NUR 220 – Medical-Surgical
Nursing Exam 3 Complete Study
Guide 2025/2026 | Verified
Questions, Answers &
Rationales | High-Scoring
Med-Surg Review
Trouble shooting ventilator alarms: - Answer✅- can pause
- NEVER turn off
- check pt safety first
- check alarm if pt is okay (not in distress)
Non-invasive postiive pressure ventiatlion type patients: - Answer✅COPD, chronic heart failure,
sleep disorders
**PP during inspiration keeps airway and trachea open during sleep
Signs of ventilator intolerance? - Answer✅restless, tachycardic
Expected assessments when vented: - Answer✅????
VAP ventilator bundle SATA: - Answer✅elevate head 30-45
"sedation vacation"
PPI prophylaxis
, DVT prophylaxis
Daily oral care
Ventilator weaning criteria: - Answer✅vital capacity 10-15mL/kg
Max inspiratory pressure (MIP) at least -20cm H2O
Tidal volume (TV): 7-9mL/kg
Minute ventilation: 6L/min
Rapid/Shallow breathing index: below 100breaths/min/L: PaO2>60mm Hg w/ Fi)2 <40%
Complications of mechanical ventilation: - Answer✅Alterations in cardiac function
Barotrauma/Pneumothorax
Pulmonary Infections
Delirium
Plan of care for vented trach patients: - Answer✅care every 8hr or more as needed
trach cuff pressure 20-25mm Hg
assist of 2 ppl w/ trach strap
obdurator @ bedside all times (keeps hole open)
Chest tube intervention for accdiental disconnection from drainage system: - Answer✅Air can enter
pleural space, producing a pneumothorax
- prevent by immersion of chest tube in sterile water will temporarily reestablish a water seal and
prevent collape or restore lung function
Excessive bubbling in the water seal compartment of the chest tube: - Answer✅leak in drainage
system
Normal water level in chest drainage system - Answer✅20cm level
Steps to chest tube insertion: - Answer✅1. Insertion of chest tube = consent needed before action
taken
2. discuss the procedure with the patient
3. provide pain medication, the procedure is not pleasant
4. gather all supplies needed to assist with procedure
5. assist the client into position-supine
High frequency oscilator support ventilor- understanding of: - Answer✅delievers rapid, small pulses
of air down the center of the airways to open up alveoli allowing alveolar air to exit the lungs along
the margins of the airways
Effective coughing techniques after a thoracotomy: - Answer✅clear sounds after cough
Assessment finding for pulmonary edema: - Answer✅pink frothy sputum
What is propofol infusion syndrome? - Answer✅?????????????
Why pantoprazole when on a vent? - Answer✅????????????????????
Post-op care after esophageal varices endoscopy: - Answer✅aspiration pneumonia
vagotomy syndrome
What to avoid if you have esophageal varies? SATA - Answer✅lifting heavy objects
trainig with stolling, sneezing, coughing, vomitng
irritating foods/fluids
reflux
alcohol intake
aspirin intake
Nursing Exam 3 Complete Study
Guide 2025/2026 | Verified
Questions, Answers &
Rationales | High-Scoring
Med-Surg Review
Trouble shooting ventilator alarms: - Answer✅- can pause
- NEVER turn off
- check pt safety first
- check alarm if pt is okay (not in distress)
Non-invasive postiive pressure ventiatlion type patients: - Answer✅COPD, chronic heart failure,
sleep disorders
**PP during inspiration keeps airway and trachea open during sleep
Signs of ventilator intolerance? - Answer✅restless, tachycardic
Expected assessments when vented: - Answer✅????
VAP ventilator bundle SATA: - Answer✅elevate head 30-45
"sedation vacation"
PPI prophylaxis
, DVT prophylaxis
Daily oral care
Ventilator weaning criteria: - Answer✅vital capacity 10-15mL/kg
Max inspiratory pressure (MIP) at least -20cm H2O
Tidal volume (TV): 7-9mL/kg
Minute ventilation: 6L/min
Rapid/Shallow breathing index: below 100breaths/min/L: PaO2>60mm Hg w/ Fi)2 <40%
Complications of mechanical ventilation: - Answer✅Alterations in cardiac function
Barotrauma/Pneumothorax
Pulmonary Infections
Delirium
Plan of care for vented trach patients: - Answer✅care every 8hr or more as needed
trach cuff pressure 20-25mm Hg
assist of 2 ppl w/ trach strap
obdurator @ bedside all times (keeps hole open)
Chest tube intervention for accdiental disconnection from drainage system: - Answer✅Air can enter
pleural space, producing a pneumothorax
- prevent by immersion of chest tube in sterile water will temporarily reestablish a water seal and
prevent collape or restore lung function
Excessive bubbling in the water seal compartment of the chest tube: - Answer✅leak in drainage
system
Normal water level in chest drainage system - Answer✅20cm level
Steps to chest tube insertion: - Answer✅1. Insertion of chest tube = consent needed before action
taken
2. discuss the procedure with the patient
3. provide pain medication, the procedure is not pleasant
4. gather all supplies needed to assist with procedure
5. assist the client into position-supine
High frequency oscilator support ventilor- understanding of: - Answer✅delievers rapid, small pulses
of air down the center of the airways to open up alveoli allowing alveolar air to exit the lungs along
the margins of the airways
Effective coughing techniques after a thoracotomy: - Answer✅clear sounds after cough
Assessment finding for pulmonary edema: - Answer✅pink frothy sputum
What is propofol infusion syndrome? - Answer✅?????????????
Why pantoprazole when on a vent? - Answer✅????????????????????
Post-op care after esophageal varices endoscopy: - Answer✅aspiration pneumonia
vagotomy syndrome
What to avoid if you have esophageal varies? SATA - Answer✅lifting heavy objects
trainig with stolling, sneezing, coughing, vomitng
irritating foods/fluids
reflux
alcohol intake
aspirin intake
