NSG 4100 (AH III) EXAM 3|| 155 ACTUAL QUESTIONS & DETAILED CORRECT ANSWERS WITH RATIONALES|| VERIFIED ANSWERS || COMPLETE GUIDE 2025|| GRADED A+ SOLVED!!

1. The nurse caring for a pt w/ and endotracheal tube D
recognizes several disadvantages of an endotracheal
tube. What would the nurse recognize as a disadvan-
tage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed

2. What would the critical care nurse recognize as a con- B
dition that may indicate a pt's need to have a tra-
cheotomy?
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

3. The nurse is caring for a pt who is scheduled to have a B
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

4. A nurse is educating a pt in anticipation of a procedure D
that will require a water-sealed chest drainage sys-
tem. 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

5. A pt is exhibiting signs of a pneumothorax following A
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

6. A pt's plan of care specifies postural drainage. What D
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

7. While assessing the pt, the nurse observes constant C
bubbling in the water-seal chamber of the pt's closed
chest-drinagae system. What should the Nurs con-
clude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed

,8. The nurse has admitted a pt who is scheduled for A
N N N N N N N N N



a thoracic resection. The nurse is providing preop-
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erative teaching and is discussing several diagnostic
N N N N N N N



studies that will be required prior to surgery. Which
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study will be performed to determine whether the
N N N N N N N N



panned resection will leave sufficient functioning lung
N N N N N N N



tissue?
N



a. pulmonary function studies N N



b. exercise tolerance tests N N



c. arterial blood gas values N N N



d. chest x-ray N




9. The nurse is discussing activity management w/ a pt D
N N N N N N N N



who is postoperative following thoracotomy. What in-
N N N N N N N



structions should the nurse give to the pt regarding
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activity immediately following discharge?
N N N N



a. walk 1 mile 3-4x a week
N N N N N



b. use wights daily to increase arm strength
N N N N N N



c. walk on a treadmill 30min daily
N N N N N



d. perform shoulder exercises 5x daily N N N N




10. The OR nurse is setting up a water-seal chest drainage
N N N N N N N N N



NA system for a pt who has just had a thoracotomy.
N N N N N N N N N N



The nurse knows that the amount of suction in the
N N N N N N N N N N



system is determined by the water level. At what
N N N N N N N N N



suction level should the nurse set the system?
N N N N N N N N



a. 20 cm H2O N N



b. 15 cm H2O N N



c. 10 cm H2O N N



d. 5 cm H2O N N




11. B

, The nurse is caring for a client w/ and endotracheal
N N N N N N N N N



tube who is on a ventilator. When assessing the client,
N N N N N N N N N N



Nthe nurse knows to maintain what cuff pressure to
N N N N N N N N



maintain appropriate pressure on the tracheal wall?
N N N N N N N



a. between 10-15 mm Hg N N N



b. between 15-20 mm Hg N N N



c. between 20-25 mm Hg N N N



d. between 25-30 mm Hg N N N




12. A nurse educator is reviewing the indications for chest A, B, D
N N N N N N N N N N N



drainage systems w/ a group of medical nurses. What
N N N N N N N N N



indications should the nurses identify? Select all that
N N N N N N N N



apply.
N



a. post thoracotomy N



b. spontaneous pneumothorax N



c. need for postural drainage
N N N



d. chest trauma resulting in pneumothorax
N N N N



e. pleurisy

13. The home care nurse is visiting a pt newly discharged D
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home after a lobectomy. What would be most impor-
N N N N N N N N N



tant for the home care nurse to assess?
N N N N N N N N



a. resumption of the pt's ADLs N N N N



b. the family's willingness to care for the pt
N N N N N N N



c. nutritional status and fluid balance N N N N



d. s/s of respiratory complications
N N N




14. A pt is being admitted to the preoperative holding
N N N N N N N N B
area for a thoracotomy. Preoperative teaching in-
N N N N N N N



cludes what?
N N



a. correct use of a ventilator N N N N



b. correct use of incentive spirometry N N N N