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NUR 6121 Advanced Nursing II 2024 –
2025 NUR 612 Adv Nursing 2 Exam 1 Unit
1, 2 and 3 Review Questions and Answers
with Detailed Rationales | 100% Pass
Guaranteed | Graded A+ |LATEST
A patient with acute respiratory distress syndrome (ARDS) is being weaned from mechanical ventilation.
Which nursing action is appropriate for this patient?
1) Increase percentage of oxygen being provided through the ventilator
2) Place in the Fowler position
3) Provide morning care during the weaning procedures
4) Medicate with morphine for pain as needed - ANS:2) Place in the Fowler position
Weaning a patient from mechanical ventilation should begin in the morning when the patient is well-
rested. The patient should be in the Fowler or high-Fowler position, as this facilitates lung expansion and
reduces the work of breathing.
The nurse caring for a patient admitted with septic shock is aware of the need to assess for the
development of acute respiratory distress syndrome (ARDS). Which early clinical manifestation would
indicate the development of ARDS?
1) Intercostal retractions
2) Cyanosis
3) Tachypnea
4) Tachycardia - ANS:3) Tachypnea
Dyspnea and tachypnea are early clinical manifestations of ARDS.
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A patient admitted with smoke inhalation injuries develops signs and symptoms of acute respiratory
distress syndrome (ARDS). Which health-care provider prescription does the nurse anticipate for this
patient?
1) Mechanical ventilation
2) Oxygen via a nasal cannula
3) Face mask oxygen administration
4) Continuous positive airway pressure - ANS:1) Mechanical ventilation
With ARDS, it is rarely possible to maintain adequate tissue oxygenation with oxygen therapy alone. With
mechanical ventilation, the FiO2 (fraction of inspired oxygen-the percentage of oxygen administered) is
set at the lowest possible level to maintain a PaO2 higher than 60 mm Hg and oxygen saturation of
approximately 90%. It is important to remember that mechanical ventilation does not cure ARDS; it simply
supports respiratory function while the underlying problem is identified and treated.
The nurse in the intensive care unit (ICU) is caring for a patient diagnosed with acute respiratory distress
syndrome (ARDS). Vital signs prior to endotracheal intubation: HR 108 bpm, RR 32 bpm, BP 88/58 mm Hg,
and oxygen saturation 82%. The patient is intubated and placed on mechanical ventilation with positive
pressure ventilation. Which assessment finding indicates a further decrease of cardiac output secondary
to positive pressure ventilation?
1) Blood pressure 90/60 mm Hg
2) Urine output 25mL/hr
3) Heart rate 110 bpm
4) Oxygen saturation 90% - ANS:2) Urine output 25mL/hrDecreased cardiac output is supported by a
decrease of urine output. Expected urine output is at least 30 mL/hr. This patient's urine output is
decreased; therefore, this finding supports the diagnosis of decreased cardiac output.
The nurse caring for a patient recovering from an abdominal hysterectomy suspects the patient is
experiencing a pulmonary embolism. Which clinical manifestation supports the nurse's suspicion?
1) Nausea
2) Decreased urine output
3) Dyspnea and shortness of breath
4) Activity intolerance - ANS:3) Dyspnea and shortness of breath
Manifestations of a pulmonary embolism include dyspnea, shortness of breath, pleuritic chest pain,
anxiety, apprehension, cough, tachycardia, tachypnea, crackles, and a low-grade fever
,3|Page
The nurse is providing discharge instructions to an older adult patient who is going home after having a
total knee replacement. Which will the nurse include in the discharge teaching to decrease the patient's
risk for developing a thrombosis or pulmonary embolism?
1) Place pillows under the knees when in bed
2) Use compression stockings
3) Limit ambulation
4) Limit fluids - ANS:2) Use compression stockings
A patient being discharged after having orthopedic surgery is at increased risk for pulmonary embolism.
The nurse should instruct the patient to continue with leg exercises and use compression stockings to
reduce the risk of deep vein thrombosis formation.
The nurse is planning care for a patient with a pulmonary embolism. Which intervention would assist with
the patient's decrease in cardiac output?
1) Provide oxygen
2) Keep protamine sulfate at the bedside
3) Monitor pulmonary arterial pressures
4) Assess for bleeding - ANS:3) Monitor pulmonary arterial pressures
The patient with a pulmonary embolism and decreased cardiac output is at risk for developing right heart
failure. The nurse should monitor pulmonary arterial pressures.
_____ is an approved therapeutic (pharmacologic) agent applied to or introduced to the body.
A. Impaled object
B. Potion
C. Medication
D. Poison -ANS :C. Medication
_____ hinder growth/reduce spread of viral cells; treat viral infections, influenza, & HIV.
A. Antineoplastics
B. Antivirals
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C. Nonopioid analgesics
D. Benzodiazepines -ANS :B. Antivirals
Examples of antiviral medications include which of the following?
A. oseltamivir (Tamiflu), valacyclovir (Valtrex), tenofovir (Atripla)
B. hydroxyurea (Hydrea), cyclophosphamide (Cytoxan)
C. Lunesta, Ambien
D. Dyazide, Hydrodiuril, Lasix -ANS :A. oseltamivir (Tamiflu), valacyclovir (Valtrex), tenofovir (Atripla)
_____ calm or depress the CNS.
A. Antimigraine agents
B. NSAIDs
C. Antihistamines
D. Benzodiazepines -ANS :D. Benzodiazepines
_____ and _____ are examples of benzodiazepines.
A. eszoplicone (Lunesta); zolpidem (Ambien)
B. cevimelinie (Evoxac); galantamine (Razadyne)
C. ibuprofen (Motrin, Advil); aspirin
D. oxycodone; morphine -ANS :A. eszoplicone (Lunesta); zolpidem (Ambien)
_____ relax the smooth muscle of the bronchi and treat asthma/bronchospasms.
A. Respiratory corticosteroids
B. Bronchodilators
C. Antitussives
NUR 6121 Advanced Nursing II 2024 –
2025 NUR 612 Adv Nursing 2 Exam 1 Unit
1, 2 and 3 Review Questions and Answers
with Detailed Rationales | 100% Pass
Guaranteed | Graded A+ |LATEST
A patient with acute respiratory distress syndrome (ARDS) is being weaned from mechanical ventilation.
Which nursing action is appropriate for this patient?
1) Increase percentage of oxygen being provided through the ventilator
2) Place in the Fowler position
3) Provide morning care during the weaning procedures
4) Medicate with morphine for pain as needed - ANS:2) Place in the Fowler position
Weaning a patient from mechanical ventilation should begin in the morning when the patient is well-
rested. The patient should be in the Fowler or high-Fowler position, as this facilitates lung expansion and
reduces the work of breathing.
The nurse caring for a patient admitted with septic shock is aware of the need to assess for the
development of acute respiratory distress syndrome (ARDS). Which early clinical manifestation would
indicate the development of ARDS?
1) Intercostal retractions
2) Cyanosis
3) Tachypnea
4) Tachycardia - ANS:3) Tachypnea
Dyspnea and tachypnea are early clinical manifestations of ARDS.
,2|Page
A patient admitted with smoke inhalation injuries develops signs and symptoms of acute respiratory
distress syndrome (ARDS). Which health-care provider prescription does the nurse anticipate for this
patient?
1) Mechanical ventilation
2) Oxygen via a nasal cannula
3) Face mask oxygen administration
4) Continuous positive airway pressure - ANS:1) Mechanical ventilation
With ARDS, it is rarely possible to maintain adequate tissue oxygenation with oxygen therapy alone. With
mechanical ventilation, the FiO2 (fraction of inspired oxygen-the percentage of oxygen administered) is
set at the lowest possible level to maintain a PaO2 higher than 60 mm Hg and oxygen saturation of
approximately 90%. It is important to remember that mechanical ventilation does not cure ARDS; it simply
supports respiratory function while the underlying problem is identified and treated.
The nurse in the intensive care unit (ICU) is caring for a patient diagnosed with acute respiratory distress
syndrome (ARDS). Vital signs prior to endotracheal intubation: HR 108 bpm, RR 32 bpm, BP 88/58 mm Hg,
and oxygen saturation 82%. The patient is intubated and placed on mechanical ventilation with positive
pressure ventilation. Which assessment finding indicates a further decrease of cardiac output secondary
to positive pressure ventilation?
1) Blood pressure 90/60 mm Hg
2) Urine output 25mL/hr
3) Heart rate 110 bpm
4) Oxygen saturation 90% - ANS:2) Urine output 25mL/hrDecreased cardiac output is supported by a
decrease of urine output. Expected urine output is at least 30 mL/hr. This patient's urine output is
decreased; therefore, this finding supports the diagnosis of decreased cardiac output.
The nurse caring for a patient recovering from an abdominal hysterectomy suspects the patient is
experiencing a pulmonary embolism. Which clinical manifestation supports the nurse's suspicion?
1) Nausea
2) Decreased urine output
3) Dyspnea and shortness of breath
4) Activity intolerance - ANS:3) Dyspnea and shortness of breath
Manifestations of a pulmonary embolism include dyspnea, shortness of breath, pleuritic chest pain,
anxiety, apprehension, cough, tachycardia, tachypnea, crackles, and a low-grade fever
,3|Page
The nurse is providing discharge instructions to an older adult patient who is going home after having a
total knee replacement. Which will the nurse include in the discharge teaching to decrease the patient's
risk for developing a thrombosis or pulmonary embolism?
1) Place pillows under the knees when in bed
2) Use compression stockings
3) Limit ambulation
4) Limit fluids - ANS:2) Use compression stockings
A patient being discharged after having orthopedic surgery is at increased risk for pulmonary embolism.
The nurse should instruct the patient to continue with leg exercises and use compression stockings to
reduce the risk of deep vein thrombosis formation.
The nurse is planning care for a patient with a pulmonary embolism. Which intervention would assist with
the patient's decrease in cardiac output?
1) Provide oxygen
2) Keep protamine sulfate at the bedside
3) Monitor pulmonary arterial pressures
4) Assess for bleeding - ANS:3) Monitor pulmonary arterial pressures
The patient with a pulmonary embolism and decreased cardiac output is at risk for developing right heart
failure. The nurse should monitor pulmonary arterial pressures.
_____ is an approved therapeutic (pharmacologic) agent applied to or introduced to the body.
A. Impaled object
B. Potion
C. Medication
D. Poison -ANS :C. Medication
_____ hinder growth/reduce spread of viral cells; treat viral infections, influenza, & HIV.
A. Antineoplastics
B. Antivirals
, 4|Page
C. Nonopioid analgesics
D. Benzodiazepines -ANS :B. Antivirals
Examples of antiviral medications include which of the following?
A. oseltamivir (Tamiflu), valacyclovir (Valtrex), tenofovir (Atripla)
B. hydroxyurea (Hydrea), cyclophosphamide (Cytoxan)
C. Lunesta, Ambien
D. Dyazide, Hydrodiuril, Lasix -ANS :A. oseltamivir (Tamiflu), valacyclovir (Valtrex), tenofovir (Atripla)
_____ calm or depress the CNS.
A. Antimigraine agents
B. NSAIDs
C. Antihistamines
D. Benzodiazepines -ANS :D. Benzodiazepines
_____ and _____ are examples of benzodiazepines.
A. eszoplicone (Lunesta); zolpidem (Ambien)
B. cevimelinie (Evoxac); galantamine (Razadyne)
C. ibuprofen (Motrin, Advil); aspirin
D. oxycodone; morphine -ANS :A. eszoplicone (Lunesta); zolpidem (Ambien)
_____ relax the smooth muscle of the bronchi and treat asthma/bronchospasms.
A. Respiratory corticosteroids
B. Bronchodilators
C. Antitussives
