NURS 5355 Final Exam 2026 Edition Questions And Correct Detailed Answers
neurovascular bundle (intercostal vein, artery, and nerve) runs? - CORRECT ANSWER-along inferior
borders of the ribs; anterior supplied by internal thoracic artery from subclavian artery & posterior
supplied by aorta
pleural effusion causes dyspnea due to?-CORRECT ANSWER-lung being unable to fully expand
criteria to distinguish transudate from exudate? - CORRECT ANSWER-Light's criteria- 1 or more are met
position for thoracentesis in stable patient?-CORRECT ANSWER-Upright,leaning over table;5-10cm lateral to
spine at midscapular line
posterior thoracentesis should not be below? rib due to diaphragm or abdominal injury? -CORRECT
ANSWER-9th rib
needle gauges for thoracentesis:
SQ anesthesia?
Deeper SQ anesthesia?
Fluid removal?-CORRECT ANSWER-25G
22G
18G
, insert thoracentesis needle?-CORRECT ANSWER-superior border of rib
remove needle in thoracentesis when?-CORRECT ANSWER-while patient hums of exhales
(Valsalva maneuver); immediately cover exposed port to prevent air entry
causes postexpansion pulmonary edema? - CORRECT ANSWER-removing more than 1500ml of pleural fluid
during thoracentesis
diagnostic thoracentesis amount? - CORRECT ANSWER-50-60mL
most common complication of thoracentesis?-CORRECT ANSWER-pneumothorax
pneumo unprovoked without underlying pathology?- CORRECT ANSWER-PSP
chest tube air leak beyond 2 days? -CORRECT ANSWER-surgical consult
more specific to diagnosis of pleural effusion/pneumothorax?- CORRECT ANSWER-Ultrasound
safe triangle for chest tube placement?- CORRECT ANSWER-ant border of latissimus dorsi,lateral
border or pectoralis muscle, line superior to level of nipple, apex below nipple
techniques for chest tube placement? - CORRECT ANSWER-Blunt dissection (Kelly clamps) or Seldinger
technique with guidewire
removal of chest tube?-CORRECT ANSWER-for hemothorax and pleural effusion: when <200ml/d
Pneumothorax: when no air leak and lung fully expanded
neurovascular bundle (intercostal vein, artery, and nerve) runs? - CORRECT ANSWER-along inferior
borders of the ribs; anterior supplied by internal thoracic artery from subclavian artery & posterior
supplied by aorta
pleural effusion causes dyspnea due to?-CORRECT ANSWER-lung being unable to fully expand
criteria to distinguish transudate from exudate? - CORRECT ANSWER-Light's criteria- 1 or more are met
position for thoracentesis in stable patient?-CORRECT ANSWER-Upright,leaning over table;5-10cm lateral to
spine at midscapular line
posterior thoracentesis should not be below? rib due to diaphragm or abdominal injury? -CORRECT
ANSWER-9th rib
needle gauges for thoracentesis:
SQ anesthesia?
Deeper SQ anesthesia?
Fluid removal?-CORRECT ANSWER-25G
22G
18G
, insert thoracentesis needle?-CORRECT ANSWER-superior border of rib
remove needle in thoracentesis when?-CORRECT ANSWER-while patient hums of exhales
(Valsalva maneuver); immediately cover exposed port to prevent air entry
causes postexpansion pulmonary edema? - CORRECT ANSWER-removing more than 1500ml of pleural fluid
during thoracentesis
diagnostic thoracentesis amount? - CORRECT ANSWER-50-60mL
most common complication of thoracentesis?-CORRECT ANSWER-pneumothorax
pneumo unprovoked without underlying pathology?- CORRECT ANSWER-PSP
chest tube air leak beyond 2 days? -CORRECT ANSWER-surgical consult
more specific to diagnosis of pleural effusion/pneumothorax?- CORRECT ANSWER-Ultrasound
safe triangle for chest tube placement?- CORRECT ANSWER-ant border of latissimus dorsi,lateral
border or pectoralis muscle, line superior to level of nipple, apex below nipple
techniques for chest tube placement? - CORRECT ANSWER-Blunt dissection (Kelly clamps) or Seldinger
technique with guidewire
removal of chest tube?-CORRECT ANSWER-for hemothorax and pleural effusion: when <200ml/d
Pneumothorax: when no air leak and lung fully expanded
