NURS 265 Exam 2 Practice (Latest 2026 Update) 100% Verified
Questions & Answers | Grade A+
1. the RN is caring for a pt who is receiving a heparin infusion for treatment of a pulmonary
embolism (PE) which of the following indicates a therapeutic effect of tx?: D-Dimer level is
increased at 600mg/mL
- shows breakdown of fibrinogen
2. the RN is caring for a pt who is 4 days postop and suddenly develops difficulty breathing
and sharp chest pain. the RN has called a MRT, raised the HOB and applied O2. which
actions should the RN take next?: - auscultate the pt's lung sounds
- initiate continuous cardiac monitoring
- connect the pt to continuous pulse oximeter
- assess the pt's skin color
3. the RN has provided d/c teaching to a pt who developed a pulmonary em- bolism
(PE) following a surgical procedure. the pt will be taking newly pre- scribed Warfarin
at home. which of the following pt statements indicates a correct understanding of the
teaching?: "i should avoid anything rectally, such as enemas or suppositories"
- no enemas, take stool softners, benefiber
4. the RN is caring for a pt who appears to have developed a pulmonary embolism
(PE). which of the following arterial blood gas results would the RN expect the pt to
initially have?: pH=7.50, PaO2=79mmHg, PaCO2=32mmHg, HCO3=23mEq/L, SaO2=88%
- respiratory alkalosis
5. the RN is caring for a pt who has a chest tube. which assessment finding from the box below
requires the RN to immed notify the PHCP?: - tracheal deviation (closes ott the aorta, lose pedal pulses)
- 100 ml of drainage within an hour (over 70!!!!)
- visibility of the eyelets of the chest tube
6. the RN is assessing a pt who has a chest tube places 36 hours ago for the
tx of a pneumothorax. the RN observes continuous bubbling in the water seal chamber. which
of the following actions should the RN take?: inform the PHCP that there is a leak in the system
7. the RN is assessing patients for the risk of developing ARDS. the RN should identify at
greatest risk is the pt who...?: had a stroke and is having diflculty swallowing
, 8. the RN has been made aware of the following pt situations. the RN should initially
follow up with the pt who is receiving...?: mechanical ventilation for the tx of ARDS and has an absence of
breath sounds in the LL lobe
- sx of PNEUMOTHORAX
9. the RN is caring for a pt who developed ARDS and has been placed on mechanical
ventilation. which of the following is a priority action for the RN to take?: initiate prescribed
TPN
10. the RN has attended a continuing education program on interdisciplinary care. it
would indicate a correct understanding of the program if the RN iden- tifies that an
interdisciplinary conference would be the most important for the pt who is...?: either / or
- 34 y/o is single parent, was involved in a motor vehicle crash, and sustained a left hemothorax
- 21 y/o is a college student, has been receiving mechanical ventilation for 14 days for the tx of ARDS
11. the RN working in the ED is assessing a pt who has a left pneumothorax. which of
the following assessment findings should the RN expect?: limited (or unequal) chest
expansion
12. the RN is caring for a pt who is receiving mechanical ventilation via ET tube and is
unable to speak. the pts family is frightened that the pt has permanently lost their voice.
which of the following responses should the RN make?: the tube is causing a temporary loss of the voice
13. the RN is caring for a pt who is receiving mechanical ventilation via ET tube. the pt
begins to havr a decrease in gas exchange. the RN should 1st?: assess for signs of pneumothorax
- check tube placement
- check o2 sat
* PT FIRST, VENT SECOND
14. the RN is caring for a pt who has developed diabetes insipidous. which of the
following should the RN correlate to the development of this condition?: recent
craniotomy
Questions & Answers | Grade A+
1. the RN is caring for a pt who is receiving a heparin infusion for treatment of a pulmonary
embolism (PE) which of the following indicates a therapeutic effect of tx?: D-Dimer level is
increased at 600mg/mL
- shows breakdown of fibrinogen
2. the RN is caring for a pt who is 4 days postop and suddenly develops difficulty breathing
and sharp chest pain. the RN has called a MRT, raised the HOB and applied O2. which
actions should the RN take next?: - auscultate the pt's lung sounds
- initiate continuous cardiac monitoring
- connect the pt to continuous pulse oximeter
- assess the pt's skin color
3. the RN has provided d/c teaching to a pt who developed a pulmonary em- bolism
(PE) following a surgical procedure. the pt will be taking newly pre- scribed Warfarin
at home. which of the following pt statements indicates a correct understanding of the
teaching?: "i should avoid anything rectally, such as enemas or suppositories"
- no enemas, take stool softners, benefiber
4. the RN is caring for a pt who appears to have developed a pulmonary embolism
(PE). which of the following arterial blood gas results would the RN expect the pt to
initially have?: pH=7.50, PaO2=79mmHg, PaCO2=32mmHg, HCO3=23mEq/L, SaO2=88%
- respiratory alkalosis
5. the RN is caring for a pt who has a chest tube. which assessment finding from the box below
requires the RN to immed notify the PHCP?: - tracheal deviation (closes ott the aorta, lose pedal pulses)
- 100 ml of drainage within an hour (over 70!!!!)
- visibility of the eyelets of the chest tube
6. the RN is assessing a pt who has a chest tube places 36 hours ago for the
tx of a pneumothorax. the RN observes continuous bubbling in the water seal chamber. which
of the following actions should the RN take?: inform the PHCP that there is a leak in the system
7. the RN is assessing patients for the risk of developing ARDS. the RN should identify at
greatest risk is the pt who...?: had a stroke and is having diflculty swallowing
, 8. the RN has been made aware of the following pt situations. the RN should initially
follow up with the pt who is receiving...?: mechanical ventilation for the tx of ARDS and has an absence of
breath sounds in the LL lobe
- sx of PNEUMOTHORAX
9. the RN is caring for a pt who developed ARDS and has been placed on mechanical
ventilation. which of the following is a priority action for the RN to take?: initiate prescribed
TPN
10. the RN has attended a continuing education program on interdisciplinary care. it
would indicate a correct understanding of the program if the RN iden- tifies that an
interdisciplinary conference would be the most important for the pt who is...?: either / or
- 34 y/o is single parent, was involved in a motor vehicle crash, and sustained a left hemothorax
- 21 y/o is a college student, has been receiving mechanical ventilation for 14 days for the tx of ARDS
11. the RN working in the ED is assessing a pt who has a left pneumothorax. which of
the following assessment findings should the RN expect?: limited (or unequal) chest
expansion
12. the RN is caring for a pt who is receiving mechanical ventilation via ET tube and is
unable to speak. the pts family is frightened that the pt has permanently lost their voice.
which of the following responses should the RN make?: the tube is causing a temporary loss of the voice
13. the RN is caring for a pt who is receiving mechanical ventilation via ET tube. the pt
begins to havr a decrease in gas exchange. the RN should 1st?: assess for signs of pneumothorax
- check tube placement
- check o2 sat
* PT FIRST, VENT SECOND
14. the RN is caring for a pt who has developed diabetes insipidous. which of the
following should the RN correlate to the development of this condition?: recent
craniotomy
