NBRC Clinical Simulation Guide with 100% correct answers already graded A+

We intubate when the pH is less than __________. 7.25 We always treat CO poisoned patients with ___________ oxygen on a non-rebreather mask. 100% NRB mask This electrode analyzes blood gas samples via a _______________ or ______________ membrane that is permeable to oxygen. This electrode does NOT use a ________ membrane. Polypropylene/polyethylene, mylar. Plasma electrolyte values for chloride, sodium, potassium. Chloride = 80-100 Sodium = 135-145 Potassium = 3.5-4.5 In North Carolina, all ABG analyzers and labs are under this entity. CAP or College of American Pathologists A Wright's respirometer can also be called a ___________ respirometer. Vane When a PE is suspected, we perform a V/Q scan first before a ___________ to defer costs. Angiogram We always use _________% oxygen for a possible PE 100% ___________ causes flattened T waves on an EKG. Hypokalemia Elevated BUN and creatinine indicate _______ or an issue with kidney function, however out of these two values _____________ level is the most common indicator. CHF, creatinine These assessment values pertain to ____________. CO2, breath sounds, chest rise, respiratory rate, respiratory pattern, minute ventilation, tidal volume. Ventilation These assessment values pertain to ___________. PaO2, SpO2, SaO2, color, sensory, HR, EKG Oxygenation When referring to assessment, BP and HR pertain to ___________. Circulation When referring to assessment, capillary refill pertains to _____________. Perfusion If the NBRC says "general assessment", this includes ____________. Everything List the 4 vital functions in order of importance Ventilation, oxygenation, circulation, perfusion When the NBRC lists symptoms or vital signs, we always choose _________ first. Heart rate/pulse Respiratory rate, color, general appearance, sensorium, pulse, heart rate, chest rise, and nail beds are all considered a level ______ clinical assessment (very fast, free) One Breath sounds, peak flow, vital capacity, tidal volume, and diagnostic chest percussion are considered a level _____ clinical assessment (relatively fast, cheap) Two EKG, CBC, ABG, CXR, and a sputum C/S are considered a level _______ clinical assessment (tests take some time, analysis is complex, may be expensive) Think "take something from the patient". Three A CT scan, V/Q scan, sweat test, PFT, tracheal palpation, and EEG are considered a level _______ clinical assessment (Very specific, very expensive, time consuming) Four Bilaterally absent breath sounds indicate this according to the NBRC. The patient is not breathing, it is an emergency; perform CPR When the NBRC says perform a "quick" assessment, it means a stage ____ and ____ clinical assessment. One and two When the NBRC says perform a "initial" assessment, it means this stage of clinical assessment. Complete all stages that are necessary; not stage specific. When the NBRC says perform a "thorough" assessment, it means this stage of clinical assessment. Complete all stages that are necessary; not stage specific. A RR of less than ____/min is considered an emergency 6 A RR less than _____/min is considered "shallow breathing" 8 A Vt of at least ____mL/kg is required to sustain life and is an emergency. 3 A tidal volume of less than ________ is not sufficient to sustain life and is considered an emergency. 225 With respiratory acidosis we fix __________. Ventilation With respiratory alkalosis we fix _________. Oxygenation This type of emergency is the worst/most critical on the NBRC exam. Ventilation When a patient is only able to speak in one worded sentences, this is considered an __________ situation. Emergency A PaO2 less than _________mmHg is considered an emergency. 40mmHg