- | P a g e
pg. 1
NUR425 CC EXAM 2 NEWEST 2025 ACTUAL EXAM|
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
Which of these is a possible cause of metabolic acidosis?1) OD on morphine 2) anxiety 3) kidney failure 4) thiazide diuretics - Correct Answer - 3
Which is a potential direct cause for respiratory alkalosis?1) head injury 2) shock 3) labor 4) vomiting - Correct Answer - 3
Which is an appropriate action to manage metabolic acidosis?1) Have the patient breathe slowly and shallowly 2) Administer hydrochloric acid IV 3) Administer sodium bicarbonate IV 4) Nothing....they're a goner - Correct Answer - 3
Which is an appropriate action to manage respiratory acidosis? 1 / 4
- | P a g e
pg. 2
a) Administer a sedative
b) Administer sodium bicarbonate
c) Encourage deep breathing
d) Both b & c - Correct Answer - d
Which of the following is the body's first line of defense against an acid- base imbalance?
- Respiratory buffers
- Chemical and protein buffers
- Renal buffers
- Ventricular buffers - Correct Answer - B
Which of the following is a late sign Increased ICP?
A) HR 35
- confusion
- mild headache
- blurry vision - Correct Answer - A
-Cushings Triad is a late sign of increased ICP - bradycardia, systolic hypertension with a widened pulse pressure and irregular respiratory pattern.
Which symptom is an early sign of increased ICP?
- Fixed and dilated pupils
- Hyperventilation with period of apnea 2 / 4
- | P a g e
pg. 3
C) BP 160/60
- Altered levels of consciousness - Correct Answer - D
-An early sign of decreased oxygenation to the brain due to increasing ICP would be ALOC such as fatigue, restlessness, confusion
Which of the following would increase ICP?
- hyperventilation
- severe constipation
- lasix
- hypertonic saline - Correct Answer - B
Which of the following could lower ICP?
- IV Fluids
- A neuro assessment
- Norepinephrine
- Extending knees and hips - Correct Answer - d
To assess an accurate ICP reading, what must be done?
- Level the EVD to the temple
- Ensure the drain is open
- Close the drain
- Have the patient hold their breath - Correct Answer - C
- / 4
- | P a g e
pg. 4 Which of these could be included in Cushing's Triad?
A) RR: 20
B) HR: 155
C) BP 194/100
- dilated pupils - Correct Answer - C
EVD placement would be appropriate for which patient?
- Spinal cord injury at C-3 and spinal shock
- TBI, pupils are sluggish, HR 25, BP 200/90
- GCS of 12, status post basilar skull fracture
- I feel like I need one since my head is so full of knowledge - Correct
Answer - B
Which of these can reduce ICP?
- IV Fluid Bolus
- Mannitol
- 3% Saline
D)Both B & C - Correct Answer - D
Which patient is at highest risk for hypoxemic respiratory failure?
- A patient who has respiratory muscle paralysis
- A patient who has fractured ribs and a flail chest
- A patient who has a massive pulmonary embolism
- / 4