NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
This platelet count is low and could indicate heparin-induced
thrombocytopenia. The other values are normal for either
gender. A client appears dyspneic, but the oxygen saturation is
97%. What action by the nurse is best?
a. Assess for other manifestations of hypoxia.
b. Change the sensor on the pulse oximeter.
c. Obtain a new oximeter from central supply.
d. Tell the client to
take slow, deep
breaths. a
Pulse oximetry is not always the most accurate assessment tool
for hypoxia as many factors can interfere, producing normal or
NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
,NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
near-normal readings in the setting of hypoxia. The nurse should
conduct a more thorough assessment. The other actions are not
appropriate for a hypoxic client.
A nurse is assisting the health care provider who is intubating a
client. The provider has been attempting to intubate for 40
seconds. What action by the nurse takes priority?
a. Ensure the client has adequate sedation.
b. Find another provider to intubate.
c. Interrupt the procedure to give oxygen.
d. Monitor the
client's oxygen
saturation. c
Each intubation attempt should not exceed 30 seconds (15 is
preferable) as it causes hypoxia. The nurse should interrupt the
intubation attempt and give the client oxygen. The nurse should
also have adequate sedation during the procedure and monitor
the client's oxygen saturation, but these do not take priority.
Finding another provider is not appropriate at this time.
An intubated client's oxygen saturation has dropped to 88%. What
action by the nurse takes priority?
a. Determine if the tube is kinked.
b. Ensure all connections are patent.
c. Listen to the client's lung sounds.
NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
,NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
d. Suction the
endotracheal
tube. c
When an intubated client shows signs of hypoxia, check for
DOPE: displaced tube (most common cause), obstruction (often
by secretions), pneumothorax, and equipment problems. The
nurse listens for equal, bilateral breath sounds first to determine
if the endotracheal tube is still correctly placed. If this
assessment is normal, the nurse would follow the mnemonic and
assess the patency of the tube and connections and perform
suction.
A client is on a ventilator and is sedated. What care may the nurse
delegate to the unlicensed assistive personnel (UAP)?
a. Assess the client for sedation needs.
b. Get family permission for restraints.
c. Provide frequent oral care per protocol.
d. Use nonverbal
pain assessment
tools. c
The client on mechanical ventilation needs frequent oral care,
which can be delegated to the UAP. The other actions fall within
the scope of practice of the nurse.
A nurse is caring for a client on mechanical ventilation. When
double-checking the ventilator settings with the respiratory
NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
, NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
therapist, what should the nurse ensure as a priority?
a. The client is able to initiate spontaneous breaths.
b. The inspired oxygen has adequate humidification.
c. The upper peak airway pressure limit alarm is off.
d. The upper peak airway
pressure limit alarm is on.
d
The upper peak airway pressure limit alarm will sound when the
airway pressure reaches a preset maximum. This is critical to
prevent damage to the lungs. Alarms should never be turned off.
Initiating spontaneous breathing is important for some modes of
ventilation but not others. Adequate humidification is important
but does not take priority over preventing injury.
A nurse answers a call light and finds a client anxious, short of
breath, reporting chest pain, and having a blood pressure of
88/52 mm Hg on the cardiac monitor. What action by the nurse
takes priority?
a. Assess the client's lung sounds.
b. Notify the Rapid Response Team.
c. Provide reassurance to the client.
d. Take a full
NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
This platelet count is low and could indicate heparin-induced
thrombocytopenia. The other values are normal for either
gender. A client appears dyspneic, but the oxygen saturation is
97%. What action by the nurse is best?
a. Assess for other manifestations of hypoxia.
b. Change the sensor on the pulse oximeter.
c. Obtain a new oximeter from central supply.
d. Tell the client to
take slow, deep
breaths. a
Pulse oximetry is not always the most accurate assessment tool
for hypoxia as many factors can interfere, producing normal or
NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
,NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
near-normal readings in the setting of hypoxia. The nurse should
conduct a more thorough assessment. The other actions are not
appropriate for a hypoxic client.
A nurse is assisting the health care provider who is intubating a
client. The provider has been attempting to intubate for 40
seconds. What action by the nurse takes priority?
a. Ensure the client has adequate sedation.
b. Find another provider to intubate.
c. Interrupt the procedure to give oxygen.
d. Monitor the
client's oxygen
saturation. c
Each intubation attempt should not exceed 30 seconds (15 is
preferable) as it causes hypoxia. The nurse should interrupt the
intubation attempt and give the client oxygen. The nurse should
also have adequate sedation during the procedure and monitor
the client's oxygen saturation, but these do not take priority.
Finding another provider is not appropriate at this time.
An intubated client's oxygen saturation has dropped to 88%. What
action by the nurse takes priority?
a. Determine if the tube is kinked.
b. Ensure all connections are patent.
c. Listen to the client's lung sounds.
NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
,NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
d. Suction the
endotracheal
tube. c
When an intubated client shows signs of hypoxia, check for
DOPE: displaced tube (most common cause), obstruction (often
by secretions), pneumothorax, and equipment problems. The
nurse listens for equal, bilateral breath sounds first to determine
if the endotracheal tube is still correctly placed. If this
assessment is normal, the nurse would follow the mnemonic and
assess the patency of the tube and connections and perform
suction.
A client is on a ventilator and is sedated. What care may the nurse
delegate to the unlicensed assistive personnel (UAP)?
a. Assess the client for sedation needs.
b. Get family permission for restraints.
c. Provide frequent oral care per protocol.
d. Use nonverbal
pain assessment
tools. c
The client on mechanical ventilation needs frequent oral care,
which can be delegated to the UAP. The other actions fall within
the scope of practice of the nurse.
A nurse is caring for a client on mechanical ventilation. When
double-checking the ventilator settings with the respiratory
NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
, NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
therapist, what should the nurse ensure as a priority?
a. The client is able to initiate spontaneous breaths.
b. The inspired oxygen has adequate humidification.
c. The upper peak airway pressure limit alarm is off.
d. The upper peak airway
pressure limit alarm is on.
d
The upper peak airway pressure limit alarm will sound when the
airway pressure reaches a preset maximum. This is critical to
prevent damage to the lungs. Alarms should never be turned off.
Initiating spontaneous breathing is important for some modes of
ventilation but not others. Adequate humidification is important
but does not take priority over preventing injury.
A nurse answers a call light and finds a client anxious, short of
breath, reporting chest pain, and having a blood pressure of
88/52 mm Hg on the cardiac monitor. What action by the nurse
takes priority?
a. Assess the client's lung sounds.
b. Notify the Rapid Response Team.
c. Provide reassurance to the client.
d. Take a full
NURSING 2765 NURSING EXAMS QUESTIONS &
ANSWERS ALL ANSWERS CORRECT BEST EXAM
SOLUTION LATEST UPDATE 2021/2022 RATED A+
