2024 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
Pleural fricition rub -{answer}--a coarse grating, raspy or
crunching sound
-caused by inflamed surface of the visceral and parietal pleura
rubbing together
-may be associated with pleurisy, TB, pneumonia, pulmonary
infarction, cancer, etc.
-recommed steriods and antibiotics (if WBC is high)
Croup Steps -{answer}-1. start out with humidified oxygen
2. racemic epinephrine
3. corticosteriod
,Normal Blood Pressure in Adults -{answer}-90-140mmHg/60-
90mmHg
*Perfect- 120/80mmHg
Increased blood pressure -{answer}--hypertension, indicates
cardiac stress-hypoxemia
-hypotensiton, indicates poor perfusion-hypovalemia, CHF
Lateral decubitis position -{answer}--verifying pleural effusions
-pleural effusionw ill accumulate on the side laying on
-pneumonia will not accumulate
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)
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
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
color should return within 3 seconds
Diaphoresis -{answer}-heart failure (recommend diuretics,
positive inotropic agents)