COMPLEX ADULT HEALTH CHAMBERLAIN 2
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ The nurse is aware that a shortage of organs exists. She knows
that which of the following statements
is true?
a. Anyone who is comfortable approaching the family should discuss
the option of organ donation.
b. Brain death determination is required before organs can be
retrieved for transplant.
c. Donation of selected organs after cardiac death is ethically
acceptable.
d. Family members should consider withdrawing life support so that
the patient can become an organ
donor. Answer: c
◉ The nurse is caring for a patient whose condition has deteriorated
and who is not responding to standard treatment. The physician
calls for an ethical consultation with the family to discuss potential
withdrawal
,versus aggressive treatment. The nurse understands that applying a
model for ethical decision
making involves which of the following? (Select all that apply.)
a. Burden versus benefit
b. Family's wishes
c. Patient's wishes
d. Potential outcomes of treatment options. Answer: a,c,d
◉ The nurse is caring for a patient with severe neurological
impairment following a massive stroke. The physician has ordered
tests to determine brain death. The nurse understands that criteria
for brain death include: (Select all that apply.)
a. absence of cerebral blood flow.
b. absence of brainstem reflexes on neurological examination.
c. Cheyne-Stokes respirations.
d. flat electroencephalogram.. Answer: a,b,d
◉ Nursing strategies to help families cope with the stress of critical
illness include: (Select all that apply.)
a. asking the family to leave during the morning bath to promote the
patient's privacy.
b. encouraging family members to make notes of questions they
have for the physician during family rounds.
c. if possible, providing continuity of nursing care.
,d. providing a daily update of the patient's condition to the family
spokesperson.. Answer: b,c,d
◉ chest tubes. Answer:
◉ ROME. Answer:
◉ The provider orders the following mechanical ventilation settings
for a patient who weighs 75 kg. The patient's spontaneous
respiratory rate is 22 breaths/min. Which arterial blood gas
abnormality may occur if the patient continues to be tachypneic at
these ventilator settings?
Settings:
Tidal volume: 600 mL (8 mL per kg)
FiO2: 0.5
Respiratory rate: 14 breaths/min
Mode assist/control
Positive end-expiratory pressure: 10 cm H2O
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis. Answer: D
, Assist/control ventilation may result in respiratory alkalosis,
especially when the
patient is breathing at a higher rate that the ventilator rate. Each
time the patient initiates a spontaneous breath—in this case 22
times per minute—the ventilator will deliver 600 mL of volume.
◉ A patient's ventilator settings are adjusted to treat hypoxemia.
The fraction of inspired oxygen is increased from 0.6 to 0.7, and the
positive end-expiratory pressure is increased from 10 to 15 cm H2O.
Shortly after these adjustments, the nurse notes that the patient's
blood pressure drops from 120/76 mm Hg to 90/60 mm Hg. What is
the most likely cause of this decrease in blood pressure?
a. Decrease in cardiac output
b. Hypovolemia
c. Increase in venous return
d. Oxygen toxicity. Answer: A
Positive end-expiratory pressure increases intrathoracic pressure
and may result in decreased venous return. Cardiac output
decreases as a result, and is reflected in the lower blood pressure. It
is essential to assess the patient to identify optimal positive end-
expiratory pressure—the highest amount that can be applied
without compromising cardiac output.
◉ The nurse is caring for a patient with an endotracheal tube. The
nurse understands that endotracheal suctioning is needed to
facilitate removal of secretions and that the procedure
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ The nurse is aware that a shortage of organs exists. She knows
that which of the following statements
is true?
a. Anyone who is comfortable approaching the family should discuss
the option of organ donation.
b. Brain death determination is required before organs can be
retrieved for transplant.
c. Donation of selected organs after cardiac death is ethically
acceptable.
d. Family members should consider withdrawing life support so that
the patient can become an organ
donor. Answer: c
◉ The nurse is caring for a patient whose condition has deteriorated
and who is not responding to standard treatment. The physician
calls for an ethical consultation with the family to discuss potential
withdrawal
,versus aggressive treatment. The nurse understands that applying a
model for ethical decision
making involves which of the following? (Select all that apply.)
a. Burden versus benefit
b. Family's wishes
c. Patient's wishes
d. Potential outcomes of treatment options. Answer: a,c,d
◉ The nurse is caring for a patient with severe neurological
impairment following a massive stroke. The physician has ordered
tests to determine brain death. The nurse understands that criteria
for brain death include: (Select all that apply.)
a. absence of cerebral blood flow.
b. absence of brainstem reflexes on neurological examination.
c. Cheyne-Stokes respirations.
d. flat electroencephalogram.. Answer: a,b,d
◉ Nursing strategies to help families cope with the stress of critical
illness include: (Select all that apply.)
a. asking the family to leave during the morning bath to promote the
patient's privacy.
b. encouraging family members to make notes of questions they
have for the physician during family rounds.
c. if possible, providing continuity of nursing care.
,d. providing a daily update of the patient's condition to the family
spokesperson.. Answer: b,c,d
◉ chest tubes. Answer:
◉ ROME. Answer:
◉ The provider orders the following mechanical ventilation settings
for a patient who weighs 75 kg. The patient's spontaneous
respiratory rate is 22 breaths/min. Which arterial blood gas
abnormality may occur if the patient continues to be tachypneic at
these ventilator settings?
Settings:
Tidal volume: 600 mL (8 mL per kg)
FiO2: 0.5
Respiratory rate: 14 breaths/min
Mode assist/control
Positive end-expiratory pressure: 10 cm H2O
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis. Answer: D
, Assist/control ventilation may result in respiratory alkalosis,
especially when the
patient is breathing at a higher rate that the ventilator rate. Each
time the patient initiates a spontaneous breath—in this case 22
times per minute—the ventilator will deliver 600 mL of volume.
◉ A patient's ventilator settings are adjusted to treat hypoxemia.
The fraction of inspired oxygen is increased from 0.6 to 0.7, and the
positive end-expiratory pressure is increased from 10 to 15 cm H2O.
Shortly after these adjustments, the nurse notes that the patient's
blood pressure drops from 120/76 mm Hg to 90/60 mm Hg. What is
the most likely cause of this decrease in blood pressure?
a. Decrease in cardiac output
b. Hypovolemia
c. Increase in venous return
d. Oxygen toxicity. Answer: A
Positive end-expiratory pressure increases intrathoracic pressure
and may result in decreased venous return. Cardiac output
decreases as a result, and is reflected in the lower blood pressure. It
is essential to assess the patient to identify optimal positive end-
expiratory pressure—the highest amount that can be applied
without compromising cardiac output.
◉ The nurse is caring for a patient with an endotracheal tube. The
nurse understands that endotracheal suctioning is needed to
facilitate removal of secretions and that the procedure
