NSG 3130 EXAM 4 TEST BANK
QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
2026/2027 GRADED A+ .
, 1. The nurse finds the patient in cardiopulmonary arrest with no pulse or respirations. Which oxygen delivery
device will the nurse use for this patient?
a. Non-rebreather mask
b. Bag-valve-mask unit
c. Continuous positive airway pressure (CPAP)
d. High-flow nasal cannula ✓✓ CORRECT ANSWER b. Bag-valve-mask unit
The priority of the nurse is to ventilate the patient manually using a bag-valve-mask (BVM) unit. This allows air to be forced into the patient's lungs when there are no
spontaneous respirations. The non-rebreather mask and nasal cannula require the patient to breathe on his or her own. CPAP is used for patients who are awake, oriented, and
in respiratory failure.
2. The nurse is caring for a patient who is slow to awaken following general
anesthesia. The patient is breathing spontaneously but is minimally respon-sive and having difficulty
maintaining a patent airway. Which intervention is the most appropriate for the patient to improve
oxygenation?
a. Insert an oral airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry. ✓✓ CORRECT ANSWER a. Insert an oral airway.
An oral (oropharyngeal) airway will prevent the patient's tongue from falling back and occluding the airway. Lowering the head of the bed will only increase airway occlusion
and risk of aspiration. Turning the patient's head to the side will not clear the back of the patient's tongue from the airway. Monitoring the patient's pulse oximetry will not improve
oxygenation or clear the airway.
3. The nurse is caring for a patient with a history of left-sided congestive
heart failure who is acutely short of breath. The nurse hears fine crackles throughout both lung fields and notes
that the patient's pulse oximetry is only 88% on 4 L of oxygen. What is the priority intervention of the nurse?
a. Administer the ordered intravenous diuretic.
b. Prepare for insertion of a chest tube.
QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
2026/2027 GRADED A+ .
, 1. The nurse finds the patient in cardiopulmonary arrest with no pulse or respirations. Which oxygen delivery
device will the nurse use for this patient?
a. Non-rebreather mask
b. Bag-valve-mask unit
c. Continuous positive airway pressure (CPAP)
d. High-flow nasal cannula ✓✓ CORRECT ANSWER b. Bag-valve-mask unit
The priority of the nurse is to ventilate the patient manually using a bag-valve-mask (BVM) unit. This allows air to be forced into the patient's lungs when there are no
spontaneous respirations. The non-rebreather mask and nasal cannula require the patient to breathe on his or her own. CPAP is used for patients who are awake, oriented, and
in respiratory failure.
2. The nurse is caring for a patient who is slow to awaken following general
anesthesia. The patient is breathing spontaneously but is minimally respon-sive and having difficulty
maintaining a patent airway. Which intervention is the most appropriate for the patient to improve
oxygenation?
a. Insert an oral airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry. ✓✓ CORRECT ANSWER a. Insert an oral airway.
An oral (oropharyngeal) airway will prevent the patient's tongue from falling back and occluding the airway. Lowering the head of the bed will only increase airway occlusion
and risk of aspiration. Turning the patient's head to the side will not clear the back of the patient's tongue from the airway. Monitoring the patient's pulse oximetry will not improve
oxygenation or clear the airway.
3. The nurse is caring for a patient with a history of left-sided congestive
heart failure who is acutely short of breath. The nurse hears fine crackles throughout both lung fields and notes
that the patient's pulse oximetry is only 88% on 4 L of oxygen. What is the priority intervention of the nurse?
a. Administer the ordered intravenous diuretic.
b. Prepare for insertion of a chest tube.
