NUR 265 Exam 2 Practice UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Pulmonary Embolism (PE) - CORRECT ANSWER - Pleural friction rub
Shortness of breath and chest pain response - CORRECT ANSWER - Place the patient on
a cardiac monitor and pulse oximetry.
Warfarin discharge comment - CORRECT ANSWER - My INR is to be monitored
frequently.
ABG for newly developed PE - CORRECT ANSWER - pH 7.60, PaO2 85, PaCO2 32,
HCO3 23, SaO2 88 (Respiratory alkalosis)
Priority patient with heparin - CORRECT ANSWER - A patient on day 10 of heparin with
blood oozing from their Foley catheter.
Chest tube bubbling in suction control chamber - CORRECT ANSWER - No. This is
normal in the suction control chamber.
Asymmetrical chest expansion with chest tube - CORRECT ANSWER - Absolutely!
YES!!
Chest tube drainage in one hour - CORRECT ANSWER - Yes! It is >70 ml/hr
Visible eyelets of the chest tube - CORRECT ANSWER - Yes! The tube is coming out of
the pleural space.
, Continuous bubbling in water seal chamber on day 4 - CORRECT ANSWER - Call the
doctor to report a leak in the system.
Patient with dyspnea and ABG results - CORRECT ANSWER - Acute respiratory failure.
Greatest risk for ARDS - CORRECT ANSWER - A burn victim receiving IV fluid
boluses.
Priority patient on 100% oxygen therapy - CORRECT ANSWER - A patient receiving
100% oxygen therapy and their PAO2 is 55.
Next priority after intubation for ARDS - CORRECT ANSWER - Evaluate post-intubation
ABG from respiratory therapy (RT, 30-60 minute window), and portable chest X-ray.
Interdisciplinary care team need - CORRECT ANSWER - A 19 y/o MVA victim intubated
& vented x 14 days ago for ARDS.
Most indicative finding of tension pneumothorax - CORRECT ANSWER - Distended
neck veins.
Ventilator cuff leak alarm - CORRECT ANSWER - Low-pressure
Nasal saline in ET tube before suctioning - CORRECT ANSWER - NO! This is a good
way to cause pneumonia.
RT increase PEEP with high-pressure vent alarm - CORRECT ANSWER - False.
Immediate action for vented patient not taking breaths - CORRECT ANSWER - No. Let
the patient get used to the AC mode first, monitor.
ACTUAL Exam Questions and CORRECT
Answers
Pulmonary Embolism (PE) - CORRECT ANSWER - Pleural friction rub
Shortness of breath and chest pain response - CORRECT ANSWER - Place the patient on
a cardiac monitor and pulse oximetry.
Warfarin discharge comment - CORRECT ANSWER - My INR is to be monitored
frequently.
ABG for newly developed PE - CORRECT ANSWER - pH 7.60, PaO2 85, PaCO2 32,
HCO3 23, SaO2 88 (Respiratory alkalosis)
Priority patient with heparin - CORRECT ANSWER - A patient on day 10 of heparin with
blood oozing from their Foley catheter.
Chest tube bubbling in suction control chamber - CORRECT ANSWER - No. This is
normal in the suction control chamber.
Asymmetrical chest expansion with chest tube - CORRECT ANSWER - Absolutely!
YES!!
Chest tube drainage in one hour - CORRECT ANSWER - Yes! It is >70 ml/hr
Visible eyelets of the chest tube - CORRECT ANSWER - Yes! The tube is coming out of
the pleural space.
, Continuous bubbling in water seal chamber on day 4 - CORRECT ANSWER - Call the
doctor to report a leak in the system.
Patient with dyspnea and ABG results - CORRECT ANSWER - Acute respiratory failure.
Greatest risk for ARDS - CORRECT ANSWER - A burn victim receiving IV fluid
boluses.
Priority patient on 100% oxygen therapy - CORRECT ANSWER - A patient receiving
100% oxygen therapy and their PAO2 is 55.
Next priority after intubation for ARDS - CORRECT ANSWER - Evaluate post-intubation
ABG from respiratory therapy (RT, 30-60 minute window), and portable chest X-ray.
Interdisciplinary care team need - CORRECT ANSWER - A 19 y/o MVA victim intubated
& vented x 14 days ago for ARDS.
Most indicative finding of tension pneumothorax - CORRECT ANSWER - Distended
neck veins.
Ventilator cuff leak alarm - CORRECT ANSWER - Low-pressure
Nasal saline in ET tube before suctioning - CORRECT ANSWER - NO! This is a good
way to cause pneumonia.
RT increase PEEP with high-pressure vent alarm - CORRECT ANSWER - False.
Immediate action for vented patient not taking breaths - CORRECT ANSWER - No. Let
the patient get used to the AC mode first, monitor.
