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RCP 160 Final Review – Questions & Answers
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RCP 160 Final Review – Questions & Answers
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RCP 160 Final Review – Questions & AnswersWhich of the following medications could be given in the combination to
achieve conscious sedation on a patient for has a dislocated shoulder
✔️Ans - Fentanyl and Midazolam
Which of the following are appropriate orders for an elective fibrotic bronch
procedure scheduled for the next morning to be done ✔️Ans - NPO after
midnight, establish vascular access
Following a fibrotic bronch a patient is receiving IV fentanyl exhibit signs of
resp depression, recommend ✔️Ans - immediately administer Narcan
To avoid the risk of aspiration after fibrotic bronch procedure, recommend
✔️Ans - Remain in sitting position, NPO until sensation returns
The proper depth of sedation for the patient undergoing conscious sedation is
classified as ✔️Ans - Moderate sedation
All of the following must be considered before performing emergency
conscious sedation except ✔️Ans - insertion of the naso gastric tube prior
procedure
In ICU Mrs. Jones has developed sudden distress and a high-pressure alarm is
triggered, upon arrival to Mrs. Jones room you observe vital signs: HR 135, RR
32, SpO2 85%, BP 85/43. Peak pressure 55, recommended based on CXR
✔️Ans - Perform stat Needle decompression
Based on the data collected on a patient on MV/ volume Control mode, which
PEEP level be the best for the patient ✔️Ans - PEEP 10, PaO2 78, PvO2 44,
BP 118/78
You are assisting the physician with what has become a difficult intubation;
the physician fails 3 times trying tube the patient, what next? ✔️Ans -
LMA
You are called to ED to intubate a post inhalation pt Who has obvious facial
burns, you see charring and swollen vocal cords ✔️Ans - Bougie
, When a severe uncontrollable increase in ICP is present, pt maybe MV
hyperventilated to reduce ICP by ✔️Ans - Lower PaCO2 to 25-30 mmHg
(permissive hypocapnia)
At bed side catheterization of the right heart and pulmonary artery become
possible with an introduction of balloon tipped flow directed catheter
✔️Ans - Swan Ganz
Pt with heart failure and pulmonary edema has initial PvO2 35, after MV and
given digitalis PvO2 41 ✔️Ans - improved tissue oxygenation
Unconscious 25 y/o pt admitted with viral PNA, vomiting and diarrhea MV
initiated. PAP 22/8mmHg, PCWP 3mmHg, CVP 1 cmH20, pulse 142bpm
✔️Ans - Hypovolemia
At what pressure can a diagnosis of pulmonary hypertension be made
✔️Ans - >25 mmHg
Hypovolemia in an adult pt would be indicated by PCWP of ✔️Ans - PCWP
of 2
Following information is CVP 18, PAP 32/19, Mean 23, PCWP 22, BP 168/94,
HR 98 bpm, what are we doing for this pt? ✔️Ans - Diuretic
Pt with SVT of a rate of 195 symptom of shock and unconsciousness @ this
time recommended ✔️Ans - synchronized electrical shock AKA
cardioversion
Indications for an art line ✔️Ans - -frequent arterial blood withdrawals
-continuous monitoring of BP
You are called to patient at a step down unit who is experiencing severe chest
discomfort once you're in the room you see patient is not breathing. ✔️Ans
- -call for help
-hand ventilate via BVM
While performing CPR on a pt, you see PeCO2 rises to 52, what does this
mean? ✔️Ans - ROSC
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