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NUR 425 CC EXAM 2 NEWEST 2026/ 2027 ACTUAL EXAM|
REVIEW WITH 200 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!)
Your patient has orders to be places on a PS mode ventilation: PS 10
cmH2O FiO2 50% PEEP 5
Which patient assessment finding would cause the nurse to question
these orders?
1. The patient has a fever
2. The patient has been on SIMV for 36 hours
3. The patient is to remain on a midazolam drip with a goal RASS or -2
4. The patient's eyes are open and appears alert ......ANSWER......3. The
patient is to remain on a midazolam drip with a goal RASS or -2
(Sedation drip; You need to be awake and alert to be on PS → don't
have a set RR or Vt)
82 year old female admitted with pneumonia, intubated 4 days ago,
weighs 67 kg
Has been on CPAP trial (PEEP 5, FiO2 30%) x 35 minutes, trying to stay
calm, alert, follows commands
RR 24, Vt 400
BP 129/95, HR 92 SaO2 94% T 37.4
ABG 7.45 CO2 33 HCO3 21 PaO2 80 mmHg
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What else do you want to know? ......ANSWER......What medications is
she one?
Any secretions?
CXR?
Has she resolved the pneumonia?
82 year old female admitted with pneumonia, intubated 4 days ago,
weighs 67 kg
Has been on CPAP trial (PEEP 5, FiO2 30%) x 35 minutes, trying to stay
calm, alert, follows commands
RR 24, Vt 400
BP 129/95, HR 92 SaO2 94% T 37.4
ABG 7.45 CO2 33 HCO3 21 PaO2 80 mmHg
Is she ready for extubation? ......ANSWER......yes, most likely.
38 year old male admitted s/p code due to MI. intubated 4 days ago,
weighs 89 kg.
CPAP trial (PEEP 7, FiO2 50%) x 25 minutes, appears restless, following
some commands
RR 32, Vt 400
BP 169/101 HR 131 SaO2 90% T 37.8
ABG 7.32 CO2 47 HCO3 high
Is he ready for extubation? ......ANSWER......no
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Your patient is a 62 year old males with a history of COPD, recently
diagnosed with pneumonia and respiratory distress, he was just
intubated. He is alert and following commands while on the ventilator
but appears exhausted. The physician is discussing with you what
ventilator mode to put the patient on. She mentions SIMV and CPAP.
WHich mode is best, why? ......ANSWER......Do not want to put him on
CPAP. He needs to rest and let the ventilator take over and provide him
with support. We can decrease parameters PRN, until then, he needs
the extra support from the SIMV
NOT CPAP → patient is too tired to initiate him own breaths
Your patient is on the ventilator in AC. Her ventilator settings are: FiO2
40% RR 10 Vt 500 PEEP 5
She becomes anxious, tachycardic, and tachypneic. What are you most
concerned about, why?
1. Metabolic acidosis due to stress
2. Respiratory acidosis due to RR of 10
3. Increased anxiety since this mode does not allow the patient to take
full extra breaths
4. Respiratory alkalosis since each of her extra breaths will be
augmented with a set volume ......ANSWER......4. Respiratory alkalosis
since each of her extra breaths will be augmented with a set volume
(Tachypnic and anxious; To correct → decrease RR and/or increase
sedation (to control what the pt is doing))
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Your patient has a MAP of 90 and an ICP of 25. What is the CPP? Is this
normal?
1. 115, no, this is too high
2. 115, yes this is normal
3. 65, no this is too high
4. 65, yes this is normal ......ANSWER......4. 65, yes this is normal
(Even though it's a normal CPP, we're worried about the elevated ICP)
Your patient has a MAP of 100 and an ICP of 10. What is the CPP? Is this
normal?
1. 90, no action required, continue to monitor
2. 90, take measures to lower the MAP
3. 110, no action required, continue to monitor
4. 110, take measure to lower the MAP ......ANSWER......2. 90, take
measures to lower the MAP
(give antihypertensives)
You are caring for a 67 year old female admitted for a fall causing a
subarachnoid hemorrhage. She's confused, reporting a headache at
8/10 and has the following:
VS: 165/90, HR 70, O2sats 88%, RR 10, T 38.2C; Labs: Na 119, K 3.5; She
has an EVD trending an ICP of 20
Why are you concerned? ......ANSWER......She's at risk for Cushing's →
monitor
NUR 425 CC EXAM 2 NEWEST 2026/ 2027 ACTUAL EXAM|
REVIEW WITH 200 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!)
Your patient has orders to be places on a PS mode ventilation: PS 10
cmH2O FiO2 50% PEEP 5
Which patient assessment finding would cause the nurse to question
these orders?
1. The patient has a fever
2. The patient has been on SIMV for 36 hours
3. The patient is to remain on a midazolam drip with a goal RASS or -2
4. The patient's eyes are open and appears alert ......ANSWER......3. The
patient is to remain on a midazolam drip with a goal RASS or -2
(Sedation drip; You need to be awake and alert to be on PS → don't
have a set RR or Vt)
82 year old female admitted with pneumonia, intubated 4 days ago,
weighs 67 kg
Has been on CPAP trial (PEEP 5, FiO2 30%) x 35 minutes, trying to stay
calm, alert, follows commands
RR 24, Vt 400
BP 129/95, HR 92 SaO2 94% T 37.4
ABG 7.45 CO2 33 HCO3 21 PaO2 80 mmHg
,2|Page
What else do you want to know? ......ANSWER......What medications is
she one?
Any secretions?
CXR?
Has she resolved the pneumonia?
82 year old female admitted with pneumonia, intubated 4 days ago,
weighs 67 kg
Has been on CPAP trial (PEEP 5, FiO2 30%) x 35 minutes, trying to stay
calm, alert, follows commands
RR 24, Vt 400
BP 129/95, HR 92 SaO2 94% T 37.4
ABG 7.45 CO2 33 HCO3 21 PaO2 80 mmHg
Is she ready for extubation? ......ANSWER......yes, most likely.
38 year old male admitted s/p code due to MI. intubated 4 days ago,
weighs 89 kg.
CPAP trial (PEEP 7, FiO2 50%) x 25 minutes, appears restless, following
some commands
RR 32, Vt 400
BP 169/101 HR 131 SaO2 90% T 37.8
ABG 7.32 CO2 47 HCO3 high
Is he ready for extubation? ......ANSWER......no
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Your patient is a 62 year old males with a history of COPD, recently
diagnosed with pneumonia and respiratory distress, he was just
intubated. He is alert and following commands while on the ventilator
but appears exhausted. The physician is discussing with you what
ventilator mode to put the patient on. She mentions SIMV and CPAP.
WHich mode is best, why? ......ANSWER......Do not want to put him on
CPAP. He needs to rest and let the ventilator take over and provide him
with support. We can decrease parameters PRN, until then, he needs
the extra support from the SIMV
NOT CPAP → patient is too tired to initiate him own breaths
Your patient is on the ventilator in AC. Her ventilator settings are: FiO2
40% RR 10 Vt 500 PEEP 5
She becomes anxious, tachycardic, and tachypneic. What are you most
concerned about, why?
1. Metabolic acidosis due to stress
2. Respiratory acidosis due to RR of 10
3. Increased anxiety since this mode does not allow the patient to take
full extra breaths
4. Respiratory alkalosis since each of her extra breaths will be
augmented with a set volume ......ANSWER......4. Respiratory alkalosis
since each of her extra breaths will be augmented with a set volume
(Tachypnic and anxious; To correct → decrease RR and/or increase
sedation (to control what the pt is doing))
, 4|Page
Your patient has a MAP of 90 and an ICP of 25. What is the CPP? Is this
normal?
1. 115, no, this is too high
2. 115, yes this is normal
3. 65, no this is too high
4. 65, yes this is normal ......ANSWER......4. 65, yes this is normal
(Even though it's a normal CPP, we're worried about the elevated ICP)
Your patient has a MAP of 100 and an ICP of 10. What is the CPP? Is this
normal?
1. 90, no action required, continue to monitor
2. 90, take measures to lower the MAP
3. 110, no action required, continue to monitor
4. 110, take measure to lower the MAP ......ANSWER......2. 90, take
measures to lower the MAP
(give antihypertensives)
You are caring for a 67 year old female admitted for a fall causing a
subarachnoid hemorrhage. She's confused, reporting a headache at
8/10 and has the following:
VS: 165/90, HR 70, O2sats 88%, RR 10, T 38.2C; Labs: Na 119, K 3.5; She
has an EVD trending an ICP of 20
Why are you concerned? ......ANSWER......She's at risk for Cushing's →
monitor
