Question: The student nurse assists with the care of a newly admitted patient in acute respiratory failure. The patient’s PaCO2 is elevated. Which of the assessment findings is most concerning?
Answer Choices:
Patient reports loose stools
\nPatient is drowsy with lethargic responses
\nSpO2 of 91%
\nBP 142/64
Answer: Patient is drowsy with lethargic responses
Question: Define self-efficacy. Name 2 ways children with low self-efficacy for learning differ from children with high self-efficacy for learning.
Answer Choices:
[Essay question]
Answer: Definition of self-efficacy: An individual’s belief in their capacity to execute behaviors necessary to produce specific performance attainments
\nTwo differences:
\n
\n
\nApproach to challenges: Low self-efficacy avoid challenges, high self-efficacy view them as opportunities
\nPersistence: Low self-efficacy give up quickly, high self-efficacy persist longer
Question: The new graduate RN administers 3 liters/min oxygen via nasal cannula to a patient with chronic emphysema. For which adverse effects of oxygen therapy should they closely observe?
Answer Choices:
Cyanosis
\nAnxiety
\nDecrease in respiratory rate
\nDrowsiness
\nIncrease in respirations
Answer: Decrease in respiratory rate
\nDrowsiness
Question: A patient with emphysema is most likely to present with all of the following symptoms except?
Answer Choices:
Hypercapnea
\nBarrel chest
\nHyperinflation of the lungs
\nBradypnea
Answer: Bradypnea
Question: A patient has a pulmonary embolism and is started on oxygen. The student nurse asks why the patient’s oxygen saturation has not significantly improved. What response by the nurse is best?
Answer Choices:
Maybe the patient has respiratory distress syndrome
\nThe patient needs immediate intubation and mechanical ventilation
\nBreathing so rapidly results in respiratory acidosis
\nThe blood clot interferes with perfusion in the lungs
Answer: The blood clot interferes with perfusion in the lungs
Question: The nurse monitors for which gastrointestinal clinical manifestation in the patient diagnosed with cystic fibrosis?
Answer Choices:
Hematemesis
\nMelena
\nConstipation
\nSteatorrhea
Answer: Steatorrhea
Question: The nurse is evaluating the effectiveness of acute respiratory failure interventions. Which of the following provides the best information?
Answer Choices:
Hemoglobin
\nChest x-ray
\nPulse oximetry
\nArterial blood gas
Answer: Arterial blood gas
Question: Which of the following are strategies to prevent Ventilator-Associated Pneumonia (VAP)?
Answer Choices:
Endotracheal suction every hour
\nHead of bed elevated at least 30 degrees
\nOral care at least every 12 hours
\nEncourage bedrest
Answer: Head of bed elevated at least 30 degrees
\nOral care at least every 12 hours
Question: Which of the following discharge teaching statements for a patient with COPD are correct?
Answer Choices:
It is best to eat three large meals a day that are relatively low in calories
\nAvoid going outside during extremely hot or cold days
\nGet the Pneumovax vaccine every year
\nSmoking cessation can help improve your symptoms
Answer: Avoid going outside during extremely hot or cold days
\nSmoking cessation can help improve your symptoms
Question: Which of the following is NOT associated with low levels of parental monitoring?
Answer Choices:
Substance use and abuse
\nJuvenile delinquency
\nDepression
\nHigher academic achievement
Answer: Higher academic achievement
Question: The nurse is caring for a patient in an intermediate care unit with various subjective data, labs, and physical findings indicating respiratory distress. What action by the nurse is most appropriate?
Answer Choices:
Call respiratory therapy for a nebulizer treatment
\nPrepare for immediate endotracheal intubation
\nFacilitate a STAT pulmonary ventilation/perfusion (VQ) scan
\nPrepare to administer IV anticoagulants
Answer: Facilitate a STAT pulmonary ventilation/perfusion (VQ) scan
Question: Patients with chronic bronchitis and emphysema most commonly experience what type of acid-base imbalance?
Answer Choices:
Low oxygen level and low carbon dioxide level
\nHigh oxygen level and low carbon dioxide level
\nHigh oxygen level and high carbon dioxide level
\nLow oxygen level and high carbon dioxide level
Answer: Low oxygen level and high carbon dioxide level
Question: A patient has been admitted with chest trauma after a motor vehicle accident. The nurse assesses the patient when the oximeter alarms and notes breath sounds in right upper lobe of the lung are now absent and there is tracheal deviation. The nurse immediately assesses for additional signs of:
Answer Choices:
Acute respiratory distress syndrome
\nPulmonary embolism
\nRight pneumothorax
\nFlash pulmonary edema
Answer: Right pneumothorax
Question: An intubated patient’s oxygen saturation has dropped to 88% and the RN hears the high-pressure alarm. What action should the nurse take first?
Answer Choices:
Lower the tidal volume setting
\nSuction the endotracheal tube
\nCheck that tubing connections are secure
\nAssess the patient
Answer: Assess the patient
Question: A patient is being treated for aspiration pneumonia and is on a 100% non-rebreather mask. Which of the following is a cardinal sign of acute respiratory distress syndrome (ARDS)?
Answer Choices:
PaO2 unchanged at 45mmHg
\nBP 180/92
\nPatient is confused
\nBradypnea
Answer: Patient is confused
Question: The nurse plans care for a patient with COPD and thick, tenacious secretions. Which interventions would the nurse include in the plan of care to prevent infection?
Answer Choices:
Add humidity to prescribed oxygen
\nInstruct the patient to drink 2 L of fluids daily
\nSuction the patient every 2-3 hours
\nAdminister prescribed mucolytic agent
Answer: Add humidity to prescribed oxygen
\nInstruct the patient to drink 2 L of fluids daily
\nAdminister prescribed mucolytic agent
Question: Broad categories that reflect general impressions and beliefs about males and females, such as “boys play with trucks and girls play with dolls,” are known as gender:
Answer Choices:
roles
\nconstancies
\nstereotypes
\nidentities
Answer: stereotypes