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NURS 5355 Final Exam (152 questions) with precise detailed answers

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NURS 5355 Final Exam (152 questions) with precise detailed answers

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NURS 5355 Final Exam with |! |! |! |! |!




precise detailed answers |! |!




determine difficult intubation with? - Correct answer ✔LEMONS
|! |! |! |! |! |! |!




size of tongue to oral cavity? - Correct answer ✔Mallampati Classification
|! |! |! |! |! |! |! |! |! |! |!




Score



absolute CI in endotracheal intubation? - Correct answer ✔total upper airway
|! |! |! |! |! |! |! |! |! |!




obstruction or loss of oropharyngeal landmarks from trauma or burns
|! |! |! |! |! |! |! |! |! |!




pressure on cricoid cartilage to compress esophagus to prevent regurg during
|! |! |! |! |! |! |! |! |! |! |!




intubation? - Correct answer ✔Sellick's Maneuver |! |! |! |! |!




insert blade with ? hand on ? of the mouth? - Correct answer ✔left hand &
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!




on right side of the mouth to displace tongue to the left
|! |! |! |! |! |! |! |! |! |! |!




aligns the oral, pharyngeal, and laryngeal axes? - Correct answer ✔sniffing
|! |! |! |! |! |! |! |! |! |! |!




position for intubation |! |!




goal of preoxygenation? - Correct answer ✔maximize arterial PaO2 &
|! |! |! |! |! |! |! |! |! |!




denitrogenation of functional residual capacity |! |! |! |!

,maximizes time for intubation w/o O2 desaturation (7-9 min in healthy
|! |! |! |! |! |! |! |! |! |! |!




adult)



Room Air is? - Correct answer ✔primarily 21% oxygen and 78% nitrogen
|! |! |! |! |! |! |! |! |! |! |!




rapid onset and short duration paralytic? - Correct answer ✔Succinylcholine:
|! |! |! |! |! |! |! |! |! |!




30-45 sec; 5-10 mins
|! |! |!




Increases K levels |! |!




rescue breaths during CPR? - Correct answer ✔less important; interrupts
|! |! |! |! |! |! |! |! |! |!




chest compressions and increases intrathoracic pressure
|! |! |! |! |!




see base of the uvula? - Correct answer ✔Class III Mallampati
|! |! |! |! |! |! |! |! |! |!




soft palate not visible? - Correct answer ✔Class IV Mallampati
|! |! |! |! |! |! |! |! |!




difficult BVM ventilation? - Correct answer ✔MOANS
|! |! |! |! |! |!




oxygenation versus ventilation? - Correct answer ✔O2 to blood and tissues
|! |! |! |! |! |! |! |! |! |! |!




versus air in and out of the lungs
|! |! |! |! |! |! |!




precludes apneic patient requiring crash airway? - Correct answer ✔RSI
|! |! |! |! |! |! |! |! |!

, steps to RSI? - Correct answer ✔prepare, assess (LEMONS) & preoxygenate
|! |! |! |! |! |! |! |! |! |! |!




(MOANS), medications |!




Crash intubation? - Correct answer ✔no RSI in unconscious or apneic patient
|! |! |! |! |! |! |! |! |! |! |!




due to cardiac arrest
|! |! |! |!




occurs with inspiratory effort- inspiratory stridor? - Correct answer
|! |! |! |! |! |! |! |! |!




✔Laryngospasm- forced glottic closure but with inspiration |! |! |! |! |! |!




induce amnesia, reduces autonomic reflex activity, no analgesia? - Correct
|! |! |! |! |! |! |! |! |! |!




answer ✔Sedatives |!




Mimics Acetylcholine? (depolarizing) - Correct answer ✔Succinylcholine-
|! |! |! |! |! |! |!




allows sodium to rush in and potassium out
|! |! |! |! |! |! |!




reversal for Roc & Vec (non-depolarizing)? - Correct answer ✔Neostigmine
|! |! |! |! |! |! |! |! |! |!




(anticholinesterase)



ETT ? into trachea and ? above carina? - Correct answer ✔2.5cm into trachea,
|! |! |! |! |! |! |! |! |! |! |! |! |!




below clavicle, and 3-5 cm above carina (T5)
|! |! |! |! |! |! |! |!




aseptic technique? - Correct answer ✔reduce/prevention of flora and re-
|! |! |! |! |! |! |! |! |!




growth



LP in the emergency department? - Correct answer ✔diagnose or exclude
|! |! |! |! |! |! |! |! |! |! |!




meningitis & suspected SAH |! |! |!

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