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NSG 4100 (AH111) EXAM 3 NEWEST 2025 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse has noted the emergency of a significant amount of fresh blood at the drain site of a pt who is postoperative day 1 following total laryngecomy. How should the nurse respond to this development?
- remove the pt's drain and apply pressure w/ a sterile gauze
- assess the pt, reposition the pt supine, and apply wall suction
- rapidly assess the pt and notify the surgeon about the pt's
- administer a STAT dose of vitamin K to aid coagulation -
to the drain
bleeding
ANSWER-C
The nurse is creating a care plan for a pt who is status post-total laryngectomy. Much of the plan consists of a ling-term postoperative communication plan for alaryngeal communication. What form of alaryngeal communication will likely be chosen?
- esophageal speech 1 / 4
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- electric larynx
- tracheoesophageal puncture
- American sign language (ASL) - ANSWER-C
The nurse is performing preoperative teaching w/ a pt who has cancer of the larynx. After completing the pt teaching, what would be most important for the nurse to do?
- give the pt his/her cell phone number
- refer pt to a social worker or psychologist
- provide the pt w/ audiovisual materials about the surgery
- reassure the pt and family that everything will be alright -
ANSWER-C
A pt's total laryngectomy has created a need for alaryngeal speech which will be achieved through the use of tracheoesophageal puncture. What action should the nurse describe to the pt when teaching him about this process?
- training on how to perform controlled bleeding
- use of an electronically enhanced artificial pahrynx
- insertion of a specialized nasogastric tube
- fitting for a voice prosthesis - ANSWER-D
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A preoperative nurse is caring for a postop pt. The pt has a shallow respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should address the pt's increased risk for what complication?
- Acute respiratory distress syndrome (ARDS)
- atelectasis
- aspiration
- pulmonary embolism - ANSWER-B
A pt has been brought to the ED by the paramedics. The pt is suspected of having ARDS. What intervention should the nurse first anticipate?
- preparing to assist w/ intubating the pt
- setting up oxygen at 5L/min by nasal cannula
- performing deep suctioning
- setting up a nebulizer to administer corticosteroids -
ANSWER-A
The nurse is caring for a pt who is scheduled for a lobectomy for diagnosis of lung cancer. Which assisting with a subclavian vein central line insertion, the nurse notes the pt's oxygen saturation rapidly dropping. The pt c/o SOB and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further 3 / 4
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assessment findings supporting the present of a pneumothorax include what?
- diminished or absent breath sounds on the affected side
- paradoxical chest wall movement w/ respirations
- sudden loss of consciousness
- muddled heart sounds - ANSWER-A
An x-ray of a trauma pt reveals rib fractures and the pt is dx w/ a small flail chest injury. Which intervention should the nurse include in the pt's plan of care?
- suction the pt's airway secretions
- immobilize the ribs w/ an abdominal binder
- prepare the pt for surgery
- immediately sedate and intubate the pt - ANSWER-A
The nurse is assessing an adult pt following a MVA. The nurse observes that the pt has an increased use of accessory muscles and is complaining of chest pain and SOB. The nurse should recognize the possibility of what condition?
- Pneumothorax
- anxiety
- acute bronchitis
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