MDC III COMPLETE LATEST FINAL
EXAM RASMUSSEN BASED ACTUAL
SET WITH QUESTIONS AND
CORRECT/VERIFIED ANSWERS
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
*Morphine* - calms the patient down, helps pain - correct answer-✅Treatment: *Myocardial
Infarction*
▪ CPK
▪ troponin
▪ CK-MB
▪ BNP - correct answer-✅Name the cardiac enzymes
angioplasty
stent the artery
angiogram
remove clots
cardiac catheterization - correct answer-✅Procedures: *Myocardial Infarction (MI)*
CABG (Coronary Artery Bypass Graft) - correct answer-✅Procedure: Patient has an MI and extreme
plaque build up
pericarditis - correct answer-✅inflammation of the membrane surrounding the heart
heart can't expand and contract properly (*cardiac tamponade*) - correct answer-✅When you have
pericarditis what are you at risk for?
pleural friction rub - correct answer-✅What sounds will you hear in a patient with pericarditis?
pericardial effusion - correct answer-✅accumulation of fluid in the pericardial cavity
Pericardialcentesis - correct answer-✅Surgical treatment: *Pericardial Effusion*
aneurysm - correct answer-✅a localized weak spot or balloon-like enlargement of the wall of an artery
Abdominal Aortic Aneurysm (AAA) - correct answer-✅Which is the most common aneurysm?
▪ epigastric pain
▪ pulsating in the abdomen - do not push on it! - correct answer-✅S/S: *Abdominal Aortic Aneurysm
(AAA)*
immediately go to the OR for surgery
EXAM RASMUSSEN BASED ACTUAL
SET WITH QUESTIONS AND
CORRECT/VERIFIED ANSWERS
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
*Morphine* - calms the patient down, helps pain - correct answer-✅Treatment: *Myocardial
Infarction*
▪ CPK
▪ troponin
▪ CK-MB
▪ BNP - correct answer-✅Name the cardiac enzymes
angioplasty
stent the artery
angiogram
remove clots
cardiac catheterization - correct answer-✅Procedures: *Myocardial Infarction (MI)*
CABG (Coronary Artery Bypass Graft) - correct answer-✅Procedure: Patient has an MI and extreme
plaque build up
pericarditis - correct answer-✅inflammation of the membrane surrounding the heart
heart can't expand and contract properly (*cardiac tamponade*) - correct answer-✅When you have
pericarditis what are you at risk for?
pleural friction rub - correct answer-✅What sounds will you hear in a patient with pericarditis?
pericardial effusion - correct answer-✅accumulation of fluid in the pericardial cavity
Pericardialcentesis - correct answer-✅Surgical treatment: *Pericardial Effusion*
aneurysm - correct answer-✅a localized weak spot or balloon-like enlargement of the wall of an artery
Abdominal Aortic Aneurysm (AAA) - correct answer-✅Which is the most common aneurysm?
▪ epigastric pain
▪ pulsating in the abdomen - do not push on it! - correct answer-✅S/S: *Abdominal Aortic Aneurysm
(AAA)*
immediately go to the OR for surgery
