NSG 4100 (AH III) Exam 3, NSG-
4100 EXAM 3
The nurse caring for a pt w/ and D
endotracheal tube recognizes several
disadvantages of an endotracheal tube.
What would the nurse recognize as
a disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed
What would the critical care nurse
B recognize as a condition that may indicate a
pt's need to have a tracheotomy?
a. a pt has a respiratory rate of
10 breaths/min
b. a pt required permanent ventilation
c. a pt exhibits sx of dyspnea
d. a pt has respiratory acidosis
,The nurse is caring for a pt who is scheduled
B to have a thoracotomy. When planning
preoperative teaching, what info should the
nurse communicate to the pt?
a. how to milk the chest tubing
b. how to splint the incision when coughing
c. how to take prophylactic
antibiotics correctly
d. how to manage the need for
fluid restriction
A nurse is educating a pt in anticipation of a
D
procedure that will require a water-sealed
chest drainage system. What should
the nurse tell the pt and the family
that this drainage system is used
for?
a.maintaining a positive chest-wall pressure
b. monitoring pleural fluid osmolarity
c. providing passive intrathoracic pressure
d. removing excess air and fluid
A pt is exhibiting signs of a pneumothorax A
following tracheostomy. The surgeon inserts
a chest tube into the anterior chest
wall. What should the nurse tell the
family is the primary purpose of this
chest tube?
a. to remove air from the pleural space
b. to drain copious sputum secretions
c. to monitor bleeding around the lungs
d. to assist with mechanical ventilation
A pt's plan of care specifies postural D
drainage. What action should the nurse
perform when providing this
noninvasive therapy?
a. administer the tx w/ the pt in a
high Fowler's or semi-fowlers
position
b. perform the procedure
immediately following the pt's
meals
c. apply percussion firmly to bare skin
to facilitate drainage
d. assist the pt into a position that will
allow gravity to move secretions
While assessing the pt, the nurse observes C
constant bubbling in the water-seal
chamber of the pt's closed chest-drinagae
system. What should the Nurs conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed
,The nurse has admitted a pt who is A
scheduled for a thoracic resection. The
nurse is providing preoperative
teaching and is discussing several
diagnostic studies that will be required
prior to surgery. Which study will be
performed to determine whether the
panned resection will leave sufficient
functioning lung tissue?
a.pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-ray
The nurse is discussing activity management
D
w/ a pt who is postoperative following
thoracotomy. What instructions should the
nurse give to the pt regarding
activity immediately following
discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x daily
The OR nurse is setting up a water-seal A
chest drainage system for a pt who has just
had a thoracotomy. The nurse knows that
the amount of suction in the system is
determined by the water level. At what
suction level should the nurse set the
system?
a. 20 cm H2O
b.15 cm H2O
c. 10 cm H2O
d. 5 cm H2O
The nurse is caring for a client w/ and
B endotracheal tube who is on a ventilator.
When assessing the client, the nurse
knows to maintain what cuff pressure
to maintain appropriate pressure on the
tracheal wall?
a.between 10-15 mm Hg
b. between 15-20 mm Hg
c. between 20-25 mm Hg
d. between 25-30 mm Hg
, A nurse educator is reviewing the A, B,
D indications for chest drainage systems w/ a
group of medical nurses. What
indications should the nurses identify?
Select all that apply.
a. post thoracotomy
b. spontaneous pneumothorax
c. need for postural drainage
d. chest trauma resulting in pneumothorax
e. pleurisy
The home care nurse is visiting a pt newly D
discharged home after a lobectomy. What
would be most important for the home
care nurse to assess?
a. resumption of the pt's ADLs
b. the family's willingness to care for the pt
c. nutritional status and fluid balance
d. s/s of respiratory complications
A pt is being admitted to the preoperative
B holding area for a thoracotomy.
Preoperative teaching includes what?
a. correct use of a ventilator
b. correct use of incentive spirometry
c. correct use of a mini-nebulizer
c. correct technique for rhythmic breathing
A nurse is teaching a pt how to perform flow
D
type incentive spirometry prior to his
scheduled thoracic surgery. What instruction
should the nurse provide to the pt?
a.hold the spirometer at your lips and
breathe in and out like you normally
would
b. when you're ready, blow hard into
the spirometer for as long as you
can
c. take a deep breath and then blow
short, forceful breaths into the
spirometer
d. breathe in deeply through the
spirometer, hold your breath briefly,
and then exhale
4100 EXAM 3
The nurse caring for a pt w/ and D
endotracheal tube recognizes several
disadvantages of an endotracheal tube.
What would the nurse recognize as
a disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed
What would the critical care nurse
B recognize as a condition that may indicate a
pt's need to have a tracheotomy?
a. a pt has a respiratory rate of
10 breaths/min
b. a pt required permanent ventilation
c. a pt exhibits sx of dyspnea
d. a pt has respiratory acidosis
,The nurse is caring for a pt who is scheduled
B to have a thoracotomy. When planning
preoperative teaching, what info should the
nurse communicate to the pt?
a. how to milk the chest tubing
b. how to splint the incision when coughing
c. how to take prophylactic
antibiotics correctly
d. how to manage the need for
fluid restriction
A nurse is educating a pt in anticipation of a
D
procedure that will require a water-sealed
chest drainage system. What should
the nurse tell the pt and the family
that this drainage system is used
for?
a.maintaining a positive chest-wall pressure
b. monitoring pleural fluid osmolarity
c. providing passive intrathoracic pressure
d. removing excess air and fluid
A pt is exhibiting signs of a pneumothorax A
following tracheostomy. The surgeon inserts
a chest tube into the anterior chest
wall. What should the nurse tell the
family is the primary purpose of this
chest tube?
a. to remove air from the pleural space
b. to drain copious sputum secretions
c. to monitor bleeding around the lungs
d. to assist with mechanical ventilation
A pt's plan of care specifies postural D
drainage. What action should the nurse
perform when providing this
noninvasive therapy?
a. administer the tx w/ the pt in a
high Fowler's or semi-fowlers
position
b. perform the procedure
immediately following the pt's
meals
c. apply percussion firmly to bare skin
to facilitate drainage
d. assist the pt into a position that will
allow gravity to move secretions
While assessing the pt, the nurse observes C
constant bubbling in the water-seal
chamber of the pt's closed chest-drinagae
system. What should the Nurs conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed
,The nurse has admitted a pt who is A
scheduled for a thoracic resection. The
nurse is providing preoperative
teaching and is discussing several
diagnostic studies that will be required
prior to surgery. Which study will be
performed to determine whether the
panned resection will leave sufficient
functioning lung tissue?
a.pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-ray
The nurse is discussing activity management
D
w/ a pt who is postoperative following
thoracotomy. What instructions should the
nurse give to the pt regarding
activity immediately following
discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x daily
The OR nurse is setting up a water-seal A
chest drainage system for a pt who has just
had a thoracotomy. The nurse knows that
the amount of suction in the system is
determined by the water level. At what
suction level should the nurse set the
system?
a. 20 cm H2O
b.15 cm H2O
c. 10 cm H2O
d. 5 cm H2O
The nurse is caring for a client w/ and
B endotracheal tube who is on a ventilator.
When assessing the client, the nurse
knows to maintain what cuff pressure
to maintain appropriate pressure on the
tracheal wall?
a.between 10-15 mm Hg
b. between 15-20 mm Hg
c. between 20-25 mm Hg
d. between 25-30 mm Hg
, A nurse educator is reviewing the A, B,
D indications for chest drainage systems w/ a
group of medical nurses. What
indications should the nurses identify?
Select all that apply.
a. post thoracotomy
b. spontaneous pneumothorax
c. need for postural drainage
d. chest trauma resulting in pneumothorax
e. pleurisy
The home care nurse is visiting a pt newly D
discharged home after a lobectomy. What
would be most important for the home
care nurse to assess?
a. resumption of the pt's ADLs
b. the family's willingness to care for the pt
c. nutritional status and fluid balance
d. s/s of respiratory complications
A pt is being admitted to the preoperative
B holding area for a thoracotomy.
Preoperative teaching includes what?
a. correct use of a ventilator
b. correct use of incentive spirometry
c. correct use of a mini-nebulizer
c. correct technique for rhythmic breathing
A nurse is teaching a pt how to perform flow
D
type incentive spirometry prior to his
scheduled thoracic surgery. What instruction
should the nurse provide to the pt?
a.hold the spirometer at your lips and
breathe in and out like you normally
would
b. when you're ready, blow hard into
the spirometer for as long as you
can
c. take a deep breath and then blow
short, forceful breaths into the
spirometer
d. breathe in deeply through the
spirometer, hold your breath briefly,
and then exhale
