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KP RHYTHM INTERPRETATION ASSESSMENT
PRACTICE EXAM UPDATED 2025–2026 WITH
ALL NEW QUESTIONS AND EXACTLY RIGHT
ANSWERS | A+ QUALITY GUARANTEE
1. A patient is admitted to the hospital after sustaining severe electrical burn. A
tracheostomy is performed, and the patient is unable to use either hand. It is MOST
important for the nurse to take which of the following actions?
1. Obtain a closed-circuit video monitor
2. Pad the side rails of the bed
3. Obtain and blow-touch call bell
4. Transfer the patient with a Hoyer lift: ANSWER: Obtain a blow touch call
bell.
The patient is unable to use either hand, so the most appropriate way for him to
summon the nurse is with a blow-touch call bell.
2. The nurse expects which of the following modes of mechanical ventilation
to be ordered for a patient with severe Guillain-Barre syndrome?
1. Controlled ventilation (CV)
2. Assist-control ventilation (AC)
3. Synchronized intermittent mandatory ventilation (SIMV)
4. Continuous positive airway pressure (CPAP): ANSWER: Controlled
ventilation (CV)
Patients with Guillain-Barre syndrome have flaccidity or weakness that progresses
upward from the lower extremities and often includes the trunk, with resultant
respiratory compromise and possible failure; motor deficits can progress to total
quadriplegia; controlled ventilation is used for patients who are unable to initiate a
breath, such as patients with polio or Guillian-Barre; it delivers a set tidal volume
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of oxygen at a set rate; this is the simplest mode, but is used less frequently than
others.
3. Immediately following thoracentesis, the nurse notices a progressive
swelling on the right side of the patient's chest and neck. The nurse knows which
of the following conditions is the MOST likely cause of the swelling?
1. Pneumothroax post-thoracentesis
2. Subcutaneous emphysema
3. Lipoma
4. Hematoma formation: ANSWER: Subcutaneous emphysema
Subuctaneous emphysema is a complication of thoracentesis in which air leaks into
subcutaneous tissue and cuases swelling; as more air enters the tissue, the swelling
progresses. Crepitus is felt as a crackling sensation beneath the fingertips.
4. A patient is scheduled for rhinoplasty. Postoperatively, it is MOST
important for the nurse to place the patient in which of the following positions?
1. Supine
2. Left Sims
3. Modifed Trenedelenburg's
4. Semi-Fowlers: ANSWER: Semi-Fowlers
The patient should be placed in a semi-Fowler's position to decreased edema,
promote drainage, and facilitate breathing.
5. An adult is eating lunch and suddenly starts to choke, gasp for breath, and
grab the throat. Which of the following actions should the nurse take?
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1. Instruct the patient lean forward and administer back blows.
2. Offer the patient water to drink
3. Ask the patient to speak
4. Finger sweep the patient's mouth.: ANSWER: Ask the patient to speak
Assessment if patient is able speak, airway is only partially obstructed; instruct her
to take a deep breath and try to cough up object; if patient is unable to speak,
airway is obstructed; begin abdominal-thrust maneuver.
6. The nurse observes a student nurse suction the right bronchus of a patient via
tracheostomy. The nurse determines care is appropriate if the student nurse places
the patient's head in which positions?
1. The patient's head turned to the left
2. The patient's head turned to the right
3. The patient's head titled toward the chest
4. The patient's head tilted backward
even with the shoulders.: ANSWER: The patient's head turned to the left
When a tracheostomy is suctioned, the head should be positioned to the side
opposite form that of the bronchus being suctioned; learning the right bronchus is
therefore accomplished by turning patient's head to the left.
7. A patient is started on rifampin and isoniazid. Which of the following expla-
nations concerning these medications is Most appropriate for the nurse to give?
1. You will have to take these medicines for the rest of your life.
2. You must isolate yourself from your family while on this medicine.
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3. You will have to take this medicine about a year.
4. You will need to take this medicine only when you have symptoms.:
ANSWER: You will have have to take this medicine about a year.
These medications are used to treat patients with Tuberculosis. Duration of
treatment necessary to eradicate the organism and to prevent relapse; due to drug-
resistant strains, multiple drugs are prescribed; drugs used include isoniazid (INH),
rifampin, streptomycin, pyazinamide, ethambutol; important to instruct patient and
family about the medication and the importance of adhering to the medication
regimen.
8. The nurse understands which of the following is the cause of respiratory
alkalosis?
1. Hyperglycemia
2. Hyperventilation
3. Fluid loss
4. Airway compromise: ANSWER: Hyperventilation
Hyperventilation forma cute anxiety, improper settings on mechanical ventilators,
CNS lesions, or stimulant drugs is the cause of respiratory alkalosis from excessive
loss of CO2; hypoxemia, such as form being in high altitudes can cause hyperven-
tilation.
9. The nurse knows that it is essential to have which of the following pieces of
equipment at the beside of the patient receiving mechanical ventilation?
1. Resuscitation bag
2. Incentive spirometer
3. Particulate respirator
KP RHYTHM INTERPRETATION ASSESSMENT
PRACTICE EXAM UPDATED 2025–2026 WITH
ALL NEW QUESTIONS AND EXACTLY RIGHT
ANSWERS | A+ QUALITY GUARANTEE
1. A patient is admitted to the hospital after sustaining severe electrical burn. A
tracheostomy is performed, and the patient is unable to use either hand. It is MOST
important for the nurse to take which of the following actions?
1. Obtain a closed-circuit video monitor
2. Pad the side rails of the bed
3. Obtain and blow-touch call bell
4. Transfer the patient with a Hoyer lift: ANSWER: Obtain a blow touch call
bell.
The patient is unable to use either hand, so the most appropriate way for him to
summon the nurse is with a blow-touch call bell.
2. The nurse expects which of the following modes of mechanical ventilation
to be ordered for a patient with severe Guillain-Barre syndrome?
1. Controlled ventilation (CV)
2. Assist-control ventilation (AC)
3. Synchronized intermittent mandatory ventilation (SIMV)
4. Continuous positive airway pressure (CPAP): ANSWER: Controlled
ventilation (CV)
Patients with Guillain-Barre syndrome have flaccidity or weakness that progresses
upward from the lower extremities and often includes the trunk, with resultant
respiratory compromise and possible failure; motor deficits can progress to total
quadriplegia; controlled ventilation is used for patients who are unable to initiate a
breath, such as patients with polio or Guillian-Barre; it delivers a set tidal volume
,2|Page
of oxygen at a set rate; this is the simplest mode, but is used less frequently than
others.
3. Immediately following thoracentesis, the nurse notices a progressive
swelling on the right side of the patient's chest and neck. The nurse knows which
of the following conditions is the MOST likely cause of the swelling?
1. Pneumothroax post-thoracentesis
2. Subcutaneous emphysema
3. Lipoma
4. Hematoma formation: ANSWER: Subcutaneous emphysema
Subuctaneous emphysema is a complication of thoracentesis in which air leaks into
subcutaneous tissue and cuases swelling; as more air enters the tissue, the swelling
progresses. Crepitus is felt as a crackling sensation beneath the fingertips.
4. A patient is scheduled for rhinoplasty. Postoperatively, it is MOST
important for the nurse to place the patient in which of the following positions?
1. Supine
2. Left Sims
3. Modifed Trenedelenburg's
4. Semi-Fowlers: ANSWER: Semi-Fowlers
The patient should be placed in a semi-Fowler's position to decreased edema,
promote drainage, and facilitate breathing.
5. An adult is eating lunch and suddenly starts to choke, gasp for breath, and
grab the throat. Which of the following actions should the nurse take?
,3|Page
1. Instruct the patient lean forward and administer back blows.
2. Offer the patient water to drink
3. Ask the patient to speak
4. Finger sweep the patient's mouth.: ANSWER: Ask the patient to speak
Assessment if patient is able speak, airway is only partially obstructed; instruct her
to take a deep breath and try to cough up object; if patient is unable to speak,
airway is obstructed; begin abdominal-thrust maneuver.
6. The nurse observes a student nurse suction the right bronchus of a patient via
tracheostomy. The nurse determines care is appropriate if the student nurse places
the patient's head in which positions?
1. The patient's head turned to the left
2. The patient's head turned to the right
3. The patient's head titled toward the chest
4. The patient's head tilted backward
even with the shoulders.: ANSWER: The patient's head turned to the left
When a tracheostomy is suctioned, the head should be positioned to the side
opposite form that of the bronchus being suctioned; learning the right bronchus is
therefore accomplished by turning patient's head to the left.
7. A patient is started on rifampin and isoniazid. Which of the following expla-
nations concerning these medications is Most appropriate for the nurse to give?
1. You will have to take these medicines for the rest of your life.
2. You must isolate yourself from your family while on this medicine.
, 4|Page
3. You will have to take this medicine about a year.
4. You will need to take this medicine only when you have symptoms.:
ANSWER: You will have have to take this medicine about a year.
These medications are used to treat patients with Tuberculosis. Duration of
treatment necessary to eradicate the organism and to prevent relapse; due to drug-
resistant strains, multiple drugs are prescribed; drugs used include isoniazid (INH),
rifampin, streptomycin, pyazinamide, ethambutol; important to instruct patient and
family about the medication and the importance of adhering to the medication
regimen.
8. The nurse understands which of the following is the cause of respiratory
alkalosis?
1. Hyperglycemia
2. Hyperventilation
3. Fluid loss
4. Airway compromise: ANSWER: Hyperventilation
Hyperventilation forma cute anxiety, improper settings on mechanical ventilators,
CNS lesions, or stimulant drugs is the cause of respiratory alkalosis from excessive
loss of CO2; hypoxemia, such as form being in high altitudes can cause hyperven-
tilation.
9. The nurse knows that it is essential to have which of the following pieces of
equipment at the beside of the patient receiving mechanical ventilation?
1. Resuscitation bag
2. Incentive spirometer
3. Particulate respirator
