Clinical Simulations Tests Bundle Set

Visuals (things you will always choose...) CORRECT ANSWER -general appearance -appearance of chest -respiratory pattern -sensorium -posture -patient color -pulse Infant normals CORRECT ANSWER Pulse: 110 - 160 BP: 60/40 mm Hg RR: 30 to 60 Birth Wt: 3000g APGAR: 7 to 10 Hemodynamic Nor...

How often should a cardiac-pulmonary patient's oxygen saturation be checked with a pulseoximeter? CORRECT ANSWER - at rest - during functional activities - left on patient to monitor trends and changes; DO NOT use pulseoximeter to "spot check" because provides incomplete picture of saturation c...

*COPD: Body build CORRECT ANSWER Type A: Emphysema (pink puffer): Thin, underweight Type B: Chronic Bronchitis (blue bloater): Stocky, overweight COPD: Past medical history CORRECT ANSWER Type A: Emphysema (pink puffer): Tobacco use Type B: Chronic Bronchitis (blue bloater): Tobacco use ...

What is the order that things should be selected? CORRECT ANSWER 1) visuals 2) bedside 3) basic labs 4) special tests Visual assessment includes CORRECT ANSWER 1) general appearance 2) appearance of the chest 3) respiratory pattern/rate 4) sensorium 5) posture 6) patient color 7) pulse ...

A patient has obstructive disorder what can cause this issue? CORRECT ANSWER smoking, genetic predisposition, occupation, pollutants What are some characteristic of a patient with an obstructive disorder? CORRECT ANSWER clubbing, cyanotic, wheezing, diminished, barrel chested What is the CXR f...

If the patient test positive for Myasthenia Gravis what drugs should be given for maintenance? CORRECT ANSWER Anti cholinesterase therapy and cholinesterase inhibitors(Neostigmine (Prostigmin) Pyridostigmine (Mestinon, Regonol) COPD is defined as? CORRECT ANSWER A preventable and treatable diseas...

What are the 3 steps to solving each problem encountered while completing a clinical simulation? CORRECT ANSWER -first you will be asked to assess a patient with a respiratory or respiratory related problem -second you will need to study the information and determine the primary problem -third you...

All of the following lab results are WNL EXCEPT: (note: the units are correct). RBC 5.7 mill/mm3 K+ 35 mE/L Qt (cardiac output) 5L/min C(a-v) O2 4.7% CORRECT ANSWER K+ 35 mE/L Response Feedback: K+ WNL is 3.5-4.5 mE/L. For patients who present with general malaise or fatigue and gen...

When should you initiate nasal CPAP on a neonate? CORRECT ANSWER after increasing FIO2 to approximately 50-60% What are two important information gathering points when assessing an MI patient? CORRECT ANSWER ABG and ECG What parameter should initially be changed on this ABG? pH 7.50 PCO2 30 ...

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with A. liver failure. B. pulmonary embolism. C. heart failure. D. electrolyte imbalance. CORRECT ANSWER C A patient is admitted to the E...

Emphysema CORRECT ANSWER • O2 therapy via nasal cannula at 24-28%. Keep saturations at approx. 88%-93%. • Bronchodilators • Bronchial hygiene as indicated. • NIPPV for acute vent failure (PaCO2>45 torr) Chronic Bronchitis CORRECT ANSWER • O2 therapy via nasal cannula at 24-28%. Ke...

Pneumonia: CORRECT ANSWER - Collection and/or consolidation of sputum as a result of a bacterial or viral agent entering the lung on inhalation. - Presents with fever, dyspnea, chills, cyanosis, rhonchi and rales - CXR: scattered infiltrates - CBC: Increased WBC if bacterial, decrease WBC if vir...

General Assessment : Visual Assessment (Stage I) CORRECT ANSWER Any assessment that you can do quickly by just glancing at the patient, a monitor, or the patient's record should be done first. Visual assessment items include: General appearance Color Medical history Heart rate (exception to th...

SpO2 and PaO2 CORRECT ANSWER 4,5,6 - 7,8,9 mild hypoxemia (PaO2 : 75) CORRECT ANSWER 2L Nasal cannula, recheck SpO2 atelectasis CORRECT ANSWER incentive spirometry SOB CORRECT ANSWER bronchodilator treatments CHF CORRECT ANSWER digitalis, diuretics impending hypercapnic respiratory fa...