NUR 265 EXAM 2 QUESTIONS AND CORRECT ANSWERS LATEST GUIDE 2026/2027 GRADED A+ .

1. A client has a new tracheostomy, on a mechanical ventilator with the following settings correct answer SIMV,rate of 12, TV 800, FIo2 80% and PEEP of 5 cmH20. Which assessment finding requires immediate action by the nurse? Dry mucous membranes Rhonchi in upper lobes Blood-tinged sputum Constant, nonproductive coughing correct answer Constant, nonproductive coughing 2. The nurse notes each time the mechanical ventilator delivers a breath to a client with acute respiratory distress syndrome (ARDS), the peak inspiratory pressure alarm sounds. What is the nurse's best intervention? Raise the head of bed to high Fowlers Assess the airway Suction the client. Perform chest physiotherapy. correct answer Assessthe airway 3. A patient with a pleural effusion is scheduled for a thoracentesis. Which action should the nurse take to prepare the patient for the procedure? Position the patientsitting upright on the edge ofthe bed and leaning forward. Start a peripheralIV line to administer the necessary sedative drugs. Remove the water pitcher and remind the patient not to eat or drink anything for 6 hours. Obtain a large collection device to hold 2 to 3 liters of pleural fluid at one time. correct answer Position the patient sitting upright on the edge of the bed and leaning forward. 4. A client with a blood sugar of 525 g/dl and potassium level of 6.8 mEq/L exhibits Kussmaul's respiration, confusion, and fruity breath. Which of the following prescriptions would the nurse anticipate correct answer 3% normal saline IV gtt at 25 mLs/hr Sodium bicarbonate infusion and Regular Insulin gtt 40 mg Furosemide IVP 6L O2 via nasal cannula correct answer Sodium bicarbonate infusion and Regular Insulin gtt 5. The nurse palpates the posterior chest while the client says "99" and notes absent fremitus. Which action should the nurse ta