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NUR 417
NUR 417 Exam 2 PREP | Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. The nurse notes thick, white secretions in the endotracheal tube
(ET) of a patient who is receiving mechanical ventilation. Which
intervention will most directly treat this finding?
2. Reposition the patient every 1 to 2 hours.
3. Increase suctioning frequency to every hour.
4. Add additional water to the patient's enteral feedings.
5. Instill 5 ml of sterile saline into the ET before suctioning.: 3. Add
additional water to the patient's enteral feedings.
Because the patient's secretions are thick, better hydration is indicated.
Suctioning every hour without any specific evidence for the need will
increase the incidence of mucosal trauma and would not address the
NUR 417
, 2
NUR 417
etiology of the ineffective airway clearance. Instillation of saline does not
liquefy secretions and may decrease the spo2. Repositioning the patient is
appropriate but will not decrease the thickness of secretions.
Four hours after mechanical ventilation is initiated, a patient's
arterial blood gas (ABG) results include a ph of 7.51, pao2 of 82 mm
Hg, paco2 of 26 mm Hg, and HCO3- of 23 meq/L (23 mmol/L). What
change should the nurse anticipate to the ventilator settings?
1. Increase the FIO2.
2. Increase the tidal volume.
3. Increase the respiratory rate.
4. Decrease the respiratory rate.: 4. Decrease the respiratory rate.
The patient's paco2 and ph indicate respiratory alkalosis caused by too
high a respiratory rate. The pao2 is appropriate for a patient with COPD
and increasing the respiratory rate and tidal volume would further lower
the paco2.
NUR 417
, 3
NUR 417
The nurse is weaning a patient who has chronic obstructive
pulmonary disease (COPD) and weighs 68-kg from mechanical
ventilation. Which finding indicates that the weaning protocol should
be stopped?
1. The patient's heart rate is 97 beats/min.
2. The patient's oxygen saturation is 93%.
3. The patient respiratory rate is 32 breaths/min.
4. The patient's spontaneous tidal volume is 450 ml.: 3. The patient
respiratory rate is 32 breaths/min.
Tachypnea is a sign that the patient's work of breathing is too high to allow
weaning to proceed. The patient's heart rate is within normal limits, but
the nurse should continue to monitor it. An O2 saturation of 93% is
acceptable for a patient with COPD. A spontaneous tidal volume of 450 ml
is within the acceptable range.
NUR 417
, 4
NUR 417
The nurse responding to a ventilator alarm finds the patient lying in
bed gasping and the endotracheal tube on the floor. Which action
would the nurse take next?
1. Activate the rapid response team.
2. Provide reassurance to the patient.
3. Call the health care provider to reinsert the tube.
4. Manually ventilate the patient with 100% oxygen.: 4. Manually
ventilate the patient with 100% oxygen.
The nurse should ensure maximal patient oxygenation by manually
ventilating with a bag-valve-mask system. Offering reassurance to the
patient, notifying the health care provider about the need to reinsert the
tube, and activating the rapid response team are also appropriate after the
nurse has stabilized the patient's oxygenation.
The nurse notes that a patient's endotracheal tube (ET), which was
at the 22-cm mark, is now at the 25-cm mark, and the patient is
anxious and restless.
NUR 417
NUR 417
NUR 417 Exam 2 PREP | Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. The nurse notes thick, white secretions in the endotracheal tube
(ET) of a patient who is receiving mechanical ventilation. Which
intervention will most directly treat this finding?
2. Reposition the patient every 1 to 2 hours.
3. Increase suctioning frequency to every hour.
4. Add additional water to the patient's enteral feedings.
5. Instill 5 ml of sterile saline into the ET before suctioning.: 3. Add
additional water to the patient's enteral feedings.
Because the patient's secretions are thick, better hydration is indicated.
Suctioning every hour without any specific evidence for the need will
increase the incidence of mucosal trauma and would not address the
NUR 417
, 2
NUR 417
etiology of the ineffective airway clearance. Instillation of saline does not
liquefy secretions and may decrease the spo2. Repositioning the patient is
appropriate but will not decrease the thickness of secretions.
Four hours after mechanical ventilation is initiated, a patient's
arterial blood gas (ABG) results include a ph of 7.51, pao2 of 82 mm
Hg, paco2 of 26 mm Hg, and HCO3- of 23 meq/L (23 mmol/L). What
change should the nurse anticipate to the ventilator settings?
1. Increase the FIO2.
2. Increase the tidal volume.
3. Increase the respiratory rate.
4. Decrease the respiratory rate.: 4. Decrease the respiratory rate.
The patient's paco2 and ph indicate respiratory alkalosis caused by too
high a respiratory rate. The pao2 is appropriate for a patient with COPD
and increasing the respiratory rate and tidal volume would further lower
the paco2.
NUR 417
, 3
NUR 417
The nurse is weaning a patient who has chronic obstructive
pulmonary disease (COPD) and weighs 68-kg from mechanical
ventilation. Which finding indicates that the weaning protocol should
be stopped?
1. The patient's heart rate is 97 beats/min.
2. The patient's oxygen saturation is 93%.
3. The patient respiratory rate is 32 breaths/min.
4. The patient's spontaneous tidal volume is 450 ml.: 3. The patient
respiratory rate is 32 breaths/min.
Tachypnea is a sign that the patient's work of breathing is too high to allow
weaning to proceed. The patient's heart rate is within normal limits, but
the nurse should continue to monitor it. An O2 saturation of 93% is
acceptable for a patient with COPD. A spontaneous tidal volume of 450 ml
is within the acceptable range.
NUR 417
, 4
NUR 417
The nurse responding to a ventilator alarm finds the patient lying in
bed gasping and the endotracheal tube on the floor. Which action
would the nurse take next?
1. Activate the rapid response team.
2. Provide reassurance to the patient.
3. Call the health care provider to reinsert the tube.
4. Manually ventilate the patient with 100% oxygen.: 4. Manually
ventilate the patient with 100% oxygen.
The nurse should ensure maximal patient oxygenation by manually
ventilating with a bag-valve-mask system. Offering reassurance to the
patient, notifying the health care provider about the need to reinsert the
tube, and activating the rapid response team are also appropriate after the
nurse has stabilized the patient's oxygenation.
The nurse notes that a patient's endotracheal tube (ET), which was
at the 22-cm mark, is now at the 25-cm mark, and the patient is
anxious and restless.
NUR 417
