Rasmussen College MDC III Final Exam –
Questions & Answers | Latest Update 2026 |
Exam Prep PDF | Graded A+
respiratory alkalosis - correct answerhigh pH, low CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic acidosis - correct answerlow pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
respiratory acidosis - correct answerlow pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic alkalosis - correct answerhigh pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
▪ 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 - correct answerPriority questions...something
to consider
CPR, press the code button - correct answerYou walk into your patient's room and they
*don't have a pulse*, what are you going to do?
bag resuscitation, press the code button - correct answerYou walk into your patient's
room and they are *not breathing but have a pulse*, what are you going to do?
▪ unconscious, pulseless
, ▪ shock them with the AED! - correct answerIf 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?
▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver) - correct answerIf 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?
Supraventricular Tachycardia (SVT) - correct answerWhich cardiac rhythm requires the
patient to take *adenosine*?
▪ they may end up with a *blood clot* because the blood is pooling in the atria - correct
answerWhat is our priority concern for a patient in *atrial fibrillation (a-fib)*?
*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 - correct answerNursing Interventions: *A-fib
RVR*
▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation - correct answerIf 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?
*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 - correct answerTreatment: *Myocardial
Infarction*
▪ CPK
Questions & Answers | Latest Update 2026 |
Exam Prep PDF | Graded A+
respiratory alkalosis - correct answerhigh pH, low CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic acidosis - correct answerlow pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
respiratory acidosis - correct answerlow pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic alkalosis - correct answerhigh pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
▪ 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 - correct answerPriority questions...something
to consider
CPR, press the code button - correct answerYou walk into your patient's room and they
*don't have a pulse*, what are you going to do?
bag resuscitation, press the code button - correct answerYou walk into your patient's
room and they are *not breathing but have a pulse*, what are you going to do?
▪ unconscious, pulseless
, ▪ shock them with the AED! - correct answerIf 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?
▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver) - correct answerIf 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?
Supraventricular Tachycardia (SVT) - correct answerWhich cardiac rhythm requires the
patient to take *adenosine*?
▪ they may end up with a *blood clot* because the blood is pooling in the atria - correct
answerWhat is our priority concern for a patient in *atrial fibrillation (a-fib)*?
*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 - correct answerNursing Interventions: *A-fib
RVR*
▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation - correct answerIf 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?
*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 - correct answerTreatment: *Myocardial
Infarction*
▪ CPK
