Rasmussen College MDC 3 Final Exam
Questions Complete With 100%
Correct Answers
\Q\.respiratory alkalosis - ANSWERS✔-high pH, low CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
\Q\.metabolic acidosis - ANSWERS✔-low pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
\Q\.respiratory acidosis - ANSWERS✔-low pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
,\Q\.metabolic alkalosis - ANSWERS✔-high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
\Q\.▪ 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 - ANSWERS✔-Priority questions...something to
consider
\Q\.CPR, press the code button - ANSWERS✔-You walk into your patient's room and they *don't
have a pulse*, what are you going to do?
\Q\.bag resuscitation, press the code button - ANSWERS✔-You walk into your patient's room
and they are *not breathing but have a pulse*, what are you going to do?
\Q\.▪ unconscious, pulseless
▪ shock them with the AED! - ANSWERS✔-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?
\Q\.▪ make them bear down (valsalva maneuver)
, ▪ make them cough (vagal maneuver) - ANSWERS✔-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?
\Q\.Supraventricular Tachycardia (SVT) - ANSWERS✔-Which cardiac rhythm requires the patient
to take *adenosine*?
\Q\.▪ they may end up with a *blood clot* because the blood is pooling in the atria -
ANSWERS✔-What is our priority concern for a patient in *atrial fibrillation (a-fib)*?
\Q\.*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 - ANSWERS✔-Nursing Interventions: *A-fib RVR*
\Q\.▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
Questions Complete With 100%
Correct Answers
\Q\.respiratory alkalosis - ANSWERS✔-high pH, low CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
\Q\.metabolic acidosis - ANSWERS✔-low pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
\Q\.respiratory acidosis - ANSWERS✔-low pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
,\Q\.metabolic alkalosis - ANSWERS✔-high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
\Q\.▪ 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 - ANSWERS✔-Priority questions...something to
consider
\Q\.CPR, press the code button - ANSWERS✔-You walk into your patient's room and they *don't
have a pulse*, what are you going to do?
\Q\.bag resuscitation, press the code button - ANSWERS✔-You walk into your patient's room
and they are *not breathing but have a pulse*, what are you going to do?
\Q\.▪ unconscious, pulseless
▪ shock them with the AED! - ANSWERS✔-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?
\Q\.▪ make them bear down (valsalva maneuver)
, ▪ make them cough (vagal maneuver) - ANSWERS✔-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?
\Q\.Supraventricular Tachycardia (SVT) - ANSWERS✔-Which cardiac rhythm requires the patient
to take *adenosine*?
\Q\.▪ they may end up with a *blood clot* because the blood is pooling in the atria -
ANSWERS✔-What is our priority concern for a patient in *atrial fibrillation (a-fib)*?
\Q\.*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 - ANSWERS✔-Nursing Interventions: *A-fib RVR*
\Q\.▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
