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Critical Care Final Exam! Questions & Accurate Answers
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Critical Care Final Exam! Questions & Accurate Answers
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Critical Care Final Exam! Questions & AccurateAnswers
A new area of hyperresonance is noted during chest wall percussion of a
patient who is receiving continuous mechanical ventilation. The most likely
cause for this finding is: Correct Ans - Pneumothorax
What lab test can be used as a screening tool for CHF? Correct Ans -
Brain Natriuretic Peptide (BNP)
Which of the following represents the characteristics of Sinus Tachycardia:
I. Atrial rate of 250-350/minute
II. no identifiable P waves, erratic, wavy baseline
III.regular ventricular rhythm at a rate of 100-160 beats/min
IV. QRS duration of <.12 seconds Correct Ans - III & IV
A chest tube to drain a hemothorax should be placed in the: Correct Ans -
5th intercostal space, midaxillary line
which of the following include factors that may cause obstruction of an
artificial airway?
I. foreign objects such as dentures
II. mucus plugging
III. rapid mobilization of secretions from the lung
IV. vocal cord paralysis Correct Ans - II & III
Bobby is a 22yo male who was involved in a MVA. He suffered spinal cord
damage at C2-3. What would you expect to find during your assessment of
Bobby's breathing? Correct Ans - unable to breathe on his own,
supported by mechanical ventilation
The highest percentage of water in the body is found in which fluid
compartment? Correct Ans - Intracellular
Which of the following indicates adequate tissue perfusion in the critically ill
patient?
I. warm extremities
II. capillary refill time of 6 seconds
, III. urinary output of 40 mL/hr Correct Ans - I & II
A 40yo male was involved in a serious MVA and taken to the nearest hospital
emergency department. The paramedics report that the man was not wearing
his seat belt at the time of the collision. Upon physical exam, he was noted to
have pain and tenderness to the chest. What would you expect to find in this
patient? Correct Ans - paradoxical chest wall movement
What rhythm has the potential of changing into a lethal rhythm? Correct
Ans - ventricular escape rhythm
Hypokalemia (low potassium levels) may be caused from which of the
following?
I. diuretic therapy
II. corticosteroids
III. renin-angiotensin
IV. aldosterone Correct Ans - I & II
Which of the following is true regarding physical assessment findings with
pneumothorax?
I. common symptoms include dyspnea and chest pain
II. it results in an increased resonance to percussion
III. it will decrease vital capacity
IV. tactile fremitus will be increased Correct Ans - I, II, & III
T/F: A falling arterial blood pressure is an early sign of decreased cardiac
output. Correct Ans - False
If drainage from a mediastinal chest tube suddenly decreases, the patient may
rapidly develop: Correct Ans - cardiac tamponade
Bradycardia is related to what? Correct Ans - vagal nerve stimulation
Following thoracic surgery, patients experience pain and stress. If pain is not
treated, which of the following will occur?
I. decrease in clotting time
II. increased oxygen consumption
III. decreased oxygen delivery to the tissues
IV. increased vital capacity Correct Ans - II & III
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