Nur 265 – Advanced Concepts of Medical-Surgical Nursing – Galen College of Nursing – Comprehensive Exam Questions & Answers

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Nur 265Advanced Concepts Of Medical-Surgical Nursing
(Galen College of Nursing)

, lOMoARcPSD|26582732




1. A client with a pulmonary embolism may display which of the following classic
signs?

● A. Bradycardia
● B. Hemoptysis
● C. Cyanosis
● D. Frothy sputum
Answer: B. Hemoptysis

2. Which of the following lab values is most indicative of acute respiratory failure?

● A. Pao₂ of 85 mmhg
● B. Paco₂ of 50 mmhg
● C. Ph of 7.25
● D. HCO₃ of 22 meq/L
Answer: C. Ph of 7.25

3. A client with ARDS is placed on a ventilator. Which intervention is most appropriate?

● A. Prone positioning
● B. High tidal volume ventilation
● C. Rapid weaning
● D. Suctioning every 30 minutes Answer: A. Prone positioning

4. When assessing a client for Ventilator-Associated Event (VAE), the nurse should
monitor for:

● A. Decreased tidal volume
● B. Increased oxygen requirement
● C. Consistent paco₂
● D. Decreased PEEP requirement
Answer: B. Increased oxygen requirement

5. Which of the following is a potential cause of Ventilator-Associated Lung Injury
(VALI)?

● A. High PEEP levels
● B. Low tidal volume
● C. Fluid restriction
● D. Prolonged sedation
Answer: A. High PEEP levels

6. The nurse knows that flail chest is characterized by:

● A. Chest pain on inspiration

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