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AACN ECCO Pulmonary Part 1 Exam – Questions and Answers (A+ Grade)

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This document contains comprehensive exam questions and fully verified answers for AACN ECCO Pulmonary Part 1. It covers essential pulmonary and critical care nursing topics including respiratory assessment, oxygenation and ventilation, pulmonary disorders, airway management, mechanical ventilation basics, arterial blood gas interpretation, and respiratory pharmacology. The material is structured to support effective exam preparation and clinical success in critical care nursing.

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AACN ECCO PULMONARY PART 1 EXAM




AACN ECCO PULMONARY PART 1 EXAM QUESTIONS AND ANSWERS GRADED A+



What are the nursing priorities for patient care before, during,
or after thoracentesis? ANS >> Position patient sitting on or
lying...
Continually monitor...
Help attach tubes to chest drainage...


A nurse caring for a patient with ARDS on BiPAP observes rapid
progression and tachypnoea with RR between 37 and 41. What
intervention should the nurse anticipate? ANS >> Call
emergency team for rapid intubation


For which purposes are EtCO2 monitoring indicated? ANS >>
WRONG
Determining accurate...
Monitoring patients recovering from general...

,AACN ECCO PULMONARY PART 1 EXAM



Measuring effectiveness of CPR


A patient has the following ABG results: pH 7.25, PaCO2 43,
PaO2 80, SaO2 91%, and HCO3- 18. What is the most likely
underlying cause? ANS >> Acute kidney injury


Which patient has an indication for oxygen therapy with a low-
flow device? ANS >> Who is postoperative...


A patient with respiratory failure following cardiac surgery has
crackles in bilateral posterior lower lobes and is on 4 L/min NC.
Which interventions will promote normal respiratory function?
ANS >> Reduce anxiety...
Ensure early progressive mobility...
Administer bronchodilators...


A nurse monitoring a patient undergoing bedside bronchoscopy
notes a decline in a patient's oxygen saturation. Which should
the nurse anticipate? ANS >> Auscultate lung sounds...
Provide supplemental O2...
Monitor EtCO2

, AACN ECCO PULMONARY PART 1 EXAM



The ABG test results for a patient with a spinal cord injury are
pH 7.29, PaCO2 54, and HCO3- 25. Which acid-base disorder is
reflected? ANS >> Respiratory acidosis


A patient with COPD on PEEP reports sudden chest pain. The
nurse observes tachycardia and shortness of breath. Which
other conditions should the nurse have expected? ANS >>
Decreased PaCO2 levels...
Decreased chest excursion on one side...
Decreased SaO2 level


Which are correct statements about a closed-chest drainage
system or component? ANS >> To drain, system pressure must
be lower...
Gravity, and sometimes suction...
Wet suction chambers create suction...


A nurse caring for a patient with worsening hypoxia should
anticipate which signs of ARDS? ANS >> PaO2/FiO2 below
300...
PEEP requirements of at least 5...
Respiratory failure unexplained...

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