NURl 209/l NUR209l Finall Examl 4l –l
(Newl 2026/l 2027l Update)l Medical-
Surgicall Nursingl IIl Reviewl |l Questionsl
&l Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Fortis
QUESTION
Youl havel al patientl whol isl onl al ventilatorl andl hel isl anxiousl andl fightingl thel
ventilator.l Whatl shouldl youl do?
Answer:
Teachl patientl tol relaxl andl coachl theml throughl it,l telll theml tol breathel withl thel
ventilator.
QUESTION
Ifl youl havel al patientl whol wasl justl inl thel ICUl andl theyl arel gettingl downgradedl tol
progressivel carel unitl andl theyl havel al newl onsetl ofl confusionl rightl beforel you'rel
sendingl theml down,l whatl dol youl do?
Answer:
Transferl patientl anyways,l itl isl ICUl delirium.
QUESTION
Whatl patientl arel youl goingl tol seel first?l (TRIPLET)
Answer:
Thel patientl onl IVl heparinl andl PTTl isl atl 101l →l they'rel goingl tol bleedl out,l stopl
infusion!
,QUESTION
SATAl -l
Patientl whol isl inl neurologicall shockl afterl theyl hadl al divingl accident,l theyl werealreadyl
placedl inl al cervicall collar,l sol whatl arel youl goingl tol dol next?
Answer:
A)l Preparel tol givel atropine
B)l Takel temp
C)l Putl onl nonl rebreatherl 100%
D)l Ensurel mechanicall ventilatorl isl closel by
QUESTION
Afterl thel change-of-shiftl report,l whichl patientl shouldl thel progressivel carel nursel assessl
first?
A.l Patientl whol wasl extubatedl thisl morningl andl hasl al temperaturel ofl 101.4°l Fl (38.6°l
C).
B.l Patientl withl bilevell positivel airwayl pressurel (BiPAP)l forl obstructivel sleepl apneal andl
al respiratoryl ratel ofl 16.
C.l Patientl withl arteriall pressurel monitoringl whol isl 2l hoursl post-percutaneousl coronaryl
interventionl andl needsl to
void.
D.l Patientl whol isl receivingl IVl heparinl forl al venousl thromboembolisml andl hasl al
partiall thromboplastinl timel (PTT)
ofl 101l seconds.
Answer:
D.l Patientl whol isl receivingl IVl heparinl forl al venousl thromboembolisml andl hasl al
partiall thromboplastinl timel (PTT)l ofl 101l seconds.
QUESTION
Afterl change-of-shiftl reportl onl al ventilatorl weaningl unit,l whichl patientl shouldl thel nursel
assessl first?
,A.l Patientl whol failedl al spontaneousl breathingl triall andl hasl beenl placedl inl al restl model
onl thel ventilator
B.l Patientl whol isl intubatedl andl hasl continuousl partiall pressurel end-tidall CO2l
(PETCO2)l monitoring
C.l Patientl whol wasl successfullyl weanedl andl extubatedl 4l hoursl agol andl hasl nol urinel
outputl forl thel lastl 6l hours
D.l Patientl withl al centrall venousl O2l saturationl (ScvO2)l ofl 69%l whilel onl bilevell
positivel airwayl pressurel (BiPAP)
Answer:
C.l Patientl whol wasl successfullyl weanedl andl extubatedl 4l hoursl agol andl hasl nol urinel
outputl forl thel lastl 6l hours
QUESTION
Thel nursel isl caringl forl al patientl withl al subarachnoidl hemorrhagel whol isl intubatedl andl
placedl onl al mechanicall ventilator
withl 10l cml H2Ol ofl peakl end-expiratoryl pressurel (PEEP).l Whatl newl findingl indicatesl
thatl thel nursel needsl tol notifyl thel health
carel providerl immediately?
A.l O2l saturationl ofl 93%
B.l Respirationsl ofl 20l breaths/min
C.l Greenl nasogastricl tubel drainage
D.l Increasedl jugularl venousl distention
Answer:
D.l Increasedl jugularl venousl distention
QUESTION
Al patientl whol isl orallyl intubatedl andl receivingl mechanicall ventilationl isl anxiousl andl isl
"fighting"l thel ventilator.l Whichl action
shouldl thel nursel takel next?
A.l Verballyl coachl thel patientl tol breathel withl thel ventilator.
B.l Sedatel thel patientl withl thel orderedl PRNl lorazepaml (Ativan).
C.l Manuallyl ventilatel thel patientl withl al bag-valve-maskl device.
D.l Increasel thel ratel forl thel orderedl propofoll (Diprivan)l infusion.
, Answer:
A.l Verballyl coachl thel patientl tol breathel withl thel ventilator.
QUESTION
Anl 81-yr-oldl patientl whol hasl beenl inl thel intensivel carel unitl (ICU)l forl al weekl isl nowl
stablel andl transferl tol thel progressive
carel unitl isl planned.l Onl rounds,l thel nursel noticesl thatl thel patientl hasl newl onsetl
confusion.l Whatl shouldl thel nursel planl to
do?
A.l Givel PRNl lorazepaml (Ativan)l andl cancell thel transfer.
B.l Informl thel receivingl nursel andl thenl transferl thel patient.
C.l Notifyl thel healthl carel providerl andl postponel thel transfer.
D.l Obtainl anl orderl forl restraintsl asl neededl andl transferl thel patient.
Answer:
B.l Informl thel receivingl nursel andl thenl transferl thel patient.
QUESTION
Thel nursel notesl thick,l whitel secretionsl inl thel endotracheall tubel (ET)l ofl al patientl whol
isl receivingl mechanicall ventilation.
Whichl interventionl willl mostl directlyl treatl thisl finding?
A.l Repositionl thel patientl everyl 1l tol 2l hours.
B.l Increasel suctioningl frequencyl tol everyl hour.
C.l Addl additionall waterl tol thel patient'sl enterall feedings.
D.l Instilll 5l mLl ofl sterilel salinel intol thel ETl beforel suctioning.
Answer:
C.l Addl additionall waterl tol thel patient'sl enterall feedings.
QUESTION
Al patientl withl suspectedl neurogenicl shockl afterl al divingl accidentl hasl arrivedl inl thel
emergencyl department.l Al cervicall collar
(Newl 2026/l 2027l Update)l Medical-
Surgicall Nursingl IIl Reviewl |l Questionsl
&l Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Fortis
QUESTION
Youl havel al patientl whol isl onl al ventilatorl andl hel isl anxiousl andl fightingl thel
ventilator.l Whatl shouldl youl do?
Answer:
Teachl patientl tol relaxl andl coachl theml throughl it,l telll theml tol breathel withl thel
ventilator.
QUESTION
Ifl youl havel al patientl whol wasl justl inl thel ICUl andl theyl arel gettingl downgradedl tol
progressivel carel unitl andl theyl havel al newl onsetl ofl confusionl rightl beforel you'rel
sendingl theml down,l whatl dol youl do?
Answer:
Transferl patientl anyways,l itl isl ICUl delirium.
QUESTION
Whatl patientl arel youl goingl tol seel first?l (TRIPLET)
Answer:
Thel patientl onl IVl heparinl andl PTTl isl atl 101l →l they'rel goingl tol bleedl out,l stopl
infusion!
,QUESTION
SATAl -l
Patientl whol isl inl neurologicall shockl afterl theyl hadl al divingl accident,l theyl werealreadyl
placedl inl al cervicall collar,l sol whatl arel youl goingl tol dol next?
Answer:
A)l Preparel tol givel atropine
B)l Takel temp
C)l Putl onl nonl rebreatherl 100%
D)l Ensurel mechanicall ventilatorl isl closel by
QUESTION
Afterl thel change-of-shiftl report,l whichl patientl shouldl thel progressivel carel nursel assessl
first?
A.l Patientl whol wasl extubatedl thisl morningl andl hasl al temperaturel ofl 101.4°l Fl (38.6°l
C).
B.l Patientl withl bilevell positivel airwayl pressurel (BiPAP)l forl obstructivel sleepl apneal andl
al respiratoryl ratel ofl 16.
C.l Patientl withl arteriall pressurel monitoringl whol isl 2l hoursl post-percutaneousl coronaryl
interventionl andl needsl to
void.
D.l Patientl whol isl receivingl IVl heparinl forl al venousl thromboembolisml andl hasl al
partiall thromboplastinl timel (PTT)
ofl 101l seconds.
Answer:
D.l Patientl whol isl receivingl IVl heparinl forl al venousl thromboembolisml andl hasl al
partiall thromboplastinl timel (PTT)l ofl 101l seconds.
QUESTION
Afterl change-of-shiftl reportl onl al ventilatorl weaningl unit,l whichl patientl shouldl thel nursel
assessl first?
,A.l Patientl whol failedl al spontaneousl breathingl triall andl hasl beenl placedl inl al restl model
onl thel ventilator
B.l Patientl whol isl intubatedl andl hasl continuousl partiall pressurel end-tidall CO2l
(PETCO2)l monitoring
C.l Patientl whol wasl successfullyl weanedl andl extubatedl 4l hoursl agol andl hasl nol urinel
outputl forl thel lastl 6l hours
D.l Patientl withl al centrall venousl O2l saturationl (ScvO2)l ofl 69%l whilel onl bilevell
positivel airwayl pressurel (BiPAP)
Answer:
C.l Patientl whol wasl successfullyl weanedl andl extubatedl 4l hoursl agol andl hasl nol urinel
outputl forl thel lastl 6l hours
QUESTION
Thel nursel isl caringl forl al patientl withl al subarachnoidl hemorrhagel whol isl intubatedl andl
placedl onl al mechanicall ventilator
withl 10l cml H2Ol ofl peakl end-expiratoryl pressurel (PEEP).l Whatl newl findingl indicatesl
thatl thel nursel needsl tol notifyl thel health
carel providerl immediately?
A.l O2l saturationl ofl 93%
B.l Respirationsl ofl 20l breaths/min
C.l Greenl nasogastricl tubel drainage
D.l Increasedl jugularl venousl distention
Answer:
D.l Increasedl jugularl venousl distention
QUESTION
Al patientl whol isl orallyl intubatedl andl receivingl mechanicall ventilationl isl anxiousl andl isl
"fighting"l thel ventilator.l Whichl action
shouldl thel nursel takel next?
A.l Verballyl coachl thel patientl tol breathel withl thel ventilator.
B.l Sedatel thel patientl withl thel orderedl PRNl lorazepaml (Ativan).
C.l Manuallyl ventilatel thel patientl withl al bag-valve-maskl device.
D.l Increasel thel ratel forl thel orderedl propofoll (Diprivan)l infusion.
, Answer:
A.l Verballyl coachl thel patientl tol breathel withl thel ventilator.
QUESTION
Anl 81-yr-oldl patientl whol hasl beenl inl thel intensivel carel unitl (ICU)l forl al weekl isl nowl
stablel andl transferl tol thel progressive
carel unitl isl planned.l Onl rounds,l thel nursel noticesl thatl thel patientl hasl newl onsetl
confusion.l Whatl shouldl thel nursel planl to
do?
A.l Givel PRNl lorazepaml (Ativan)l andl cancell thel transfer.
B.l Informl thel receivingl nursel andl thenl transferl thel patient.
C.l Notifyl thel healthl carel providerl andl postponel thel transfer.
D.l Obtainl anl orderl forl restraintsl asl neededl andl transferl thel patient.
Answer:
B.l Informl thel receivingl nursel andl thenl transferl thel patient.
QUESTION
Thel nursel notesl thick,l whitel secretionsl inl thel endotracheall tubel (ET)l ofl al patientl whol
isl receivingl mechanicall ventilation.
Whichl interventionl willl mostl directlyl treatl thisl finding?
A.l Repositionl thel patientl everyl 1l tol 2l hours.
B.l Increasel suctioningl frequencyl tol everyl hour.
C.l Addl additionall waterl tol thel patient'sl enterall feedings.
D.l Instilll 5l mLl ofl sterilel salinel intol thel ETl beforel suctioning.
Answer:
C.l Addl additionall waterl tol thel patient'sl enterall feedings.
QUESTION
Al patientl withl suspectedl neurogenicl shockl afterl al divingl accidentl hasl arrivedl inl thel
emergencyl department.l Al cervicall collar
