NURS 382 FINAL EXAM QUESTIONS WITH VERIFIED
ANSWERS
The need for fluid resuscitation can be assessed best in the trauma pt by monitoring
and trending which of the following tests? - answers - serum lactate levels
What are situations in which a nurse is experiencing moral distress? - answers - 1. A
substance abuse patient who is being visited by friends and family is offered drugs
during their visit which the patient takes.
2. A physician is discussing dialysis treatment and other numerous treatment options,
for a 97 yo demetia patient
Failure to obtain consent prior to initiation of medical treatment is an example of what? -
answers - battery
What is the primary intervention to prevent icu delirium? - answers - promoting early
ambulation and physical therapy
How do you figure out the ventricular heart rate when you only know the number of
small boxes between each p wave and r wave? - answers - take 1500 divided by the
number of boxes to get the beats/min. If it were to say large boxes you would take 300
divided by the number of large boxes.
True or false: assault is also threatening someone - answers - true
What symptom would you expect to find in a patient with left sided heart failure? -
answers - dyspnea and crackles
What is the first line of medication given to a patient with bradycardia? - answers -
atropine
A patient has been successfully converted from vtach with a pulse sinus rhythm and
does not have hypovolemia. Upon further assessment, it is noted that the patient is
hypotensive. What might the appropriate tx for her hypotension include - answers -
dopamine infusion
Tidal volume: 600 ml
Fio2: 0.6
Respiratory rate: 16 breaths per minute
Mode: assist/control
Peep: 8cm h2o
, What arterial blood gas abnormality might occur if the pt continues to be tachypneic at
these ventilator settings? - answers - respiratory alkalosis because of the increased
amount of co2 that they are expelling and leaving the lungs and blood
A pt is admitted to the progressive care unit with a diagnosis of covid-19. The pt has a
hx of copd and diabetes. A set of aterial blood gases obtained on admission without
supplemental o2 showed ph: 7.35, paco2: 59mm hg, bicarbonate 30meq/l; pao2: 71mm
hg. What do these blood gases indicate? - answers - hypoxemia and compound
respiratory acidosis
What is normal range of paco2? - answers - 35-45 mmhg
What does a paco2 of 33 mm hg associated with - answers - hyperventilation
What does a ventilator bundle include? - answers - 1. Provide oral care with an
antiseptic solution
2. Provide prophylaxis for dvt
3.provide prophylaxis for pud
4.maintain hob elevation 30-45 degrees
5.interrupt sedation at least daily to assess readiness to wean from ventilator
The pt have an ett placed that is not secured. The resp care practitioner assists the
nurse in taping the tube. After tube is retaped, the nurse auscultates the pts lungs and
notes that the breath sounds over the left field are absent. What should the nurse
suspect? - answers - the ett is in the right mainstem bronchus
A pts spontaneous respirations are 12breaths/min. He receives a dose of morphine
sulfate and his spontaneous respirations decrease to 4 breath/min. Which acid base
disturbance will likely occur? - answers - respiratory acidosis
What are normal hemoglobin levels? - answers - male: 14-18 g/dl
Female: 12-16 g/dl
What would cause difficulty weaning from mechanical ventilation? - answers -
hemoglobin of 8g/dl. This low hemoglobin level means that there is not enough
hemoglobin to carry o2 to the cells.
The amount of effort needed to maintain a given level of ventilation is termed? -
answers - work of breathing
What predisposes the patient to respiratory acidosis? - answers - central nervous
system depression
You are caring for a mechanically ventilated pt and charting outside the room when you
notice the ventilator alarm sounds. After going to the pts bedside and not being able to
ANSWERS
The need for fluid resuscitation can be assessed best in the trauma pt by monitoring
and trending which of the following tests? - answers - serum lactate levels
What are situations in which a nurse is experiencing moral distress? - answers - 1. A
substance abuse patient who is being visited by friends and family is offered drugs
during their visit which the patient takes.
2. A physician is discussing dialysis treatment and other numerous treatment options,
for a 97 yo demetia patient
Failure to obtain consent prior to initiation of medical treatment is an example of what? -
answers - battery
What is the primary intervention to prevent icu delirium? - answers - promoting early
ambulation and physical therapy
How do you figure out the ventricular heart rate when you only know the number of
small boxes between each p wave and r wave? - answers - take 1500 divided by the
number of boxes to get the beats/min. If it were to say large boxes you would take 300
divided by the number of large boxes.
True or false: assault is also threatening someone - answers - true
What symptom would you expect to find in a patient with left sided heart failure? -
answers - dyspnea and crackles
What is the first line of medication given to a patient with bradycardia? - answers -
atropine
A patient has been successfully converted from vtach with a pulse sinus rhythm and
does not have hypovolemia. Upon further assessment, it is noted that the patient is
hypotensive. What might the appropriate tx for her hypotension include - answers -
dopamine infusion
Tidal volume: 600 ml
Fio2: 0.6
Respiratory rate: 16 breaths per minute
Mode: assist/control
Peep: 8cm h2o
, What arterial blood gas abnormality might occur if the pt continues to be tachypneic at
these ventilator settings? - answers - respiratory alkalosis because of the increased
amount of co2 that they are expelling and leaving the lungs and blood
A pt is admitted to the progressive care unit with a diagnosis of covid-19. The pt has a
hx of copd and diabetes. A set of aterial blood gases obtained on admission without
supplemental o2 showed ph: 7.35, paco2: 59mm hg, bicarbonate 30meq/l; pao2: 71mm
hg. What do these blood gases indicate? - answers - hypoxemia and compound
respiratory acidosis
What is normal range of paco2? - answers - 35-45 mmhg
What does a paco2 of 33 mm hg associated with - answers - hyperventilation
What does a ventilator bundle include? - answers - 1. Provide oral care with an
antiseptic solution
2. Provide prophylaxis for dvt
3.provide prophylaxis for pud
4.maintain hob elevation 30-45 degrees
5.interrupt sedation at least daily to assess readiness to wean from ventilator
The pt have an ett placed that is not secured. The resp care practitioner assists the
nurse in taping the tube. After tube is retaped, the nurse auscultates the pts lungs and
notes that the breath sounds over the left field are absent. What should the nurse
suspect? - answers - the ett is in the right mainstem bronchus
A pts spontaneous respirations are 12breaths/min. He receives a dose of morphine
sulfate and his spontaneous respirations decrease to 4 breath/min. Which acid base
disturbance will likely occur? - answers - respiratory acidosis
What are normal hemoglobin levels? - answers - male: 14-18 g/dl
Female: 12-16 g/dl
What would cause difficulty weaning from mechanical ventilation? - answers -
hemoglobin of 8g/dl. This low hemoglobin level means that there is not enough
hemoglobin to carry o2 to the cells.
The amount of effort needed to maintain a given level of ventilation is termed? -
answers - work of breathing
What predisposes the patient to respiratory acidosis? - answers - central nervous
system depression
You are caring for a mechanically ventilated pt and charting outside the room when you
notice the ventilator alarm sounds. After going to the pts bedside and not being able to
