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AACN practice questions with correct answers

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AACN practice questions with correct answers hyperresonace and dullness over lung indicates... - Ans:-hyperresonance= air dullness= fluid decreasing the TV on ventilator will do what to co2? - Ans:-increase co2 The major effect of ARDS on lung tissue is - Ans:-Decreased compliance Decreased co...

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  • October 23, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AACN
  • AACN
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GraceAmelia
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AACN practice questions with correct answers


hyperresonace and dullness over lung indicates... - Ans:✔✔-hyperresonance= air


dullness= fluid


decreasing the TV on ventilator will do what to co2? - Ans:✔✔-increase co2


The major effect of ARDS on lung tissue is - Ans:✔✔-Decreased compliance




Decreased compliance is related to alteration of lung endothelium and vascular tissue. Pathophysiologic

changes in lung vascular tissue and increased lung edema contribute to the decrease in compliance. The

end result is stiffness of the fluid-filled non-aerated airways. There is an increase in capillary permeability

due to the release of cytokines and a decrease in functional residual capacity due to pathophysiologic

changes in the lung. The inflammatory process of ARDS causes inactivation, destruction and decreased

production of surfactant. This leads to increased surface tension at the alveolar air-fluid interface, which

causes microatelectasis.




Decreased surfactant



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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




What is functional residual capacity? - Ans:✔✔-amount of air remaining in lungs after a normal tidal

expiration


Clinical symptoms of hypoxic respiratory failure - Ans:✔✔-Cyanosis' restlessness delirium confusion

hypertension tachycardia tachynpnea decreased UO


What to do before deflating cuff - Ans:✔✔-Suction orophayrnx


What is plateau pressure and what does it reflect - Ans:✔✔-Pressure applied to airways and alveoli


Reflects airway resistance


Decrease would indicate an obstruction, bronchospasm, tube blockage, or biting


Loud s2, systolic murmur over left eternal border, jvd, LE edema and ascites - symptoms of ? - Ans:✔✔-

Pulmonary hypertension


Signs of chronic bronchitis - Ans:✔✔-Similar to r sided heart failure


Peripheral edema


Distended neck veins


Cyanosis


No signs of respiratory distress or dysnpea at rest



Page 2/21

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Tracheal deviation in hemothorax - Ans:✔✔-Toward unaffected side


Early stage of status asthmaticus abg - Ans:✔✔-Metabolic alkalosis


Loud machinery like heart murmur indicates? - Ans:✔✔-Air embolism


What position would you put a patient with air embolism? - Ans:✔✔-Trendenlenberg with left lateral

decubitus tilt


Needle compression is for what?


Thoracenetisis is for what? - Ans:✔✔-Needle compression tension pneumo


Thoracentesis is to drain fluid from pleural space


Normal minute ventilation - Ans:✔✔-5-8


What pa02/fi02 ratio is indicative of ARDS - Ans:✔✔-Less than 300


Criteria for passing spontaneous breathing trial - Ans:✔✔--Rapid shallow breathing index of less than105

(RR/VT)


-pao2/fio2 ration over 150


-VT more than 5ml/kg


If tidaling in cheat tube stops what should you check for - Ans:✔✔-Obstruction, clots, kinks

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