NURS 325 FINAL EXAM LATEST 2023 TEST BANK
QUESTIONS AND CORRECT CETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
What medications should the nurse expect to give to the patient requiring
intubation? - ANSWER--Sedative (Midazolam) and a paralytic agent
(Succinylcholine)
How often should we suction the ETT? - ANSWER--Only as indicated
(visible secretions, frequent cough, coarse crackles, desatting, etc.)
How can we prevent Ventilator-Associated Pneumonia? - ANSWER--HOB
elevation, oral care (with chlorhexidine), hand hygiene, controlled cuff
pressure
This mode of noninvasive ventilation gives oxygen, along with a high
inspiratory pressure and low expiratory pressure - ANSWER--BiPAP
What is the main difference between Volume-Controlled Modes and
Pressure-Controlled Modes - ANSWER--Volume-Controlled Modes deliver
a preset tidal volume with each breath
Pressure-Controlled Modes fill the lungs until a preset inspiratory pressure
is reached (tidal volume varies based on lung compliance and resistance)
This Vent mode delivers a preset # of breaths and also aids the patient
during spontaneous breaths by ensuring an adequate tidal volume is met -
ANSWER--Assist/Control Ventilation
, NURS 325 FINAL EXAM LATEST 2023 TEST BANK
QUESTIONS AND CORRECT CETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
This vent mode uses positive inspiratory pressure to increase a patient's
spontaneous respiratory activity - ANSWER--Pressure Support
This vent mode delivers a set respiratory rate and helps each breath with
inspiratory pressure - ANSWER--Pressure-Assist Control Ventilation
Why might pressure-controlled modes be better than volume-controlled
modes? - ANSWER--If a patient's PIP level is elevated during volume-
controlled ventilation, pressure-controlled modes can reduce the risk of
barotrauma (Pressure modes are used for stiff, noncompliant lungs)
What is the tidal volume setting of a vent?
What is the normal range? - ANSWER--Tidal Volume: The amount of air
with each breath
Normal Range: 4-8 mL/kg
What values can we look at to ensure patient doesn't experience
barotrauma? - ANSWER--PIP: Should be BELOW 40 cm H2O
Plateau Pressure: Should be below 30 cm H2O
What is the function of the PEEP setting? What is the normal range for
PEEP? - ANSWER--PEEP adds positive pressure during exhalation to
keep alveoli open and help with oxygenation.
Physiological PEEP is 3-5 cm H2O but can range anywhere from 5-20 cm
H2O
, NURS 325 FINAL EXAM LATEST 2023 TEST BANK
QUESTIONS AND CORRECT CETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
How are PEEP and FiO2 related? - ANSWER--PEEP allows us to use a
lower FiO2 since we're increasing the area for exchange
Assign points to each possible finding while assessing eyes during a GCS:
Patient opens eyes to pain:
Patient opens eyes to voice:
Patient doesn't open eyes
Patient opens eyes spontaneously: - ANSWER--Patient opens eyes to
pain: 2
Patient opens eyes to voice: 3
Patient doesn't open eyes: 1
Patient opens eyes spontaneously: 4
Assign points to each possible finding while assessing motor response
during a GCS:
Flexion is observed:
Patient withdraws from pain:
Extension is observed:
Patient localizes pain
Patient obeys commands:
No response observed: - ANSWER--Flexion is observed: 3
Patient withdraws from pain: 4
QUESTIONS AND CORRECT CETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
What medications should the nurse expect to give to the patient requiring
intubation? - ANSWER--Sedative (Midazolam) and a paralytic agent
(Succinylcholine)
How often should we suction the ETT? - ANSWER--Only as indicated
(visible secretions, frequent cough, coarse crackles, desatting, etc.)
How can we prevent Ventilator-Associated Pneumonia? - ANSWER--HOB
elevation, oral care (with chlorhexidine), hand hygiene, controlled cuff
pressure
This mode of noninvasive ventilation gives oxygen, along with a high
inspiratory pressure and low expiratory pressure - ANSWER--BiPAP
What is the main difference between Volume-Controlled Modes and
Pressure-Controlled Modes - ANSWER--Volume-Controlled Modes deliver
a preset tidal volume with each breath
Pressure-Controlled Modes fill the lungs until a preset inspiratory pressure
is reached (tidal volume varies based on lung compliance and resistance)
This Vent mode delivers a preset # of breaths and also aids the patient
during spontaneous breaths by ensuring an adequate tidal volume is met -
ANSWER--Assist/Control Ventilation
, NURS 325 FINAL EXAM LATEST 2023 TEST BANK
QUESTIONS AND CORRECT CETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
This vent mode uses positive inspiratory pressure to increase a patient's
spontaneous respiratory activity - ANSWER--Pressure Support
This vent mode delivers a set respiratory rate and helps each breath with
inspiratory pressure - ANSWER--Pressure-Assist Control Ventilation
Why might pressure-controlled modes be better than volume-controlled
modes? - ANSWER--If a patient's PIP level is elevated during volume-
controlled ventilation, pressure-controlled modes can reduce the risk of
barotrauma (Pressure modes are used for stiff, noncompliant lungs)
What is the tidal volume setting of a vent?
What is the normal range? - ANSWER--Tidal Volume: The amount of air
with each breath
Normal Range: 4-8 mL/kg
What values can we look at to ensure patient doesn't experience
barotrauma? - ANSWER--PIP: Should be BELOW 40 cm H2O
Plateau Pressure: Should be below 30 cm H2O
What is the function of the PEEP setting? What is the normal range for
PEEP? - ANSWER--PEEP adds positive pressure during exhalation to
keep alveoli open and help with oxygenation.
Physiological PEEP is 3-5 cm H2O but can range anywhere from 5-20 cm
H2O
, NURS 325 FINAL EXAM LATEST 2023 TEST BANK
QUESTIONS AND CORRECT CETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
How are PEEP and FiO2 related? - ANSWER--PEEP allows us to use a
lower FiO2 since we're increasing the area for exchange
Assign points to each possible finding while assessing eyes during a GCS:
Patient opens eyes to pain:
Patient opens eyes to voice:
Patient doesn't open eyes
Patient opens eyes spontaneously: - ANSWER--Patient opens eyes to
pain: 2
Patient opens eyes to voice: 3
Patient doesn't open eyes: 1
Patient opens eyes spontaneously: 4
Assign points to each possible finding while assessing motor response
during a GCS:
Flexion is observed:
Patient withdraws from pain:
Extension is observed:
Patient localizes pain
Patient obeys commands:
No response observed: - ANSWER--Flexion is observed: 3
Patient withdraws from pain: 4
