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NBRC Exam 1 Review Questions & Answers 2024/2025
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NBRC Exam 1 Review Questions & Answers 2024/2025 Normal Urine Output - ANSWERS40mL/hr (approximatley 1 Liter a day) Intake exceeds output - ANSWERS-weight gain -electrolyte imbalance -increased hemodynamic pressures -decreased lung compliance Central Venous Pressure (CVP) - ANSWERScan...

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  • November 1, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nbrc exam 1 review questions answers

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NBRC Exam 1 Review Questions &
Answers 2024/2025

Normal Urine Output - ANSWERS40mL/hr (approximatley 1 Liter a day)



Intake exceeds output - ANSWERS-weight gain

-electrolyte imbalance

-increased hemodynamic pressures

-decreased lung compliance



Central Venous Pressure (CVP) - ANSWERScan indicate changes in fluid balance



Normal CVP - ANSWERS2-6mmHg or 4-12cmH20

-decreased CVP can indicate hypovalemia (fluid therapy)

-increased CVP can indicate hypervalemia (diuretics)



Stuporous, confused , sleepy - ANSWERSconsider sleep apnea or excessive O2 therapy (COPD patient)



Semicomatose - ANSWERSresponds only to painful stimuli



Obtunded - ANSWERSdrowsy state, may have decreased cough or gag reflux (protect airway)



Coma - ANSWERSdoes not respond to painful stimuli



Electrolyte Imbalance Traits - ANSWERSanger, combative, irritable



Drug Overdose Traits - ANSWERSEuphoria-intense feelings of emotions (joy)

,Panic Traits - ANSWERSsevere hypoxemia, tension pnemothorax, status asthmaticus, or possibly AAA
(abdominal aortic anerysm)



Activites of Daily Living (ADL) Scoring - ANSWERSKatz Scoring System

0-dependent

6-independent



Orthopnea - ANSWERSdifficulty breathing except in the upright position (CHF)



Genreal malaise - ANSWERSrun down feeling, nausea, weakness, fatique, headache (consider electrolyte
imbalance)



COPD diet - ANSWERShigh fats, low carbs (carbs causes higher CO2)



Edema - ANSWERScaused by CHF and renal failure

occurs primarily in arms and ankles



Ascites - ANSWERSaccumulation of fluid in the abdomen generally caused by liver failure



Clubbing of fingers - ANSWERScaused by chronic hypoxemia

presence of clubbing suggests pulmonary disease



Venous distension or Jugular venous distension (JVD) - ANSWERSoccurs with CHF

seen during exhalation in patients with obstructive lung disease



Capillary refill - ANSWERSindication of peripheral circulation

color should return within 3 seconds

, Diaphoresis - ANSWERSheart failure (recommend diuretics, positive inotropic agents)

fever, infection (recommend antibiotics)

anxiety, nervousness (recommend sedatives)

tuberculosis/night sweats (recommend antitubercular drugs)



Cheyne-Stokes Breathing - ANSWERSgradually increasing then decreasing rate and depth in a cycle
lasting from 30-180 seconds, with periods of apnea lasting up to 60 seconds

Cause: Increased intracranial pressure, brainstem inury, drug overdose



Biot's Breathing - ANSWERSincreased respiratory rate and depth with irregular periods of apnea. Each
breath has the same depth

Cause: CNS problem



Kussmaul's breathing - ANSWERSincreased respiratory rate (usually over 20 breaths/min), increased
depth, irregular rhythm, breathing sounds labored

Cause: metabolic acidosis, renal failure, diabetic ketoacidosis



Dry or nonproductive cough may indicate - ANSWERSa tumor in the lungs



Productive cough may indicate - ANSWERSan infection or chronic lung disease



Tachycardia indications - ANSWERShypoxemia, anxiety, stress (recommend oxygen therapy)



Bradycardia indications - ANSWERSheart failure, shock, code/emergency (recommend atropine)



Paradoxical pulse/pulsus paradoxus - ANSWERSpulse/blood pressure varies with respiration. May
indicate severe air trapping (status asthmaticus, tension pneumothorax, cardica tampanade)-felt on
exhalation



Tracheal deviation pulled toward the abnormal side (same side of pathology) - ANSWERS-pulmonary
atelectasis

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