Group Performance Profile
NH N480 Spring II 2025 Sect 1M Exam 1
There are 4 question(s) with adjusted answers on this assessment
Assessment Number: 35984931 Group Score: 77.2%
Institution: West Coast U LA BSN Reliability: 0.41
Program Type: BSN
Group Size: 36
Date Test: 4/14/2025
Total # of Points: 133
,Group Performance Profile
NH N480 Spring II 2025 Sect 1M Exam 1
Question Analysis
NH N480 Spring II 2025 Sect 1M Exam 1
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is caring for a client who ATI Multiple No fluctuations in the water Key 80.6% 0.02
has a chest tube in place to a Choice seal chamber
closed chest drainage system.
Which of the following findings Oxygen saturation of 95% Distractor 2.8% 0.04
should indicate to the nurse that
the client’s lung has
No reports of pleuritic chest Distractor 11.1% -0.11
re-expanded? pain
Occasional bubbling in the Distractor 2.8% 0.11
water-seal chamber
A nurse is caring for a client who ATI Multiple Continuous bubbling in the Key 91.7% 0.21
has a new chest tube in place to Choice water-seal chamber
closed-chest water-seal drainage
and suction. The nurse should Occasional bubbling in the Distractor 0.0% N/A
observe the client for which of the water-seal chamber
following indications of a problem
in the drainage system?
Constant bubbling in the Distractor 8.3% -0.21
suction-control chamber
Fluctuations in the fluid level in Distractor 0.0% N/A
the water-seal chamber
A nurse is caring for a client who ATI Multiple Withhold food and liquids Key 97.2% 0.12
has just had a bronchoscopy. Choice until the client’s gag reflex
Which of the following is an returns
appropriate nursing action?
Irrigate the client’s throat every Distractor 0.0% N/A
4 hr
Have the client refrain from Distractor 2.8% -0.12
talking for 24 hr
Suction the client’s oropharynx Distractor 0.0% N/A
frequently
A nurse is caring for a client who ATI Multiple Heparin Key 94.4% 0.05
has just developed pulmonary Choice
embolism. The nurse should Furosemide (Lasix) Distractor 0.0% N/A
prepare to administer which of
the following medications?
Dexamethasone (Decadron) Distractor 5.6% -0.05
Atropine Distractor 0.0% N/A
, Group Performance Profile
NH N480 Spring II 2025 Sect 1M Exam 1
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
The nurse assesses a client with Educator Multiple Tension pneumothorax Key 100.0% N/A
dyspnea, decreased breath Choice
sounds, tracheal deviation, and Flail chest Distractor 0.0% N/A
pulse oximetry reading of 86%.
What is the nurse’s interpretation
of these findings? Pulmonary contusion Distractor 0.0% N/A
Acute respiratory distress Distractor 0.0% N/A
syndrome
The nurse observes the nursing Educator Multiple Applying suction when the Key 69.4% 0.28
student suctioning the client. Choice catheter is inserted
Which intervention on the student
nurse’s part has the greatest Oxygen saturation Distractor 2.8% -0.28
potential to cause tissue postsuctioning of 93%
damage?
Hyperoxygenating the client Distractor 13.9% -0.23
after removing the suction
catheter
Applying intermittent suction Distractor 13.9% -0.01
A client has the following arterial Educator Multiple The client is severely Key 80.6% 0.18
blood gas values: pH 7.52, PaO2 Choice hypoxic.
50 mm Hg, PaCO2 28 mm Hg,
HCO3 24 mEq/L. Based upon the The oxygen level is low but Distractor 2.8% -0.02
client’s PaO2, which of the poses no risk for the client.
following conclusions would be
accurate? The client’s PaO2 level is Distractor 2.8% -0.15
within normal range.
The client requires oxygen Distractor 13.9% -0.13
therapy with very low oxygen
concentrations.
A client who is intubated and Educator Multiple Monitor the client's Key 30.6% 0.33
receiving mechanical ventilation Response temperature.;Monitor
(PEEP) has a nursing diagnosis sputum characteristics and
for Risk for Infection. The nurse amounts.;Use the
should include which of the closed-system method of
following in the care of this client? suctioning.;Use clean
(Select all that apply) technique if suctioning via
ETT.
NH N480 Spring II 2025 Sect 1M Exam 1
There are 4 question(s) with adjusted answers on this assessment
Assessment Number: 35984931 Group Score: 77.2%
Institution: West Coast U LA BSN Reliability: 0.41
Program Type: BSN
Group Size: 36
Date Test: 4/14/2025
Total # of Points: 133
,Group Performance Profile
NH N480 Spring II 2025 Sect 1M Exam 1
Question Analysis
NH N480 Spring II 2025 Sect 1M Exam 1
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is caring for a client who ATI Multiple No fluctuations in the water Key 80.6% 0.02
has a chest tube in place to a Choice seal chamber
closed chest drainage system.
Which of the following findings Oxygen saturation of 95% Distractor 2.8% 0.04
should indicate to the nurse that
the client’s lung has
No reports of pleuritic chest Distractor 11.1% -0.11
re-expanded? pain
Occasional bubbling in the Distractor 2.8% 0.11
water-seal chamber
A nurse is caring for a client who ATI Multiple Continuous bubbling in the Key 91.7% 0.21
has a new chest tube in place to Choice water-seal chamber
closed-chest water-seal drainage
and suction. The nurse should Occasional bubbling in the Distractor 0.0% N/A
observe the client for which of the water-seal chamber
following indications of a problem
in the drainage system?
Constant bubbling in the Distractor 8.3% -0.21
suction-control chamber
Fluctuations in the fluid level in Distractor 0.0% N/A
the water-seal chamber
A nurse is caring for a client who ATI Multiple Withhold food and liquids Key 97.2% 0.12
has just had a bronchoscopy. Choice until the client’s gag reflex
Which of the following is an returns
appropriate nursing action?
Irrigate the client’s throat every Distractor 0.0% N/A
4 hr
Have the client refrain from Distractor 2.8% -0.12
talking for 24 hr
Suction the client’s oropharynx Distractor 0.0% N/A
frequently
A nurse is caring for a client who ATI Multiple Heparin Key 94.4% 0.05
has just developed pulmonary Choice
embolism. The nurse should Furosemide (Lasix) Distractor 0.0% N/A
prepare to administer which of
the following medications?
Dexamethasone (Decadron) Distractor 5.6% -0.05
Atropine Distractor 0.0% N/A
, Group Performance Profile
NH N480 Spring II 2025 Sect 1M Exam 1
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
The nurse assesses a client with Educator Multiple Tension pneumothorax Key 100.0% N/A
dyspnea, decreased breath Choice
sounds, tracheal deviation, and Flail chest Distractor 0.0% N/A
pulse oximetry reading of 86%.
What is the nurse’s interpretation
of these findings? Pulmonary contusion Distractor 0.0% N/A
Acute respiratory distress Distractor 0.0% N/A
syndrome
The nurse observes the nursing Educator Multiple Applying suction when the Key 69.4% 0.28
student suctioning the client. Choice catheter is inserted
Which intervention on the student
nurse’s part has the greatest Oxygen saturation Distractor 2.8% -0.28
potential to cause tissue postsuctioning of 93%
damage?
Hyperoxygenating the client Distractor 13.9% -0.23
after removing the suction
catheter
Applying intermittent suction Distractor 13.9% -0.01
A client has the following arterial Educator Multiple The client is severely Key 80.6% 0.18
blood gas values: pH 7.52, PaO2 Choice hypoxic.
50 mm Hg, PaCO2 28 mm Hg,
HCO3 24 mEq/L. Based upon the The oxygen level is low but Distractor 2.8% -0.02
client’s PaO2, which of the poses no risk for the client.
following conclusions would be
accurate? The client’s PaO2 level is Distractor 2.8% -0.15
within normal range.
The client requires oxygen Distractor 13.9% -0.13
therapy with very low oxygen
concentrations.
A client who is intubated and Educator Multiple Monitor the client's Key 30.6% 0.33
receiving mechanical ventilation Response temperature.;Monitor
(PEEP) has a nursing diagnosis sputum characteristics and
for Risk for Infection. The nurse amounts.;Use the
should include which of the closed-system method of
following in the care of this client? suctioning.;Use clean
(Select all that apply) technique if suctioning via
ETT.
