CAS REVIEW – EXAM 1 –NR 341,
COMPLEX EXAM 1 QUESTIONS AND
VERIFIED ANSWERS || 2025/2026 EXAM
GUARANTEED A+
Critical Care Environment - ANSWER- - reorient patient
- tell them what you're doing
- day and night adjust lights, recognize day and night
- provide care to family (in room for code)
Rapid Response - ANSWER- - prevents code
- s/s of septic shock
Advance Directive - ANSWER- - have before admission
- NO SLOW CODES
- right to say no
,Visitation - ANSWER- - based on the needs of the patient
- hospital will never restrict visitation
Brain Death - ANSWER- perfusion and oxygenation until organ
transplant
Respiratory Failure - ANSWER- - decreased pH
- increased CO2
- decreased PaO2
Intubation - ANSWER- - sedate
- paralyze
- auscultate
- chest xray
- fall and rise bilateral
- CO2 detector - gold is good
ARDS - ANSWER- - decreased Pa02 despite increasing FaO2
- injury to lungs
- tachypnic and tachycardic
- respiratory acidosis
- decreased compliance
- INCREASED PEEP
,ARDS: Intervention - ANSWER- - prone (maintain airway)
- elevate HOB 30-45 degrees
VAP Bundle - ANSWER- - HOB 30-45 degrees
- Oral care w/ Chlorhexidine
- DVT Care - Heparin and Lovenox
- PPI's prevent PUD
- Sedation Vacation
- Drain condensation away from patient
What should you do after 7 days on a Ventilator? - ANSWER- Trach
them
Terminal Weaning - ANSWER- - DNR
- take them off ventilator to die
- COMFORT IS KEY, NO PAIN (benzos, pain meds)
American Association of Critical Care Nurses: Focus of the Group -
ANSWER- - assists NURSES to attain knowledge and influence
- healthy work environment initiative
Highest setting you can put a Nasal Cannula? - ANSWER- 6 L,
humidify at 4L
, Patient is on 90% Fi02 (10L), Respiratory Distress...What do I do? -
ANSWER- INTUBATE
Overdose on CNS Depressant? - ANSWER- - respiratory depression
- respiratory acidosis
- hypoventilation
Panic Attack: Respiratory - ANSWER- - respiratory alkalosis
- hyperventilation
- tingling, numbness in fingers (decreased perfusion)
What is a sign of decreased Perfusion? - ANSWER- cyanosis
ARDS: Chest Xray? - ANSWER- - broken glass
- white out
What does PEEP increase? - ANSWER- PaO2
Ready to wean? - ANSWER- - PaO2 >60 and FiO2 <.4
- PEEP <5-8 cm
- PaO2/FiO2 should be 150-200
COMPLEX EXAM 1 QUESTIONS AND
VERIFIED ANSWERS || 2025/2026 EXAM
GUARANTEED A+
Critical Care Environment - ANSWER- - reorient patient
- tell them what you're doing
- day and night adjust lights, recognize day and night
- provide care to family (in room for code)
Rapid Response - ANSWER- - prevents code
- s/s of septic shock
Advance Directive - ANSWER- - have before admission
- NO SLOW CODES
- right to say no
,Visitation - ANSWER- - based on the needs of the patient
- hospital will never restrict visitation
Brain Death - ANSWER- perfusion and oxygenation until organ
transplant
Respiratory Failure - ANSWER- - decreased pH
- increased CO2
- decreased PaO2
Intubation - ANSWER- - sedate
- paralyze
- auscultate
- chest xray
- fall and rise bilateral
- CO2 detector - gold is good
ARDS - ANSWER- - decreased Pa02 despite increasing FaO2
- injury to lungs
- tachypnic and tachycardic
- respiratory acidosis
- decreased compliance
- INCREASED PEEP
,ARDS: Intervention - ANSWER- - prone (maintain airway)
- elevate HOB 30-45 degrees
VAP Bundle - ANSWER- - HOB 30-45 degrees
- Oral care w/ Chlorhexidine
- DVT Care - Heparin and Lovenox
- PPI's prevent PUD
- Sedation Vacation
- Drain condensation away from patient
What should you do after 7 days on a Ventilator? - ANSWER- Trach
them
Terminal Weaning - ANSWER- - DNR
- take them off ventilator to die
- COMFORT IS KEY, NO PAIN (benzos, pain meds)
American Association of Critical Care Nurses: Focus of the Group -
ANSWER- - assists NURSES to attain knowledge and influence
- healthy work environment initiative
Highest setting you can put a Nasal Cannula? - ANSWER- 6 L,
humidify at 4L
, Patient is on 90% Fi02 (10L), Respiratory Distress...What do I do? -
ANSWER- INTUBATE
Overdose on CNS Depressant? - ANSWER- - respiratory depression
- respiratory acidosis
- hypoventilation
Panic Attack: Respiratory - ANSWER- - respiratory alkalosis
- hyperventilation
- tingling, numbness in fingers (decreased perfusion)
What is a sign of decreased Perfusion? - ANSWER- cyanosis
ARDS: Chest Xray? - ANSWER- - broken glass
- white out
What does PEEP increase? - ANSWER- PaO2
Ready to wean? - ANSWER- - PaO2 >60 and FiO2 <.4
- PEEP <5-8 cm
- PaO2/FiO2 should be 150-200
