Duplicate of 445 Exam 3

Question 1

Which of the following will cause the ventilator's high pressure alarm to go off?

Accepted Answer

Pneumothorax

Question 2

What is a Risk of Taping All 4-Sides when Dressing a Dislodged Chest Tube?

Accepted Answer

Tension Pneumothorax

Question 3

The most common cause of ARDS is PE?

Accepted Answer

False

Question 4

What is pathophysiology of Guillian Barre?

Accepted Answer

Demylinating disease with ascending paralysis

Question 5

Increasing the ventilator respiratory rate will....?

Accepted Answer

Decrease the CO2 levels

Question 6

ARDS will demonstrate bilateral infiltrates on xray?

Accepted Answer

True

Question 7

A ventilator high pressure alarm rings. What is the best action of the nurse?

Accepted Answer

Check for secretions

Question 8

Late signs of Increased ICP are: (SATA)

Accepted Answer

Bradycardia, Irregular Respirations, Hypertension, Widened pulse pressure

Question 9

Symptomatic vs. Asymptomatic treatment for PE differs?

Accepted Answer

True

Question 10

Which of the following is NOT a contraindication for tPA?

Accepted Answer

History of cancer

Question 11

Ventilator mode where the set limit is pressure

Accepted Answer

Pressure control

Question 12

A scale that uses eye opening, verbal response, and motor response to help determine LOC:

Accepted Answer

Glasgow Coma Scale

Question 13

Fluid management should be limited in ARDS?

Accepted Answer

False

Question 14

Red, free flowing drainage from the chest tube should be reported to the provider?

Accepted Answer

True

Question 15

All of the following statements about amyotrophic lateral sclerosis are true except:

Accepted Answer

Impaired cognition and senses

Question 16

Acute respiratory failure will demonstrate with ground glass appearance on xray?

Accepted Answer

False

Question 17

High or low pressure Ventilator Alarm: Tubing is kinked.

Accepted Answer

High pressure alarm

Question 18

LP is not performed on raised ICP because sudden release of the pressure can cause herniation.

Accepted Answer

True

Question 19

Which patient would require non-violent restraints?

Accepted Answer

An intubated patient who is reaching for their breathing tube

Question 20

Which of the following is a poetntial sign of a brain tumor?

Accepted Answer

Double vision or loss of peripheral vision

Question 21

Bearing down to have a bowel movement can increase intraocular pressure

Accepted Answer

True

Question 22

How do you know a chest tube is leaking?

Accepted Answer

Bubbling will be seen in the water seal window

Question 23

What condition is associated with decerebrate posturing after a head injury?

Accepted Answer

Damage to the area of the brainstem

Question 24

Which lab is an indicator of a thrombus in the body?

Accepted Answer

Plasma D-dimer

Question 25

Decerebrate movement is Abnormal extension

Accepted Answer

True

Question 26

NOT an adverse reaction of opioids.

Accepted Answer

Reye's syndrome

Question 27

Increased ICP signs

Accepted Answer

Increasing confusion, vomiting, sluggish pupils

Question 28

What are some indications for a chest tube?

Accepted Answer

Pleural Effusion, Spontaneous pneumothorax, hemothorax

Question 29

Anytime you get opioids, what could happen to your breathing?

Accepted Answer

Decreased respirations

Question 30

When assessing a patient's neuro status, the mnemonic AVPU is used. This stands for:

Accepted Answer

Alert, resp. to Verbal, resp. to Pain, Unconscious

Question 31

How are brain tumor classified?

Accepted Answer

All of the Above

Question 32

What is the most commonly ordered test to diagnose a PE?

Accepted Answer

CT

Question 33

What does the ventilator function of positive end-expiratory pressure (PEEP) do for the patient?

Accepted Answer

Keeps pressure in the lungs after expiration

Question 34

Asymptomatic PE will be treated by:

Accepted Answer

Eliquis

Question 35

Chest tube insertion site dressing change...

Accepted Answer

Every 72 hours, Per MD order, If soiled or saturated

Question 36

Anticoagulation does not reduce the clot?

Accepted Answer

True

Question 37

Which of the following are the correct stages of ARDS?

Accepted Answer

Exudative, proliferative, fibrotic

Question 38

which of the following should the nurse NOT do after repositioning an intubated patient?

Accepted Answer

leave restraints untied for 30mins to prevent skin breakdown

Question 39

When do we clamp the chest drain tubing?

Accepted Answer

Before changing the drain cannister

Question 40

In Case of accidentally Dislodging a Chest Tube ...?

Accepted Answer

Cover w/ Occlusive Vaseline Gauze & Tape on Three Sides

Question 41

The priority nursing diagnosis for a patient with Amyotrophic lateral sclerosis is?

Accepted Answer

Risk for aspiration

Question 42

The drainage system for a chest tube should be placed

Accepted Answer

below the heart

Question 43

Which of the following is the correct findings for Guillian Barre Syndrome...

Accepted Answer

Associated with infection, virus, or vaccine

Question 44

Tidal volume is....

Accepted Answer

the volume of air you breathe in and out with each breathe

Question 45

What is a chest tube use for? SATA!

Accepted Answer

Removal of free air from the pleural cavity, Removal of fluid from the pleural cavity

Question 46

Why is time essential when administering TPA to a stroke patients?

Accepted Answer

Patient must receive it within 3-6 hrs of symptoms for it to be effective

Question 47

Risk factors for PE include, SATA

Accepted Answer

IV drug use, Trauma, Oral contraceptives, Burns

Question 48

The Atrium chest drain has 3 sections. These are

Accepted Answer

1 Fluid drainage 2. Water seal 3. Suction

Question 49

Which of the following is not a symptom of PE?

Accepted Answer

Pink frothy sputum

Question 50

Ventilator Associated Pneumonia can be best prevented by?

Accepted Answer

Excellent mouth care

Question 51

What can cause increased ICP? SATA

Accepted Answer

Increase in CSF production, Sneezing, coughing, straining, Hemorrhage, Tumor

Question 52

Indications that your chest tube drainage canister has a leak include:

Accepted Answer

Vigorous bubbling in the water seal chamber

Question 53

A nurse should report drainage greater than ? for a plueral chest tube

Accepted Answer

70mL/hour

Question 54

ARDS is due to the following: SATA

Accepted Answer

Reduction in surfactant, Lung space filled with fluid, Systemic inflammatory response, Injury to alveolar-capillary membrane

Question 55

tPA should be administered:

Accepted Answer

Within 3-4.5 hours of the onset of an ischemic stroke

Question 56

What is Amyotrophic Lateral Sclerosis[ALS]?

Accepted Answer

Degenerative disorder of specific muscle cells

Question 57

How do you prevent ventilator associated pneumonia? SATA

Accepted Answer

Suction the ETT when needed, Changing ventilator circuits, Oral care every 2 hours

Duplicate of 445 Exam 3

Questions 57

Duplicate of 445 Exam 3

Questions 57