ECCO (ACTUAL 2025) QUESTIONS WITH
CORRECT VERIFIED ANSWERS
A patient with a hip fracture from a fall develops pleuritic
chest pain, dyspnea, and dry cough. The patient's SPO2 is
90%. CTPA is positive for PE. The nurse should anticipate
administration of which of the following?
Unfractionated heparin
Nitroglycerin (Tridil)
Bronchodilator
Cough suppressant
Unfractionated heparin
A patient admitted 48 hours ago has a temperature of 38.9
(102 F), cough with purulent sputum, crackles that don't clear
and decreased right lower lobe breath sounds.
Broad-spectrum antibiotics
Furosemide (Lasix)
Reposition patient with HOB 10-15 degrees
,Reposition patient on right side
Broad-spectrum antibiotics
A patient is admitted with tachycardia, wheezing, and a
nonproductive cough. Which treatment(s) should the nurse
anticipate?
NIPPV
Metoprolol (Lopressor)
Bronchodilators
Antibiotics
Bronchodilators
A patient is admitted with COPD exacerbation. ABGs are: pH
7.28, PaO2 60 mm Hg, PaCO2 76 mm Hg, HCO3^- 27
mEq/L, and SaO2 86% on FiO2 50% via air entrainment
device. Which treatment would you anticipate next?
Endotracheal intubation
NIPPV
High-flow nasal cannula
Nonrebreather mask
,NIPPV
Which statement is true?
Volume ventilation delivers variable amounts of volume
based on patient effort
Volume ventilation delivers gas at a preset tidal volume
Pressure ventilation delivers gas at a variable pressure based
on ling compliance
Pressure ventilation delivers a consistent minute volume
Volume ventilation delivers gas at a preset tidal volume.
In caring for a patient on mechanical ventilation, how can a
nurse reduce over-sedation, immobility, and the development
of delirium?
Monitor hourly EtCO2
Implement ABCDEF bundle
Maintain circadian rhythm
Initiate neuromuscular blockade
Implement ABCDEF bundle
, In performing an SAT, which assessment should prompt the
nurse to restart sedation at half the previous dose and titrate to
goal?
Respiratory rate 38 per minute
RASS of 0 (awake and calm)
Oxygen saturation >90%
MAP below 80 mm Hg
Respiratory rate 38 per minute
A patient is on mechanical ventilation and the SAT is in
progress. The patient develops RR 36 and SpO2 87%. Which
is indicated?
Call RT to increase the FiO2
Administer flumazenil (Romazicon)
Stop the SAT and restart sedation at half the pretrial rate.
Obtain an order for a neuromuscular blocking agents (NMBA)
Stop the SAT and restart sedation at half the pretrial rate.
CORRECT VERIFIED ANSWERS
A patient with a hip fracture from a fall develops pleuritic
chest pain, dyspnea, and dry cough. The patient's SPO2 is
90%. CTPA is positive for PE. The nurse should anticipate
administration of which of the following?
Unfractionated heparin
Nitroglycerin (Tridil)
Bronchodilator
Cough suppressant
Unfractionated heparin
A patient admitted 48 hours ago has a temperature of 38.9
(102 F), cough with purulent sputum, crackles that don't clear
and decreased right lower lobe breath sounds.
Broad-spectrum antibiotics
Furosemide (Lasix)
Reposition patient with HOB 10-15 degrees
,Reposition patient on right side
Broad-spectrum antibiotics
A patient is admitted with tachycardia, wheezing, and a
nonproductive cough. Which treatment(s) should the nurse
anticipate?
NIPPV
Metoprolol (Lopressor)
Bronchodilators
Antibiotics
Bronchodilators
A patient is admitted with COPD exacerbation. ABGs are: pH
7.28, PaO2 60 mm Hg, PaCO2 76 mm Hg, HCO3^- 27
mEq/L, and SaO2 86% on FiO2 50% via air entrainment
device. Which treatment would you anticipate next?
Endotracheal intubation
NIPPV
High-flow nasal cannula
Nonrebreather mask
,NIPPV
Which statement is true?
Volume ventilation delivers variable amounts of volume
based on patient effort
Volume ventilation delivers gas at a preset tidal volume
Pressure ventilation delivers gas at a variable pressure based
on ling compliance
Pressure ventilation delivers a consistent minute volume
Volume ventilation delivers gas at a preset tidal volume.
In caring for a patient on mechanical ventilation, how can a
nurse reduce over-sedation, immobility, and the development
of delirium?
Monitor hourly EtCO2
Implement ABCDEF bundle
Maintain circadian rhythm
Initiate neuromuscular blockade
Implement ABCDEF bundle
, In performing an SAT, which assessment should prompt the
nurse to restart sedation at half the previous dose and titrate to
goal?
Respiratory rate 38 per minute
RASS of 0 (awake and calm)
Oxygen saturation >90%
MAP below 80 mm Hg
Respiratory rate 38 per minute
A patient is on mechanical ventilation and the SAT is in
progress. The patient develops RR 36 and SpO2 87%. Which
is indicated?
Call RT to increase the FiO2
Administer flumazenil (Romazicon)
Stop the SAT and restart sedation at half the pretrial rate.
Obtain an order for a neuromuscular blocking agents (NMBA)
Stop the SAT and restart sedation at half the pretrial rate.
