheezes, tachypnea, and hacking/rasping/productive cough with thick
mucoid sputum - ✔✔chronic bronchitis
✔✔which pulmonary disease would have a nursing assessment that shows fine
crackles, tachypnea/dyspnea, mildly hypoxic, little to no sputum - ✔✔emphysema
✔✔diet for patient with COPD? - ✔✔high protein, high calorie
✔✔which type of medications for asthma are used for maintenance? - ✔✔anti
inflammatory, long acting bronchodilators, singulair
✔✔which type of medications for asthma are used for rescue? - ✔✔short acting
bronchodilators, theophyllines
✔✔which type of bacterial pneumonia is most common? - ✔✔steptococcus pneumoniae
✔✔which type of rare pneumonia requires isolation? - ✔✔meningococcal pneumonia
✔✔Treatment of pneumothorax - ✔✔reestablish negative pressure: chest tube, needle
aspiration, oxygen
✔✔should there be continuous bubbles in the water seal chamber of a chest tube? -
✔✔NO- there may be tidaling but shouldn't be continuous
✔✔what is the risk factor identification method for pulmonary embolism that takes into
account blood stasis (circulatory status), endothelial damage, and hypercoagulation? -
✔✔virchows triad
✔✔what respiratory disorder is characterized by pink frothy sputum, crackles, dyspnea,
and a feeling of fear? - ✔✔pulmonary edema
✔✔what organ are platelets stored in? - ✔✔spleen
✔✔Which WBC is the first line of defense? - ✔✔neutrophils
✔✔which WBC is the most effective bacterial killer? - ✔✔monocytes/macrophages
✔✔Which type of lymphocyte attacks and destroys infected body cells? - ✔✔T
lymphocyte
✔✔which type of lymphocyte becomes an antibody when exposed to something seen
as a long term threat? - ✔✔B lymphocyte