Complete Real Exam Questions And Correct Answers
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Why do we listen to lung sounds bilaterally with chest tubes? –
ANSWER-looking for atelectasis (diminished breath sounds)
and to listen for changes in both sides
If you hear decreased breath sounds with a pt that has
trauma/MVA what
should you suspect? - ANSWER-
pneumothorax!
How do we verify positioning of an endotracheal tube? -
ANSWER-x-ray, 2-3
cm above the
Carina
If a patient is talking while on a ventilator, what should you
do? - ANSWER-
check for an air cuff leak, it might be
deflated
What is the number one way o prevent CLABSI? - ANSWER-
wash your damn
hands
,increased peak pressures on a ventilator could mean -
ANSWER-there is a problem between the vent and the patient,
they cannot get the air in.
-causing blockage/resistance
-suction patient, check for clamped tubing, check to see if pt is
biting tube
In a patient with a C4 (cervical) spine injury what is our
main priority? -
ANSWER-Respiratory
status
First sign of increased ICP - ANSWER-Decreased level of
consciousness
Cushing's triad - ANSWER-Signs of increased
intracranial pressure:
1. hypertension (widening pulse
pressure)
2.
bradycardia
3. irregular
respirations
What is the drug of choice for increased ICP? - ANSWER-
Mannitol
Is it normal for patient's toes to curl in or fan out to a babinski
test? - ANSWER-
, It is NORMAL for the toes to curl in, if they fan
out - not good
When can you give rTPA? - ANSWER-Within last 3-4.5 hours
of when they
were known
well
If a thrombolytic was not given to a patient, how high can
their SBP go? -
ANSWER-up to 220 b/c we want to maintain cerebral
perfusion pressure
Regurgitation of the aortic or pulmonic valves will result
in a - ANSWER-
diastolic murmur, as blood flows backward into the
diseased valve when
ventricular pressures drop during
relaxation
Where can you hear the aortic stenosis? - ANSWER-2nd
intercostal space, R
sternal
boarder
-rough and high pitched
murmur
What do we look for in an atrial waveform? (on an a-line) -
ANSWER-The