NR 341; ACTUAL EXAM 1
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE 2025/2026
GRADED A + BEST FOR REVISION .
,1. What dressing should be applied upon chest tube removal ? ✓✓ CORRECT ANSWER airtight sterile petroleum jelly gauze
dressing
2. What are the reasons YOUR pt. may need an artificial airway ? ✓✓ CORRECT ANSWER Ïupper airway obstruction
(bleeds, tumor, gcs less than 8, burns)
Ïsx
tÏrauma
Ïneuromuscular diseases
Ïsepsis
Ïapnea
Ïhigh risk for aspiration
iÏnettective clearance of secretions rÏesp distress
3. When a pt. has a tube in their trachea, what do you need to know as a nurse
? ✓✓ CORRECT ANSWER where was it last marked (@ the teeth or lip)
cutt pressure
4. Two real reasons there's a inflated cuff ? ✓✓ CORRECT ANSWER when cutt inflated, prevent secretions from going to lungs (infections)
when pt. on ventilator, CERTAIN amount of gas that'll be going through each ventilator. with the cutt inflated, the volume is more accurate. with the cutt slightly deflated, theres no
telling how much amount of volume is going to the lungs- BASICALLY prevents escape of ventilating gases
5. Patient needs an artificial airway, how are we going to prepare for this proce- dure ?
What should you do to prepare ? What equipment is
needed ?
What position should the pt. be in ?
What should be done before intubation ? ✓✓ CORRECT ANSWER preparation
-dentures & plates NEEDS to be removed
, *equipment
-oxygen, suction tubing, cardiac monitor, yankuer, tonsil tip suction
*before intubation
-sniflng position (pt. supine with the head extended & the neck flexed)
-pre-oxygenate / BVM 100% O2 for 3-5 minutes
-meds (sedative, paralytic agent, analgesic)
6. What's the reason behind putting the pt. in a sniffing position ? ✓✓ CORRECT ANSWER to get a better view of vocal cords
7. Describe rapid sequence intubation.
When is rapid sequence intubation NOT indicated ? ✓✓ CORRECT ANSWER BOTH sedative & paralytic agent are given to emergency
airway pt.s (decrease aspiration, )
crashed airway-unstable pt. (cardiac arrest OR )
if pt. not awake, then this wont be done known diflcult airway
there is not time for all this.
8. Nursing responsibilities when assigned to a airway pt. ? ✓✓ CORRECT ANSWER maintain correct tube place- ment
maintain proper cutt inflation monitor
oxygen & vent maintain tube patency
oral care & skin integrity comfort &
communication assess for complications
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE 2025/2026
GRADED A + BEST FOR REVISION .
,1. What dressing should be applied upon chest tube removal ? ✓✓ CORRECT ANSWER airtight sterile petroleum jelly gauze
dressing
2. What are the reasons YOUR pt. may need an artificial airway ? ✓✓ CORRECT ANSWER Ïupper airway obstruction
(bleeds, tumor, gcs less than 8, burns)
Ïsx
tÏrauma
Ïneuromuscular diseases
Ïsepsis
Ïapnea
Ïhigh risk for aspiration
iÏnettective clearance of secretions rÏesp distress
3. When a pt. has a tube in their trachea, what do you need to know as a nurse
? ✓✓ CORRECT ANSWER where was it last marked (@ the teeth or lip)
cutt pressure
4. Two real reasons there's a inflated cuff ? ✓✓ CORRECT ANSWER when cutt inflated, prevent secretions from going to lungs (infections)
when pt. on ventilator, CERTAIN amount of gas that'll be going through each ventilator. with the cutt inflated, the volume is more accurate. with the cutt slightly deflated, theres no
telling how much amount of volume is going to the lungs- BASICALLY prevents escape of ventilating gases
5. Patient needs an artificial airway, how are we going to prepare for this proce- dure ?
What should you do to prepare ? What equipment is
needed ?
What position should the pt. be in ?
What should be done before intubation ? ✓✓ CORRECT ANSWER preparation
-dentures & plates NEEDS to be removed
, *equipment
-oxygen, suction tubing, cardiac monitor, yankuer, tonsil tip suction
*before intubation
-sniflng position (pt. supine with the head extended & the neck flexed)
-pre-oxygenate / BVM 100% O2 for 3-5 minutes
-meds (sedative, paralytic agent, analgesic)
6. What's the reason behind putting the pt. in a sniffing position ? ✓✓ CORRECT ANSWER to get a better view of vocal cords
7. Describe rapid sequence intubation.
When is rapid sequence intubation NOT indicated ? ✓✓ CORRECT ANSWER BOTH sedative & paralytic agent are given to emergency
airway pt.s (decrease aspiration, )
crashed airway-unstable pt. (cardiac arrest OR )
if pt. not awake, then this wont be done known diflcult airway
there is not time for all this.
8. Nursing responsibilities when assigned to a airway pt. ? ✓✓ CORRECT ANSWER maintain correct tube place- ment
maintain proper cutt inflation monitor
oxygen & vent maintain tube patency
oral care & skin integrity comfort &
communication assess for complications
