Name: ………….

… ‫الجمهورية اليمنية‬
Time: ‫وزارة التعليم العالي و البحث العلمي‬
Date: / /2023. ‫ سبتمبر‬21 ‫جامعة‬
Marks:

Final exam of clinical critical care nursing

Part 1: choose the correct answer of following:
1- While you are training in the intensive care unit, you saw a patient with a tracheostomy tube M
instead of an endotracheal tube, and Dr. Hussein is responsible for it. He asked you what
Q
advantage of a tracheostomy tube compared with an endotracheal tube, you answered him:
A) Tracheostomy is noninvasive, endotracheal tube is invasive.
B) Tracheostomy requires suctioning less frequently than endotracheal tube.
C) Tracheostomy can be used for long term management of upper airway problems.
D) Tracheostomy is used to bypass both the upper and lower airway paths, whereas endotracheal tube is used to bypass
only upper airway path

Q 2- Nursing care position for patient after tracheal operation to open airways for easy breathing M
and effective cough is :
A) Setting position B) Semi setting position

C) Recovery position D) Lithotomy position

Q 3- While Suleiman is helping his colleague Sami in securing the ETT for the patient in the ICU, M
Sami asked him about the best ways to ensure that the tube is in the correct position after
insertion Suleiman answered him:
a) auscultate for the presence of bilateral breath sound. B) obtain a portable chest radiograph to check tube
placement.

C) observe the chest for symmetrical movement with ventilation. D) use an end-tidal CO2 monitor to check for
placement in the trachea.

Q 4- patient is undergoing a thoracentesis for a pleural effusion After the procedure, the nurse M
Mohammed will monitor the patient for which of the following possible complications of the
procedure:
A) Respiratory acidosis B) Pulmonary fibrosis

C) Coagulopathy D) Pneumothorax

Q 5- Many family members of a patient Arafat diagnosed with pleural effusion, are concerned M
that the patient is not coughing up any fluids. You As a fourth student level, it is expected that
non-productive coughing may occur because:
A) Effusion has most likely resolved. B) Fluid collection is excreted through
circulation

C) Fluid collection is outside of the airways and alveoli. D) Pressure of the fluid is restricting the
airway

Q 6- Hussein on the day shift walks into a patient room and finds the patient unresponsive. The M
patient is not breathing and does not have a pulse, Hussein immediately calls out for help.
Which is the next Hussein action:
A) Open the airway B) Give the client oxygen

C) Start chest compressions D) Ventilate with a mouth-to-mask device.

 Q 7- Which one of the following is early complications of tracheostomy: M
A) Pneumothorax B) Pulmonary embolism

C) Infection D) Tracheal necrosis

Q 8- the normal range of arterial partial pressure of oxygen (paO2) is: M

a. 95–100 mmHg b. 80–100 mmHg c. 90–100 mmHg d. 90- 97 mmHg

Q 9- Which of the following belong to the 1 st drawer of crash cart except: M

a. Hydromorphone b. furosemide c. diclofenac potassium d. dobutamine

Q 10- Which of the following belong to the 3 ed drawer of crash cart: M

a. glove b . Laryngoscope c .Syringe 10cc d. dextrose 5%

Part 2:
A- complete of the following:

Q 1 Amiodarone is emergency drugs used in …............ and …………. M

2 Drug consider the first of choice in cardiac arrest is ………….

3 Measuring unit of central venous pressure is ……….

4 Nursing management Monitor vital signs to patient with CVP every ………….

5 Patient position During removal CVP should be keep the patient in ……………

B- Write The scientific name of the following ABBREVIATION. (5 MARK)

N Abbreviation Scientific name

1 RTA

2 State

3 COPD

4 AST

5 DCM
 C- wright the normal range all of the following lab value:
RBC

HB (MEAL)

PT

K+

INR

Part 3: choose three of the following question:

1- Mention of nursing roll after CVC insertion.

2- Complication of endotracheal tube during intubation and extubation.
3- Nursing Care of endotracheal tubes.
4- Site insertion of CVC
5- Indication of thoracentesis

GOOD LUCK

Dr: Abdulwasa Al-Ahnomi