NSG-300 Exam 3 Practice Questions With
Complete Solutions
A patient with a tracheostomy has thick tenacious secretions. To maintain the
airway, the most appropriate action for the nurse includes:
A. Tracheal suctioning
B. Oropharyngeal suctioning
C. Nasotracheal suctioning
D. Orotracheal suctioning - ANSWER-ANSWER: A
When evaluating a post-thoracotomy patient with a chest tube, the best method
to properly maintain the chest tube would be to:
A. strip the chest tube every hour to maintain drainage
B. place the device below the patient's chest
C. double clamp the tube except during assessment
D. remove the tubing from the drainage device to check for proper suctioning -
ANSWER-ANSWER : B
"Handle the chest drainage unit carefully and maintain the drainage device below
the patient's chest," (pg. 899). Chest tubes are not routinely stripped or milked to
move clots or increase chest drainage. Clamping can result in a tension
pneumothorax and a chest tube is only clamped when replacing the chest
drainage system, assessing for an air leak, or during removal. You do not want to
, remove the tubing because it requires patient preparation due to the burning,
pulling, and painful sensation.
A patient complains of chest pain. When assessing the pain, you decide that its
origin is cardiac - rather than respiratory or gastrointestinal - when it:
A. does not occur with respiratory variations
B. is peripheral and may radiate to the scapular region
C. is aggravated by inspiratory movements
D. is non radiating and occurs during inspiration - ANSWER-ANSWER: A
C & D have the words "inspiratory" and "inspiration" both indicating respiration.
During rounds on the night shift, you note that a patient stops breathing for 1 to 2
minutes several times during the shift. This condition is know as:
A. Cataplexy
B. Insomnia
C. Narcolepsy
D. Sleep Apnea - ANSWER-ANSWER: D
A patient suffers from sleep pattern disturbance. To promote adequate sleep, the
most important nursing intervention is...
A. Administering a sleep aid
Complete Solutions
A patient with a tracheostomy has thick tenacious secretions. To maintain the
airway, the most appropriate action for the nurse includes:
A. Tracheal suctioning
B. Oropharyngeal suctioning
C. Nasotracheal suctioning
D. Orotracheal suctioning - ANSWER-ANSWER: A
When evaluating a post-thoracotomy patient with a chest tube, the best method
to properly maintain the chest tube would be to:
A. strip the chest tube every hour to maintain drainage
B. place the device below the patient's chest
C. double clamp the tube except during assessment
D. remove the tubing from the drainage device to check for proper suctioning -
ANSWER-ANSWER : B
"Handle the chest drainage unit carefully and maintain the drainage device below
the patient's chest," (pg. 899). Chest tubes are not routinely stripped or milked to
move clots or increase chest drainage. Clamping can result in a tension
pneumothorax and a chest tube is only clamped when replacing the chest
drainage system, assessing for an air leak, or during removal. You do not want to
, remove the tubing because it requires patient preparation due to the burning,
pulling, and painful sensation.
A patient complains of chest pain. When assessing the pain, you decide that its
origin is cardiac - rather than respiratory or gastrointestinal - when it:
A. does not occur with respiratory variations
B. is peripheral and may radiate to the scapular region
C. is aggravated by inspiratory movements
D. is non radiating and occurs during inspiration - ANSWER-ANSWER: A
C & D have the words "inspiratory" and "inspiration" both indicating respiration.
During rounds on the night shift, you note that a patient stops breathing for 1 to 2
minutes several times during the shift. This condition is know as:
A. Cataplexy
B. Insomnia
C. Narcolepsy
D. Sleep Apnea - ANSWER-ANSWER: D
A patient suffers from sleep pattern disturbance. To promote adequate sleep, the
most important nursing intervention is...
A. Administering a sleep aid
