BKAT 9R CORRECT FINALS ANSWERS AND
QUESTIONS SURE A+
✔✔An excessive amount of chest tube drainage in the first few hours following thoracic
surgery is how many ml's per hour?
1. 150
2. 75
3. 50
4. 30 - ✔✔150
✔✔A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mm
Hg, pCO2 of 38 mm Hg, and HCO3 of 25 mEq. These results reflect:
1. metabolic acidosis
2. metabolic alkalosis
3. normal values
4. respiratory compensation - ✔✔normal values
✔✔Before suctioning a patient, you adjust the vacuum pressure so that it is:
1. 150 mm Hg of vacuum pressure
2. as high as needed to effectively remove secretions
3. 120 mm Hg of vacuum pressure
4. no higher than the diastolic blood pressure - ✔✔120 mm Hg of pressure
✔✔Your post-operative patient has a left anterior chest tube. When you auscultate the
lung fields bilaterally, you hear diminished breath sounds in the right posterior base.
This would most likely be due to:
1. pleuritis
2. consolidation
3. the chest tube
4. atelectasis - ✔✔atelectasis
✔✔Your patient is on a ventilator. The low volume alarm sounds. This may be due to:
1. pulmonary edema
2. increasing secretions
, 3. a disconnected tube
4. biting the tube - ✔✔a disconnected tube
✔✔To assess proper positioning of an endotracheal tube, the most appropriate nursing
action would be to:
1. check for a change in the respiratory rate
2. listen for bilateral breath sounds
3. check for chest expansion
4. listen for minimal leak of the cuff - ✔✔Listen for bilateral breath sounds
✔✔Mr. Ray has an endotracheal tube. While you are making rounds, you ask if his
breathing is okay. In an audible tone, he says "yes". You should first:
1. raise the head of the bed
2. ask the patient to cough
3. notify the physician
4. check the functioning of the cuff - ✔✔check the functioning of the cuff
✔✔The high pressure alarm on a volume respirator will not be triggered by which
response below?
1. biting on the tube
2. pulmonary edema
3. leaking cuff
4. decreased lung compliance - ✔✔leaking cuff
✔✔The most important reason for diminishing breath sounds in a motor vehicle crash
victim with closed chest trauma is:
1. chest pain when breathing normally
2. a pulmonary bleed
3. development of a pneumothorax
4. cervical spinal-cord injury - ✔✔Development of a pneumothorax
✔✔A moderately burned trauma patient is admitted to your unit. The most important
treatment related to the burns during the first 24 hours after injury is:
1. fluid replacement
2. accurate administration of antibiotics
3. pain relief measures
4. early wound cultures - ✔✔fluid replacement
✔✔Your trauma patient, who is 4 days post fracture of the right femur, suddenly
develops shortness of breath. The most likely cause is:
1. Fat embolus
2. Pneumonia
3. Pleural effusion
4. Pulmonary edema - ✔✔Fat embolism
QUESTIONS SURE A+
✔✔An excessive amount of chest tube drainage in the first few hours following thoracic
surgery is how many ml's per hour?
1. 150
2. 75
3. 50
4. 30 - ✔✔150
✔✔A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mm
Hg, pCO2 of 38 mm Hg, and HCO3 of 25 mEq. These results reflect:
1. metabolic acidosis
2. metabolic alkalosis
3. normal values
4. respiratory compensation - ✔✔normal values
✔✔Before suctioning a patient, you adjust the vacuum pressure so that it is:
1. 150 mm Hg of vacuum pressure
2. as high as needed to effectively remove secretions
3. 120 mm Hg of vacuum pressure
4. no higher than the diastolic blood pressure - ✔✔120 mm Hg of pressure
✔✔Your post-operative patient has a left anterior chest tube. When you auscultate the
lung fields bilaterally, you hear diminished breath sounds in the right posterior base.
This would most likely be due to:
1. pleuritis
2. consolidation
3. the chest tube
4. atelectasis - ✔✔atelectasis
✔✔Your patient is on a ventilator. The low volume alarm sounds. This may be due to:
1. pulmonary edema
2. increasing secretions
, 3. a disconnected tube
4. biting the tube - ✔✔a disconnected tube
✔✔To assess proper positioning of an endotracheal tube, the most appropriate nursing
action would be to:
1. check for a change in the respiratory rate
2. listen for bilateral breath sounds
3. check for chest expansion
4. listen for minimal leak of the cuff - ✔✔Listen for bilateral breath sounds
✔✔Mr. Ray has an endotracheal tube. While you are making rounds, you ask if his
breathing is okay. In an audible tone, he says "yes". You should first:
1. raise the head of the bed
2. ask the patient to cough
3. notify the physician
4. check the functioning of the cuff - ✔✔check the functioning of the cuff
✔✔The high pressure alarm on a volume respirator will not be triggered by which
response below?
1. biting on the tube
2. pulmonary edema
3. leaking cuff
4. decreased lung compliance - ✔✔leaking cuff
✔✔The most important reason for diminishing breath sounds in a motor vehicle crash
victim with closed chest trauma is:
1. chest pain when breathing normally
2. a pulmonary bleed
3. development of a pneumothorax
4. cervical spinal-cord injury - ✔✔Development of a pneumothorax
✔✔A moderately burned trauma patient is admitted to your unit. The most important
treatment related to the burns during the first 24 hours after injury is:
1. fluid replacement
2. accurate administration of antibiotics
3. pain relief measures
4. early wound cultures - ✔✔fluid replacement
✔✔Your trauma patient, who is 4 days post fracture of the right femur, suddenly
develops shortness of breath. The most likely cause is:
1. Fat embolus
2. Pneumonia
3. Pleural effusion
4. Pulmonary edema - ✔✔Fat embolism
