Question # 3 Insufficient oxygen within the arterial blood is known as: a. Cyanosis b. Hypoxia c. Hypoxemia d. Clubbing
Answer #3 C. Hypoxemia Hypoxemia – When oxygen levels drop below normal range, it is referred to as hypoxemia. In the event of hypoxemia the blood cannot take adequate amounts of oxygen in the tissues, causing hypoxia.
Question #4 Signs and symptoms of inadequate oxygenation include: (choose all that apply) a. Cyanosis of skin b. Restlessness c. Rapid heart rate d. Nasal flaring
Answer #4 a. Cyanosis of skin b. Restlessness c. Rapid heart rate d. Nasal flaring
Question #5 The lab test that uses arterial blood to assess oxygenation, ventilation and acid- base balance is: a. BUN b. Oxygenation saturation c. Chemistry d. Arterial blood gases
#9 The position where the patient is seated with arms supported on pillows or arm rests of the chair and leans forward over the bedside table for maximum vertical and lateral chest expansion is known as: a. High-fowler’s position b. Orthopedic position c. Orthopneic position d. Vertical position
Question #11 The form of controlled ventilation in which the client consciously prolongs the expiration phase of breathing is known as: a. Deep breathing b. Shallow breathing c. Pursed-Lip breathing d. Diaphramatic breathing
#17 Question Disadvantages to administering O2 via nasal cannula are: (Choose all that apply): a. Increased mucosal secretions b. Irritation of cheeks and ears c. Dries nasal mucosa d. Metallic taste in mouth
Answer #17 b. Irritation of cheeks and ears c. Dries nasal mucosa
#18 Question The device that measures the concentration of O2 being received by the patient: a. O2 nebulizer b. O2 concentrator c. O2 analyzer d. O2 tank
Question #19 The device used for a patient to inhale a mixture of atmospheric air and oxygen from its source, and o2 contained within a reservoir bag is: a. Nasal cannula b. Simple mask c. Oxygen tent d. Partial rebreather mask
Question #20 One of the most serious complications for a patient using a partial rebreather mask is: a. Risk for choking b. Risk for aspiration c. Risk for suffocation d. Risk for respiratory arrest
Question #21 The device that allows for all of the exhaled air to leave the mask rather than partially entering the reservoir bag: a. Simple mask b. Partial rebreather mask c. Non-rebreather mask d. Venturi mask
Question #23 The device with a large ringed tube extending from it that has adapters within the tube that are color-coded permitting only a specific amount of room air to mix with oxygen: a. Simple mask b. Venturi Mask c. Partial rebreather mask d. Non-rebreather mask
Question #38 The name of the drainage from an ostomy is known as: a. Feces b. Effulent c. Stomadhesive d. contents
Question #39 Post-op complications for the nurse to assess the patient for are (choose all that apply): a. Excessive bleeding b. Drying of the stoma c. Stoma dark in color d. Stoma pink to red
Answer #39 a. Excessive bleeding b. Drying of the stoma c. Stoma dark in color
Question #40 When the ureter is transplanted into a closed off portion of the ileum with an opening to the outer abdomen creating a stoma: a. Colostomy b. Illeostomy c. Tracheostomy d. Urinary diversion
Answer #40 d. Urinary diversion or ileal conduit
Question #41 You listen to a patients lung sounds bilaterally. You note a frequent productive cough of thick yellow sputum. Which other assessments will you need to quickly make? a.Perform pulse oximetry to determine SaO2 b.Assess color of the lips, nailbeds, and mucous membranes c.Assess respiratory rate, character, and quality. d.Palpate for crepitus e.Determine how much fluid intake the patient has had in the past 24 hours?
Answer # 41 a. Perform pulse oximetry to determine SaO2 b. Assess color of lips, nailbeds, and mucous membranes. c. Assess respiratory rate, character and quality.
Question # 42 A patient who has chronic lung disease is stimulated to breathe because the chemoreceptor's detect: a. Low oxygen in the blood b. High oxygen in the blood c. Low carbon dioxide in the blood d. High carbon dioxide in the blood.
Question # 43 You are caring for a patient who has lung disease. Yesterday the patient Was alert, cooperative and pleasant. Today the patient is irritable, restless, and a little confused. She is complaining of a headache. What concerns you the most about this situation?
Question #43 Cont. a. The patients complaint of headache, along with the other symptoms could b sign of a stoke. b. All of the symptoms concern you because they are early signs of early hypoxia c. The confusion concerns you the most because it could medicate the beginning Alzheimers Disease. d. None of theses symptoms concerns you greatly because the patient is probably just having a bad day.
Answer # 43 B. All of the symptoms concern you because they can be signs of early hypoxia.
Question # 44 Incentive spirometry is used to: a. Deliver moisture and medications deep into the lungs. b. Help prevent pneumonia and altelectasis. c. Measure the rate and amount of air in a forceful exhalation. d. Help the patient conserve energy when performing ADL’s.
Answer # 44 b. Help to prevent pneumonia and altectasis.
Question # 45 People who have severe chronic pulmonary disease gradually develop a different stimulus to breathe. a. True b. False
Question # 46 Which is (are) true of chemical regulation of respirations? a. Chemoreceptor's are located in the carotid and aorta and the brain. b. The cerebellum is responsible for brain control of respirations. c. The chemoreceptors in the brain cause an increase in the rate and depth of respirations in response to changes in ph. d. If the oxygen level in the blood falls, this provides the stimulus to breath in people who do not have chronic lung disease. e. Chemoreceptors in the carotid and aorta respond to decrease oxygen in the blood and send the message to the medula.
Answer # 46 F. Chemorecptors in the carotid and aorta respond to decreased oxygen in the blood and send the message to the medulla. The medulla is the Respiratory center in the Brain
Answer # 46 Regulation of Respiration The Respiratory Center of the brain is the “Medulla”. The medulla is located in the Brainstem. This brain function automatically controls inhalation by sending impulses to the phrenic nerve, which causes the contraction of the diaphram and the intercostal muscles.
Question # 47 The following factors can interfere with an accurate pulse ox reading. Select all that apply. a. Movement of the sensor b. Poor circulation c. Nail polish d. sunlight
Answer # 47 a. Movement of the sensor b. Poor circulation c. Nail polish barrier to light, also acrylic nails and thick nails or toenails. d. Direct sunlight
Question # 48 What are appropriate nursing /treatment interventions for patients with impaired oxygenation? Select all that apply. a. Turning b. Cough and deep breathing c. Incentive spirometry d. Nebulizer treatment e. Supplemental oxygen f. Conservation of energy g. Assistance with ADL’s h. Lung assessment
Question # 50 All of the following appliances are needed for ostomy care except: a. One or two piece appliances b. Irrigations c. Wafers d. Sealant and closure
Answer # 50 Irrigations are ordered specifically by the doctor and may not bee need for routine care on all patients. You may need water with an irrigation bottle for cleaning out the bag.
Question # 51 The patient is taught when applying a new wafer over the stoma, the cut should be no more than how much larger than the stoma? a. 1/2 to 3/4 inch b. 1/16 to 1/8 inch c. 1/8 to 1/4 inch d. 1/3 to 2/3 inch
Question # 53 The patient notices during the changing of the pouch post recent ileostomy that the stoma is pinkish red the nurse responds. A. “There isn’t anything to worry about now.” “This is normal and shows that the stoma is healing as it should “I am not sure why this is happening and I’ll ask the doctor. “You need to be much more careful when taking of the pouch.”
Answer #53 B. This is normal and shows the stoma is healing as it should.