Question: Which findings below indicate prone positioning was beneficial for your patient with ARDS?
Answer Choices:
Improvement in lung sounds
\nPaCO2 increase
\nPaO2 increase from 59mmHg to 82mmHg
\nPaO2 decrease from 82mmHg to 59mmHg
Answer: Improvement in lung sounds
\nPaO2 increase from 59mmHg to 82mmHg
Question: A patient appears dyspneic but oxygen saturation reads 97%. What action by the nurse is best?
Answer Choices:
Obtain a new oximeter from central supply
\nChange the sensor on the pulse oximeter
\nAssess for other signs of hypoxia
\nTell the patient to take slow, deep breaths
Answer: Assess for other signs of hypoxia
Question: Water molecules form which type of bond with other water molecules?
Answer Choices:
hydrogen bonds, disulfide bonds, ionic bonds, covalent bonds
Answer: hydrogen bonds
Question: The ion Na+ has gained an electron.
Answer Choices:
True/False
Answer: False
Question: (Case study about Ronald Peterson and refractory hypoxemia)
Answer Choices:
Answer: The patient has hypoxemia despite 100% FiO2 administration
Question: The nurse prioritizes the nursing problem “Impaired Gas Exchange related to decreased lung elasticity and hyperinflation of the alveoli secondary to exposure to inhaled pollutants”. For which disorder is the nursing problem most relevant?
Answer Choices:
Chronic bronchitis
\nEmphysema
\nCystic fibrosis
\nAsthma
Answer: Emphysema
Question: The nurse prioritizes the nursing problem “Ineffective Airway Clearance related to intermittent, reversible airway obstruction secondary to bronchoconstriction and airway inflammation”. For which disorder is this nursing problem most relevant?
Answer Choices:
Bronchiectasis
\nChronic bronchitis
\nAsthma
\nEmphysema
Answer: Asthma
Question: Which type of inhaler ordered by the provider would provide the fastest relief for the patient based on this particular situation?
Answer Choices:
Tiotropium
\nSalmeterol
\nBudesonide
\nAlbuterol
Answer: Albuterol
Question: A patient is newly diagnosed with COPD due to chronic bronchitis. Which statement by the patient indicates they understood your teaching about this condition? Answer Options shown were related to: Smoking cessation Risk for low red blood cells Complications leading to pulmonary hypertension Respiratory system stimulation
Answer Choices:
Answer: Complications from this condition can lead to pulmonary hypertension and right-sided heart failure
Question: What type of bond is formed when two different atoms share electrons?
Answer Choices:
hydrogen bond, ionic bond, covalent bond
Answer: covalent bond
Question: During the exudative phase of acute respiratory distress syndrome (ARDS), the patient’s lung cells that produce surfactant have become damaged. As the nurse you know this will lead to:
Answer Choices:
Upper airway obstruction
\nBronchoconstriction
\nAlveolar collapse
\nPulmonary edema
Answer: Alveolar collapse
Question: Evaporation from the leaves of a tree will pull water up through the roots as an unbroken column throughout the entire height of the tree. This feat is possible because of which characteristic of water?
Answer Choices:
surface tension, cohesion/adhesion, dissolution, heat capacity
Answer: cohesion/adhesion
Question: Which patient has the highest risk of developing a pulmonary embolism?
Answer Choices:
Patient with pneumonia and rheumatoid arthritis
\nPregnant patient with asthma exacerbation
\nMorbidly obese patient with pelvic fracture
\nPatient with cholecystitis and type 2 diabetes
Answer: Morbidly obese patient with pelvic fracture
Question: (Continuation of Ronald Peterson case – ARDS exudative phase)
Answer Choices:
Fibrosis
\nBronchoconstriction
\nPulmonary hypertension
\nPulmonary edema
Answer: Pulmonary edema
Question: What type of bond is formed when electrons are transferred from one atom to another?
Answer Choices:
ionic bond, hydrogen bond, covalent bond
Answer: ionic bond
Question: Which arterial blood gas (ABG) results does the nurse recognize as most indicative of impending respiratory failure?
Answer Choices:
PaCO2 30mmHg; PaO2 80mmHg
\nPaCO2 45mmHg; PaO2 70mmHg
\nPaCO2 33mmHg; PaO2 66mmHg
\nPaCO2 48mmHg; PaO2 60mmHg
Answer: PaCO2 48mmHg; PaO2 60mmHg
Question: The nurse evaluates the following ABG and vital signs for a patient with COPD. What action would the nurse take first?
Answer Choices:
Administer albuterol
\nInitiate oxygen therapy to increase SpO2 to 88-92%
\nTeach the client appropriate breathing techniques
\nDocument the findings as normal for a patient with COPD
Answer: Initiate oxygen therapy to increase SpO2 to 88-92%
Question: You are caring for a patient with a new chest tube. The patient has developed a temperature of 99 degrees F and diminished lung sounds in the lower lobes. The patient refuses to perform incentive spirometry due to pain. What is the priority nursing intervention?
Answer Choices:
Administer prn pain medication and reinforce need for incentive spirometry
\nNotify the provider
\nApply a tight, constrictive splint to the chest tube site
\nProvide education on the purpose of incentive spirometry
Answer: Administer prn pain medication and reinforce need for incentive spirometry
Question: A patient diagnosed with a pulmonary embolism has a reduction in arterial oxygen saturation level (PaO2) and dyspnea. Which is the priority nursing problem for this patient?
Answer Choices:
Impaired Gas Exchange
\nAnxiety
\nIneffective Airway Clearance
\nImpaired Physical Mobility
Answer: Impaired Gas Exchange
Question: After teaching a patient who is prescribed formoterol, the nurse assesses the patient’s understanding. Which statement by the patient indicates a need for additional teaching?
Answer Choices:
I will use the drug when I have an asthma attack
\nI will be careful not to let the drug escape out of my nose and mouth
\nIt may take a while before I notice a change in my asthma
\nI will be certain to shake the inhaler well before I use it
Answer: I will use the drug when I have an asthma attack