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Advanced Patient Assessment Final Exam Questions With Complete Solutions
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Advanced Patient Assessment Final Exam Questions With Complete Solutions
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Advanced Patient Assessment Final ExamQuestions With Complete Solutions
A 17-year-old man is brought into the emergency department.
Vitals are as follows: pulse: 100 BPM, RR: 4 breaths/min, BP:
100/65 mm Hg. The patient was at a party, where he was
discovered by his friends to be slumped in a chair and
unresponsive. ABG results are: pH: 7.29 PaCO2: 68 mm Hg
HCO3: 24 mEq/L BE: -3 mEq/L. The patient's acid-base status
is classified as which of the following?
A. Uncompensated metabolic acidosis
B. Partially compensated respiratory acidosis
C. Uncompensated respiratory acidosis
D. Compensated respiratory alkalosis Correct Answer C.
Uncompensated respiratory acidosis
A 32-year-old man comes to the ED after a traffic accident with
the following data: pulse: 118 beats/min; RR: 27 breaths/min;
BP 100/68 mm Hg; paradoxical chest movement on the left side;
breath sounds decreased on the left; and ABG on room air
(21%) as follows: pH: 7.32; PaCO2: 70 mm Hg; PaO2: 57 mm
Hg; HCO3: 23 mEq/L; BE: 0; SaO2: 86%; CaO2: 15.2 vol%;
Hb 13.0; P(A-a)O2: 18 mm Hg. Based on this information, what
is the primary cause of the patient's hypoxemia? A. Shunt B.
Overall hypoventilation C. V/Q mismatch D. Diffusion defect
Correct Answer B. Overall hypoventilation
A 35-year-old, 54-kg woman with congestive heart failure enters
the ED short of breath. An ABG shows the following results:
pH: 7.50 PaCO2: 30 mm Hg HCO3: 23 mEq/L BE: +2 mEq/L
,The patient's ABG results indicate which of the following?
A. Uncompensated respiratory alkalosis
B. Compensated respiratory acidosis
C. Uncompensated metabolic acidosis
D. Uncompensated metabolic alkalosis Correct Answer A.
Uncompensated respiratory alkalosis
A lateral decubitus view is able to detect as little as __ mL of the
pleural fluid?
A. 25 to 50
B. 50 to 100
C. 100 to 200
D. 200 to 300 Correct Answer B. 50 to 100
A patient complaining of chest pain that has not been relieved
by nitroglycerin should be treated with all of the following
except:
A. Oxygen therapy
B. Stress testing
C. Surgical intervention
D. Thrombolytic therapy Correct Answer B. Stress testing
A patient has the following ABG results: pH: 7.25; PaCO2: 32
mm Hg; HCO3: 16 mEq/L. Based on these findings, the patient
has which of the following?
A. Compensated metabolic acidosis
B. Compensated respiratory acidosis
C. Uncompensated respiratory acidosis
D. Uncompensated metabolic acidosis Correct Answer D.
Uncompensated metabolic acidosis
,A patient who has atrial fibrillation is at risk for which of the
following pulmonary conditions?
A. Pleural effusion
B. Pneumothorax
C. Pulmonary emboli
D. COPD Correct Answer C. Pulmonary emboli
A pertinent negative is defined as:
A. A negative response by a patient to a therapist who asks
whether the patient needs a breathing treatment
B. Any negative response made by the patient during the
interview
C. Any negative response by the patient to an important question
about possible symptoms
D. Refusal by the patient to answer questions about a certain
topic Correct Answer C. Any negative response by the patient
to an important question about possible symptoms
A portable film is ordered immediately after a patient is
intubated in the ED. Which of the following distances confirms
proper placement of the endotracheal tube?
A. 5 to 7 cm above the carina
B. 3 to 5 cm above the carina
C. 1 to 2 cm below the cricoid cartilage
D. 3 cm below the thyroid cartilage Correct Answer B. 3 to 5
cm above the carina
A review of the patient's history of present illness prior to
physical examination is helpful in that it:
A. Allows for a quick diagnosis
B. Helps determine if the patient will be friendly
, C. Suggests compliance with current medications
D. Gives insight into the expected findings during the
examination Correct Answer D. Gives insight into the expected
findings during the examination
Age is the major risk factor for developing which of the
following eye disorders?
A. Cataract
B. Diabetic retinopathy
C. Vascular disorders
D. Glaucoma Correct Answer A. Cataract
Ageism in the health care setting can lead to:
A. Practitioners listening to older patients less carefully
B. Practitioners treating older patients with compassion
C. Better communication with elderly patients
D. Practitioners spending more time with older patients Correct
Answer A. Practitioners listening to older patients less carefully
An elderly patient who gains more than how many pound(s) in a
week may be suffering from CHF?
A. 3 lb
B. 7 lb
C. 5 lb
D. 1 lb Correct Answer C. 5 lb
AP portable films are obtained to evaluate which of the
following?
1. Lung status 2. Lung tumor growth 3. Line and tubing
positions 4. Results of invasive therapeutic procedures A. 1, 3,
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