NUR265 | NUR 265 EXAM 2 | ADVANCED
CONCEPTS OF MEDICAL SURGICAL NURSING
EXAM 2 | QUESTIONS AND CORRECT
ANSWERS RATED A+ | 2025/2026 GUIDE
What is a pulmonary contusion?
- Correct Answer - A "bruise" of the lung
What is the treatment/nursing interventions for a pulmonary contusion?
- Correct Answer - PEEP to try and fix itself (bruise will resolve itself)
Monitor ABC's
Is an increase in output from a chest tube expected?
- Correct Answer - *NO*
What are s/s of a pulmonary contusion?
- Correct Answer - Haemorrhaging and edema in the lungs
Hyposix
Dyspneic
Haemoptysis
*Crackles, wheezes, decreased O2 sat*
,Describe flail chest.
- Correct Answer - 2 or more completely broken ribs with no support.
Creates a paradoxical chest movement.
What are the nursing interventions for flail chest?
- Correct Answer - -ABC/pain/safety
-Normally on a vent
-Manage the symptoms with fluids and vasopressors
What is the treatment for a pneumothorax?
- Correct Answer - Chest tube *have intubation kit at the bedside*
Describe a tension pneumothorax.
- Correct Answer - An air leak in the lung or chest wall which causes
complete collapse of the affected lung. Air collects under pressure
compressing the blood vessels and limiting blood return.
What are symptoms of a tension pneumothorax?
- Correct Answer - Absent breath sounds
Cyanosis
Distended neck veins
, Dyspnea
What is the treatment for a tension pneumothorax?
- Correct Answer - Mechanical Vent
Chest Tube
What is ARDS?
- Correct Answer - Acute Resp. Failure with these features:
-Refractory hypoxemia
-Decreased pulmonary compliance
-Dyspnea
What is refractory hypoxemia? - Correct Answer - No matter how much
oxygen the patient is on, the O2 sats are not getting any better
Is ARDS reversable? - Correct Answer - Yes, it is reversible but it needs
to e caught early. It can progress to Resp. Failure!
What are symptoms of DKA? - Correct Answer - Blood sugar >250
Positive ketones in the urine
Fruity breath
CONCEPTS OF MEDICAL SURGICAL NURSING
EXAM 2 | QUESTIONS AND CORRECT
ANSWERS RATED A+ | 2025/2026 GUIDE
What is a pulmonary contusion?
- Correct Answer - A "bruise" of the lung
What is the treatment/nursing interventions for a pulmonary contusion?
- Correct Answer - PEEP to try and fix itself (bruise will resolve itself)
Monitor ABC's
Is an increase in output from a chest tube expected?
- Correct Answer - *NO*
What are s/s of a pulmonary contusion?
- Correct Answer - Haemorrhaging and edema in the lungs
Hyposix
Dyspneic
Haemoptysis
*Crackles, wheezes, decreased O2 sat*
,Describe flail chest.
- Correct Answer - 2 or more completely broken ribs with no support.
Creates a paradoxical chest movement.
What are the nursing interventions for flail chest?
- Correct Answer - -ABC/pain/safety
-Normally on a vent
-Manage the symptoms with fluids and vasopressors
What is the treatment for a pneumothorax?
- Correct Answer - Chest tube *have intubation kit at the bedside*
Describe a tension pneumothorax.
- Correct Answer - An air leak in the lung or chest wall which causes
complete collapse of the affected lung. Air collects under pressure
compressing the blood vessels and limiting blood return.
What are symptoms of a tension pneumothorax?
- Correct Answer - Absent breath sounds
Cyanosis
Distended neck veins
, Dyspnea
What is the treatment for a tension pneumothorax?
- Correct Answer - Mechanical Vent
Chest Tube
What is ARDS?
- Correct Answer - Acute Resp. Failure with these features:
-Refractory hypoxemia
-Decreased pulmonary compliance
-Dyspnea
What is refractory hypoxemia? - Correct Answer - No matter how much
oxygen the patient is on, the O2 sats are not getting any better
Is ARDS reversable? - Correct Answer - Yes, it is reversible but it needs
to e caught early. It can progress to Resp. Failure!
What are symptoms of DKA? - Correct Answer - Blood sugar >250
Positive ketones in the urine
Fruity breath
