NUR 111 Exam 1| COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED
A+| 2025/2026 LATEST UPDATE
With the patient at home doing their own care what technique should be used? Clean
technique
In the hospital with medical professionals doing the care what technique is used? Sterile
technique
Passy-Muir Speaking Tracheostomy Valve You can deflate the cuff and put the valve over
the trachea so they are able to speak but it does cover an airway so if they cough or are short of
breath they need to take it off
Decannulation When a patient can exchange air and expectorate and does not need the
tracheostomy anymore. Soma is closed with take and covered with an occlusive dressing,
patient should splint stoma with fingers when coughing, speaking or swallowing, tissue will
form in 24-48 hours, opening will close in several days without surgical intervention
Maintenance and promotion of lung expansion Ambulation, positioning, incentive
spirometry, noninvasive ventilation, chest tube
Incentive spirometry Encourages voluntary deep breathing. Helps bring fevers down, usually
the goal is to breathe in 1000mL
,Noninvasive ventilation Maintains positive airway pressure and improves alveolar
ventilation
Chest tube A catheter placed through the thorax to remove air and fluids from the pleural
space to prevent air from re-entering or to re-establish intrapleural and intraplumonic
pressures
Pneumothorax Air pushing on the lung and collapsing it. Air in the pleural space
Hemothorax A collection of blood in the pleural space pushing on the lung and collapsing it
Supplemental oxygen Nasal cannula, oxygen mask, oxygen tents
Nasal Cannula Low flow (1-6 L/min), can irritate nasal passages, frequently check both nasal
prongs are in patients nares. High flow (6-15 L/min), humidification frequently required
Partial re-breather Some of the CO2 is put back into them, usually 8-10 L/min
FIO2 Fraction of inspired oxygen
Non-rebreather They have a one-way valve so the CO2 gets out and does not go back into
the patient, you are doing their because they are breathing on their own at an adequate rate
but they are still hypoxic, flow rate is usually 10-15 L/min
,Venturi face mask Used often for COPD, opening for the exhaled air to get out, room air is
mixed with a certain percentage of oxygen to control exactly how much they get
Oxygen tent Circulates and cools air in the tent, can fit over half the bed or the entire bed,
does not maintain precise oxygen concentrations (30-50%), can humidify but then the blankets
and patient also get humidified and can lead to hypothermia
Tracheostomy collar Usual flow rate between 10-15 L/min, nebulizer attached with oxygen
concentration
Transtracheal catheters Catheter inserted directly into trachea, does not interfere with
talking/eating, can delivery up to 15 L/min with specific concentrations
Positive airway pressure Uses mild air pressure to keep airways open, CPAP, BiPAP, masks
are uncomfortable
CPAP Continuous positive airway pressure. Usually used for sleep apnea
Bilevel Positive Airway Pressure Has a certain pressure set for inspiration and certain
pressure set for expiration, usually used with oyxgen
, Manual resuscitation bag Used for clients in respiratory arrest or distress. Self inflating bag,
attached to oxygen source (turn it all the way up), cover nose and mouth and apply a good seal,
gentle squeeze of bag delivers a "breath"
Cardiopulmonary rehabilitation Controlled physical exercise, nutrition counseling, relaxation
and stress management, medications, oxygen, compliance, systemic hydration
Evaluation (ask about) Degree of breathlessness, if distance ambulated without fatigue has
increased, rating the breathlessness from 0 to 10, which interventions reduced dyspnea,
frequency of cough and sputum production
What order should you perform tracheal and pharyngeal suctioning? Perform tracheal
suctioning before pharyngeal suctioning whenever possible
Discuss focused nursing assessment of the lungs and thorax including inspection Inspection:
observe skin color, inspection of anterior/posterior thorax, inspect fingers for clubbing-sign,
respirations
Identify pertinent landmarks relevant to nursing assessment of the lungs and thorax (lines)
Anterior sternal, midclavicular, anterior axillary lines. Posterior vertebral, scapular, posterior
axillary lines. Lateral anterior, posterior, midaxillary lines
Identify pertinent landmarks relevant to nursing assessment of the lungs (lobes) Three lobes
on the right side, two lobes on the left side (because the heart is there)
A+| 2025/2026 LATEST UPDATE
With the patient at home doing their own care what technique should be used? Clean
technique
In the hospital with medical professionals doing the care what technique is used? Sterile
technique
Passy-Muir Speaking Tracheostomy Valve You can deflate the cuff and put the valve over
the trachea so they are able to speak but it does cover an airway so if they cough or are short of
breath they need to take it off
Decannulation When a patient can exchange air and expectorate and does not need the
tracheostomy anymore. Soma is closed with take and covered with an occlusive dressing,
patient should splint stoma with fingers when coughing, speaking or swallowing, tissue will
form in 24-48 hours, opening will close in several days without surgical intervention
Maintenance and promotion of lung expansion Ambulation, positioning, incentive
spirometry, noninvasive ventilation, chest tube
Incentive spirometry Encourages voluntary deep breathing. Helps bring fevers down, usually
the goal is to breathe in 1000mL
,Noninvasive ventilation Maintains positive airway pressure and improves alveolar
ventilation
Chest tube A catheter placed through the thorax to remove air and fluids from the pleural
space to prevent air from re-entering or to re-establish intrapleural and intraplumonic
pressures
Pneumothorax Air pushing on the lung and collapsing it. Air in the pleural space
Hemothorax A collection of blood in the pleural space pushing on the lung and collapsing it
Supplemental oxygen Nasal cannula, oxygen mask, oxygen tents
Nasal Cannula Low flow (1-6 L/min), can irritate nasal passages, frequently check both nasal
prongs are in patients nares. High flow (6-15 L/min), humidification frequently required
Partial re-breather Some of the CO2 is put back into them, usually 8-10 L/min
FIO2 Fraction of inspired oxygen
Non-rebreather They have a one-way valve so the CO2 gets out and does not go back into
the patient, you are doing their because they are breathing on their own at an adequate rate
but they are still hypoxic, flow rate is usually 10-15 L/min
,Venturi face mask Used often for COPD, opening for the exhaled air to get out, room air is
mixed with a certain percentage of oxygen to control exactly how much they get
Oxygen tent Circulates and cools air in the tent, can fit over half the bed or the entire bed,
does not maintain precise oxygen concentrations (30-50%), can humidify but then the blankets
and patient also get humidified and can lead to hypothermia
Tracheostomy collar Usual flow rate between 10-15 L/min, nebulizer attached with oxygen
concentration
Transtracheal catheters Catheter inserted directly into trachea, does not interfere with
talking/eating, can delivery up to 15 L/min with specific concentrations
Positive airway pressure Uses mild air pressure to keep airways open, CPAP, BiPAP, masks
are uncomfortable
CPAP Continuous positive airway pressure. Usually used for sleep apnea
Bilevel Positive Airway Pressure Has a certain pressure set for inspiration and certain
pressure set for expiration, usually used with oyxgen
, Manual resuscitation bag Used for clients in respiratory arrest or distress. Self inflating bag,
attached to oxygen source (turn it all the way up), cover nose and mouth and apply a good seal,
gentle squeeze of bag delivers a "breath"
Cardiopulmonary rehabilitation Controlled physical exercise, nutrition counseling, relaxation
and stress management, medications, oxygen, compliance, systemic hydration
Evaluation (ask about) Degree of breathlessness, if distance ambulated without fatigue has
increased, rating the breathlessness from 0 to 10, which interventions reduced dyspnea,
frequency of cough and sputum production
What order should you perform tracheal and pharyngeal suctioning? Perform tracheal
suctioning before pharyngeal suctioning whenever possible
Discuss focused nursing assessment of the lungs and thorax including inspection Inspection:
observe skin color, inspection of anterior/posterior thorax, inspect fingers for clubbing-sign,
respirations
Identify pertinent landmarks relevant to nursing assessment of the lungs and thorax (lines)
Anterior sternal, midclavicular, anterior axillary lines. Posterior vertebral, scapular, posterior
axillary lines. Lateral anterior, posterior, midaxillary lines
Identify pertinent landmarks relevant to nursing assessment of the lungs (lobes) Three lobes
on the right side, two lobes on the left side (because the heart is there)
