NSG 4100 (AH III) Exam 3 exam with questions and
correct detailed answers from a verified source
||already graded A+ (100% guaranteed pass)
The nurse caring for a pt w/ and endotracheal tube recognizes several disadvantages of
an endotracheal tube. What would the nurse recognize as a disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed - ANSWER-D
What would the critical care nurse recognize as a condition that may indicate a pt's
need to have a tracheotomy?
a. a pt has a respiratory rate of 10 breaths/min
b. a pt required permanent ventilation
c. a pt exhibits sx of dyspnea
d. a pt has respiratory acidosis - ANSWER-B
,The nurse is caring for a pt who is scheduled to have a thoracotomy. When planning
preoperative teaching, what info should the nurse communicate to the pt?
a. how to milk the chest tubing
b. how to splint the incision when coughing
c. how to take prophylactic antibiotics correctly
d. how to manage the need for fluid restriction - ANSWER-B
A nurse is educating a pt in anticipation of a procedure that will require a water-sealed
chest drainage system. What should the nurse tell the pt and the family that this
drainage system is used for?
a. maintaining a positive chest-wall pressure
b. monitoring pleural fluid osmolarity
c. providing passive intrathoracic pressure
d. removing excess air and fluid - ANSWER-D
A pt is exhibiting signs of a pneumothorax following tracheostomy. The surgeon inserts
a chest tube into the anterior chest wall. What should the nurse tell the family is the
primary purpose of this chest tube?
a. to remove air from the pleural space
b. to drain copious sputum secretions
,c. to monitor bleeding around the lungs
d. to assist with mechanical ventilation - ANSWER-A
A pt's plan of care specifies postural drainage. What action should the nurse perform
when providing this noninvasive therapy?
a. administer the tx w/ the pt in a high Fowler's or semi-fowlers position
b. perform the procedure immediately following the pt's meals
c. apply percussion firmly to bare skin to facilitate drainage
d. assist the pt into a position that will allow gravity to move secretions - ANSWER-D
While assessing the pt, the nurse observes constant bubbling in the water-seal chamber
of the pt's closed chest-drinagae system. What should the Nurs conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed - ANSWER-C
The nurse has admitted a pt who is scheduled for a thoracic resection. The nurse is
providing preoperative teaching and is discussing several diagnostic studies that will be
, required prior to surgery. Which study will be performed to determine whether the
panned resection will leave sufficient functioning lung tissue?
a. pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-ray - ANSWER-A
The nurse is discussing activity management w/ a pt who is postoperative following
thoracotomy. What instructions should the nurse give to the pt regarding activity
immediately following discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x daily - ANSWER-D
The OR nurse is setting up a water-seal chest drainage system for a pt who has just
had a thoracotomy. The nurse knows that the amount of suction in the system is
determined by the water level. At what suction level should the nurse set the system?
a. 20 cm H2O
b. 15 cm H2O
correct detailed answers from a verified source
||already graded A+ (100% guaranteed pass)
The nurse caring for a pt w/ and endotracheal tube recognizes several disadvantages of
an endotracheal tube. What would the nurse recognize as a disadvantage?
a. cognition is decreased
b. Daily ABGs are necessary
c. slight tracheal bleeding is anticipated
d. the cough reflex is depressed - ANSWER-D
What would the critical care nurse recognize as a condition that may indicate a pt's
need to have a tracheotomy?
a. a pt has a respiratory rate of 10 breaths/min
b. a pt required permanent ventilation
c. a pt exhibits sx of dyspnea
d. a pt has respiratory acidosis - ANSWER-B
,The nurse is caring for a pt who is scheduled to have a thoracotomy. When planning
preoperative teaching, what info should the nurse communicate to the pt?
a. how to milk the chest tubing
b. how to splint the incision when coughing
c. how to take prophylactic antibiotics correctly
d. how to manage the need for fluid restriction - ANSWER-B
A nurse is educating a pt in anticipation of a procedure that will require a water-sealed
chest drainage system. What should the nurse tell the pt and the family that this
drainage system is used for?
a. maintaining a positive chest-wall pressure
b. monitoring pleural fluid osmolarity
c. providing passive intrathoracic pressure
d. removing excess air and fluid - ANSWER-D
A pt is exhibiting signs of a pneumothorax following tracheostomy. The surgeon inserts
a chest tube into the anterior chest wall. What should the nurse tell the family is the
primary purpose of this chest tube?
a. to remove air from the pleural space
b. to drain copious sputum secretions
,c. to monitor bleeding around the lungs
d. to assist with mechanical ventilation - ANSWER-A
A pt's plan of care specifies postural drainage. What action should the nurse perform
when providing this noninvasive therapy?
a. administer the tx w/ the pt in a high Fowler's or semi-fowlers position
b. perform the procedure immediately following the pt's meals
c. apply percussion firmly to bare skin to facilitate drainage
d. assist the pt into a position that will allow gravity to move secretions - ANSWER-D
While assessing the pt, the nurse observes constant bubbling in the water-seal chamber
of the pt's closed chest-drinagae system. What should the Nurs conclude?
a. the system is functioning normally
b. pt has a pneumothorax
c. system has a leak
d. chest tube is obstructed - ANSWER-C
The nurse has admitted a pt who is scheduled for a thoracic resection. The nurse is
providing preoperative teaching and is discussing several diagnostic studies that will be
, required prior to surgery. Which study will be performed to determine whether the
panned resection will leave sufficient functioning lung tissue?
a. pulmonary function studies
b. exercise tolerance tests
c. arterial blood gas values
d. chest x-ray - ANSWER-A
The nurse is discussing activity management w/ a pt who is postoperative following
thoracotomy. What instructions should the nurse give to the pt regarding activity
immediately following discharge?
a. walk 1 mile 3-4x a week
b. use wights daily to increase arm strength
c. walk on a treadmill 30min daily
d. perform shoulder exercises 5x daily - ANSWER-D
The OR nurse is setting up a water-seal chest drainage system for a pt who has just
had a thoracotomy. The nurse knows that the amount of suction in the system is
determined by the water level. At what suction level should the nurse set the system?
a. 20 cm H2O
b. 15 cm H2O
