NUR 265 Exam 2 (Latest 2026/2027 Update) 100% Verified Questions &
Answers | Grade A+
1. Narrowing Airway/ Stridor: Priority Patient
2. Tripoding: Patient trying to open airway
3. Pleural Space Issues: Hemothorax
Pneumothorax
Pleural Ettusion Tension
Pneumothorax
4. Tactile Fremitus: Say 99
Feel the vibrations of the lungs- normal
If no vibrations or decreased- can lead to collapsed lung
5. Tension Pneumothorax: Priority patient
Tracheal deviation
Closed pneumothorax
6. Increased RR, use for accessory muscles, stridor, deep breathing: Call MD
7. Pleural Effusion: Fluid in pleural space
8. Pulmonary Effusion: Decreased or muffled lung sounds
9. Spontaneous pneumothorax causes: Tall & skinny pt Air
pressure changes
Smoker
COPD
10. Pneumothorax s/s: decreased or absent breath sounds
dyspnea
Tracheal deviation Pleuritic
pain Tachypnea
11. Tension Pneumothorax s/s: JVD
Tracheal deviation
Asymmetric thorax
Decreased lung sounds
Cyanosis
12. Thoracentesis: Fluid removed & sent to lab
13. Pleural space issues treatment: Chest tube or thoracentesis
, 14. Chest tube: Reinflates lung
Removes air or fluid
15. Mark your drainage on chest tube call MD if over: 70 mL/hour
16. Water seal: prevents backflow into pleural space
17. Continuous or vigorous bubbling: Leak in chest tube Call
MD
18. Pulmonary Embolism caused by: Air, fat, amniotic fluid, or clot
19. Petechiae across chest & upper body: Pulmonary Embolism sign
20. D-dimer: Is increased and possible PE
21. Pulmonary Embolism care: Prevention is key
Monitor Hypoxia, & urine output
Stop smoking
Monitor females on birth control
22. Air Embolism: Air enters venous system
23. Air Embolism s/s: SOB; decrease in SaO2; chest pain; anxiety; air hunger (dyspnea), decreased LOC, tachycardia
24. Reduce air embolism risk by: Priming all tubing
25. Heparin Induced Thrombocytopenia: Platelet destruction that arises secondary to heparin ther- apy
Immune response Risk
for DVTs & PE
Still need anticoagulants
26. HIT risk patients is: Female patient, heparin therapy over a week, bleeding issues If patient
was on heparin in the last 100 days risk for HIT
27. Bleeding monitoring: watch for GI bleeds, Hgb and platelet counts Oozing IV
sites, bleeding Gums
28. ARDs risk: 3rd or 4th degree burn patients
29. Respiratory failure s/s: PaO2 <60, paCO2 >45, pH <7.35 (resp. acidosis), SaO2 <90- hypoxic
Respiratory acidosis
30. Early signs of respiratory failure: Restless,Dyspnea
Answers | Grade A+
1. Narrowing Airway/ Stridor: Priority Patient
2. Tripoding: Patient trying to open airway
3. Pleural Space Issues: Hemothorax
Pneumothorax
Pleural Ettusion Tension
Pneumothorax
4. Tactile Fremitus: Say 99
Feel the vibrations of the lungs- normal
If no vibrations or decreased- can lead to collapsed lung
5. Tension Pneumothorax: Priority patient
Tracheal deviation
Closed pneumothorax
6. Increased RR, use for accessory muscles, stridor, deep breathing: Call MD
7. Pleural Effusion: Fluid in pleural space
8. Pulmonary Effusion: Decreased or muffled lung sounds
9. Spontaneous pneumothorax causes: Tall & skinny pt Air
pressure changes
Smoker
COPD
10. Pneumothorax s/s: decreased or absent breath sounds
dyspnea
Tracheal deviation Pleuritic
pain Tachypnea
11. Tension Pneumothorax s/s: JVD
Tracheal deviation
Asymmetric thorax
Decreased lung sounds
Cyanosis
12. Thoracentesis: Fluid removed & sent to lab
13. Pleural space issues treatment: Chest tube or thoracentesis
, 14. Chest tube: Reinflates lung
Removes air or fluid
15. Mark your drainage on chest tube call MD if over: 70 mL/hour
16. Water seal: prevents backflow into pleural space
17. Continuous or vigorous bubbling: Leak in chest tube Call
MD
18. Pulmonary Embolism caused by: Air, fat, amniotic fluid, or clot
19. Petechiae across chest & upper body: Pulmonary Embolism sign
20. D-dimer: Is increased and possible PE
21. Pulmonary Embolism care: Prevention is key
Monitor Hypoxia, & urine output
Stop smoking
Monitor females on birth control
22. Air Embolism: Air enters venous system
23. Air Embolism s/s: SOB; decrease in SaO2; chest pain; anxiety; air hunger (dyspnea), decreased LOC, tachycardia
24. Reduce air embolism risk by: Priming all tubing
25. Heparin Induced Thrombocytopenia: Platelet destruction that arises secondary to heparin ther- apy
Immune response Risk
for DVTs & PE
Still need anticoagulants
26. HIT risk patients is: Female patient, heparin therapy over a week, bleeding issues If patient
was on heparin in the last 100 days risk for HIT
27. Bleeding monitoring: watch for GI bleeds, Hgb and platelet counts Oozing IV
sites, bleeding Gums
28. ARDs risk: 3rd or 4th degree burn patients
29. Respiratory failure s/s: PaO2 <60, paCO2 >45, pH <7.35 (resp. acidosis), SaO2 <90- hypoxic
Respiratory acidosis
30. Early signs of respiratory failure: Restless,Dyspnea
