NUR 265 EXAM 2 PREP- ADVANCED CONCEPTS
OF MEDICAL NURSING EXAM 2 VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
COMPLETELY UPDATED 2025–2026 EDITION A+
PERFORMANCE GUARANTEED
What are the 3 buttons that a nurse is able to touch on a vent? - ANSWER: -
Silence
Restart
100% Oxygen (before suctioning a patient)
When is it acceptable to shut off a vent alarm? - ANSWER: -NEVER
How is an ET tube placement confirmed? - ANSWER: -From first to last
ETCO2 20-40mmHg
Chest symmetry
Listen to left/right/abdomen Chest X-Ray
What are the different ventilator settings? - ANSWER: -Mode
FiO2
Rate
Tidal Volume (Vt) PEEP
What is PEEP? - ANSWER: -It is positive pressure that tells the alveoli in the
lungs to stay open a little longer. It helps with gas exchange.
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What are some complications of PEEP? - ANSWER: -Pneumothorax SubQ
Emphysema (crepatus)
Decreased pre-load
Describe the A/C vent mode. - ANSWER: -The vent does everything for the
patient. It delivers a set amount of breaths per minute
Describe SIMV vent mode. - ANSWER: -The pt attempts to breath and the vent
assists with their breaths
What should be done when a patient is in respiratory distress? - ANSWER: -*Call
for help, disconnect the vent, start bagging the patient, then reassess*
What are ways to prevent VAP? - ANSWER: -*Remove water from circuits*
*HOB up to 30 degrees* Turn Q2h
Suction
Oral care Q2H Prevent aspiration Lip moisturizer Percussion
Give examples of what could cause a high pressure alarm. - ANSWER: -
Blocked airway Coughing
Tension pneumothorax Anxiety/Pain: Sedate them Kinks in tubing
Decreased lung compliance: ARDS
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*Assess the patient not the monitor*
Give examples of what could cause a low pressure alarm. - ANSWER: -
Not getting enough air (in or out)
Air leak in the cuff: Check the pilot balloon
Disconnected tubing Low Vt
*Assess the patient not the monitor*
What are some things we have to do when caring for a vented patient? -
ANSWER: -Lung assessment
Frequent vital signs (every 4 hours) I&O (look at balances)
Foley NPO
Nutrition (NG Tube for all vent patients) Skin Care
Monitor ABG/labs VTE prophylaxis
What are some risk factors for a PE? - ANSWER: -Immobility Central Lines
Surgery Obesity DVT's
Birth Control Pills
Smoking
What is the best way to prevent a PE? - ANSWER: -*Move the patient post op.*
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What should be done immediately after the nurse notes s/s of a PE? - ANSWER: -
*Notify the Rapid Response Team*
What are ways to manage the symptoms of a PE? - ANSWER: -ABC: might need
intubation
Anticoags (heparin/warfarin/fibrinolytics) High Fowlers
Telemetry
Safety/bleeding precatutions 100% non rebreather
What is a pulmonary contusion? - ANSWER: -A "bruise" of the lung
What is the treatment/nursing interventions for a pulmonary contusion? -
ANSWER: -PEEP to try and fix itself (bruise will desolve itself)
Monitor ABC's
Is an increase in output from a chest tube expected? - ANSWER: -*NO*
What are s/s of a pulmonary contusion? - ANSWER: -Hemorrhaging and edema
in the lungs
Hyposix Dyspneic Hemoptysis
*Crackles,wheezes, decreased O2 sat*