2025
CCS EXAM 2 LATEST VERSIONS 2025 (VERSION
A AND B) COMPLETE 400 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
To achieve ventilator synchrony in a mechanically ventilated
patient with acute respiratory distress syndrome (ARDS), which
level of sedation might be most effective?
a. Light
b. Moderate
c. Conscious
d. Deep D. Deep
Deep sedation is used when the patient must be unresponsive
to deliver necessary care safely
A patient has been taking benzodiazepines and suddenly
develops respiratory depression and hypotension. After careful
assessment, the nurse determines that the patient is
experiencing benzodiazepine overdose. What is the nurse's next
action?
a. Decrease benzodiazepines to half the prescribed dose.
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b. Increase IV fluids to 500 cc/h for 2 hours.
c. Administer flumazenil (Romazicon).
d. Discontinue benzodiazepine and start propofol. c.
Administer flumazenil (Romazicon).
The major unwanted side effects associated with
benzodiazepines are dose-related respiratory depression and
hypotension. If needed, flumazenil (Romazicon) is the antidote
used to reverse benzodiazepine overdose in symptomatic
patients.
A patient is admitted unit with acute respiratory distress
syndrome (ARDS). The patient has been intubated and is
mechanically ventilated. The patient is becoming increasingly
agitated, and the high-pressure alarm on the ventilator has
been frequently triggered. What action should be the nurse
take first?
a.
Administer midazolam 5 mg by intravenous push immediately.
b.
Assess the patient to see if a physiologic reason exists for his
agitation.
c.
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Obtain an arterial blood gas level to ensure the patient is not
hypoxemic.
d.
Apply soft wrist restraints to keep him from pulling out the
endotracheal tube. b.
Assess the patient to see if a physiologic reason exists for his
agitation.
The first step in determining the need for sedation is to assess
the patient quickly for any physiologic causes that can be
quickly reversed. In this case, endotracheal suctioning may
solve the high-pressure alarm problem.
A patient is admitted with acute respiratory distress syndrome
(ARDS). The patient has been intubated and is mechanically
ventilated. The patient is becoming increasingly agitated, and
the high-pressure alarm on the ventilator has been frequently
triggered. The patient continues to be very agitated, and the
nurse can find nothing physiologic to account for the high-
pressure alarm. What action should the nurse take next?
a.
Administer midazolam 5 mg by intravenous push immediately.
b.
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Eliminate noise and other stimuli in the room and speak softly
and reassuringly to the patient.
c.
Obtain an arterial blood gas to ensure the patient is not
becoming more hypoxemic.
d.
Call the respiratory care practitioner to replace the
malfunctioning ventilator. b.
Eliminate noise and other stimuli in the room and speak softly
and reassuringly to the patient.
Optimizing the environment, speaking calmly, explaining things
to the patient, and providing distractions are all
nonpharmacologic means to decrease anxiety.
A patient is admitted with acute respiratory distress syndrome
(ARDS). The patient has been intubated and is mechanically
ventilated. The patient is becoming increasingly agitated, and
the high-pressure alarm on the ventilator has been frequently
triggered. Despite the nurse's actions, the patient continues to
be agitated, triggering the high-pressure alarm on the
ventilator. Which medication would be appropriate to sedate
the patient this time?