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RNSG 2539 Exam I SAC Mobility Program Gas Exchange

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RNSG 2539 Exam I SAC Mobility Program Gas Exchange

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RNSG 2539 Exam I SAC Mobility
Program Gas Exchange Fluid &
Electrolytes with correct
answers 2025/2026



Assist Control (AC) (aka Volume Control) Ventilation -RNSG 2539 Exam I SAC Mobility Program
Gas Exchange Fluid & Electrolytes correct answersThe ventilator delivers a preset volume at a
preset frequency in synchrony with the patients spontaneous breathing.



Synchronized Intermittent Mandatory Ventilation (SIMV) - correct answersThe ventilator
delivers a preset volume at a preset frequency. The patient can breathe faster than the preset
rate but not slower.



Pressure Controlled Ventilation (PCV) Mode - correct answersUsed when compliance is
decreased and the patient has a continuous oxygenation problem despite a high FiO2



Pressure -Support Ventilation (PSV) - correct answersPositive pressure is applied only during
inspiration and is used in conjunction with the patient's spontaneous respiration.



Continuous Mandatory Ventilation - correct answersBreaths are delivered at a set rate per
minute and a set tidal volume.

Characterized by a ventilator that makes no effort to sense patient effort. Patient must be
sedated. The ventilator controls everything.

,Pressure Support - correct answersaugments or assists spontaneous breathing efforts by
delivering a high flow of gas to a selected pressure level early in inspiration and maintaining that
level throughout the inspiratory phase. The patient's effort determines the rate, inspiratory
flow, and tidal volume.



Noninvasive Bilateral Positive-Pressure Ventilation Mode - correct answersA non-invasive form
of mechanical ventilation, provided by means of nasal masks, prongs, or full face mask. Used in
the treatment of patients with chronic insufficiency to manage acute or chronic respiratory
failure.



Tidal Volume - correct answersThe number of ML of air to be delivered with each breath



If the patient is able to clear secretions with a cough, what action should the nurse take? -
correct answersSuction the patient only if needed.



All of the following signs and symptoms indicate to the nurse that a patient with an artificial
airway needs suctioning except? - correct answersSustained coughing

Correct Answer: *Gradual increase in PaO2*

Suspected aspiration of secretions

Rhonchi auscultated over bronchi



Patients requiring long term ventilation are converted to a tracheostomy to prevent the
complications of long term intubation with an ETT. The advantages of converting to a
tracheostomy all of the following except? - correct answersDecreased problems of airway
resistance and occlusion

Enhanced patient comfort

Correct Answer * Tracheal stenosis*

Faster weaning

,All of the following strategies help prevent Ventilator Acquired Pneumonia except? - correct
answersMeticulous handwashing

Correct Answer: *Sedating the patient*

HOB at 30 degrees unless contraindicated

Use of gloves when suctioning



During suctioning the suction time will be limited to: - correct answers20 seconds

Correct Answer: *10 seconds*

15 seconds

5 seconds



What is the most accurate assessment of the patient's oxygenation status? - correct
answersRespiratory rate

Correct Answer: *PaO2*

Presency of cyanosis

Breath Sounds



Breathing is controlled by - correct answersChemical Regulation and the Nervous System



To prevent movement of the endotracheal tube (ETT) or extubation, the tube must be securely
anchored. When should the tube should be readjusted and anchored? - correct answersCorrect
Answer: *Every 1- 2 days or when soiled or secured*

As tolerated

Once a week

Every 8 hours



Which nursing assessment is most accurate to evaluate proper ventilation? - correct
answersEvidence of cyanosis

, Correct Answer: *PaO2*

Respiratory rate

PaCO2



During your assessment of your patient you notice the ETT has migrated from 23 cm at the lip to
26 cm at the lip. What is the nurse's priority action in this situation? - correct answersExtubate
the patient

Manually bag with Ambu bag

Call a code

Correct Answer: *Assess the patient*



Compliance refers to: - correct answersCorrect Answer: *The ability of the lungs to distend*

How fast the patient is breathing

If the alveoli are open

The lung volume



Ventilator Acquired Pneumonia (VAP) is the second most common hospital acquired infection.
Factors the increase the chance of developing VAP include which of the following except: -
correct answersGastric colonization

Oropharyngeal colonization

Nasogastric tube

Correct Answer: * Maintaining the HOB at 30 degrees*



Pulse and respiratory rate can remain increased -1.5 hours after use of - correct
answersbronchdilators

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