NURS 382 FINAL EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

NURS 382 FINAL EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 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 rupt 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 quickly determine the cause of the alarms, what should be your next priority action? - Answers manually ventilate the patient what is the first sign of hypoxemia? - Answers restlessness The nurse knows that more education is needed when the pt has the following comment about PEEP? - Answers "this could cause less O2 within the body". this is wrong because PEEP allows the alveoli to stay inflated at the of expiration so the capillaries have more surface area against the alveoli what assessment is the priority when the patient has a chest tube? - Answers palpate the trachea what action by the nurse would best ensure that the safety of a pt being monitored with invasive hemodynamic monitoring? - Answers ensure alarm limits are turned on the nurse is caring for a pt following a insertion of a left subclavian central venous cath. which assessment finding 2 hours after insertion by the nurse warrants immediate action? - Answers diminished breath sounds over left lung fields. what are the priority nursing actions when preparing for insertion of a pulmonary artery catheter? - Answers 1. monitor the pts cardiac rhythm throughout the procedure 2. provide pt with information about procedure to help with anxiety e that a sterile field is maintained during the insertion procedure. which of the following situations would result in a low cardiac output and a low cardiac index? - Answers hypovolemia, shock, and MI the nurse is caring for a pt who has an arterial line inserted. To reduce the risk of complication, what is the priority nursing intervention - Answers ensure that all tubing connections are tightened what is the most appropriate nursing action when obtaining a right arterial pressure reading? - Answers 1. zero reference the inducer system at the level of the phlebostatic axis 2. compare measured pressures with other physiological parameters n the right atrial pressure measurement during end exhalation The nurse is caring for a pt in the ICU diagnosed with respiratory failure secondary to right lower lobe pneumonia. The nurse understands that the pt is more likely to promote oxygenation by positioning the patient - Answers healthy lung in a dependent position, with the affected side of the lung upright. this is done because putting the good side down allows for more blood around the alveoli and capillaries and that allows what causes ARDS to occur? - Answers increased pulmonary capillary permeability. what intervention would a nurse assign to the LPN on the care team? - Answers Auscultate the lungs for crackles because LPNS can not monitor, evaluate, or assess what would be appropriate nursing intervention to prevent complication while a patient is receiving positive pressure mechanical ventilation? - Answers 1. provide mouth care every 4 hours 2. administer pantoprazole as prescribed to prevent GI complications te the HOB at least 30 degrees 4. turn the pt every 2 hours