NUR2502 Multidimensional Care 3
MDC III - 5 SATA, 3 Dose Calc, 2 ABGs
Final Exam Review Questions and
Answers | 100% Pass | Grades A+
High ph, low CO2
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic - CORRECT ANSWER -respiratory alkalosis
Low ph, low HCO3
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic - CORRECT ANSWER -metabolic acidosis
Low ph, high CO2
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic - CORRECT ANSWER -respiratory acidosis
High ph, high HCO3
,Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic - CORRECT ANSWER -metabolic alkalosis
Priority questions...something to consider - CORRECT ANSWER -▪ 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
You walk into your patient's room and they *don't have a pulse*, what are you going to do? -
CORRECT ANSWER -CPR, press the code button
You walk into your patient's room and they are *not breathing but have a pulse*, what are you
going to do? - CORRECT ANSWER -bag resuscitation, press the code button
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? - CORRECT ANSWER -▪ unconscious, pulseless
▪ shock them with the AED!
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? - CORRECT ANSWER -▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver)
, Which cardiac rhythm requires the patient to take *adenosine*? - CORRECT ANSWER -
Supraventricular Tachycardia (SVT)
What is our priority concern for a patient in *atrial fibrillation (a-fib)*? - CORRECT ANSWER -▪
they may end up with a *blood clot* because the blood is pooling in the atria
Nursing Interventions: *A-fib RVR* - CORRECT ANSWER -*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
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? - CORRECT ANSWER -▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation
Treatment: *Myocardial Infarction* - CORRECT ANSWER -*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
MDC III - 5 SATA, 3 Dose Calc, 2 ABGs
Final Exam Review Questions and
Answers | 100% Pass | Grades A+
High ph, low CO2
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic - CORRECT ANSWER -respiratory alkalosis
Low ph, low HCO3
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic - CORRECT ANSWER -metabolic acidosis
Low ph, high CO2
Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic - CORRECT ANSWER -respiratory acidosis
High ph, high HCO3
,Ph: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic - CORRECT ANSWER -metabolic alkalosis
Priority questions...something to consider - CORRECT ANSWER -▪ 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
You walk into your patient's room and they *don't have a pulse*, what are you going to do? -
CORRECT ANSWER -CPR, press the code button
You walk into your patient's room and they are *not breathing but have a pulse*, what are you
going to do? - CORRECT ANSWER -bag resuscitation, press the code button
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? - CORRECT ANSWER -▪ unconscious, pulseless
▪ shock them with the AED!
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? - CORRECT ANSWER -▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver)
, Which cardiac rhythm requires the patient to take *adenosine*? - CORRECT ANSWER -
Supraventricular Tachycardia (SVT)
What is our priority concern for a patient in *atrial fibrillation (a-fib)*? - CORRECT ANSWER -▪
they may end up with a *blood clot* because the blood is pooling in the atria
Nursing Interventions: *A-fib RVR* - CORRECT ANSWER -*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
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? - CORRECT ANSWER -▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation
Treatment: *Myocardial Infarction* - CORRECT ANSWER -*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
