NUR 265 EXAM 2 COMPREHENSIVE
ASSESSMENT 2026 VERIFIED SOLUTIONS
PREPARATION KIT
◉ Shortness of breath and chest pain response
Answer: Place the patient on a cardiac monitor and pulse oximetry.
◉ Warfarin discharge comment for PE
Answer: My INR is to be monitored frequently.
◉ ABG for newly developed PE
Answer: pH 7.60, PaO2 85, PaCO2 32, HCO3 23, SaO2 88
(Respiratory alkalosis)
◉ Priority patient with heparin
Answer: A patient on day 10 of heparin with blood oozing from their
Foley catheter.
◉ Chest tube bubbling in suction control chamber
Answer: No. This is normal in the suction control chamber.
, ◉ Asymmetrical chest expansion with chest tube
Answer: Absolutely! YES!!
◉ Chest tube drainage in one hour
Answer: Yes! It is >70 ml/hr.
◉ Visible eyelets of the chest tube
Answer: Yes! The tube is coming out of the pleural space.
◉ Continuous bubbling in water seal chamber after 4 days
Answer: Call the doctor to report a leak in the system.
◉ Patient with dyspnea and ABG values
Answer: Acute respiratory failure.
◉ Greatest risk for ARDS
Answer: A burn victim receiving IV fluid boluses.
◉ Priority patient on 100% oxygen therapy
Answer: A patient receiving 100% oxygen therapy and their PAO2 is
55.
ASSESSMENT 2026 VERIFIED SOLUTIONS
PREPARATION KIT
◉ Shortness of breath and chest pain response
Answer: Place the patient on a cardiac monitor and pulse oximetry.
◉ Warfarin discharge comment for PE
Answer: My INR is to be monitored frequently.
◉ ABG for newly developed PE
Answer: pH 7.60, PaO2 85, PaCO2 32, HCO3 23, SaO2 88
(Respiratory alkalosis)
◉ Priority patient with heparin
Answer: A patient on day 10 of heparin with blood oozing from their
Foley catheter.
◉ Chest tube bubbling in suction control chamber
Answer: No. This is normal in the suction control chamber.
, ◉ Asymmetrical chest expansion with chest tube
Answer: Absolutely! YES!!
◉ Chest tube drainage in one hour
Answer: Yes! It is >70 ml/hr.
◉ Visible eyelets of the chest tube
Answer: Yes! The tube is coming out of the pleural space.
◉ Continuous bubbling in water seal chamber after 4 days
Answer: Call the doctor to report a leak in the system.
◉ Patient with dyspnea and ABG values
Answer: Acute respiratory failure.
◉ Greatest risk for ARDS
Answer: A burn victim receiving IV fluid boluses.
◉ Priority patient on 100% oxygen therapy
Answer: A patient receiving 100% oxygen therapy and their PAO2 is
55.
