MEDSURG 2 NUR 265 EXAM 3 PRACTICE
EXAMINATION SCRIPT 2026 DETAILED
ANSWERS GRADED A+
⩥ Shortness of breath and chest pain response. Answer: Place the patient
on a cardiac monitor and pulse oximetry.
⩥ Warfarin discharge comment for PE. Answer: My INR is to be
monitored frequently.
⩥ ABG for newly developed PE. Answer: pH 7.60, PaO2 85, PaCO2 32,
HCO3 23, SaO2 88 (Respiratory alkalosis)
⩥ Priority patient with heparin. Answer: A patient on day 10 of heparin
with blood oozing from their Foley catheter.
⩥ Chest tube bubbling in suction control chamber. Answer: No. This is
normal in the suction control chamber.
⩥ Asymmetrical chest expansion with chest tube. Answer: Absolutely!
YES!!
⩥ Chest tube drainage in one hour. Answer: Yes! It is >70 ml/hr.
, ⩥ Visible eyelets of the chest tube. Answer: Yes! The tube is coming out
of the pleural space.
⩥ Continuous bubbling in water seal chamber after 4 days. Answer: Call
the doctor to report a leak in the system.
⩥ Patient with dyspnea and ABG values. Answer: Acute respiratory
failure.
⩥ Greatest risk for ARDS. Answer: A burn victim receiving IV fluid
boluses.
⩥ Priority patient on 100% oxygen therapy. Answer: A patient receiving
100% oxygen therapy and their PAO2 is 55.
⩥ Post-intubation priority for ARDS patient. Answer: Evaluate post-
intubation ABG from respiratory therapy (RT, 30-60 minute window),
and portable chest X-ray.
⩥ Interdisciplinary care team need. Answer: A 19 y/o MVA victim
intubated & vented x 14 days ago for ARDS.
EXAMINATION SCRIPT 2026 DETAILED
ANSWERS GRADED A+
⩥ Shortness of breath and chest pain response. Answer: Place the patient
on a cardiac monitor and pulse oximetry.
⩥ Warfarin discharge comment for PE. Answer: My INR is to be
monitored frequently.
⩥ ABG for newly developed PE. Answer: pH 7.60, PaO2 85, PaCO2 32,
HCO3 23, SaO2 88 (Respiratory alkalosis)
⩥ Priority patient with heparin. Answer: A patient on day 10 of heparin
with blood oozing from their Foley catheter.
⩥ Chest tube bubbling in suction control chamber. Answer: No. This is
normal in the suction control chamber.
⩥ Asymmetrical chest expansion with chest tube. Answer: Absolutely!
YES!!
⩥ Chest tube drainage in one hour. Answer: Yes! It is >70 ml/hr.
, ⩥ Visible eyelets of the chest tube. Answer: Yes! The tube is coming out
of the pleural space.
⩥ Continuous bubbling in water seal chamber after 4 days. Answer: Call
the doctor to report a leak in the system.
⩥ Patient with dyspnea and ABG values. Answer: Acute respiratory
failure.
⩥ Greatest risk for ARDS. Answer: A burn victim receiving IV fluid
boluses.
⩥ Priority patient on 100% oxygen therapy. Answer: A patient receiving
100% oxygen therapy and their PAO2 is 55.
⩥ Post-intubation priority for ARDS patient. Answer: Evaluate post-
intubation ABG from respiratory therapy (RT, 30-60 minute window),
and portable chest X-ray.
⩥ Interdisciplinary care team need. Answer: A 19 y/o MVA victim
intubated & vented x 14 days ago for ARDS.
