NR 341 Complex Adult Health TEST BANK Exam Answer Key with Rationales EXAMS PREP
Chamberlain University
ABG Overview #1 - (ANSWER)(graphic #1)
ABG Overview #2 - (ANSWER)(graphic #2)
ABG Overview #3 - (ANSWER)(graphic #3)
Fully compensated: - (ANSWER)- pH normal
- PaCO2 & HCO3 abnormal
Partially compensated: - (ANSWER)- All values are abnormal
Uncompensated - (ANSWER)- pH and one other value is abnormal
Measurements of Oxygenation: - (ANSWER)- 80 - 100mmHG
- SpO2 = 92%-99%
Arterial Blood Gas Interpretation: - (ANSWER)
Alkalosis: - (ANSWER)(see graphic)
Acidosis: - (ANSWER)(see graphic)
Potassium Levels in Acidosis: - (ANSWER)- K+ = Elevated
Respiratory Acidosis: - (ANSWER)- low pH, high CO2
Respiratory Alkalosis: - (ANSWER)- high pH, low CO2
,NR 341 Complex Adult Health TEST BANK Exam Answer Key with Rationales EXAMS PREP
Chamberlain University
Metabolic Acidosis: - (ANSWER)- low pH, low HCO3
Metabolic Alkalosis: - (ANSWER)- high pH, high HCO3
Interpret this ABG:
- ph 7.37
- PaCO2 50 mm HG
- Bicarbonate 30 mEq/L - (ANSWER)
Rescue Breathing Position: - (ANSWER)- Side lying position
Airway Management: - (ANSWER)- Essential nursing skills that maintain natural or artificial airways for
compromised clients
NPPV Machine: - (ANSWER)- Non Invasive Positive Pressure Ventilation
CPAP/BiPap Machine Overview: - (ANSWER)- Indications: acute COPD, cardiogenic pulmonary edema,
early hypoxemic failure in immunocompromised patients, obstructive sleep apnea, and to prevent re-
intubation
- Contraindications: apnea, cardiovascular instability or hypotension, dysrhythmias, MI, claustrophobia,
somnolence, high aspiration risk, copious secretions, GI surgery, craniofacial trauma, and burns
Endotracheal Intubation (ET): - (ANSWER)- Insertion of endotracheal tube through the mouth or
nose...preferred route to reduce infections
- Indications: maintain airway, remove secretions, prevention aspiration, and provide mechanical
ventilation
, NR 341 Complex Adult Health TEST BANK Exam Answer Key with Rationales EXAMS PREP
Chamberlain University
Intubation Equipment: - (ANSWER)- Ambu Bag connected to oxygen
- Laryngoscope & endotracheal tubes
- Suction equipment
- Ventilator
- Device or tape to secure ETT
Rapid Sequence Intubation (RSI): - (ANSWER)- Giving medications to sedate (induce) and temporarily
paralyze a patient and then performing orotracheal intubation.
- Eg. propofol, midazolam, short term paralytics, or fentanyl
- Sedate -> pain medicine -> short term paralytic
Securing ETT: - (ANSWER)
True/False: if the nurse suspects the ET tube is in the esophagus, pull out the tube and do the
following...Bag-mask ventilation with an oropharyngeal or nasopharyngel or both - (ANSWER)True,
always maintain a high index of suspicion of esophageal intubation, particularly if the intubation was
difficult. If in doubt, trust your instincts!!!
Tracheostomy Overview: - (ANSWER)- Indications: Long-term mechanical ventilation, frequent
suctioning, protecting the airway
Endotracheal Suctioning: - (ANSWER)- Indicated by assessment (PRN): visible secretions, coughing,
rhonchi, high pressure on vent, and ventilator alarm
- Conventional versus closed suctioning
- Procedures: hyper oxygenated throughout procedure, avoid normal saline instillation
Ventilator Settings: - (ANSWER)- Uses positive pressure by mechanically filling the lungs with O2 and is
the opposite of the physiology of breathing
- Fraction of Inspired Oxygen (FiO2); the percentage of inspired O2 the ventilator is giving the patient?
Chamberlain University
ABG Overview #1 - (ANSWER)(graphic #1)
ABG Overview #2 - (ANSWER)(graphic #2)
ABG Overview #3 - (ANSWER)(graphic #3)
Fully compensated: - (ANSWER)- pH normal
- PaCO2 & HCO3 abnormal
Partially compensated: - (ANSWER)- All values are abnormal
Uncompensated - (ANSWER)- pH and one other value is abnormal
Measurements of Oxygenation: - (ANSWER)- 80 - 100mmHG
- SpO2 = 92%-99%
Arterial Blood Gas Interpretation: - (ANSWER)
Alkalosis: - (ANSWER)(see graphic)
Acidosis: - (ANSWER)(see graphic)
Potassium Levels in Acidosis: - (ANSWER)- K+ = Elevated
Respiratory Acidosis: - (ANSWER)- low pH, high CO2
Respiratory Alkalosis: - (ANSWER)- high pH, low CO2
,NR 341 Complex Adult Health TEST BANK Exam Answer Key with Rationales EXAMS PREP
Chamberlain University
Metabolic Acidosis: - (ANSWER)- low pH, low HCO3
Metabolic Alkalosis: - (ANSWER)- high pH, high HCO3
Interpret this ABG:
- ph 7.37
- PaCO2 50 mm HG
- Bicarbonate 30 mEq/L - (ANSWER)
Rescue Breathing Position: - (ANSWER)- Side lying position
Airway Management: - (ANSWER)- Essential nursing skills that maintain natural or artificial airways for
compromised clients
NPPV Machine: - (ANSWER)- Non Invasive Positive Pressure Ventilation
CPAP/BiPap Machine Overview: - (ANSWER)- Indications: acute COPD, cardiogenic pulmonary edema,
early hypoxemic failure in immunocompromised patients, obstructive sleep apnea, and to prevent re-
intubation
- Contraindications: apnea, cardiovascular instability or hypotension, dysrhythmias, MI, claustrophobia,
somnolence, high aspiration risk, copious secretions, GI surgery, craniofacial trauma, and burns
Endotracheal Intubation (ET): - (ANSWER)- Insertion of endotracheal tube through the mouth or
nose...preferred route to reduce infections
- Indications: maintain airway, remove secretions, prevention aspiration, and provide mechanical
ventilation
, NR 341 Complex Adult Health TEST BANK Exam Answer Key with Rationales EXAMS PREP
Chamberlain University
Intubation Equipment: - (ANSWER)- Ambu Bag connected to oxygen
- Laryngoscope & endotracheal tubes
- Suction equipment
- Ventilator
- Device or tape to secure ETT
Rapid Sequence Intubation (RSI): - (ANSWER)- Giving medications to sedate (induce) and temporarily
paralyze a patient and then performing orotracheal intubation.
- Eg. propofol, midazolam, short term paralytics, or fentanyl
- Sedate -> pain medicine -> short term paralytic
Securing ETT: - (ANSWER)
True/False: if the nurse suspects the ET tube is in the esophagus, pull out the tube and do the
following...Bag-mask ventilation with an oropharyngeal or nasopharyngel or both - (ANSWER)True,
always maintain a high index of suspicion of esophageal intubation, particularly if the intubation was
difficult. If in doubt, trust your instincts!!!
Tracheostomy Overview: - (ANSWER)- Indications: Long-term mechanical ventilation, frequent
suctioning, protecting the airway
Endotracheal Suctioning: - (ANSWER)- Indicated by assessment (PRN): visible secretions, coughing,
rhonchi, high pressure on vent, and ventilator alarm
- Conventional versus closed suctioning
- Procedures: hyper oxygenated throughout procedure, avoid normal saline instillation
Ventilator Settings: - (ANSWER)- Uses positive pressure by mechanically filling the lungs with O2 and is
the opposite of the physiology of breathing
- Fraction of Inspired Oxygen (FiO2); the percentage of inspired O2 the ventilator is giving the patient?
