The nurse is performing CPR on an adult patient who has an endotracheal tube in place. At what rate does the nurse, who is alone, administer breaths?
a. 8 per minute
b. 12 per minute
c. 20 per minute
d. 24 per minute
Question 2A patient has been on mechanical ventilation with an endotracheal tube for 1 week. Which intervention by the nurse will help prevent ventilator-associated pneumonia (VAP)?
a. Providing oral care with a toothbrush at least twice daily
b. Changing the ventilator circuits at least every 72 hours
c. Removing subglottal secretions before every position change
d. Maintaining endotracheal cuff pressures at 10 cm H2O
Question 3During the secondary survey of the code event, the nurse realizes that the patient is not breathing on his own. What should the nurse do next?
a. Immediately intubate the patient.
b. Have a laryngoscope handle and curved blades available.
c. Ensure that the light source on the laryngoscope is functional.
d. Have a laryngoscope handle and straight blades available.
Question 4The patient is brought to the emergency department after a motor vehicle accident. The patient has head and neck trauma and has stopped breathing. What should the nurse do?
a. Open the airway using the head tiltchin lift method.
b. Open the airway using the jaw-thrust method.
c. Give two breaths using mouth-to-mouth and a barrier device.
d. Give two breaths using a bag-mask device.
Question 5The nurse finds a patient lying on the bathroom floor. The patient is unresponsive and has a pulse but is not breathing. What is the nurse's first action?
a. Give two breaths using mouth-to-mouth without a barrier device.
b. Give two breaths using mouth-to-mouth without a barrier device and watch for chest movement.
c. Give two breaths using a bag-mask device.
d. Start chest compressions until an AED is available.