NR341
NR 341 Complex Adult Health Exam 2
Study Set Questions and Answers
100% Correct 2025
ABG Overview #1 -Correct Answers ✔-(graphic #1)
ABG Overview #2 -Correct Answers ✔-(graphic #2)
ABG Overview #3 -Correct Answers ✔-(graphic #3)
Fully compensated: -Correct Answers ✔-- pH normal
- PaCO2 & HCO3 abnormal
Partially compensated: -Correct Answers ✔-- All values are abnormal
Uncompensated -Correct Answers ✔-- pH and one other value is abnormal
Measurements of Oxygenation: -Correct Answers ✔-- 80 - 100mmHG
- SpO2 = 92%-99%
Arterial Blood Gas Interpretation: -Correct Answers ✔-
Alkalosis: -Correct Answers ✔-(see graphic)
Acidosis: -Correct Answers ✔-(see graphic)
Potassium Levels in Acidosis: -Correct Answers ✔-- K+ = Elevated
Respiratory Acidosis: -Correct Answers ✔-- low pH, high CO2
Respiratory Alkalosis: -Correct Answers ✔-- high pH, low CO2
Metabolic Acidosis: -Correct Answers ✔-- low pH, low HCO3
Metabolic Alkalosis: -Correct Answers ✔-- high pH, high HCO3
NR341
,NR341
Interpret this ABG:
- ph 7.37
- PaCO2 50 mm HG
- Bicarbonate 30 mEq/L -Correct Answers ✔-
Rescue Breathing Position: -Correct Answers ✔-- Side lying position
Airway Management: -Correct Answers ✔-- Essential nursing skills that maintain
natural or artificial airways for compromised clients
NPPV Machine: -Correct Answers ✔-- Non Invasive Positive Pressure Ventilation
CPAP/BiPap Machine Overview: -Correct Answers ✔-- Indications: acute COPD,
cardiogenic pulmonary edema, early hypoxemic failure in immunocompromised
patients, obstructive sleep apnea, and to prevent re-intubation
- Contraindications: apnea, cardiovascular instability or hypotension,
dysrhythmias, MI, claustrophobia, somnolence, high aspiration risk, copious
secretions, GI surgery, craniofacial trauma, and burns
Endotracheal Intubation (ET): -Correct Answers ✔-- Insertion of endotracheal tube
through the mouth or nose...preferred route to reduce infections
- Indications: maintain airway, remove secretions, prevention aspiration, and
provide mechanical ventilation
Intubation Equipment: -Correct Answers ✔-- Ambu Bag connected to oxygen
- Laryngoscope & endotracheal tubes
- Suction equipment
- Ventilator
- Device or tape to secure ETT
Rapid Sequence Intubation (RSI): -Correct Answers ✔-- Giving medications to
sedate (induce) and temporarily paralyze a patient and then performing orotracheal
intubation.
- Eg. propofol, midazolam, short term paralytics, or fentanyl
- Sedate -> pain medicine -> short term paralytic
NR341
, NR341
Securing ETT: -Correct Answers ✔-
True/False: if the nurse suspects the ET tube is in the esophagus, pull out the tube
and do the following...Bag-mask ventilation with an oropharyngeal or
nasopharyngel or both -Correct Answers ✔-True, always maintain a high index of
suspicion of esophageal intubation, particularly if the intubation was difficult. If in
doubt, trust your instincts!!!
Tracheostomy Overview: -Correct Answers ✔-- Indications: Long-term
mechanical ventilation, frequent suctioning, protecting the airway
Endotracheal Suctioning: -Correct Answers ✔-- Indicated by assessment (PRN):
visible secretions, coughing, rhonchi, high pressure on vent, and ventilator alarm
- Conventional versus closed suctioning
- Procedures: hyper oxygenated throughout procedure, avoid normal saline
instillation
Ventilator Settings: -Correct Answers ✔-- Uses positive pressure by mechanically
filling the lungs with O2 and is the opposite of the physiology of breathing
- Fraction of Inspired Oxygen (FiO2); the percentage of inspired O2 the ventilator
is giving the patient?
- FiO2 ranges from 0.21 (21%) to 1.0 (100%) O2. RA = 0.21 or 21% O2
- Respiratory Rate (RR) the number of breaths to be delivered to the patient per
minute
Positive End Expiratory Pressure (PEEP): -Correct Answers ✔-- The amount of
positive pressure (in cms of H20) applied to the airways during expiration; PEEP is
meant to hold open the alveoli and prevent airway collapse between breaths
Positive End-Expiratory Pressure (PEEP) -Correct Answers ✔-PEEP
Alarms & Troubleshooting: -Correct Answers ✔-- NEVER shut alarms off; only
silence
- Manually ventilate if unsure of the problem until a new ventilator is available for
use
- Most ICUs have dedicated RTs who manage mechanical vent along with nurse
and/or physician
NR341
NR 341 Complex Adult Health Exam 2
Study Set Questions and Answers
100% Correct 2025
ABG Overview #1 -Correct Answers ✔-(graphic #1)
ABG Overview #2 -Correct Answers ✔-(graphic #2)
ABG Overview #3 -Correct Answers ✔-(graphic #3)
Fully compensated: -Correct Answers ✔-- pH normal
- PaCO2 & HCO3 abnormal
Partially compensated: -Correct Answers ✔-- All values are abnormal
Uncompensated -Correct Answers ✔-- pH and one other value is abnormal
Measurements of Oxygenation: -Correct Answers ✔-- 80 - 100mmHG
- SpO2 = 92%-99%
Arterial Blood Gas Interpretation: -Correct Answers ✔-
Alkalosis: -Correct Answers ✔-(see graphic)
Acidosis: -Correct Answers ✔-(see graphic)
Potassium Levels in Acidosis: -Correct Answers ✔-- K+ = Elevated
Respiratory Acidosis: -Correct Answers ✔-- low pH, high CO2
Respiratory Alkalosis: -Correct Answers ✔-- high pH, low CO2
Metabolic Acidosis: -Correct Answers ✔-- low pH, low HCO3
Metabolic Alkalosis: -Correct Answers ✔-- high pH, high HCO3
NR341
,NR341
Interpret this ABG:
- ph 7.37
- PaCO2 50 mm HG
- Bicarbonate 30 mEq/L -Correct Answers ✔-
Rescue Breathing Position: -Correct Answers ✔-- Side lying position
Airway Management: -Correct Answers ✔-- Essential nursing skills that maintain
natural or artificial airways for compromised clients
NPPV Machine: -Correct Answers ✔-- Non Invasive Positive Pressure Ventilation
CPAP/BiPap Machine Overview: -Correct Answers ✔-- Indications: acute COPD,
cardiogenic pulmonary edema, early hypoxemic failure in immunocompromised
patients, obstructive sleep apnea, and to prevent re-intubation
- Contraindications: apnea, cardiovascular instability or hypotension,
dysrhythmias, MI, claustrophobia, somnolence, high aspiration risk, copious
secretions, GI surgery, craniofacial trauma, and burns
Endotracheal Intubation (ET): -Correct Answers ✔-- Insertion of endotracheal tube
through the mouth or nose...preferred route to reduce infections
- Indications: maintain airway, remove secretions, prevention aspiration, and
provide mechanical ventilation
Intubation Equipment: -Correct Answers ✔-- Ambu Bag connected to oxygen
- Laryngoscope & endotracheal tubes
- Suction equipment
- Ventilator
- Device or tape to secure ETT
Rapid Sequence Intubation (RSI): -Correct Answers ✔-- Giving medications to
sedate (induce) and temporarily paralyze a patient and then performing orotracheal
intubation.
- Eg. propofol, midazolam, short term paralytics, or fentanyl
- Sedate -> pain medicine -> short term paralytic
NR341
, NR341
Securing ETT: -Correct Answers ✔-
True/False: if the nurse suspects the ET tube is in the esophagus, pull out the tube
and do the following...Bag-mask ventilation with an oropharyngeal or
nasopharyngel or both -Correct Answers ✔-True, always maintain a high index of
suspicion of esophageal intubation, particularly if the intubation was difficult. If in
doubt, trust your instincts!!!
Tracheostomy Overview: -Correct Answers ✔-- Indications: Long-term
mechanical ventilation, frequent suctioning, protecting the airway
Endotracheal Suctioning: -Correct Answers ✔-- Indicated by assessment (PRN):
visible secretions, coughing, rhonchi, high pressure on vent, and ventilator alarm
- Conventional versus closed suctioning
- Procedures: hyper oxygenated throughout procedure, avoid normal saline
instillation
Ventilator Settings: -Correct Answers ✔-- Uses positive pressure by mechanically
filling the lungs with O2 and is the opposite of the physiology of breathing
- Fraction of Inspired Oxygen (FiO2); the percentage of inspired O2 the ventilator
is giving the patient?
- FiO2 ranges from 0.21 (21%) to 1.0 (100%) O2. RA = 0.21 or 21% O2
- Respiratory Rate (RR) the number of breaths to be delivered to the patient per
minute
Positive End Expiratory Pressure (PEEP): -Correct Answers ✔-- The amount of
positive pressure (in cms of H20) applied to the airways during expiration; PEEP is
meant to hold open the alveoli and prevent airway collapse between breaths
Positive End-Expiratory Pressure (PEEP) -Correct Answers ✔-PEEP
Alarms & Troubleshooting: -Correct Answers ✔-- NEVER shut alarms off; only
silence
- Manually ventilate if unsure of the problem until a new ventilator is available for
use
- Most ICUs have dedicated RTs who manage mechanical vent along with nurse
and/or physician
NR341
