NR 341 Complex Adult Health Exam 2 Study Set Actual Questions and
Correct Answers
Q1
ABG Overview #2
Answer: (graphic #2)
Q2
ABG Overview #3
Answer: (graphic #3)
Q3
Fully compensated
Answer: pH normal
Q4
Partially compensated
Answer: All values are abnormal
Q5
Uncompensated
Answer: pH and one other value is abnormal
Q6
Measurements of Oxygenation
Answer: 80 - 100mmHG
Q7
Potassium Levels in Acidosis
Answer: K+ = Elevated
Q8
Respiratory Acidosis
Answer: low pH, high CO2
,Q9
Respiratory Alkalosis
Answer: high pH, low CO2
Q10
Metabolic Acidosis
Answer: low pH, low HCO3
Q11
Metabolic Alkalosis
Answer: high pH, high HCO3
Q12
Rescue Breathing Position
Answer: Side lying position
Q13
Airway Management
Answer: Essential nursing skills that maintain natural or artificial airways for compromised clients
Q14
NPPV Machine
Answer: Non Invasive Positive Pressure Ventilation
Q15
CPAP/BiPap Machine Overview
Answer: Indications: acute COPD, cardiogenic pulmonary edema, early hypoxemic failure in
immunocompromised patients, obstructive sleep apnea, and to prevent re-intubation
Q16
Endotracheal Intubation (ET)
Answer: Insertion of endotracheal tube through the mouth or nose...preferred route to reduce
infections
, Q17
Intubation Equipment
Answer: Ambu Bag connected to oxygen
Q18
Rapid Sequence Intubation (RSI)
Answer: Giving medications to sedate (induce) and temporarily paralyze a patient and then
performing
orotracheal intubation
Q19
True/False: if the nurse suspects the ET tube is in the esophagus, pull out the tube and do the
following...Bag-mask ventilation with an oropharyngeal or nasopharyngel or both
Answer: True, always maintain a high index of suspicion of esophageal intubation, particularly if
the intubation
was difficult. If in doubt, trust your instincts!!!
Q20
Tracheostomy Overview
Answer: Indications: Long-term mechanical ventilation, frequent suctioning, protecting the airway
Q21
Endotracheal Suctioning
Answer: Indicated by assessment (PRN): visible secretions, coughing, rhonchi, high pressure on
vent, and
ventilator alarm
Q22
Ventilator Settings
Answer: Uses positive pressure by mechanically filling the lungs with O2 and is the opposite of
the physiology
of breathing
Q23
Positive End Expiratory Pressure (PEEP)
Answer: The amount of positive pressure (in cms of H20) applied to the airways during expiration;
PEEP is
meant to hold open the alveoli and prevent airway collapse between breaths
Correct Answers
Q1
ABG Overview #2
Answer: (graphic #2)
Q2
ABG Overview #3
Answer: (graphic #3)
Q3
Fully compensated
Answer: pH normal
Q4
Partially compensated
Answer: All values are abnormal
Q5
Uncompensated
Answer: pH and one other value is abnormal
Q6
Measurements of Oxygenation
Answer: 80 - 100mmHG
Q7
Potassium Levels in Acidosis
Answer: K+ = Elevated
Q8
Respiratory Acidosis
Answer: low pH, high CO2
,Q9
Respiratory Alkalosis
Answer: high pH, low CO2
Q10
Metabolic Acidosis
Answer: low pH, low HCO3
Q11
Metabolic Alkalosis
Answer: high pH, high HCO3
Q12
Rescue Breathing Position
Answer: Side lying position
Q13
Airway Management
Answer: Essential nursing skills that maintain natural or artificial airways for compromised clients
Q14
NPPV Machine
Answer: Non Invasive Positive Pressure Ventilation
Q15
CPAP/BiPap Machine Overview
Answer: Indications: acute COPD, cardiogenic pulmonary edema, early hypoxemic failure in
immunocompromised patients, obstructive sleep apnea, and to prevent re-intubation
Q16
Endotracheal Intubation (ET)
Answer: Insertion of endotracheal tube through the mouth or nose...preferred route to reduce
infections
, Q17
Intubation Equipment
Answer: Ambu Bag connected to oxygen
Q18
Rapid Sequence Intubation (RSI)
Answer: Giving medications to sedate (induce) and temporarily paralyze a patient and then
performing
orotracheal intubation
Q19
True/False: if the nurse suspects the ET tube is in the esophagus, pull out the tube and do the
following...Bag-mask ventilation with an oropharyngeal or nasopharyngel or both
Answer: True, always maintain a high index of suspicion of esophageal intubation, particularly if
the intubation
was difficult. If in doubt, trust your instincts!!!
Q20
Tracheostomy Overview
Answer: Indications: Long-term mechanical ventilation, frequent suctioning, protecting the airway
Q21
Endotracheal Suctioning
Answer: Indicated by assessment (PRN): visible secretions, coughing, rhonchi, high pressure on
vent, and
ventilator alarm
Q22
Ventilator Settings
Answer: Uses positive pressure by mechanically filling the lungs with O2 and is the opposite of
the physiology
of breathing
Q23
Positive End Expiratory Pressure (PEEP)
Answer: The amount of positive pressure (in cms of H20) applied to the airways during expiration;
PEEP is
meant to hold open the alveoli and prevent airway collapse between breaths
