1
NR
NR 341/ NR341 EXAM 1: (NEW 2025/ 2026
UPDATE) COMPLEX ADULT HEALTH REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. What drug to give during asthma exacerbations ? - ANS ✓Short acting
bronchodilator- albuterol
epi, 02, fluids
2. Describe the signs & symptoms of PE ? - ANS ✓feeling of impending doom
pressure or pain in the chest
dyspnea
cough, w/ OR w/out blood
Diagnostics for PE ?
3. Labs for PE ? - ANS ✓CT scan or chest xray
aPTT/PT
4. Monitoring oxygenation of the lungs involves ? - ANS ✓an assessment
&
monitoring ABG's, spo2, s/s, & hypoxemia
"D" on the graph of ETCO2, measure ?
The goal for chest compressions ? What would the etco2 shows ?
5. The lower the lines are, then the more ? - ANS ✓the inhalation & exhalation of the
co2
get to ROSC (return of spontaneous circulation ) & make the cells byproduct (co2)
2-2.4inchs (5-6cm) = GOOD
less than 2inches (less than 5cm) = BAD
the more obstruction
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When is a pt suctioned ?
Why would a pt. be suctioned?
What are the potential complications of suctioning?
6. If dysrhythmias start to occur, what would you want to do ? - ANS ✓*as needed
NOT routinely
*secretions in ET tube, sudden resp. distress, suspected aspiration of secretions, ↑resp. rate w/
or without sustained coughing & sudden decrease in SpO2
hypoxemia, dysrhythmias (most common), bronchospasm, ↑ICP, hypertension, hypotension,
mucosal damage, pulmonary bleeding, pain, & infection
stop & hyperoxygenate
7. Prevent hypoxemia by hyperoxygenating the patient before & after each
suctioning pass & limiting EACH suctioning pass to ? - ANS ✓10 seconds or less
8. Oral care for pt. on artificial airway ? How often? With what specific items ? -
ANS ✓at least twice a day
soft toothbrush WITH 0.12% chlorohex oral rinse twice daily*
1.5% hydrogen peroxide q 2-4hrs
9. Two MAJOR complications of intubation ? - ANS ✓unplanned extubation
(removal of ET tube from trachea)
aspiration
10. Some signs of unplanned extubation ? - ANS ✓1. patient talking
2. low pressure ventilator alarm going off like cray
3. diminished or ABSENT breath sounds
4. resp. distress
11. What if pt. gets accidentally extubated - what do you as a nurse do ? - ANS
✓ambuu bag them on 15L (100% o2)
stay w/pt. call for help !
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NR
12. What are you going to do to PREVENT dislodgment of ET tube ? - ANS ✓make
sure it's secure on the side of mouth
soft wrist restraints (if ordered by physician)
make sure pt. has adequate pain med & sedation
13. How can we prevent aspiration if pt. has ET tube ? - ANS ✓• HOB elevated 30-45
degrees
•patient positioning (physician order)
•proper cuff inflation
•yankauer (tonsil tip) to suction secretions
•NG or OG tube to decompress the tummy after putting all that air into the person
Positive pressure ventilation are utilized for which pt's ?
How does it work ?
How many types are there ?
14. What reasons would someone need a mechanical ventilation ? - ANS ✓acutely ill
patients
delivers gas into lungs under positive pressure during inspiration & expiration occurs
passively
2 main types PPV: Volume & Pressure
supporting patients until they recover the ability to breathe independently.
15. Describe the break down of positive pressure ventilation (PPV) - ANS ✓It is
broken down into volume AND pressure
Volume has two modes: assist control & simv
Pressure has three modes: pressure support, control, & non-invasive
16. With PPV there are two modes. What are they ? - ANS ✓ACV & SIMV
The normal tidal volume ?
17. Average ? - ANS ✓Vt, volume of a normal breath
NR 341
NR
NR 341/ NR341 EXAM 1: (NEW 2025/ 2026
UPDATE) COMPLEX ADULT HEALTH REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. What drug to give during asthma exacerbations ? - ANS ✓Short acting
bronchodilator- albuterol
epi, 02, fluids
2. Describe the signs & symptoms of PE ? - ANS ✓feeling of impending doom
pressure or pain in the chest
dyspnea
cough, w/ OR w/out blood
Diagnostics for PE ?
3. Labs for PE ? - ANS ✓CT scan or chest xray
aPTT/PT
4. Monitoring oxygenation of the lungs involves ? - ANS ✓an assessment
&
monitoring ABG's, spo2, s/s, & hypoxemia
"D" on the graph of ETCO2, measure ?
The goal for chest compressions ? What would the etco2 shows ?
5. The lower the lines are, then the more ? - ANS ✓the inhalation & exhalation of the
co2
get to ROSC (return of spontaneous circulation ) & make the cells byproduct (co2)
2-2.4inchs (5-6cm) = GOOD
less than 2inches (less than 5cm) = BAD
the more obstruction
NR 341
, 2
NR
When is a pt suctioned ?
Why would a pt. be suctioned?
What are the potential complications of suctioning?
6. If dysrhythmias start to occur, what would you want to do ? - ANS ✓*as needed
NOT routinely
*secretions in ET tube, sudden resp. distress, suspected aspiration of secretions, ↑resp. rate w/
or without sustained coughing & sudden decrease in SpO2
hypoxemia, dysrhythmias (most common), bronchospasm, ↑ICP, hypertension, hypotension,
mucosal damage, pulmonary bleeding, pain, & infection
stop & hyperoxygenate
7. Prevent hypoxemia by hyperoxygenating the patient before & after each
suctioning pass & limiting EACH suctioning pass to ? - ANS ✓10 seconds or less
8. Oral care for pt. on artificial airway ? How often? With what specific items ? -
ANS ✓at least twice a day
soft toothbrush WITH 0.12% chlorohex oral rinse twice daily*
1.5% hydrogen peroxide q 2-4hrs
9. Two MAJOR complications of intubation ? - ANS ✓unplanned extubation
(removal of ET tube from trachea)
aspiration
10. Some signs of unplanned extubation ? - ANS ✓1. patient talking
2. low pressure ventilator alarm going off like cray
3. diminished or ABSENT breath sounds
4. resp. distress
11. What if pt. gets accidentally extubated - what do you as a nurse do ? - ANS
✓ambuu bag them on 15L (100% o2)
stay w/pt. call for help !
NR 341
, 3
NR
12. What are you going to do to PREVENT dislodgment of ET tube ? - ANS ✓make
sure it's secure on the side of mouth
soft wrist restraints (if ordered by physician)
make sure pt. has adequate pain med & sedation
13. How can we prevent aspiration if pt. has ET tube ? - ANS ✓• HOB elevated 30-45
degrees
•patient positioning (physician order)
•proper cuff inflation
•yankauer (tonsil tip) to suction secretions
•NG or OG tube to decompress the tummy after putting all that air into the person
Positive pressure ventilation are utilized for which pt's ?
How does it work ?
How many types are there ?
14. What reasons would someone need a mechanical ventilation ? - ANS ✓acutely ill
patients
delivers gas into lungs under positive pressure during inspiration & expiration occurs
passively
2 main types PPV: Volume & Pressure
supporting patients until they recover the ability to breathe independently.
15. Describe the break down of positive pressure ventilation (PPV) - ANS ✓It is
broken down into volume AND pressure
Volume has two modes: assist control & simv
Pressure has three modes: pressure support, control, & non-invasive
16. With PPV there are two modes. What are they ? - ANS ✓ACV & SIMV
The normal tidal volume ?
17. Average ? - ANS ✓Vt, volume of a normal breath
NR 341
