Critical Care Final Exam|
COMPLETE STUDY GUIDE WITH
DETAILED QUESTIONS AND 100%
VERIFIED ANSWERS.|ALREADY
GRADED A
Immediately following placement of an endotracheal tube, correct position of the
tube can be confirmed by:
A. arterial blood gases
B. a cuff pressure manometer
C. an end-tidal CO2 detector
D. observation of suctioned secretions - correct answer✔️✔️C. an end-tidal CO2
detector
The following intervention(s) can decrease the incidence of pneumonia in patients
with endotracheal tubes in place:
A. brush teeth with a soft brush
B. brush tongue and gums with a foam swab
C. suction oropharynx above the tube cuff
D. all of the above - correct answer✔️✔️D. all of the above
Complications of endotracheal intubation include all the following except:
A. pulmonary edema
B. vomiting and aspiration
C. trauma to the oropharynx
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D. hypoxemia - correct answer✔️✔️A. pulmonary edema
One common indication that an intubated patient needs suctioning is:
A. decreased level of consciousness
B. gastric distention
C. coughing
D. high pO2 levels - correct answer✔️✔️C. coughing
When suctioning an endotracheal tube, measures are taken to prevent the
following complication:
A. hypercapnea
B. hypoxemia
C. pneumothorax
D. hemothorax - correct answer✔️✔️B. hypoxemia
The ventilator mode that delivers a preset pressure to augment the patient's own
respiratory efforts is:
A. pressure-support ventilation (PSV)
B. continuous mandatory ventilation (CMV)
C. intermittent mandatory ventilation (IMV)
D. high frequency ventilation (HFV) - correct answer✔️✔️A. pressure-support
ventilation (PSV)
One of the evidence-based interventions used to prevent ventilator-associated
pneumonia is:
A. injecting saline into the tube when suctioning
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B. changing the ventilator tubing every day
C. hyper-inflating the lungs once an hour
D. elevating the head of the bed 30 degrees or more - correct answer✔️✔️D.
elevating the head of the bed 30 degrees or more
All ofthe following parameters indicate a patient is ready to be weaned from the
ventilator except:
A. adequate tidal volume measurements
B. stable hemodynamics
C. spontaneous breathing effort
D. decreased level of consciousness - correct answer✔️✔️D. decreased level of
consciousness
During weaning from the ventilator, important nursing interventions include all
the following except:
A. assess patient for hypoxia
B. administer ample pharmacologic sedation
C. communicate progress to the patient
D. monitor patient for respiratory muscle fatigue (e.g. increased respiratory rate
or decreased tidal volume) - correct answer✔️✔️B. administer ample
pharmacologic sedation
Key outcomes of the ABCDE Bundle include all of the following except:
A. decreased incidence of delirium
B. decreased muscle weakness
C. decreased malnutrition
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