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To ensure that the output of a blood gas analyzer is both accurate and linear across the range of measured values, a calibration procedure must measure what?


A) two different parameters at the same time
B) parameters with known input values at one point
C) two different parameters at different times
D) parameters with known input values at two points

E) A) and B)
F) All of the above

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All of the following can result in falsely high HbO2 readings with a laboratory hemoximeter except:


A) sickle cell anemia
B) high levels of fetal Hb
C) elevated bilirubin levels
D) dirty cuvet chamber

E) B) and D)
F) A) and C)

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Before taking a spot reading with a pulse oximeter, what should you do? I.Allow sufficient response time. II.Set the low alarm to 88% to 90%. III.Confirm adequacy of pulse signal.


A) I and II
B) II and III
C) I and III
D) I, II, and III

E) A) and B)
F) A) and C)

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At the very beginning of exhalation, the PETCO2 normally should be at what level?


A) 0 mm Hg
B) 15 mm Hg
C) 25 mm Hg
D) 40 mm Hg

E) A) and D)
F) All of the above

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Before attaching a transcutaneous blood gas monitor sensor to a patient, what should you do? I.Provide a specified warm-up time and set the probe temperature. II.Check the membrane and prepare a sensor with an adhesive ring and gel. III.Prepare the monitoring site (remove excess hair and clean the skin) .


A) I and II
B) I and III
C) II and III
D) I, II, and III

E) A) and B)
F) B) and C)

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All of the following are TRUE about capillary blood gas sampling except:


A) Capillary sampling can be used in lieu of direct arterial access in some infants and small children.
B) A capillary sample PO2 provides a fairly close estimate of actual arterial oxygenation.
C) Clinicians should exercise caution when using capillary samples to guide decisions.
D) Properly obtained capillary blood can provide estimates of arterial pH and PCO2 levels.

E) All of the above
F) B) and C)

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How often should blood gas calibration verification by control media take place?


A) At least one level of control media should be analyzed every 8 hours.
B) At least two levels of control media should be analyzed every day.
C) At least two levels of control media should be analyzed every 8 hours.
D) At least two levels of control media should be analyzed every hour.

E) C) and D)
F) All of the above

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All of the following are common sites for transcutaneous blood gas electrode placement except the:


A) chest
B) abdomen
C) lower back
D) thigh

E) A) and B)
F) C) and D)

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Which of the following describes the correct procedure for an Allen test?


A) Compress both the radial and ulnar arteries, then release the radial artery.
B) Compress both the radial and ulnar arteries, then release the ulnar artery.
C) Compress both the radial and ulnar arteries, then release both arteries at once.
D) Compress the brachial artery only and observe circulation to the hand.

E) A) and D)
F) All of the above

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What is the normal range for end-tidal CO2 as measured by capnography?


A) 0% to 5%
B) 5% to 6%
C) 6% to 8%
D) 35% to 45%

E) A) and B)
F) A) and C)

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While checking a galvanic fuel cell O2 analyzer, you determine that the device fails to read 100% when exposed to pure O2. Which of the following actions would be the proper first step?


A) Check the silica crystals.
B) Send the device out for repair.
C) Replace the analyzer's batteries.
D) Change the analyzer's fuel cell.

E) All of the above
F) A) and D)

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To avoid transmission of blood-borne diseases when handling a used needle, what should you do? I.Never recap the needle without a safety device (or scoop method) . II.Never handle the needle with both hands, or point it toward the body. III.Never bend, break, or remove the needle from the syringe by hand. IV.Always dispose of the syringe or needle in a proper sharps container.


A) I, II, and IV
B) II and III
C) II and IV
D) I, II, III, and IV

E) B) and C)
F) All of the above

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Continuous SpO2 monitoring (versus a spot check) is indicated in all of the following situations except:


A) exercise testing
B) sleep studies
C) bronchoscopy
D) O2 therapy

E) A) and B)
F) A) and C)

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Tissue injuries to be on guard for at the site of transcutaneous blood gas electrode placement include all of the following except which one?


A) erythema
B) hematomas
C) burns or blisters
D) skin tears

E) All of the above
F) B) and C)

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Before a sample of capillary blood is taken, what should you do to the site? I.warmed to 42° C for 10 minutes II.squeezed lightly until blanched III.cleaned with an antiseptic solution


A) I and II
B) I and III
C) II and III
D) I, II, and III

E) B) and C)
F) A) and B)

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The advantage that point-of-care testing has over traditional laboratory testing is that point-of-care testing:


A) reduces turnaround time
B) utilizes equipment that is less expensive
C) does not require trained personnel to run the tests
D) is more accurate than traditional laboratory testing

E) A) and B)
F) A) and C)

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Which of the following guidelines should you adhere to when performing pulse oximetry? I.Never mix different sensors among different devices. II.Make sure that the sensors are the correct size and are properly applied. III.Avoid using pulse oximetry to monitor hyperoxia in neonates. IV.Whenever possible, validate the initial SpO2 against the actual SaO2.


A) I and III
B) I, II, and III
C) III and IV
D) I, II, III, and IV

E) A) and D)
F) All of the above

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A blood gas analyzer measures all of the following except:


A) HCO3-
B) PCO2
C) PO2
D) pH

E) C) and D)
F) None of the above

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Which of the following would you expect to occur if too much heparin was used in gathering an ABG sample from a patient breathing room air?


A) increase in HCO3-
B) decrease in PCO2
C) decrease in pH
D) decrease in PO2

E) B) and C)
F) None of the above

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Which blood gas analyzer electrode uses a separate reference electrode?


A) O2
B) pH
C) Clark
D) HCO3-

E) None of the above
F) C) and D)

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