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NUR
NUR 265 / NUR265 E XAM 2: (LATEST 2025/
2026 UPDATE) ADVANCED CONCEPTS OF MEDICAL-
SURGICAL NURSING GUIDE| QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- GALEN
What are some risk factors for a PE? - ANS ✓Immobility
Central Lines
Surgery
Obesity
DVT's
Birth Control Pills
Smoking
What is the best way to prevent a PE? - ANS ✓*Move the patient post op.*
What should be done immediately after the nurse notes s/s of a PE? - ANS ✓*Notify the
Rapid Response Team*
What are ways to manage the symptoms of a PE? - ANS ✓ABC: might need intubation
Anticoags (heparin/warfarin/fibrinolytics)
High Fowlers
Telemetry
Safety/bleeding precatutions
100% non rebreather
What is a pulmonary contusion? - ANS ✓A "bruise" of the lung
What is the treatment/nursing interventions for a pulmonary contusion? - ANS ✓PEEP to try
and fix itself (bruise will desolve itself)
Monitor ABC's
Is an increase in output from a chest tube expected? - ANS ✓*NO*
What are s/s of a pulmonary contusion? - ANS ✓Hemorrhaging and edema in the lungs
Hyposix
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Dyspneic
Hemoptysis
*Crackles,wheezes, decreased O2 sat*
Describe flail chest. - ANS ✓2 or more completely broken ribs with no support. Creates a
paradoxical chest movement.
What are the nursing interventions for flail chest? - ANS ✓-ABC/pain/safety
-Normally on a vent
-Manage the symptoms with fluids and vasopressors
What is the treatment for a pneumothorax? - ANS ✓Chest tube *have intubation kit at the
bedside*
Describe a tension pneumothorax. - ANS ✓An air leak in the lung or chest wall which causes
complete collapse of the affected lung. Air collects under pressure compressing the blood
vessels and limiting blood return.
*THIS IS AN EMERGENCY*
What are symptoms of a tension pneumothorax? - ANS ✓Absent breath sounds
Cyanosis
Distended neck veins
Dyspnea
What is the treatment for a tension pneumothorax? - ANS ✓Mechanical Vent
Chest Tube
What is ARDS? - ANS ✓Acute Resp. Failure with these features:
-Refractory hypoxemia
-Decreased pulmonary compliance
-Dyspnea
What is refractory hypoxemia? - ANS ✓No matter how much oxygen the patient is on, the
O2 sats are not getting any better
Is ARDS reversable? - ANS ✓Yes, it is reversible but it needs to e caught early. It can
progress to Resp. Failure!
What are some common causes of an acute lung injury? - ANS ✓Shock
Trauma
Serious nervous system injury
Pancreatitis
Sepsis
Fat and amniotic fluid emboli
Inhalation of smoke
NUR 265
NUR
NUR 265 / NUR265 E XAM 2: (LATEST 2025/
2026 UPDATE) ADVANCED CONCEPTS OF MEDICAL-
SURGICAL NURSING GUIDE| QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- GALEN
What are some risk factors for a PE? - ANS ✓Immobility
Central Lines
Surgery
Obesity
DVT's
Birth Control Pills
Smoking
What is the best way to prevent a PE? - ANS ✓*Move the patient post op.*
What should be done immediately after the nurse notes s/s of a PE? - ANS ✓*Notify the
Rapid Response Team*
What are ways to manage the symptoms of a PE? - ANS ✓ABC: might need intubation
Anticoags (heparin/warfarin/fibrinolytics)
High Fowlers
Telemetry
Safety/bleeding precatutions
100% non rebreather
What is a pulmonary contusion? - ANS ✓A "bruise" of the lung
What is the treatment/nursing interventions for a pulmonary contusion? - ANS ✓PEEP to try
and fix itself (bruise will desolve itself)
Monitor ABC's
Is an increase in output from a chest tube expected? - ANS ✓*NO*
What are s/s of a pulmonary contusion? - ANS ✓Hemorrhaging and edema in the lungs
Hyposix
NUR 265
, 2
NUR
Dyspneic
Hemoptysis
*Crackles,wheezes, decreased O2 sat*
Describe flail chest. - ANS ✓2 or more completely broken ribs with no support. Creates a
paradoxical chest movement.
What are the nursing interventions for flail chest? - ANS ✓-ABC/pain/safety
-Normally on a vent
-Manage the symptoms with fluids and vasopressors
What is the treatment for a pneumothorax? - ANS ✓Chest tube *have intubation kit at the
bedside*
Describe a tension pneumothorax. - ANS ✓An air leak in the lung or chest wall which causes
complete collapse of the affected lung. Air collects under pressure compressing the blood
vessels and limiting blood return.
*THIS IS AN EMERGENCY*
What are symptoms of a tension pneumothorax? - ANS ✓Absent breath sounds
Cyanosis
Distended neck veins
Dyspnea
What is the treatment for a tension pneumothorax? - ANS ✓Mechanical Vent
Chest Tube
What is ARDS? - ANS ✓Acute Resp. Failure with these features:
-Refractory hypoxemia
-Decreased pulmonary compliance
-Dyspnea
What is refractory hypoxemia? - ANS ✓No matter how much oxygen the patient is on, the
O2 sats are not getting any better
Is ARDS reversable? - ANS ✓Yes, it is reversible but it needs to e caught early. It can
progress to Resp. Failure!
What are some common causes of an acute lung injury? - ANS ✓Shock
Trauma
Serious nervous system injury
Pancreatitis
Sepsis
Fat and amniotic fluid emboli
Inhalation of smoke
NUR 265
