NURS 480 Exam 1 Advanced Medical Surgical
Nursing Study Guide | Questions and Answers | 2026
Updates | 100% correct
Study Guide
1. Movement of the ET tube into the right main bronchus
- Indicated by absent chest wall movement with respiration
To verify the ET tube placement is: (notes from workshop)
- Capnography
- Auscultate lung sounds
- Chest x ray to confirm placement
2. Post conscious sedation withhold food and liquids until the client’s gag reflex
returns
- True
3. When assessing what is the adverse effect of oxygen therapy?
- Cracks in the oral mucosa and skin breakdown
- Dry Mucosa membranes
4. Patient diagnosed with pulmonary embolism. Which of the following
interventions should the nurse implement first?
- Elevate head of the bed and Administer oxygen therapy (1st
intervention → think ABC’s)
- Recommend anticoagulants (2nd intervention)
- Priority is impaired gas exchange
Ex: A patient with a possible pulmonary embolism
complains of chest pain and difficulty breathing. The
nurse finds a heart rate of 142 beats/minute, blood
pressure of 100/60 mmHg, and respirations of 42
breaths/minute. Which action should the nurse take
first?
a. Administer anticoagulant drug therapy.
, b. Notify the patient's health care provider.
c. Prepare patient for a spiral computed tomography
(CT).
d. Elevate the head of the bed to a semi-Fowler's
position.
Nursing Study Guide | Questions and Answers | 2026
Updates | 100% correct
Study Guide
1. Movement of the ET tube into the right main bronchus
- Indicated by absent chest wall movement with respiration
To verify the ET tube placement is: (notes from workshop)
- Capnography
- Auscultate lung sounds
- Chest x ray to confirm placement
2. Post conscious sedation withhold food and liquids until the client’s gag reflex
returns
- True
3. When assessing what is the adverse effect of oxygen therapy?
- Cracks in the oral mucosa and skin breakdown
- Dry Mucosa membranes
4. Patient diagnosed with pulmonary embolism. Which of the following
interventions should the nurse implement first?
- Elevate head of the bed and Administer oxygen therapy (1st
intervention → think ABC’s)
- Recommend anticoagulants (2nd intervention)
- Priority is impaired gas exchange
Ex: A patient with a possible pulmonary embolism
complains of chest pain and difficulty breathing. The
nurse finds a heart rate of 142 beats/minute, blood
pressure of 100/60 mmHg, and respirations of 42
breaths/minute. Which action should the nurse take
first?
a. Administer anticoagulant drug therapy.
, b. Notify the patient's health care provider.
c. Prepare patient for a spiral computed tomography
(CT).
d. Elevate the head of the bed to a semi-Fowler's
position.
