NUR425 CC EXAM 2 NEWEST 2025 ACTUAL EXAM|
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
Which of these is a possible cause of metabolic acidosis?
1) OD on morphine
2) anxiety
3) kidney failure
4) thiazide diuretics - Correct Answer - 3
Which is a potential direct cause for respiratory alkalosis?
1) head injury
2) shock
3) labor
4) vomiting - Correct Answer - 3
Which is an appropriate action to manage metabolic acidosis?
1) Have the patient breathe slowly and shallowly
2) Administer hydrochloric acid IV
3) Administer sodium bicarbonate IV
4) Nothing....they're a goner - Correct Answer - 3
Which is an appropriate action to manage respiratory acidosis?
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a) Administer a sedative
b) Administer sodium bicarbonate
c) Encourage deep breathing
d) Both b & c - Correct Answer - d
Which of the following is the body's first line of defense against an acid-
base imbalance?
A) Respiratory buffers
B) Chemical and protein buffers
C) Renal buffers
D) Ventricular buffers - Correct Answer - B
Which of the following is a late sign Increased ICP?
A) HR 35
B) confusion
C) mild headache
D) blurry vision - Correct Answer - A
-Cushings Triad is a late sign of increased ICP - bradycardia, systolic
hypertension with a widened pulse pressure and irregular respiratory
pattern.
Which symptom is an early sign of increased ICP?
A) Fixed and dilated pupils
B) Hyperventilation with period of apnea
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C) BP 160/60
D) Altered levels of consciousness - Correct Answer - D
-An early sign of decreased oxygenation to the brain due to increasing
ICP would be ALOC such as fatigue, restlessness, confusion
Which of the following would increase ICP?
A) hyperventilation
B) severe constipation
C) lasix
D) hypertonic saline - Correct Answer - B
Which of the following could lower ICP?
A) IV Fluids
B) A neuro assessment
C) Norepinephrine
D) Extending knees and hips - Correct Answer - d
To assess an accurate ICP reading, what must be done?
A) Level the EVD to the temple
B) Ensure the drain is open
C) Close the drain
D) Have the patient hold their breath - Correct Answer - C
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Which of these could be included in Cushing's Triad?
A) RR: 20
B) HR: 155
C) BP 194/100
D) dilated pupils - Correct Answer - C
EVD placement would be appropriate for which patient?
A) Spinal cord injury at C-3 and spinal shock
B) TBI, pupils are sluggish, HR 25, BP 200/90
C) GCS of 12, status post basilar skull fracture
D) I feel like I need one since my head is so full of knowledge - Correct
Answer - B
Which of these can reduce ICP?
A) IV Fluid Bolus
B) Mannitol
C) 3% Saline
D)Both B & C - Correct Answer - D
Which patient is at highest risk for hypoxemic respiratory failure?
a. A patient who has respiratory muscle paralysis
b. A patient who has fractured ribs and a flail chest
c. A patient who has a massive pulmonary embolism
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