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NUR 417 Exam 2 Practice Questions and Answers
with 100% Complete Solutions UPDATED!!!
Which action would the nurse take to verify the correct
placement of an oral endotracheal tube (ET) immediately after
insertion and before securing the tube?
a. Obtain a portable chest X-ray.
b. Use an end-tidal CO2 monitor.
c. Auscultate for bilateral breath sounds.
d. Observe for symmetrical chest movement.
b. Use an end-tidal CO2 monitor.
Which action would thenurse take to maintain proper
endotracheal tube (ET) cuff pressure when a patient is on
mechanical ventilation?
a. Inflate the cuff with a minimum of 10 mL of air.
b. Inflate the cuff until the pilot balloon is firm on palpation.
c. Inject air into the cuff until a manometer shows 15 mm Hg
pressure.
d. Inject air into the cuff until a slight leak is heard only at peak
inflation.
d. Inject air into the cuff until a slight leak is heard only at peak
inflation.
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The nurse notes premature ventricular contractions (PVCs) on
the monitor while suctioning a patient's endotracheal tube.
Which action would the nurse take?
a. Plan to suction the patient more frequently.
b. Decrease the suction pressure to 80 mm Hg.
c. Give antidysrhythmic medications per protocol.
d. Ventilate the patient with 100% oxygen
d. Ventilate the patient with 100% oxygen
Which assessment finding for a patient receiving mechanical
ventilation indicates the need for suctioning?
a. The patient was last suctioned 6 hours ago.
b. The patient's oxygen saturation drops to 93%.
c. The patient's respiratory rate is 32 breaths/min.
d. The patient has occasional audible expiratory wheezes.
c. The patient's respiratory rate is 32 breaths/min.
Expert-written solution!
The nurse notes thick, white secretions in theendotracheal tube
(ET) of a patient who is receiving mechanical ventilation. Which
intervention will most directly treat this finding?
a. Reposition the patient every 1 to 2 hours.
b. Increase suctioning frequency to every hour.
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c. Add additional water to the patient's enteral feedings.
d. Instill 5 mL of sterile saline into the ET before suctioning.
c. Add additional water to the patient's enteral feedings.
Expert-written solution!
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, PaCO of 26 mm Hg, and HCO3 of 23 mE q/L (23
mmol/L). What change should the nurse anticipate to the
ventilator settings?
a. Increase the FIO2.
b. Increase the tidal volume.
c. Increase the respiratory rate.
d. Decrease the respiratory rate.
d. Decrease the respiratory rate.
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?
a. The patient's heart rate is 97 beats/min.
b. The patient's oxygen saturation is 93%.
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c. The patient respiratory rate is 32 breaths/min.
d. The patient's spontaneous tidal volume is 450 mL.
c. The patient respiratory rate is 32 breaths/min.
Expert-written solution!
The nurse responding to a ventilator alarm finds the patient
lying in bed gasping and the endotracheal tube on the floor.
Which action would thenurse take next?
a. Activate the rapid response team.
b. Provide reassurance to thepatient.
c. Call the health care provider to reinsert the tube.
d. Manually ventilate the patient with 100% oxygen.
d. Manually ventilate the patient with 100% oxygen.
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. Which action would thenurse
take next?
a. Check the O2 saturation.
b. Offer reassurance to the patient.
c. Listen to the patient's breath sounds.
d. Notify the patient's health care provider.
c. Listen to the patient's breath sounds.
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NUR 417 Exam 2 Practice Questions and Answers
with 100% Complete Solutions UPDATED!!!
Which action would the nurse take to verify the correct
placement of an oral endotracheal tube (ET) immediately after
insertion and before securing the tube?
a. Obtain a portable chest X-ray.
b. Use an end-tidal CO2 monitor.
c. Auscultate for bilateral breath sounds.
d. Observe for symmetrical chest movement.
b. Use an end-tidal CO2 monitor.
Which action would thenurse take to maintain proper
endotracheal tube (ET) cuff pressure when a patient is on
mechanical ventilation?
a. Inflate the cuff with a minimum of 10 mL of air.
b. Inflate the cuff until the pilot balloon is firm on palpation.
c. Inject air into the cuff until a manometer shows 15 mm Hg
pressure.
d. Inject air into the cuff until a slight leak is heard only at peak
inflation.
d. Inject air into the cuff until a slight leak is heard only at peak
inflation.
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The nurse notes premature ventricular contractions (PVCs) on
the monitor while suctioning a patient's endotracheal tube.
Which action would the nurse take?
a. Plan to suction the patient more frequently.
b. Decrease the suction pressure to 80 mm Hg.
c. Give antidysrhythmic medications per protocol.
d. Ventilate the patient with 100% oxygen
d. Ventilate the patient with 100% oxygen
Which assessment finding for a patient receiving mechanical
ventilation indicates the need for suctioning?
a. The patient was last suctioned 6 hours ago.
b. The patient's oxygen saturation drops to 93%.
c. The patient's respiratory rate is 32 breaths/min.
d. The patient has occasional audible expiratory wheezes.
c. The patient's respiratory rate is 32 breaths/min.
Expert-written solution!
The nurse notes thick, white secretions in theendotracheal tube
(ET) of a patient who is receiving mechanical ventilation. Which
intervention will most directly treat this finding?
a. Reposition the patient every 1 to 2 hours.
b. Increase suctioning frequency to every hour.
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c. Add additional water to the patient's enteral feedings.
d. Instill 5 mL of sterile saline into the ET before suctioning.
c. Add additional water to the patient's enteral feedings.
Expert-written solution!
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, PaCO of 26 mm Hg, and HCO3 of 23 mE q/L (23
mmol/L). What change should the nurse anticipate to the
ventilator settings?
a. Increase the FIO2.
b. Increase the tidal volume.
c. Increase the respiratory rate.
d. Decrease the respiratory rate.
d. Decrease the respiratory rate.
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?
a. The patient's heart rate is 97 beats/min.
b. The patient's oxygen saturation is 93%.
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c. The patient respiratory rate is 32 breaths/min.
d. The patient's spontaneous tidal volume is 450 mL.
c. The patient respiratory rate is 32 breaths/min.
Expert-written solution!
The nurse responding to a ventilator alarm finds the patient
lying in bed gasping and the endotracheal tube on the floor.
Which action would thenurse take next?
a. Activate the rapid response team.
b. Provide reassurance to thepatient.
c. Call the health care provider to reinsert the tube.
d. Manually ventilate the patient with 100% oxygen.
d. Manually ventilate the patient with 100% oxygen.
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. Which action would thenurse
take next?
a. Check the O2 saturation.
b. Offer reassurance to the patient.
c. Listen to the patient's breath sounds.
d. Notify the patient's health care provider.
c. Listen to the patient's breath sounds.
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