ACTUAL EXAM LATEST VERSIONS
COMPLETE 140 QUESTIONS AND
CORRECT DETAILED ANSWERS
Normal Urine Output - 🧠 ANSWER ✔✔40mL/hr (approximatley 1 Liter a
day)
Intake exceeds output - 🧠 ANSWER ✔✔-weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
Central Venous Pressure (CVP) - 🧠 ANSWER ✔✔can indicate changes in
fluid balance
Normal CVP - 🧠 ANSWER ✔✔2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
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,Stuporous, confused , sleepy - 🧠 ANSWER ✔✔consider sleep apnea or
excessive O2 therapy (COPD patient)
Semicomatose - 🧠 ANSWER ✔✔responds only to painful stimuli
Obtunded - 🧠 ANSWER ✔✔drowsy state, may have decreased cough or
gag reflux (protect airway)
Coma - 🧠 ANSWER ✔✔does not respond to painful stimuli
Electrolyte Imbalance Traits - 🧠 ANSWER ✔✔anger, combative, irritable
Drug Overdose Traits - 🧠 ANSWER ✔✔Euphoria-intense feelings of
emotions (joy)
Panic Traits - 🧠 ANSWER ✔✔severe hypoxemia, tension pnemothorax,
status asthmaticus, or possibly AAA (abdominal aortic anerysm)
Activites of Daily Living (ADL) Scoring - 🧠 ANSWER ✔✔Katz Scoring
System
0-dependent
6-independent
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, Orthopnea - 🧠 ANSWER ✔✔difficulty breathing except in the upright
position (CHF)
Genreal malaise - 🧠 ANSWER ✔✔run down feeling, nausea, weakness,
fatique, headache (consider electrolyte imbalance)
COPD diet - 🧠 ANSWER ✔✔high fats, low carbs (carbs causes higher
CO2)
Edema - 🧠 ANSWER ✔✔caused by CHF and renal failure
occurs primarily in arms and ankles
Ascites - 🧠 ANSWER ✔✔accumulation of fluid in the abdomen generally
caused by liver failure
Clubbing of fingers - 🧠 ANSWER ✔✔caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
Venous distension or Jugular venous distension (JVD) - 🧠 ANSWER
✔✔occurs with CHF
seen during exhalation in patients with obstructive lung disease
Capillary refill - 🧠 ANSWER ✔✔indication of peripheral circulation
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