NUR 265 Advanced Concepts of Medical/Surgical Nursing Exam 2 Practice 50 Questions and Answers 2023
CCoorrrreecctt!!
Question 1
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The nurse notes each time the mechanical ventilator delivers a breath to a client with acute respiratory distress syndrome (ARDS), the peak inspiratory pressure alarm sounds. What is the nurse’s best intervention?
Suction the client.
Perform chest physiotherapy.
Assess the airway
Raise the head of bed to high Fowlers
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CCoorrrreecctt!!
CCoorrrreecctt!!
Question 2
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A client has a new tracheostomy, on a mechanical ventilator with the
following settings: SIMV, rate of 12, TV 800, FIo2 80% and PEEP of 5
cmH20. Which assessment finding requires immediate action by the nurse?
Blood-tinged sputum
Rhonchi in upper lobes
Dry mucous membranes
Constant, nonproductive coughing
Question 3
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The nurse palpates the posterior chest while the client says “99” and notes absent fremitus. Which action should the nurse take next?
Encourage the client to turn, cough, and deep breathe.
Review the chest x-ray report for evidence of pneumonia.
Auscultate anterior and posterior breath sounds bilaterally.
Palpate the anterior chest and observe for barrel chest.
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