NSG 4100 (AH III) Exam 3 Questions
with 100% Correct Answers
The nurse caring for a pt w/ and endotracheal tube recognizes several
disadvantages of an endotracheal tube. What would the nurse recognize as a
disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressedQuestions with 100% Correct AnswersD
What would the critical care nurse recognize as a condition that may indicate a
pt's need to have a tracheotomy?
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 acidosisQuestions with 100% Correct AnswersB
The nurse is caring for a pt who is scheduled to have a 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 restrictionQuestions with 100% Correct
AnswersB
A nurse is educating a pt in anticipation of a procedure that will require a
water-sealed chest drainage system. 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 fluidQuestions with 100% Correct AnswersD
A pt is exhibiting signs of a pneumothorax following 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 ventilationQuestions with 100% Correct AnswersA
A pt's plan of care specifies postural drainage. What 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 secretionsQuestions
with 100% Correct AnswersD
While assessing the pt, the nurse observes constant bubbling in the water-seal
chamber of the pt's closed chest-drinagae system. What should the Nurs
conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructedQuestions with 100% Correct AnswersC
The nurse has admitted a pt who is scheduled for a thoracic resection. The nurse
is providing preoperative teaching and is discussing several diagnostic studies
that will be required prior to surgery. Which study will be performed to determine
whether the panned resection will leave sufficient functioning lung tissue?
a. pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-rayQuestions with 100% Correct AnswersA
, The nurse is discussing activity management w/ a pt who is postoperative
following thoracotomy. What instructions should the nurse give to the pt
regarding activity immediately following discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x dailyQuestions with 100% Correct AnswersD
The OR nurse is setting up a water-seal chest drainage system for a pt who has
just had a thoracotomy. The nurse knows that the amount of suction in the
system is determined by the water level. At what suction level should the nurse
set the system?
a. 20 cm H2O
b. 15 cm H2O
c. 10 cm H2O
d. 5 cm H2OQuestions with 100% Correct AnswersA
The nurse is caring for a client w/ and endotracheal tube who is on a ventilator.
When assessing the client, the nurse knows to maintain what cuff pressure to
maintain appropriate pressure on the tracheal wall?
a. between 10-15 mm Hg
b. between 15-20 mm Hg
c. between 20-25 mm Hg
with 100% Correct Answers
The nurse caring for a pt w/ and endotracheal tube recognizes several
disadvantages of an endotracheal tube. What would the nurse recognize as a
disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressedQuestions with 100% Correct AnswersD
What would the critical care nurse recognize as a condition that may indicate a
pt's need to have a tracheotomy?
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 acidosisQuestions with 100% Correct AnswersB
The nurse is caring for a pt who is scheduled to have a 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 restrictionQuestions with 100% Correct
AnswersB
A nurse is educating a pt in anticipation of a procedure that will require a
water-sealed chest drainage system. 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 fluidQuestions with 100% Correct AnswersD
A pt is exhibiting signs of a pneumothorax following 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 ventilationQuestions with 100% Correct AnswersA
A pt's plan of care specifies postural drainage. What 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 secretionsQuestions
with 100% Correct AnswersD
While assessing the pt, the nurse observes constant bubbling in the water-seal
chamber of the pt's closed chest-drinagae system. What should the Nurs
conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructedQuestions with 100% Correct AnswersC
The nurse has admitted a pt who is scheduled for a thoracic resection. The nurse
is providing preoperative teaching and is discussing several diagnostic studies
that will be required prior to surgery. Which study will be performed to determine
whether the panned resection will leave sufficient functioning lung tissue?
a. pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-rayQuestions with 100% Correct AnswersA
, The nurse is discussing activity management w/ a pt who is postoperative
following thoracotomy. What instructions should the nurse give to the pt
regarding activity immediately following discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x dailyQuestions with 100% Correct AnswersD
The OR nurse is setting up a water-seal chest drainage system for a pt who has
just had a thoracotomy. The nurse knows that the amount of suction in the
system is determined by the water level. At what suction level should the nurse
set the system?
a. 20 cm H2O
b. 15 cm H2O
c. 10 cm H2O
d. 5 cm H2OQuestions with 100% Correct AnswersA
The nurse is caring for a client w/ and endotracheal tube who is on a ventilator.
When assessing the client, the nurse knows to maintain what cuff pressure to
maintain appropriate pressure on the tracheal wall?
a. between 10-15 mm Hg
b. between 15-20 mm Hg
c. between 20-25 mm Hg
