NUR 213 MIDTERM EXAM 2025-2026 QUESTIONS
AND CORRECT ANSWERS GRADED A+
ARDs is what kind of condition?
Acute
Direct cause of ARDS
Damage or disruption of Respiratory system
-Aspiration
-smoke inhalation
-PE
-pneumonia
-near drowning
-pulmonary Contusion
Indirect Causes of ARDS
processes or disorders occur outside of the respiratory system but have a harmful
effect on the lungs
-Sepsis
-Pancreatitis
-Drug overdose
,-multiple blood transfusions
-CABG
-Burns
What happens in the exudative phase?
-Happens within 24 hours
-Inflammatory mediators activated
-capillaries become leaky
-poor ventilation (hypoxemia)
-Surfactant becomes inactivated because there's so much fluid building up in
alveoli (Atelectasis)
ARDS early clinical manifestations
-Dyspnea
-Tachycardia
-Chest XR shows clear lungs
-ABG's often within normal range
-lung sounds clear
-restlessness
ARDS Late clinical manifestations
-Increased RR
-Increased intercostal retractions
, -Increased use of accessory muscles
-Tachycardia
-Crackles and Ronchi
-atelectasis (diminished breath sounds)
- Cyanosis
-CXR shows interstitial changes with patchy infiltrates
-Hypoxemia and respiratory acidosis
-Increased agitation, confusion, and lethargy
Priority intervention for the nurse if a patient has to be intubated?
Maintain airway management using a resuscitation bag with face mask and connect
to 100% o2
What sedative would we give along with pancuronium?
-Propofol Drip
What is the purpose of pancuronium?
Reduces O2 demand by limiting muscle movement which suppresses respiratory
effort so the patient doesn't fight the vent
Paralytics like pancuronium can
increase respiratory secretions
AND CORRECT ANSWERS GRADED A+
ARDs is what kind of condition?
Acute
Direct cause of ARDS
Damage or disruption of Respiratory system
-Aspiration
-smoke inhalation
-PE
-pneumonia
-near drowning
-pulmonary Contusion
Indirect Causes of ARDS
processes or disorders occur outside of the respiratory system but have a harmful
effect on the lungs
-Sepsis
-Pancreatitis
-Drug overdose
,-multiple blood transfusions
-CABG
-Burns
What happens in the exudative phase?
-Happens within 24 hours
-Inflammatory mediators activated
-capillaries become leaky
-poor ventilation (hypoxemia)
-Surfactant becomes inactivated because there's so much fluid building up in
alveoli (Atelectasis)
ARDS early clinical manifestations
-Dyspnea
-Tachycardia
-Chest XR shows clear lungs
-ABG's often within normal range
-lung sounds clear
-restlessness
ARDS Late clinical manifestations
-Increased RR
-Increased intercostal retractions
, -Increased use of accessory muscles
-Tachycardia
-Crackles and Ronchi
-atelectasis (diminished breath sounds)
- Cyanosis
-CXR shows interstitial changes with patchy infiltrates
-Hypoxemia and respiratory acidosis
-Increased agitation, confusion, and lethargy
Priority intervention for the nurse if a patient has to be intubated?
Maintain airway management using a resuscitation bag with face mask and connect
to 100% o2
What sedative would we give along with pancuronium?
-Propofol Drip
What is the purpose of pancuronium?
Reduces O2 demand by limiting muscle movement which suppresses respiratory
effort so the patient doesn't fight the vent
Paralytics like pancuronium can
increase respiratory secretions
