NCM 112 EXAM QUESTIONS WITH CORRECT
ANSWERS
You are providing care to a patient with a chest tube. On assessment of the
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drainage system, you note continuous bubbling in the water seal chamber and
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oscillation. Which of the following is the CORRECT nursing intervention for this
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type of finding?| |
A. Reposition the patient because the tubing is kinked.
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B. Continue to monitor the drainage system.
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C. Increase the suction to the drainage system until the bubbling stops.
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D. Check the drainage system for an air leak. - CORRECT ANSWER✔✔-D. Check
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the drainage system for an air leak.
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A patient is receiving positive pressure mechanical ventilation and has a chest
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tube. When assessing the water seal chamber what do you expect to find?*
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A. The water in the chamber will increase during inspiration and decrease during
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expiration.
B. There will be continuous bubbling noted in the chamber.
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C. The water in the chamber will decrease during inspiration and increase during
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expiration.
D. The water in the chamber will not move. - CORRECT ANSWER✔✔-C. The water
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in the chamber will decrease during inspiration and increase during expiration.
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, What type of chest tube system does this statement describe? This chest
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drainage system has no water column to control suction but uses a suction
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monitor bellow that balances the wall suction and you can adjust water suction
| | | | | | | | | | | | |
pressure using the rotary suction dial on the side of the system. It allows for
| | | | | | | | | | | | | | |
higher suction pressure levels, has no bubbling sounds, and water does not
| | | | | | | | | | | |
evaporate from it as with other systems.* | | | | | |
A. Mediastinal chest tube system
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B. Dry suction chest tube system
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C. Wet suction chest tube system
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D. Dry-Wet suction chest tube system - CORRECT ANSWER✔✔-B. Dry suction
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chest tube system | |
The patient in room 2569 calls on the call light to tell you something is wrong
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with his chest tube. When you arrive to the room you note that the drainage
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system has fallen on its side and is leaking drainage onto the floor from a crack in
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the system. What is your next PRIORITY?*
| | | | | |
A. Place the patient in supine position and clamp the tubing.
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B. Notify the physician immediately.
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C. Disconnect the drainage system and get a new one.
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D. Disconnect the tubing from the drainage system and insert the tubing 1 inch
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into a bottle of sterile water and obtain a new system. - CORRECT ANSWER✔✔-D.
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|Disconnect the tubing from the drainage system and insert the tubing 1 inch into
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a bottle of sterile water and obtain a new system.
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You're assessing a patient who is post-opt from a chest tube insertion. On
| | | | | | | | | | | | |
assessment, you note there is 50 cc of serosanguinous fluid in the drainage
| | | | | | | | | | | | |
chamber, fluctuation of water in the water seal chamber when the patient
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ANSWERS
You are providing care to a patient with a chest tube. On assessment of the
| | | | | | | | | | | | | | |
drainage system, you note continuous bubbling in the water seal chamber and
| | | | | | | | | | | |
oscillation. Which of the following is the CORRECT nursing intervention for this
| | | | | | | | | | | |
type of finding?| |
A. Reposition the patient because the tubing is kinked.
| | | | | | | |
B. Continue to monitor the drainage system.
| | | | | |
C. Increase the suction to the drainage system until the bubbling stops.
| | | | | | | | | | |
D. Check the drainage system for an air leak. - CORRECT ANSWER✔✔-D. Check
| | | | | | | | | | | | |
the drainage system for an air leak.
| | | | | |
A patient is receiving positive pressure mechanical ventilation and has a chest
| | | | | | | | | | | |
tube. When assessing the water seal chamber what do you expect to find?*
| | | | | | | | | | | |
A. The water in the chamber will increase during inspiration and decrease during
| | | | | | | | | | | | |
expiration.
B. There will be continuous bubbling noted in the chamber.
| | | | | | | | |
C. The water in the chamber will decrease during inspiration and increase during
| | | | | | | | | | | | |
expiration.
D. The water in the chamber will not move. - CORRECT ANSWER✔✔-C. The water
| | | | | | | | | | | | |
in the chamber will decrease during inspiration and increase during expiration.
| | | | | | | | | | |
, What type of chest tube system does this statement describe? This chest
| | | | | | | | | | | |
drainage system has no water column to control suction but uses a suction
| | | | | | | | | | | | |
monitor bellow that balances the wall suction and you can adjust water suction
| | | | | | | | | | | | |
pressure using the rotary suction dial on the side of the system. It allows for
| | | | | | | | | | | | | | |
higher suction pressure levels, has no bubbling sounds, and water does not
| | | | | | | | | | | |
evaporate from it as with other systems.* | | | | | |
A. Mediastinal chest tube system
| | | |
B. Dry suction chest tube system
| | | | |
C. Wet suction chest tube system
| | | | |
D. Dry-Wet suction chest tube system - CORRECT ANSWER✔✔-B. Dry suction
| | | | | | | | | | |
chest tube system | |
The patient in room 2569 calls on the call light to tell you something is wrong
| | | | | | | | | | | | | | | |
with his chest tube. When you arrive to the room you note that the drainage
| | | | | | | | | | | | | | |
system has fallen on its side and is leaking drainage onto the floor from a crack in
| | | | | | | | | | | | | | | | |
the system. What is your next PRIORITY?*
| | | | | |
A. Place the patient in supine position and clamp the tubing.
| | | | | | | | | |
B. Notify the physician immediately.
| | | |
C. Disconnect the drainage system and get a new one.
| | | | | | | | |
D. Disconnect the tubing from the drainage system and insert the tubing 1 inch
| | | | | | | | | | | | | |
into a bottle of sterile water and obtain a new system. - CORRECT ANSWER✔✔-D.
| | | | | | | | | | | | |
|Disconnect the tubing from the drainage system and insert the tubing 1 inch into
| | | | | | | | | | | | | |
a bottle of sterile water and obtain a new system.
| | | | | | | | |
You're assessing a patient who is post-opt from a chest tube insertion. On
| | | | | | | | | | | | |
assessment, you note there is 50 cc of serosanguinous fluid in the drainage
| | | | | | | | | | | | |
chamber, fluctuation of water in the water seal chamber when the patient
| | | | | | | | | | | |
