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©BRIGHTSTRS EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 1 NURS 5355 Final Exam Questions With Verified Answers Determine difficult intubation with? - AnswersLEMONS size of tongue to oral cavity? - AnswersMallampati Classification Score absolute CI in endotracheal intubation? - Answerstotal upper airway obstruction or loss of oropharyngeal landmarks from trauma or burns pressure on cricoid cartilage to compress esophagus to prevent regurg during intubation? - AnswersSellick's Maneuver insert blade with ? hand on ? of the mouth? - Answersleft hand & on right side of the mouth to displace tongue to the left aligns the oral, pharyngeal, and laryngeal axes? - Answerssniffing position for intubation goal of preoxygenation? - Answersmaximize arterial PaO2 & denitrogenation of functional residual capacity maximizes time for intubation w/o O2 desaturation (7-9 min in healthy adult) Room Air is? - Answersprimarily 21% oxygen and 78% nitrogen rapid onset and short duration paralytic? - AnswersSuccinylcholine: 30-45 sec; 5-10 mins Increases K levels rescue breaths during CPR? - Answersless important; interrupts chest compressions and increases intrathoracic pressure see base of the uvula? - AnswersClass III Mallampati soft palate not visible? - AnswersClass IV Mallampati difficult BVM ventilation? - AnswersMOANS ©BRIGHTSTRS EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 2 oxygenation versus ventilation? - AnswersO2 to blood and tissues versus air in and out of the lungs precludes apneic patient requiring crash airway? - AnswersRSI steps to RSI? - Answersprepare, assess (LEMONS) & preoxygenate (MOANS), medications Crash intubation? - Answersno RSI in unconscious or apneic patient due to cardiac arrest occurs with inspiratory effort- inspiratory stridor? - AnswersLaryngospasm- forced glottic closure but with inspiration induce amnesia, reduces autonomic reflex activity, no analgesia? - AnswersSedatives Mimics Acetylcholine? (depolarizing) - AnswersSuccinylcholine- allows sodium to rush in and potassium out reversal for Roc & Vec (non-depolarizing)? - AnswersNeostigmine (anticholinesterase) ETT ? into trachea and ? above carina? - Answers2.5cm into trachea, below clavicle, and 3-5 cm above carina (T5) aseptic technique? - Answersreduce/prevention of flora and re-growth LP in the emergency department? - Answersdiagnose or exclude meningitis & suspected SAH sensitivity of CT in SAH decreases after? - Answers24 hours following event mark? in LP procedure- parallel to iliac crests? - AnswersL3-4 or L4-5 needle insertion during LP? - Answerspop = entrance into dura mater target for LP to collect CSF? - AnswersSAH below end of the spinal cord (lumbar cistern) LP should be done prior to abx but shouldn't delay abx therapy in? - AnswersBacterial meningitis decreasing # of RBCs in subsequent tubes and normal CSF? - Answerstraumatic tap xanthochromia and elevated CSF pressure 14mmHg? - AnswersSAH CSF glucose in bacterial infection? - Answers20-50mg- half of blood glucose level signature? - AnswersRN, AG ACNP-S consistent features in procedural documentation? - Answersindication, time out, consent, and anesthesia

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©BRIGHTSTRS EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.


NURS 5355 Final Exam Questions With
Verified Answers


Determine difficult intubation with? - Answers✔LEMONS

size of tongue to oral cavity? - Answers✔Mallampati Classification Score

absolute CI in endotracheal intubation? - Answers✔total upper airway obstruction or loss of
oropharyngeal landmarks from trauma or burns
pressure on cricoid cartilage to compress esophagus to prevent regurg during intubation? -
Answers✔Sellick's Maneuver

insert blade with ? hand on ? of the mouth? - Answers✔left hand & on right side of the mouth to
displace tongue to the left

aligns the oral, pharyngeal, and laryngeal axes? - Answers✔sniffing position for intubation

goal of preoxygenation? - Answers✔maximize arterial PaO2 & denitrogenation of functional
residual capacity
maximizes time for intubation w/o O2 desaturation (7-9 min in healthy adult)

Room Air is? - Answers✔primarily 21% oxygen and 78% nitrogen

rapid onset and short duration paralytic? - Answers✔Succinylcholine: 30-45 sec; 5-10 mins
Increases K levels

rescue breaths during CPR? - Answers✔less important; interrupts chest compressions and
increases intrathoracic pressure

see base of the uvula? - Answers✔Class III Mallampati

soft palate not visible? - Answers✔Class IV Mallampati

difficult BVM ventilation? - Answers✔MOANS



1

, ©BRIGHTSTRS EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
oxygenation versus ventilation? - Answers✔O2 to blood and tissues versus air in and out of the
lungs

precludes apneic patient requiring crash airway? - Answers✔RSI

steps to RSI? - Answers✔prepare, assess (LEMONS) & preoxygenate (MOANS), medications

Crash intubation? - Answers✔no RSI in unconscious or apneic patient due to cardiac arrest

occurs with inspiratory effort- inspiratory stridor? - Answers✔Laryngospasm- forced glottic
closure but with inspiration

induce amnesia, reduces autonomic reflex activity, no analgesia? - Answers✔Sedatives

Mimics Acetylcholine? (depolarizing) - Answers✔Succinylcholine- allows sodium to rush in and
potassium out

reversal for Roc & Vec (non-depolarizing)? - Answers✔Neostigmine (anticholinesterase)

ETT ? into trachea and ? above carina? - Answers✔2.5cm into trachea, below clavicle, and 3-5
cm above carina (T5)

aseptic technique? - Answers✔reduce/prevention of flora and re-growth

LP in the emergency department? - Answers✔diagnose or exclude meningitis & suspected SAH

sensitivity of CT in SAH decreases after? - Answers✔24 hours following event

mark? in LP procedure- parallel to iliac crests? - Answers✔L3-4 or L4-5

needle insertion during LP? - Answers✔pop = entrance into dura mater

target for LP to collect CSF? - Answers✔SAH below end of the spinal cord (lumbar cistern)

LP should be done prior to abx but shouldn't delay abx therapy in? - Answers✔Bacterial
meningitis

decreasing # of RBCs in subsequent tubes and normal CSF? - Answers✔traumatic tap

xanthochromia and elevated CSF pressure > 14mmHg? - Answers✔SAH

CSF glucose in bacterial infection? - Answers✔20-50mg- half of blood glucose level

signature? - Answers✔RN, AG ACNP-S

consistent features in procedural documentation? - Answers✔indication, time out, consent, and
anesthesia


2

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