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CC EXAM 2 EAQ WITH 200+ QUESTIONS AND
DETAILED ANSWERS THE LATEST UPDATED EXAM
BANK INCLUDING EXPERT VERIFIED SOLUTIONS
FOR A SURE PASS
Which collaborative action would the nurse anticipate when caring for a pt w/
pneumonia whose ABGs are pH: 7.24, PaCO2: 60, HCO3: 20, PaO: 54, O2 sat:
88%?
a) O2 at 6L/min NC
b) Nebulized albuterol treatment
c) Intubation & mechanical ventilation
d) Sodium Bicarb IV - ANSWER: c) Intubation & mechanical ventilation
After being notified that a pt w/ a sucking chest wound is being transported to the
ED, the nurse will anticipate which INITIAL collaborative intervention?
a) Obtaining a chest x-ray
b) Notifying the on-call surgeon
c) Preparing for chest tube insertion
d) Drawing blood for labs - ANSWER: c) Preparing for chest tube insertion
The nurse is caring for a pt w/ an ETT. Which is the most effective way for the
nurse to loosen the respiratory secretions?
a) Increase Oral fluid intake
b) Provide chest physiotherapy
c) Humidify the O2
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d) Instill a saturated solution of potassium iodine - ANSWER: c) Humidify the O2
A pt had a wedge-resection of a lobe of the lung & now has a chest tube w/ a 3
chamber underwater drainage system in place. The nurse recalls that the 3rd
chamber has which purpose?
a) Acts as a drainage container
b) Provides airtight water seal
c) Controls the amount of suction
d) Allows for escape of air bubbles - ANSWER: c) Controls the amount of suction
A pt experiences a lateral crushing chest injury. Assessment findings include
obvious right-sided paradoxical motion of the chest & multiple rib fractures,
resulting in a flail chest. The nurse would monitor the pt for which complication?
a) Mediastinal shift
b) Tracheal laceration
c) Open pneumothorax
d) Pericardial tamponade - ANSWER: a) Mediastinal shift
An older pt who is usually cheerful & cooperative demonstrates irritability &
restlessness during morning hygiene. Which assessments would the nurse perform
FIRST?
a) Level of stress & ability to cope
b) Changes in mental status & cognition
c) Deviations from baseline mood & affect
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d) Feelings related to loss of independence - ANSWER: b) Changes in mental
status & cognition
Which information would the nurse educator include in a presentation on how to
care for pts w/ chest tube drainage system? SATA
a) Ensure chest tube dressing is tight & intact
b) Palpate the skin to detect subcutaneous emphysema
c) Place the chest tube drainage system below the chest
d) Quickly attempt to reinsert the chest tube if it falls out
e) Strip the chest tube w/ long strokes to promote drainage - ANSWER: a) Ensure
chest tube dressing is tight & intact
b) Palpate the skin to detect subcutaneous emphysema
c) Place the chest tube drainage system below the chest
When caring for a sedated pt who is being mechanically ventilated, which action
will the nurse take FIRST when the low flow alarm is persistently sounding?
a) Adjust the alarm settings
b) Notify the RT
c) Ventilate manually & call for assistance
d) Check all connections & ventilator tubing - ANSWER: c) Ventilate manually &
call for assistance
Which intervention would the nurse implement for a pt who is confused &
delirious?
CC EXAM 2 EAQ WITH 200+ QUESTIONS AND
DETAILED ANSWERS THE LATEST UPDATED EXAM
BANK INCLUDING EXPERT VERIFIED SOLUTIONS
FOR A SURE PASS
Which collaborative action would the nurse anticipate when caring for a pt w/
pneumonia whose ABGs are pH: 7.24, PaCO2: 60, HCO3: 20, PaO: 54, O2 sat:
88%?
a) O2 at 6L/min NC
b) Nebulized albuterol treatment
c) Intubation & mechanical ventilation
d) Sodium Bicarb IV - ANSWER: c) Intubation & mechanical ventilation
After being notified that a pt w/ a sucking chest wound is being transported to the
ED, the nurse will anticipate which INITIAL collaborative intervention?
a) Obtaining a chest x-ray
b) Notifying the on-call surgeon
c) Preparing for chest tube insertion
d) Drawing blood for labs - ANSWER: c) Preparing for chest tube insertion
The nurse is caring for a pt w/ an ETT. Which is the most effective way for the
nurse to loosen the respiratory secretions?
a) Increase Oral fluid intake
b) Provide chest physiotherapy
c) Humidify the O2
,2|Page
d) Instill a saturated solution of potassium iodine - ANSWER: c) Humidify the O2
A pt had a wedge-resection of a lobe of the lung & now has a chest tube w/ a 3
chamber underwater drainage system in place. The nurse recalls that the 3rd
chamber has which purpose?
a) Acts as a drainage container
b) Provides airtight water seal
c) Controls the amount of suction
d) Allows for escape of air bubbles - ANSWER: c) Controls the amount of suction
A pt experiences a lateral crushing chest injury. Assessment findings include
obvious right-sided paradoxical motion of the chest & multiple rib fractures,
resulting in a flail chest. The nurse would monitor the pt for which complication?
a) Mediastinal shift
b) Tracheal laceration
c) Open pneumothorax
d) Pericardial tamponade - ANSWER: a) Mediastinal shift
An older pt who is usually cheerful & cooperative demonstrates irritability &
restlessness during morning hygiene. Which assessments would the nurse perform
FIRST?
a) Level of stress & ability to cope
b) Changes in mental status & cognition
c) Deviations from baseline mood & affect
, 3|Page
d) Feelings related to loss of independence - ANSWER: b) Changes in mental
status & cognition
Which information would the nurse educator include in a presentation on how to
care for pts w/ chest tube drainage system? SATA
a) Ensure chest tube dressing is tight & intact
b) Palpate the skin to detect subcutaneous emphysema
c) Place the chest tube drainage system below the chest
d) Quickly attempt to reinsert the chest tube if it falls out
e) Strip the chest tube w/ long strokes to promote drainage - ANSWER: a) Ensure
chest tube dressing is tight & intact
b) Palpate the skin to detect subcutaneous emphysema
c) Place the chest tube drainage system below the chest
When caring for a sedated pt who is being mechanically ventilated, which action
will the nurse take FIRST when the low flow alarm is persistently sounding?
a) Adjust the alarm settings
b) Notify the RT
c) Ventilate manually & call for assistance
d) Check all connections & ventilator tubing - ANSWER: c) Ventilate manually &
call for assistance
Which intervention would the nurse implement for a pt who is confused &
delirious?
