NSG 3130 EXAM 4 TEST BANK QUESTIONS AND CORRECT
ANSWERS NEW UPDATED VERSION 2026
Terms in this set
The nurse finds the patient in b. Bag-valve-mask unit
cardiopulmonary arrest with no pulse or
respirations. Which oxygen delivery device will The priority of the nurse is to ventilate the patient manually using a
the nurse use for this patient? bag-valve-mask (BVM) unit. This allows air to be forced into the
patient's lungs when there are no spontaneous
a. Non-rebreather mask respirations. The non-rebreather mask and nasal cannula
b.Bag-valve-mask unit require the patient to breathe on his or her own. CPAP is used
c. Continuous positive airway pressure for patients who are awake, oriented, and in respiratory failure.
(CPAP)
d. High-flow nasal cannula
, The nurse is caring for a patient who is slow to a. Insert an oral airway.
awaken following general anesthesia. The
patient is breathing spontaneously but is An oral (oropharyngeal) airway will prevent the patient's tongue from
minimally responsive and having difficulty falling back and occluding the airway. Lowering the head of the bed will
maintaining a patent airway. Which intervention only increase airway occlusion and risk of aspiration. Turning the
is the most appropriate for the patient to improve patient's head to the side will not clear the back of the patient's tongue
oxygenation? from the airway.
Monitoring the patient's pulse oximetry will not improve
a. Insert an oral airway. oxygenation or clear the airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry.
The nurse is caring for a patient with a history of a. Administer the ordered intravenous diuretic.
left-sided congestive heart failure
who is acutely short of breath. The nurse hears fine The patient's respiratory distress is due to pulmonary edema and fluid
crackles throughout both lung fields and notes that overload from left-sided congestive heart failure. A patient with heart
the patient's pulse oximetry is only 88% on 4 L of failure may be on diuretics. A diuretic will pull the excess fluid out of
oxygen. What is the priority intervention of the the body through the urine and relieve the patient's distress. A chest
nurse?a. Administer the ordered intravenous tube is not needed as the fluid is within the alveoli rather than between
diuretic. the lung and
b. Prepare for insertion of a chest tube. chest wall. Suctioning and use of an incentive spirometer will not
c. Suction secretions from the patient's address fluid overload or improve the patient's symptoms.
respiratory tract.
d. Have the patient use the ordered
incentive spirometer.
a. Placement of a tracheostomy tube
The nurse is caring for a patient who has been
intubated with an oral endotracheal tube for
several weeks. The physicians predict that the Placement of a tracheostomy tube will secure the patient's airway
patient will need to remain on a ventilator for at directly through the trachea, eliminating the need for the
least several more weeks before he will be able to endotracheal tube. This will make the patient mnore comfortable
maintain his airway and breathe on his own. What and may allow eating while minimizing damage to the oropharynx
procedure does the nurse anticipate will be from the endotracheal tube.
planned for the patient to facilitate
recovery?
a. Placement of a tracheostomy tube
b. Diagnostic thoracentesis
c. Pulmonary angiogram
d. Lung transplantation surgery
ANSWERS NEW UPDATED VERSION 2026
Terms in this set
The nurse finds the patient in b. Bag-valve-mask unit
cardiopulmonary arrest with no pulse or
respirations. Which oxygen delivery device will The priority of the nurse is to ventilate the patient manually using a
the nurse use for this patient? bag-valve-mask (BVM) unit. This allows air to be forced into the
patient's lungs when there are no spontaneous
a. Non-rebreather mask respirations. The non-rebreather mask and nasal cannula
b.Bag-valve-mask unit require the patient to breathe on his or her own. CPAP is used
c. Continuous positive airway pressure for patients who are awake, oriented, and in respiratory failure.
(CPAP)
d. High-flow nasal cannula
, The nurse is caring for a patient who is slow to a. Insert an oral airway.
awaken following general anesthesia. The
patient is breathing spontaneously but is An oral (oropharyngeal) airway will prevent the patient's tongue from
minimally responsive and having difficulty falling back and occluding the airway. Lowering the head of the bed will
maintaining a patent airway. Which intervention only increase airway occlusion and risk of aspiration. Turning the
is the most appropriate for the patient to improve patient's head to the side will not clear the back of the patient's tongue
oxygenation? from the airway.
Monitoring the patient's pulse oximetry will not improve
a. Insert an oral airway. oxygenation or clear the airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry.
The nurse is caring for a patient with a history of a. Administer the ordered intravenous diuretic.
left-sided congestive heart failure
who is acutely short of breath. The nurse hears fine The patient's respiratory distress is due to pulmonary edema and fluid
crackles throughout both lung fields and notes that overload from left-sided congestive heart failure. A patient with heart
the patient's pulse oximetry is only 88% on 4 L of failure may be on diuretics. A diuretic will pull the excess fluid out of
oxygen. What is the priority intervention of the the body through the urine and relieve the patient's distress. A chest
nurse?a. Administer the ordered intravenous tube is not needed as the fluid is within the alveoli rather than between
diuretic. the lung and
b. Prepare for insertion of a chest tube. chest wall. Suctioning and use of an incentive spirometer will not
c. Suction secretions from the patient's address fluid overload or improve the patient's symptoms.
respiratory tract.
d. Have the patient use the ordered
incentive spirometer.
a. Placement of a tracheostomy tube
The nurse is caring for a patient who has been
intubated with an oral endotracheal tube for
several weeks. The physicians predict that the Placement of a tracheostomy tube will secure the patient's airway
patient will need to remain on a ventilator for at directly through the trachea, eliminating the need for the
least several more weeks before he will be able to endotracheal tube. This will make the patient mnore comfortable
maintain his airway and breathe on his own. What and may allow eating while minimizing damage to the oropharynx
procedure does the nurse anticipate will be from the endotracheal tube.
planned for the patient to facilitate
recovery?
a. Placement of a tracheostomy tube
b. Diagnostic thoracentesis
c. Pulmonary angiogram
d. Lung transplantation surgery
