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NR 203 Practice Exam with Accurate Answers. Latest Edition

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NR 203 Practice Exam with Accurate Answers.
Latest Edition
Arterial blood gases should be obtained at which timeframe following the initiation of
continuous mechanical ventilation? - ✔✔20 minutes


After lobectomy for lung cancer, a client receives a chest tube connected to a disposable chest
drainage system. The nurse observes that the drainage system is functioning correctly when she
notes tidal movements or fluctuations in which compartment of the system as the client
breathes? - ✔✔water seal chamber


The nurse is assisting a client with postural drainage. Which of the following demonstrates
correct implementation of this technique? - ✔✔Instruct the client to remain in each position of
the postural drainage sequence for 10 to 15 minutes. usually performed two to four times daily,
before meals (to prevent nausea, vomiting, and aspiration) and at bedtime.


Before weaning a client from a ventilator, which assessment parameter is the most important
for the nurse to obtain? - ✔✔baseline ABGs


A client suffers acute respiratory distress syndrome as a consequence of shock. The client's
condition deteriorates rapidly, and endotracheal (ET) intubation and mechanical ventilation are
initiated. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts
to check for the cause. Which condition triggers the high-pressure alarm? - ✔✔Kinking of the
ventilator tubing


The nurse is preparing to perform chest physiotherapy (CPT) on a patient. Which of the
following patient statements would indicate the procedure is contraindicated. - ✔✔"I just
finished eating my lunch, I'm ready for my CPT now." When performing CPT, the nurse ensures
that the patient is comfortable, is not wearing restrictive clothing, and has not just eaten.


Constant bubbling in the water seal of a chest drainage system indicates which of the following
problems? - ✔✔air leak

, A client is on a ventilator. Alarms are sounding, indicating an increase in peak airway pressure.
The nurse assesses first for - ✔✔A kink in the ventilator tubing



Which of the following is a correct endotracheal tube cuff pressure? - ✔✔Cuff pressures should
be checked with a calibrated aneroid manometer device every 6 to 8 hours to maintain cuff
pressures between 15 and 20 mm Hg.


A client is on a positive-pressure ventilator with a synchronized intermittent mandatory
ventilation (SIMV) setting. The ventilator is set for 8 breaths per minute. The client is taking 6
breaths per minute independently. The nurse - ✔✔Continues assessing the client's respiratory
status frequently


A nurse prepares to perform postural drainage. How should the nurse ascertain the best
position to facilitate clearing the lungs? - ✔✔Auscultation


In general, chest drainage tubes are not indicated for a patient undergoing which of the
following procedures? - ✔✔Pneumonectomy


Which type of ventilator has a present volume of air to be delivered with each inspiration? -
✔✔With volume-controlled ventilation, the volume of air to be delivered with each inspiration
is present.


When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and
gently rotating the catheter 360 degrees for which of the following time periods? - ✔✔no
longer than 10 to 15 seconds because hypoxia and dysrhythmias may develop, leading to
cardiac arrest.


A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on
continuous mechanical ventilation. Which equipment is most important for the nurse to keep
at this client's bedside? - ✔✔ambu

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