Complex Care Exam 2 Latest 2025
Questions and Answers Graded A+
What is the best position for the nurse to place the patient in to obtain a right
atrial pressure measurement?
A. Left side-lying with the head of the bed elevated 30 degrees
B. Prone, lying on the abdomen with slight head elevation
C. Right side-lying with the head of the bed elevated 30 degrees
D. Supine, either flat or with the head of the bed no more than 60 degrees -
CORRECT ANSWER-D. Supine, either flat or with the head of the bed no more
than 60 degrees
,What is the best action by the nurse to accurately record a thermodilution cardiac
output (CO)?
A. Place the patient prone, enter the computation constant, and obtain four
successive measurements.
B. Place the patient prone, elevate the backrest 30 degrees, and obtain three
successive measurements.
C. Place the patient supine, enter the computation constant, and obtain one value
with the head of the bed elevation at 45 degrees.
D. Position the patient supine, obtain three values within 10% of each other, and
calculate the average cardiac output. - CORRECT ANSWER-D. Position the
patient supine, obtain three values within 10% of each other, and calculate the
average cardiac output.
The nurse knows which factor most influences optimal patient nutritional
outcomes?
A. Acid-base balance
B. Body-mass index
C. Metabolic needs
D. Oxygenation - CORRECT ANSWER-C. Metabolic needs
,When patients receiving enteral nutrition develop diarrhea, they are evaluated
for which most likely cause?
A. Bowel obstruction
B. Clostridium difficile
C. Escherichia coli
D. Water intoxication - CORRECT ANSWER-B. Clostridium difficile
How often is the intravenous set tubing for parenteral nutrition changed?
A. Every 12 hours
B. Every 24 hours
C. Every 48 hours
D. Every new IV bag - CORRECT ANSWER-B. Every 24 hours
Enteral feedings are held if residual volumes:
A. Are greater than 100 mL.
B. Are greater than 250 mL.
C. Are greater than twice the hourly administration rate.
D. Are less 200 mL. - CORRECT ANSWER-B. Are greater than 250 mL.
, What causes infection in the hospitalized patient who has malnutrition?
A. Food-drug interactions
B. Hyperkalemia
C. Impaired immunity
D. Renal failure - CORRECT ANSWER-C. Impaired immunity
The nurse knows that feedings into the small bowel should occur within what
time frame of the onset of an injury or illness?
A. 24 hours
B. 72 hours
C. 4 days
D. 7 days - CORRECT ANSWER-A. 24 hours
A common complication of enteral feeding in the critically ill patient is:
A. Constipation.
B. Diarrhea.
C. Low blood glucose.
D. Vomiting. - CORRECT ANSWER-B. Diarrhea.
Questions and Answers Graded A+
What is the best position for the nurse to place the patient in to obtain a right
atrial pressure measurement?
A. Left side-lying with the head of the bed elevated 30 degrees
B. Prone, lying on the abdomen with slight head elevation
C. Right side-lying with the head of the bed elevated 30 degrees
D. Supine, either flat or with the head of the bed no more than 60 degrees -
CORRECT ANSWER-D. Supine, either flat or with the head of the bed no more
than 60 degrees
,What is the best action by the nurse to accurately record a thermodilution cardiac
output (CO)?
A. Place the patient prone, enter the computation constant, and obtain four
successive measurements.
B. Place the patient prone, elevate the backrest 30 degrees, and obtain three
successive measurements.
C. Place the patient supine, enter the computation constant, and obtain one value
with the head of the bed elevation at 45 degrees.
D. Position the patient supine, obtain three values within 10% of each other, and
calculate the average cardiac output. - CORRECT ANSWER-D. Position the
patient supine, obtain three values within 10% of each other, and calculate the
average cardiac output.
The nurse knows which factor most influences optimal patient nutritional
outcomes?
A. Acid-base balance
B. Body-mass index
C. Metabolic needs
D. Oxygenation - CORRECT ANSWER-C. Metabolic needs
,When patients receiving enteral nutrition develop diarrhea, they are evaluated
for which most likely cause?
A. Bowel obstruction
B. Clostridium difficile
C. Escherichia coli
D. Water intoxication - CORRECT ANSWER-B. Clostridium difficile
How often is the intravenous set tubing for parenteral nutrition changed?
A. Every 12 hours
B. Every 24 hours
C. Every 48 hours
D. Every new IV bag - CORRECT ANSWER-B. Every 24 hours
Enteral feedings are held if residual volumes:
A. Are greater than 100 mL.
B. Are greater than 250 mL.
C. Are greater than twice the hourly administration rate.
D. Are less 200 mL. - CORRECT ANSWER-B. Are greater than 250 mL.
, What causes infection in the hospitalized patient who has malnutrition?
A. Food-drug interactions
B. Hyperkalemia
C. Impaired immunity
D. Renal failure - CORRECT ANSWER-C. Impaired immunity
The nurse knows that feedings into the small bowel should occur within what
time frame of the onset of an injury or illness?
A. 24 hours
B. 72 hours
C. 4 days
D. 7 days - CORRECT ANSWER-A. 24 hours
A common complication of enteral feeding in the critically ill patient is:
A. Constipation.
B. Diarrhea.
C. Low blood glucose.
D. Vomiting. - CORRECT ANSWER-B. Diarrhea.
