NUR 265- EXAM 2 PRACTICE QUESTIONS AND ANSWERS
1. What finding is consistent for a patient with PE?: Pleural friction
rub
2. For a patient with SOB and chest pain, rapid response is called,
the HOB is elevated, and oxygen is applied. What do you do next?:
Place the patient on a cardiac monitor and pulse oximetry
3. A patient is d/c'd on warfarin for PE. What comment from
the patient achieves a clear understanding?: My INR is to be
monitored frequently
4. Which ABG will a patient who has just developed PE likely have?:
pH 7.60, Pa02 85, PaC02 32, HC03 23, Sa02 88 (Respiratory Alkalosis)
5. Who is a priority patient?: A patient on day 10 of heparin with blood oozing
from their foley catheter
6. A chest tube is continuously bubbling in the suction control
chamber. Do you call the doctor?: No. This is normal in the suction
control chamber.
7. A patient with a chest tube has asymmetrical chest expansion.
Do you call the doctor?: Absolutely! YES!!
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, 8. A patient has 95 mL of drainage from their chest tube in one
hour. Do you call the provider?: Yes! It is >70 mL/hr
9. Eyelets of the chest tube become visible. Do you call the provider?:
Yes! The tube is coming out of the pleural space.
10. It is day 4 with chest tube therapy. Now, there is a continuous
bubbling of water in the water seal chamber. What priority action
needs to come next?: Call the doctor to report a leak in the system
11. A patient with dyspnea, BP 145/86, R 10, HR 110, pH 7.28, Pa02
60, PaC02 52, HC03 24, Sa02 84%. What would be this problem?:
Acute respiratory failure
12. Who is at greatest risk for ARDS?: A burn victim receiving IV fluid
boluses
13. Who would be considered a priority patient?: A patient receiving 100%
oxygen therapy and their PA02 is 55
14. A patient with ARDS was intubated 45 mins ago. What is the
next priority?-
: Evaluate post-intubation ABG from respiratory therapy (RT, 30-60 minute window),
and portable chest x-ray
15. Who needs the interdisciplinary care team the most?: A 19 y/o MVA
victim intubated and vented x 14 days ago for ARDS
16. What finding is the most indicative of tension pneumothorax?:
Distended neck veins
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1. What finding is consistent for a patient with PE?: Pleural friction
rub
2. For a patient with SOB and chest pain, rapid response is called,
the HOB is elevated, and oxygen is applied. What do you do next?:
Place the patient on a cardiac monitor and pulse oximetry
3. A patient is d/c'd on warfarin for PE. What comment from
the patient achieves a clear understanding?: My INR is to be
monitored frequently
4. Which ABG will a patient who has just developed PE likely have?:
pH 7.60, Pa02 85, PaC02 32, HC03 23, Sa02 88 (Respiratory Alkalosis)
5. Who is a priority patient?: A patient on day 10 of heparin with blood oozing
from their foley catheter
6. A chest tube is continuously bubbling in the suction control
chamber. Do you call the doctor?: No. This is normal in the suction
control chamber.
7. A patient with a chest tube has asymmetrical chest expansion.
Do you call the doctor?: Absolutely! YES!!
1/9
, 8. A patient has 95 mL of drainage from their chest tube in one
hour. Do you call the provider?: Yes! It is >70 mL/hr
9. Eyelets of the chest tube become visible. Do you call the provider?:
Yes! The tube is coming out of the pleural space.
10. It is day 4 with chest tube therapy. Now, there is a continuous
bubbling of water in the water seal chamber. What priority action
needs to come next?: Call the doctor to report a leak in the system
11. A patient with dyspnea, BP 145/86, R 10, HR 110, pH 7.28, Pa02
60, PaC02 52, HC03 24, Sa02 84%. What would be this problem?:
Acute respiratory failure
12. Who is at greatest risk for ARDS?: A burn victim receiving IV fluid
boluses
13. Who would be considered a priority patient?: A patient receiving 100%
oxygen therapy and their PA02 is 55
14. A patient with ARDS was intubated 45 mins ago. What is the
next priority?-
: Evaluate post-intubation ABG from respiratory therapy (RT, 30-60 minute window),
and portable chest x-ray
15. Who needs the interdisciplinary care team the most?: A 19 y/o MVA
victim intubated and vented x 14 days ago for ARDS
16. What finding is the most indicative of tension pneumothorax?:
Distended neck veins
2/9
