Nursing Skills 431 Final Quiz Questions
with Complete Answers
The correct frequency for tracheostomy care is...
A. every 48 hrs
B. every 24 hrs & prn
C. weekly
D. hourly - Answer-B. every 24 hrs & prn
Documentation for a pt receiving routine tracheostomy tube care should include:
A. amounts of secretions
B. all answers are correct
C. stoma condition
D. type & size - Answer-B. All answers are correct
What is the most reliable method of confirming & monitoring correct placement of an
endotracheal tube?
A. use of esophageal detection devices
B. continuous waveform capnography
C. use of pulse oximetry device
D. 5-point auscultation - Answer-B. continuous waveform capnography
What is the proper ventilation rate for a pt in cardiac arrest who has an advanced airway
in place?
A. 14 breaths/min
B. 18 breaths/min
C. 10 breaths/min
D. 6 breaths/min - Answer-C. 10 breaths/min
Which of the following is a pressure-targeted ventilator mode?
A. Synchronized intermittent mandatory ventilation (SIMV)
B. Pressure support ventilation (PSV)
C. Assist Control Ventilation (AC)
D. Assisted Mandatory Ventilation (AMV) - Answer-B. Pressure support ventilation
(PSV)
Which of the following is a volume-targeted ventilator mode?
A. Pressure support ventilation (PSV)
B. Airway Pressure Release Ventilation (APRV)
C. Synchronized Intermittent Mandatory Ventilation (SIMV)
D. Pressure-control inverse Ratio Ventilation (PC-IRV) - Answer-C. Synchronized
Intermittent Mandatory Ventilation (SIMV)
, What is the appropriate ventilation strategy for an adult in respiratory arrest w/ a pulse
rate of 80/min?
A. 1 breath every 3-4 seconds
B. 2 breaths every 5-6 seconds
C. 1 breath every 5-6 seconds
D. 2 breaths every 6-8 seconds - Answer-1 breath every 5-6 seconds
Which of the following alarm problems is caused by a blocked or kinked endotracheal
tube?
A. high pressure
B. low exhaled tidal volume
C. Low inspiratory pressure
D. apnea - Answer-A. High pressure
Which of the following is a likely cause of a low pressure alarm?
A. biting the endotracheal tube
B. Circuit disconnect
C. Secretion built up
D. Coughing - Answer-B. Circuit disconnect
The nurse monitors the pt w/ positive pressure mechanical ventilation for...
A. Paralytic ileus bc pressure on the abdominal contents affects bowel motility
B. Diuresis & sodium depletion bc of increased release of atril natriuretic peptide
C. Signs of cardiovascular insufficiency bc pressure in the chest impedes venous return
D. Respiratory acidosis in a pt w/ COPD bc of alveolar hyperventilation & increased
PaO2 levels - Answer-C. Signs of cardiovascular insufficiency bc pressure in the chest
impedes venous return
You are checking for a pulse in an unresponsive patient. How long do you continue to
check for a pulse before starting chest compressions?
A. 3-5 seconds
B. 1-3 seconds
C. at least 10 seconds
D. 5-10 seconds - Answer-D. 5-10 seconds
What is the preferred method of access for epinephrine administration during cardiac
arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Peripheral Intravenous
D. Central Intravenous - Answer-C. Peripheral Intravenous
You find an unresponsive patient who is not breathing. After activating the emergency
response system, you determine that there is no pulse. What is your next action?
A. Deliver 2 rescue breaths each over 1 second
B. Start chest compressions at a rate of 100-120/min
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