Exam 3: NSG4100 / NSG 4100 (Latest 2025/ 2026
Update) Nursing Practice - Adult Health III Guide|
verified Questions & correct Answers| Grade A|
100% Correct - Galen
The nurse caring for a pt w/ and endotracheal tube recognizes several disadvantages of an
endotracheal tube. What would the nurse recognize as a disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed
D
What would the critical care nurse recognize as a condition that may indicate a pt's need to have
a tracheotomy?
a. a pt has a respiratory rate of 10 breaths/min
b. a pt required permanent ventilation
c. a pt exhibits sx of dyspnea
d. a pt has respiratory acidosis
B
The nurse is caring for a pt who is scheduled to have a thoracotomy. When planning preoperative
teaching, what info should the nurse communicate to the pt?
a. how to milk the chest tubing
b. how to splint the incision when coughing
c. how to take prophylactic antibiotics correctly
,d. how to manage the need for fluid restriction
B
A nurse is educating a pt in anticipation of a procedure that will require a water-sealed chest
drainage system. What should the nurse tell the pt and the family that this drainage system is
used for?
a. maintaining a positive chest-wall pressure
b. monitoring pleural fluid osmolarity
c. providing passive intrathoracic pressure
d. removing excess air and fluid
D
A pt is exhibiting signs of a pneumothorax following tracheostomy. The surgeon inserts a chest
tube into the anterior chest wall. What should the nurse tell the family is the primary purpose of
this chest tube?
a. to remove air from the pleural space
b. to drain copious sputum secretions
c. to monitor bleeding around the lungs
d. to assist with mechanical ventilation
A
A pt's plan of care specifies postural drainage. What action should the nurse perform when
providing this noninvasive therapy?
,a. administer the tx w/ the pt in a high Fowler's or semi-fowlers position
b. perform the procedure immediately following the pt's meals
c. apply percussion firmly to bare skin to facilitate drainage
d. assist the pt into a position that will allow gravity to move secretions
D
While assessing the pt, the nurse observes constant bubbling in the water-seal chamber of the pt's
closed chest-drinagae system. What should the Nurs conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed
C
The nurse has admitted a pt who is scheduled for a thoracic resection. The nurse is providing
preoperative teaching and is discussing several diagnostic studies that will be required prior to
surgery. Which study will be performed to determine whether the panned resection will leave
sufficient functioning lung tissue?
a. pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-ray
A
, The nurse is discussing activity management w/ a pt who is postoperative following
thoracotomy. What instructions should the nurse give to the pt regarding activity immediately
following discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x daily
D
The OR nurse is setting up a water-seal chest drainage system for a pt who has just had a
thoracotomy. The nurse knows that the amount of suction in the system is determined by the
water level. At what suction level should the nurse set the system?
a. 20 cm H2O
b. 15 cm H2O
c. 10 cm H2O
d. 5 cm H2O
A
The nurse is caring for a client w/ and endotracheal tube who is on a ventilator. When assessing
the client, the nurse knows to maintain what cuff pressure to maintain appropriate pressure on the
tracheal wall?
Update) Nursing Practice - Adult Health III Guide|
verified Questions & correct Answers| Grade A|
100% Correct - Galen
The nurse caring for a pt w/ and endotracheal tube recognizes several disadvantages of an
endotracheal tube. What would the nurse recognize as a disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed
D
What would the critical care nurse recognize as a condition that may indicate a pt's need to have
a tracheotomy?
a. a pt has a respiratory rate of 10 breaths/min
b. a pt required permanent ventilation
c. a pt exhibits sx of dyspnea
d. a pt has respiratory acidosis
B
The nurse is caring for a pt who is scheduled to have a thoracotomy. When planning preoperative
teaching, what info should the nurse communicate to the pt?
a. how to milk the chest tubing
b. how to splint the incision when coughing
c. how to take prophylactic antibiotics correctly
,d. how to manage the need for fluid restriction
B
A nurse is educating a pt in anticipation of a procedure that will require a water-sealed chest
drainage system. What should the nurse tell the pt and the family that this drainage system is
used for?
a. maintaining a positive chest-wall pressure
b. monitoring pleural fluid osmolarity
c. providing passive intrathoracic pressure
d. removing excess air and fluid
D
A pt is exhibiting signs of a pneumothorax following tracheostomy. The surgeon inserts a chest
tube into the anterior chest wall. What should the nurse tell the family is the primary purpose of
this chest tube?
a. to remove air from the pleural space
b. to drain copious sputum secretions
c. to monitor bleeding around the lungs
d. to assist with mechanical ventilation
A
A pt's plan of care specifies postural drainage. What action should the nurse perform when
providing this noninvasive therapy?
,a. administer the tx w/ the pt in a high Fowler's or semi-fowlers position
b. perform the procedure immediately following the pt's meals
c. apply percussion firmly to bare skin to facilitate drainage
d. assist the pt into a position that will allow gravity to move secretions
D
While assessing the pt, the nurse observes constant bubbling in the water-seal chamber of the pt's
closed chest-drinagae system. What should the Nurs conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed
C
The nurse has admitted a pt who is scheduled for a thoracic resection. The nurse is providing
preoperative teaching and is discussing several diagnostic studies that will be required prior to
surgery. Which study will be performed to determine whether the panned resection will leave
sufficient functioning lung tissue?
a. pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-ray
A
, The nurse is discussing activity management w/ a pt who is postoperative following
thoracotomy. What instructions should the nurse give to the pt regarding activity immediately
following discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x daily
D
The OR nurse is setting up a water-seal chest drainage system for a pt who has just had a
thoracotomy. The nurse knows that the amount of suction in the system is determined by the
water level. At what suction level should the nurse set the system?
a. 20 cm H2O
b. 15 cm H2O
c. 10 cm H2O
d. 5 cm H2O
A
The nurse is caring for a client w/ and endotracheal tube who is on a ventilator. When assessing
the client, the nurse knows to maintain what cuff pressure to maintain appropriate pressure on the
tracheal wall?
