NSG 4100 (AH111) EXAM 3 NEWEST 2025 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse caring for a pt w/ and endotracheal tube
recognizes several disadvantages of an
endotracheal tube. What would the nurse recognize
as a disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed - ✔✔ANSW✔✔D
What would the critical care nurse recognize as a
condition that may indicate a pt's need to have a
tracheotomy?
a. a pt has a respiratory rate of 10 breaths/min
b. a pt required permanent ventilation
c. a pt exhibits sx of dyspnea
d. a pt has respiratory acidosis - ✔✔ANSW✔✔B
The nurse is caring for a pt who is scheduled to
have a thoracotomy. When planning preoperative
,teaching, what info should the nurse communicate to
the pt?
a. how to milk the chest tubing
b. how to splint the incision when coughing
c. how to take prophylactic antibiotics correctly
d. how to manage the need for fluid restriction -
✔✔ANSW✔✔B
A nurse is educating a pt in anticipation of a
procedure that will require a water-sealed chest
drainage system. What should the nurse tell the pt
and the family that this drainage system is used for?
a. maintaining a positive chest-wall pressure
b. monitoring pleural fluid osmolarity
c. providing passive intrathoracic pressure
d. removing excess air and fluid - ✔✔ANSW✔✔D
A pt is exhibiting signs of a pneumothorax following
tracheostomy. The surgeon inserts a chest tube into
the anterior chest wall. What should the nurse tell
the family is the primary purpose of this chest tube?
a. to remove air from the pleural space
b. to drain copious sputum secretions
c. to monitor bleeding around the lungs
d. to assist with mechanical ventilation -
✔✔ANSW✔✔A
,A pt's plan of care specifies postural drainage. What
action should the nurse perform when providing this
noninvasive therapy?
a. administer the tx w/ the pt in a high Fowler's or
semi-fowlers position
b. perform the procedure immediately following the
pt's meals
c. apply percussion firmly to bare skin to facilitate
drainage
d. assist the pt into a position that will allow gravity
to move secretions - ✔✔ANSW✔✔D
While assessing the pt, the nurse observes constant
bubbling in the water-seal chamber of the pt's closed
chest-drinagae system. What should the Nurs
conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed - ✔✔ANSW✔✔C
The nurse has admitted a pt who is scheduled for a
thoracic resection. The nurse is providing
preoperative teaching and is discussing several
diagnostic studies that will be required prior to
surgery. Which study will be performed to determine
, whether the panned resection will leave sufficient
functioning lung tissue?
a. pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-ray - ✔✔ANSW✔✔A
The nurse is discussing activity management w/ a pt
who is postoperative following thoracotomy. What
instructions should the nurse give to the pt regarding
activity immediately following discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x daily -
✔✔ANSW✔✔D
The OR nurse is setting up a water-seal chest
drainage system for a pt who has just had a
thoracotomy. The nurse knows that the amount of
suction in the system is determined by the water
level. At what suction level should the nurse set the
system?
a. 20 cm H2O
b. 15 cm H2O
c. 10 cm H2O
d. 5 cm H2O - ✔✔ANSW✔✔A
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse caring for a pt w/ and endotracheal tube
recognizes several disadvantages of an
endotracheal tube. What would the nurse recognize
as a disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed - ✔✔ANSW✔✔D
What would the critical care nurse recognize as a
condition that may indicate a pt's need to have a
tracheotomy?
a. a pt has a respiratory rate of 10 breaths/min
b. a pt required permanent ventilation
c. a pt exhibits sx of dyspnea
d. a pt has respiratory acidosis - ✔✔ANSW✔✔B
The nurse is caring for a pt who is scheduled to
have a thoracotomy. When planning preoperative
,teaching, what info should the nurse communicate to
the pt?
a. how to milk the chest tubing
b. how to splint the incision when coughing
c. how to take prophylactic antibiotics correctly
d. how to manage the need for fluid restriction -
✔✔ANSW✔✔B
A nurse is educating a pt in anticipation of a
procedure that will require a water-sealed chest
drainage system. What should the nurse tell the pt
and the family that this drainage system is used for?
a. maintaining a positive chest-wall pressure
b. monitoring pleural fluid osmolarity
c. providing passive intrathoracic pressure
d. removing excess air and fluid - ✔✔ANSW✔✔D
A pt is exhibiting signs of a pneumothorax following
tracheostomy. The surgeon inserts a chest tube into
the anterior chest wall. What should the nurse tell
the family is the primary purpose of this chest tube?
a. to remove air from the pleural space
b. to drain copious sputum secretions
c. to monitor bleeding around the lungs
d. to assist with mechanical ventilation -
✔✔ANSW✔✔A
,A pt's plan of care specifies postural drainage. What
action should the nurse perform when providing this
noninvasive therapy?
a. administer the tx w/ the pt in a high Fowler's or
semi-fowlers position
b. perform the procedure immediately following the
pt's meals
c. apply percussion firmly to bare skin to facilitate
drainage
d. assist the pt into a position that will allow gravity
to move secretions - ✔✔ANSW✔✔D
While assessing the pt, the nurse observes constant
bubbling in the water-seal chamber of the pt's closed
chest-drinagae system. What should the Nurs
conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed - ✔✔ANSW✔✔C
The nurse has admitted a pt who is scheduled for a
thoracic resection. The nurse is providing
preoperative teaching and is discussing several
diagnostic studies that will be required prior to
surgery. Which study will be performed to determine
, whether the panned resection will leave sufficient
functioning lung tissue?
a. pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-ray - ✔✔ANSW✔✔A
The nurse is discussing activity management w/ a pt
who is postoperative following thoracotomy. What
instructions should the nurse give to the pt regarding
activity immediately following discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x daily -
✔✔ANSW✔✔D
The OR nurse is setting up a water-seal chest
drainage system for a pt who has just had a
thoracotomy. The nurse knows that the amount of
suction in the system is determined by the water
level. At what suction level should the nurse set the
system?
a. 20 cm H2O
b. 15 cm H2O
c. 10 cm H2O
d. 5 cm H2O - ✔✔ANSW✔✔A
