NUR 265 EXAM 2 VERIFIED QUESTIONS AND ANSWERS
UPDATED 2025 (ALREADY GRADED A+)
How is an ET tube placement confirmed? - From first to last
ETCO2 20-40mmHg
Chest symmetry
Listen to left/right/abdomen
Chest X-Ray
Describe the A/C vent mode. - The vent does everything for the patient. It delivers a
set amount of breaths per minute
Describe SIMV vent mode. - The pt attempts to breath and the vent assists with
their breaths
What are the different ventilator settings? - Mode
FiO2
Rate
Tidal Volume (Vt)
PEEP
What is PEEP? - It is positive pressure that tells the alveoli in the lungs to stay open
a little longer. It helps with gas exchange.
What are some complications of PEEP? - Pneumothorax
SubQ Emphysema (crepatus)
Decreased pre-load
What are the 3 buttons that a nurse is able to touch on a vent? - Silence
Restart
100% Oxygen (before suctioning a patient)
When is it acceptable to shut off a vent alarm? - NEVER
What should be done when a patient is in respiratory distress? - *Call for help,
disconnect the vent, start bagging the patient, then reassess*
What are ways to prevent VAP? - *Remove water from circuits*
*HOB up to 30 degrees*
Turn Q2h
Suction
Oral care Q2H
, Prevent aspiration
Lip moisturizer
Percussion
Give examples of what could cause a high pressure alarm. - Blocked airway
Coughing
Tension pneumothorax
Anxiety/Pain: Sedate them
Kinks in tubing
Decreased lung compliance: ARDS
*Assess the patient not the monitor*
Give examples of what could cause a low pressure alarm. - Not getting enough air
(in or out)
Air leak in the cuff: Check the pilot balloon
Disconnected tubing
Low Vt
*Assess the patient not the monitor*
What are some things we have to do when caring for a vented patient? - Lung
assessment
Frequent vital signs (every 4 hours)
I&O (look at balances)
Foley
NPO
Nutrition (NG Tube for all vent patients)
Skin Care
Monitor ABG/labs
VTE prophylaxis
What are some risk factors for a PE? - Immobility
Central Lines
Surgery
Obesity
DVT's
Birth Control Pills
Smoking
What is the best way to prevent a PE? - *Move the patient post op.*
What should be done immediately after the nurse notes s/s of a PE? - *Notify the
Rapid Response Team*
What are ways to manage the symptoms of a PE? - ABC: might need intubation
Anticoags (heparin/warfarin/fibrinolytics)
High Fowlers
Telemetry
Safety/bleeding precatutions
UPDATED 2025 (ALREADY GRADED A+)
How is an ET tube placement confirmed? - From first to last
ETCO2 20-40mmHg
Chest symmetry
Listen to left/right/abdomen
Chest X-Ray
Describe the A/C vent mode. - The vent does everything for the patient. It delivers a
set amount of breaths per minute
Describe SIMV vent mode. - The pt attempts to breath and the vent assists with
their breaths
What are the different ventilator settings? - Mode
FiO2
Rate
Tidal Volume (Vt)
PEEP
What is PEEP? - It is positive pressure that tells the alveoli in the lungs to stay open
a little longer. It helps with gas exchange.
What are some complications of PEEP? - Pneumothorax
SubQ Emphysema (crepatus)
Decreased pre-load
What are the 3 buttons that a nurse is able to touch on a vent? - Silence
Restart
100% Oxygen (before suctioning a patient)
When is it acceptable to shut off a vent alarm? - NEVER
What should be done when a patient is in respiratory distress? - *Call for help,
disconnect the vent, start bagging the patient, then reassess*
What are ways to prevent VAP? - *Remove water from circuits*
*HOB up to 30 degrees*
Turn Q2h
Suction
Oral care Q2H
, Prevent aspiration
Lip moisturizer
Percussion
Give examples of what could cause a high pressure alarm. - Blocked airway
Coughing
Tension pneumothorax
Anxiety/Pain: Sedate them
Kinks in tubing
Decreased lung compliance: ARDS
*Assess the patient not the monitor*
Give examples of what could cause a low pressure alarm. - Not getting enough air
(in or out)
Air leak in the cuff: Check the pilot balloon
Disconnected tubing
Low Vt
*Assess the patient not the monitor*
What are some things we have to do when caring for a vented patient? - Lung
assessment
Frequent vital signs (every 4 hours)
I&O (look at balances)
Foley
NPO
Nutrition (NG Tube for all vent patients)
Skin Care
Monitor ABG/labs
VTE prophylaxis
What are some risk factors for a PE? - Immobility
Central Lines
Surgery
Obesity
DVT's
Birth Control Pills
Smoking
What is the best way to prevent a PE? - *Move the patient post op.*
What should be done immediately after the nurse notes s/s of a PE? - *Notify the
Rapid Response Team*
What are ways to manage the symptoms of a PE? - ABC: might need intubation
Anticoags (heparin/warfarin/fibrinolytics)
High Fowlers
Telemetry
Safety/bleeding precatutions
