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NUR 417
NUR 417 Exam 2 | Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. Four hours after mechanical ventilation is initiated, a patient's
arterial blood gas (ABG) results include a pH of 7.51, PaO2 of 82 mm
Hg, PaCO of 26 mm Hg, and HCO3 of 23 mE q/L (23 mmol/L). What
change should the nurse anticipate to the ventilator settings? a.
Increase the FIO2.
b. Increase the tidal volume.
c. Increase the respiratory rate.
d. Decrease the respiratory rate.: d. Decrease the respiratory rate.
The nurse is weaning a patient who has chronic obstructive
pulmonary disease (COPD) and weighs 68-kg from mechanical
ventilation. Which finding indicates that the weaning protocol should
be stopped? a. The patient's heart rate is 97 beats/min.
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NUR 417
b. The patient's oxygen saturation is 93%.
c. The patient respiratory rate is 32 breaths/min.
d. The patient's spontaneous tidal volume is 450 mL.: c. The patient
respiratory rate is 32 breaths/min.
The nurse responding to a ventilator alarm finds the patient lying in
bed gasping and the endotracheal tube on the floor. Which action
would thenurse take next?
a. Activate the rapid response team.
b. Provide reassurance to thepatient.
c. Call the health care provider to reinsert the tube.
d. Manually ventilate the patient with 100% oxygen.: d. Manually
ventilate the patient with 100% oxygen.
The nurse notes that a patient's endotracheal tube (ET), which was
at the 22-cm mark, is now at the 25-cm mark, and the patient is
anxious and restless.
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NUR 417
Which action would thenurse
take next? a. Check the O2
saturation.
b. Offer reassurance to the patient.
c. Listen to the patient's breath sounds.
d. Notify the patient's health care provider.: c. Listen to the patient's
breath sounds.
The charge nurse is evaluating the care that a new registered nurse
(RN) provides to a patient receiving mechanical ventilation. Which
action by the new RN indicates the need for more education?
a. The RN increases the FIO2 to 100% before suctioning.
b. The RN secures a bite block in place using adhesive tape.
c. The RN asks for assistance to re-secure the endotracheal tube.
d. The RN positions the patient with the head of bed at 10 degrees.:
d. The RN positions the patient with the head of bed at 10 degrees.
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NUR 417
A patient who is orally intubated and receiving mechanical
ventilation is anxious and is "fighting" the ventilator. Which action
would the nurse take first?
a. Verbally coach the patient to breathe with the ventilator.
b. Sedate the patient with the ordered PRN lorazepam (Ativan)
c. Manually ventilate the patient with a bag-valve-mask device.
d. Increase the rate for the ordered propofol (Diprivan) infusion.: a.
Verbally coach the patient to breathe with the ventilator.
A patient is receiving mechanical ventilation with 15 cm H2O of
peak end-expiratory pressure (PEEP). Which action by the nurse
promotes patient safety?
a. Planning to suction the patient at least every 1 to 2 hours.
b. Using a closed-suction technique when suctioning is needed
c. Changing the ventilator circuit tubing routinely every 48 hours.
d. Taping the connection between the ventilator tubing and the ET.:
b. Using a closed-suction technique when suctioning is needed
NUR 417
NUR 417 Exam 2 | Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. Four hours after mechanical ventilation is initiated, a patient's
arterial blood gas (ABG) results include a pH of 7.51, PaO2 of 82 mm
Hg, PaCO of 26 mm Hg, and HCO3 of 23 mE q/L (23 mmol/L). What
change should the nurse anticipate to the ventilator settings? a.
Increase the FIO2.
b. Increase the tidal volume.
c. Increase the respiratory rate.
d. Decrease the respiratory rate.: d. Decrease the respiratory rate.
The nurse is weaning a patient who has chronic obstructive
pulmonary disease (COPD) and weighs 68-kg from mechanical
ventilation. Which finding indicates that the weaning protocol should
be stopped? a. The patient's heart rate is 97 beats/min.
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NUR 417
b. The patient's oxygen saturation is 93%.
c. The patient respiratory rate is 32 breaths/min.
d. The patient's spontaneous tidal volume is 450 mL.: c. The patient
respiratory rate is 32 breaths/min.
The nurse responding to a ventilator alarm finds the patient lying in
bed gasping and the endotracheal tube on the floor. Which action
would thenurse take next?
a. Activate the rapid response team.
b. Provide reassurance to thepatient.
c. Call the health care provider to reinsert the tube.
d. Manually ventilate the patient with 100% oxygen.: d. Manually
ventilate the patient with 100% oxygen.
The nurse notes that a patient's endotracheal tube (ET), which was
at the 22-cm mark, is now at the 25-cm mark, and the patient is
anxious and restless.
, 3
NUR 417
Which action would thenurse
take next? a. Check the O2
saturation.
b. Offer reassurance to the patient.
c. Listen to the patient's breath sounds.
d. Notify the patient's health care provider.: c. Listen to the patient's
breath sounds.
The charge nurse is evaluating the care that a new registered nurse
(RN) provides to a patient receiving mechanical ventilation. Which
action by the new RN indicates the need for more education?
a. The RN increases the FIO2 to 100% before suctioning.
b. The RN secures a bite block in place using adhesive tape.
c. The RN asks for assistance to re-secure the endotracheal tube.
d. The RN positions the patient with the head of bed at 10 degrees.:
d. The RN positions the patient with the head of bed at 10 degrees.
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NUR 417
A patient who is orally intubated and receiving mechanical
ventilation is anxious and is "fighting" the ventilator. Which action
would the nurse take first?
a. Verbally coach the patient to breathe with the ventilator.
b. Sedate the patient with the ordered PRN lorazepam (Ativan)
c. Manually ventilate the patient with a bag-valve-mask device.
d. Increase the rate for the ordered propofol (Diprivan) infusion.: a.
Verbally coach the patient to breathe with the ventilator.
A patient is receiving mechanical ventilation with 15 cm H2O of
peak end-expiratory pressure (PEEP). Which action by the nurse
promotes patient safety?
a. Planning to suction the patient at least every 1 to 2 hours.
b. Using a closed-suction technique when suctioning is needed
c. Changing the ventilator circuit tubing routinely every 48 hours.
d. Taping the connection between the ventilator tubing and the ET.:
b. Using a closed-suction technique when suctioning is needed
