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Clinical Simulations Tests Bundle Set
Clinical Simulations Tests Bundle Set
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COPD CORRECT ANSWER Preventable and treatable disease state characterized by air flow limitation that is not fully reversible. 
 
Emphysema CORRECT ANSWER Presence of permanent enlargement of the air spaces distal to the terminal bronchioles, accompanied by destruction of their walls and without obv...
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Añadir al carritoCOPD CORRECT ANSWER Preventable and treatable disease state characterized by air flow limitation that is not fully reversible. 
 
Emphysema CORRECT ANSWER Presence of permanent enlargement of the air spaces distal to the terminal bronchioles, accompanied by destruction of their walls and without obv...
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...
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Añadir al carritoVisuals (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...
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Añadir al carritoHow 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 
 ...
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Añadir al carrito*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 
...
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Añadir al carritoWhat 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...
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Añadir al carritoA 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...
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Añadir al carritoIf 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...
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Añadir al carritoWhat 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...
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Añadir al carritoAll 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 ...
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Añadir al carritoWhen 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...
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Añadir al carritoA 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...
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Añadir al carritoEmphysema 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...
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Añadir al carritoPneumonia: 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...
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Añadir al carritoGeneral 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...
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Añadir al carritoSpO2 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...
is FRC measured in mechanical ventilation CORRECT ANSWER-No 
 
Procainamide can be used to treat which rhythm? CORRECT ANSWER-PVC's 
 
what does a decrease in PvO2 indicate? CORRECT ANSWER-decrease in cardiac output 
 
when do you test deep tendon reflex? CORRECT ANSWER-if muscle weakness is a symp...
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Añadir al carritois FRC measured in mechanical ventilation CORRECT ANSWER-No 
 
Procainamide can be used to treat which rhythm? CORRECT ANSWER-PVC's 
 
what does a decrease in PvO2 indicate? CORRECT ANSWER-decrease in cardiac output 
 
when do you test deep tendon reflex? CORRECT ANSWER-if muscle weakness is a symp...
What are patchy infiltrates and platelike infiltrates? CORRECT ANSWER-atelectasis 
 
What is normal static compliance? CORRECT ANSWER-60-100 mL/cmH2O 
Acceptable: >25 cmH2O 
Unacceptable: <25 mL/cmH2O 
(If static compliance improves, the mL/cmH2O goes up) 
 
What is normal dynamic compliance? ...
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Añadir al carritoWhat are patchy infiltrates and platelike infiltrates? CORRECT ANSWER-atelectasis 
 
What is normal static compliance? CORRECT ANSWER-60-100 mL/cmH2O 
Acceptable: >25 cmH2O 
Unacceptable: <25 mL/cmH2O 
(If static compliance improves, the mL/cmH2O goes up) 
 
What is normal dynamic compliance? ...
Emphysema CORRECT ANSWER-Weakening and e]permanent enlargement of the air spaces distal to the terminal bronchioles 
 
Etiology of Emphysema CORRECT ANSWER-Cigarette smoking >80% of all cases 
Genetic predisposition 
Occupational exposure 
Atmospheric pollutants 
 
Primary Assessment of Emphysema...
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Añadir al carritoEmphysema CORRECT ANSWER-Weakening and e]permanent enlargement of the air spaces distal to the terminal bronchioles 
 
Etiology of Emphysema CORRECT ANSWER-Cigarette smoking >80% of all cases 
Genetic predisposition 
Occupational exposure 
Atmospheric pollutants 
 
Primary Assessment of Emphysema...
Information Gathering - Bronchiectasis 
 
(Defined: Abnormal condition where the bronchi 
secrete large volumes of pus during abnormal 
dilation.) CORRECT ANSWER-LEVEL I : Productive cough, often with blood, digital clubbing of the nail beds, significant history if infections (recurrent) 
LEVEL II :...
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Añadir al carritoInformation Gathering - Bronchiectasis 
 
(Defined: Abnormal condition where the bronchi 
secrete large volumes of pus during abnormal 
dilation.) CORRECT ANSWER-LEVEL I : Productive cough, often with blood, digital clubbing of the nail beds, significant history if infections (recurrent) 
LEVEL II :...
what are the visual assessments? CORRECT ANSWER-al appearance 
rance of chest 
3. respiratory rate /pattern 
4. sensorium 
re 
. color 
 integrity 
 
What are the bedside assessments? CORRECT ANSWER-view/history - symptoms, HPI, med hx, fam hx 
tation/percussion - pulse, tracheal position, diagnosti...
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Añadir al carritowhat are the visual assessments? CORRECT ANSWER-al appearance 
rance of chest 
3. respiratory rate /pattern 
4. sensorium 
re 
. color 
 integrity 
 
What are the bedside assessments? CORRECT ANSWER-view/history - symptoms, HPI, med hx, fam hx 
tation/percussion - pulse, tracheal position, diagnosti...
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...
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Añadir al carritoPneumonia: 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...
describe manifestation of Myasthenia Gravis: CORRECT ANSWER-weakness starting from Mind to Ground 
 
describe manifestation of Guillain Barre: CORRECT ANSWER-weakness from Ground up 
 
in what situations would you actually listen to bowel sounds? CORRECT ANSWER-diaphragmatic hernia 
after insertion ...
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Añadir al carritodescribe manifestation of Myasthenia Gravis: CORRECT ANSWER-weakness starting from Mind to Ground 
 
describe manifestation of Guillain Barre: CORRECT ANSWER-weakness from Ground up 
 
in what situations would you actually listen to bowel sounds? CORRECT ANSWER-diaphragmatic hernia 
after insertion ...
Emphysema : Obstructive 
Definition, Clinical Evidence, Chest Xray, CBC, ABG, PFT & Key interventions 
 
**EXAM Challenge: You may be tempted to utilize high FiO2 because of the severity of hypoxemia. You may also be tested with an emergency, the only time it is appropriate to use 100% O2 on a COPD ...
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Añadir al carritoEmphysema : Obstructive 
Definition, Clinical Evidence, Chest Xray, CBC, ABG, PFT & Key interventions 
 
**EXAM Challenge: You may be tempted to utilize high FiO2 because of the severity of hypoxemia. You may also be tested with an emergency, the only time it is appropriate to use 100% O2 on a COPD ...
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