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NUR 445 EXAM 1 NEWEST 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF
NURSING
Question: What are risk factors for ICU delirium?
ANSWER: Disordered sleep/wake cycles, invasive lines and
monitoring, poor nutrition, anxiety, inability to wean off ventilator, oversedation
Question: What assessment is used to assess for sedation with a
mechanical vent?
ANSWER: RASS - Richmond Agitation Sedation Scale
Question: How can the team determine patients' sedation level?
ANSWER: Richmond agitation sedation scale (RASS) with a
goal of 0 or -1; the higher the score, the more combative; the lower the score, the more unarousable
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Question: What can occur due to prolonged use of sedatives?
ANSWER: Pressure ulcers, thromboembolic events, pneumonia,
or delayed weaning from ventilators
Question: What assessment is used to assess delirium with
mechanical vent?
ANSWER: CAM-ICU
Question: What is a CPAP?
ANSWER: Provides continuous positive airway pressure during
inhale and exhale
Question: What is a BIPAP?
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ANSWER: Bilevel positive airway pressure, one during inhale,
and another during exhale
Question: What are some ways to prevent ventilator-associated
infections?
ANSWER: Daily toothbrushing, perform daily spontaneous
awakening trials, mouth care every 2 hours, suctioning of the ETT routinely, care of the ventilator circuit, sterile water for humidification
Question: What are nursing interventions with invasive O2
systems?
ANSWER: Keep patients' HOB elevated at 30 degrees, daily
sedation vacations, GI prophylaxis, DVT prophylaxis
Question: What does it mean when there is a high pressure
ventilator alarm going off?
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ANSWER: Indicates mucus plugs or increased secretions,
patient biting the ETT, pneumothorax, patient is anxious and fighting, or coughing in the ETT
Question: What are interventions for this high-pressure alarm?
ANSWER: Suction as needed, insert oral airway to prevent
biting, reevaluate the sedation/analgesia need
Question: What does it mean if there is a low-pressure alarm?
ANSWER: Indicates cuff leak or leak in ventilator circuit
Question: What are interventions for low-pressure alarm?
ANSWER: Assess all connections and tubing, notify provider
and RT