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CMSRN Exam |Questions with 100% Correct Answers
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CMSRN Exam |Questions with 100% Correct Answers
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CMSRN Exam |Questions with 100%Correct Answers
what does it mean with an ABG if pH is abnormal and either the CO2 or HCO3 is also abnormal?
- ✔ ✔ partially or completely uncompensated
what does it mean with an ABG if pH is normal but both CO2 and HCO3 are abnormal? -
✔ ✔ compensated
normal anion gap - ✔ ✔ 8-16 mEq/L
what causes an anion gap to be greater than 16? - ✔ ✔ ketoacidosis, uremia, lactic
acidosis, toxins
Cause for respiratory alkalosis - ✔ ✔ HYPERventilation: anxiety, pain, PE, mechanical
ventilation, salicylate OD
cause for respiratory acidosis - ✔ ✔ HYPOventilation: OD opioids, cardiac arrest, pulm
disease, musculoskeletal disorders, head trauma, over sedation
cause for metabolic alkalosis - ✔ ✔ acid is lost or base is gained: diuretics, cushings
r/t corticosteroid therapy, excessive antacids, NG suction, vomiting
Cause for metabolic acidosis - ✔ ✔ acid is gained or base is lost: renal failure, DKA,
poisoning, diarrhea
Which pulmonary disease is characterized by chronic productive cough, SOB, airway remodeling,
mucus production that leads to increased risk for infection? - ✔ ✔ chronic bronchitis
,which pulmonary disease is characterized by very little sputum, barrel chest from enlarged
alveoli, and sitting on side of bed using accessory muscles to breathe? - ✔ ✔ emphysema
which pulmonary disease would have a nursing assessment that shows local crackles, exp
wheezes, tachypnea, and hacking/rasping/productive cough with thick mucoid sputum -
✔ ✔ chronic bronchitis
which pulmonary disease would have a nursing assessment that shows fine
crackles, tachypnea/dyspnea, mildly hypoxic, little to no sputum - ✔ ✔ emphysema
diet for patient with COPD? - ✔ ✔ high protein, high calorie
which type of medications for asthma are used for maintenance? - ✔ ✔ anti inflammatory,
long acting bronchodilators, singulair
which type of medications for asthma are used for rescue? - ✔ ✔ short acting
bronchodilators, theophyllines
which type of bacterial pneumonia is most common? - ✔ ✔ steptococcus pneumoniae
which type of rare pneumonia requires isolation? - ✔ ✔ meningococcal pneumonia
Treatment of pneumothorax - ✔ ✔ reestablish negative pressure: chest tube, needle
aspiration, oxygen
should there be continuous bubbles in the water seal chamber of a chest tube? - ✔ ✔ NO-
there may be tidaling but shouldn't be continuous
, what is the risk factor identification method for pulmonary embolism that takes into
account blood stasis (circulatory status), endothelial damage, and hypercoagulation? - ✔ ✔
virchows triad
what respiratory disorder is characterized by pink frothy sputum, crackles, dyspnea, and a
feeling of fear? - ✔ ✔ pulmonary edema
what organ are platelets stored in? - ✔ ✔ spleen
Which WBC is the first line of defense? - ✔ ✔ neutrophils
which WBC is the most effective bacterial killer? - ✔ ✔ monocytes/macrophages
Which type of lymphocyte attacks and destroys infected body cells? - ✔ ✔ T lymphocyte
which type of lymphocyte becomes an antibody when exposed to something seen as a
long term threat? - ✔ ✔ B lymphocyte
which type of anemia is from a lack of B12? - ✔ ✔ pernicious
pressure injury: purple or maroon discolored skin due to pressure/sheer - ✔ ✔ DTI
pressure injury: intact skin, non blanchable redness usually over bony prominence - ✔ ✔ stage 1:
prevention, turns
pressure injury: partial thickness loss of dermis, shallow open injury - ✔ ✔ stage 2: cover
with hydrocolloid
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