ADVANCED CONCEPTS OF MEDICAL
SURGICAL NURSING GUIDE 2026
COMPREHENSIVE REVIEW SHEET COMPLETE
SOLVED QUESTIONS
◉ Most indicative finding of tension pneumothorax. Answer:
Distended neck veins.
◉ Ventilator cuff leak alarm. Answer: Low-pressure.
◉ Nasal saline into ET tube before suctioning. Answer: NO! This is a
good way to cause pneumonia.
◉ RT increase PEEP with high-pressure alarm. Answer: False.
◉ Immediate RT call for vented patient not breathing. Answer: No.
Let the patient get used to the AC mode first, monitor.
◉ Preventing vent-assisted pneumonia (VAP). Answer: Initiate GI
ulcer prophylaxis therapy such as PPI, H-2 antagonists.
, ◉ Priority patient with absent breath sounds. Answer: An intubated
patient receiving PEEP develops absent Lt sided breath sounds.
◉ Priority action for ER patient with paradoxical chest movement.
Answer: Initiate humidified O2 therapy.
◉ Priority intervention for patient with bounding pulses. Answer:
Administer 40 mg IV Lasix (furosemide).
◉ Priority for patient with intractable vomiting. Answer: Ensure
suction is available.
◉ Priority for patient with dyspnea and possible avian flu. Answer:
Administer oxygen via non-rebreather.
◉ Inappropriate action for newly intubated patient. Answer: Suction
every two hours.
◉ Appropriate actions for newly intubated patient. Answer: Assess
breath sounds bilaterally, obtain chest X-ray for placement, assess
end-tidal CO2 monitor for exhaled air (purple to yellow color), ABG
30-60 min prior to intubation.
SURGICAL NURSING GUIDE 2026
COMPREHENSIVE REVIEW SHEET COMPLETE
SOLVED QUESTIONS
◉ Most indicative finding of tension pneumothorax. Answer:
Distended neck veins.
◉ Ventilator cuff leak alarm. Answer: Low-pressure.
◉ Nasal saline into ET tube before suctioning. Answer: NO! This is a
good way to cause pneumonia.
◉ RT increase PEEP with high-pressure alarm. Answer: False.
◉ Immediate RT call for vented patient not breathing. Answer: No.
Let the patient get used to the AC mode first, monitor.
◉ Preventing vent-assisted pneumonia (VAP). Answer: Initiate GI
ulcer prophylaxis therapy such as PPI, H-2 antagonists.
, ◉ Priority patient with absent breath sounds. Answer: An intubated
patient receiving PEEP develops absent Lt sided breath sounds.
◉ Priority action for ER patient with paradoxical chest movement.
Answer: Initiate humidified O2 therapy.
◉ Priority intervention for patient with bounding pulses. Answer:
Administer 40 mg IV Lasix (furosemide).
◉ Priority for patient with intractable vomiting. Answer: Ensure
suction is available.
◉ Priority for patient with dyspnea and possible avian flu. Answer:
Administer oxygen via non-rebreather.
◉ Inappropriate action for newly intubated patient. Answer: Suction
every two hours.
◉ Appropriate actions for newly intubated patient. Answer: Assess
breath sounds bilaterally, obtain chest X-ray for placement, assess
end-tidal CO2 monitor for exhaled air (purple to yellow color), ABG
30-60 min prior to intubation.
