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College-Level Nursing Block 3 (2nd Half) Quiz on Airway Management/ Oxygenation and Perfusion, created by cpeters on 03/03/2015.

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Airway Management/ Oxygenation and Perfusion

Question 1 of 21

1

A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? (Select all that apply.)

Select one or more of the following:

  • Restlessness

  • Tachypnea

  • Bradycardia

  • Confusion

  • Pallor

Explanation

Question 2 of 21

1

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse’s priority?

Select one of the following:

  • Increase the oxygen flow.

  • Assist the client to Fowler’s position.

  • Promote removal of pulmonary secretions.

  • Obtain a specimen for arterial blood gases.

Explanation

Question 3 of 21

1

A nurse is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? (Select all that apply.)

Select one or more of the following:

  • Apply suction while withdrawing the catheter.

  • Perform suctioning on a routine basis, every 2 to 3 hr.

  • Maintain medical asepsis during suctioning.

  • Use a new catheter for each suctioning attempt.

  • Limit suctioning to two to three attempts.

Explanation

Question 4 of 21

1

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? (Select all that apply.)

Select one or more of the following:

  • Apply the oxygen source loosely if the SpO2 decreases during the procedure.

  • Use surgical asepsis to remove and clean the inner cannula.

  • Clean the outer surfaces in a circular motion from the stoma site outward.

  • Replace the tracheostomy ties with new ties.

  • Cut a slit in gauze squares to place beneath the tube holder.

Explanation

Question 5 of 21

1

A provider is discharging a client with a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include which of the following instructions? (Select all that apply.)

Select one or more of the following:

  • Apply petroleum jelly around and inside the nares.

  • Remove the nasal cannula during mealtimes.

  • Check the position of the cannula frequently.

  • Report any nasal stuffiness, nausea, or fatigue.

  • Post “no smoking” signs in a prominent location.

Explanation

Question 6 of 21

1

You are an ER nurse treating a 3-year-old trauma patient. When assessing the patient's respirations, you note that the rate is 28 per minute. According to this finding, you should

Select one of the following:

  • move on to your next area of assessment. The patient's respirations are normal.

  • call the respiratory therapist. The patient is hyperventilating.

  • call the physician to see if he would like to order a bronchodilator.

  • try to distract the patient and make them relax. They are tachypneic.

Explanation

Question 7 of 21

1

What does a pulmonary toilet do?

Select one of the following:

  • Prevents atelectasis and removes respiratory secretions

  • Prevents bronchospasm

  • Thins and cleans blood to help prevent pulmonary emoblism.

  • Dilates bronchioles and improves gas exchange.

Explanation

Question 8 of 21

1

Which of the following is NOT a technique to thin respiratory secretions?

Select one of the following:

  • Drinking fluid

  • Dosing mucolytic medication

  • Controlled coughing

  • Moderate activity

  • Blowing nose regularly

Explanation

Question 9 of 21

1

Which of the following is a high-flow oxygen delivery system?

Select one of the following:

  • Non-rebreather mask

  • Nasal cannula

  • Venturi mask

  • Simple face mask.

Explanation

Question 10 of 21

1

How would you instruct patients to use an incentive spirometer and peak flow meter?

Select one of the following:

  • Incentive= inhale; Peak flow= exhale

  • Incentive= exhale, Peak flow= inhale

  • Both require inhalation

  • Both require exhalation.

Explanation

Question 11 of 21

1

Pursed lip breathing works well with what types of patients?

Select one of the following:

  • COPD

  • Pneumonia

  • Lung cancer

  • Cystic fibrosis

Explanation

Question 12 of 21

1

Which of the following is NOT a sign of anemia?

Select one of the following:

  • Skin pallor

  • Tachypnea and/or dyspnea

  • Decreased hemoglobin

  • Decreased hematocrit

  • Bradycardia

Explanation

Question 13 of 21

1

Which of the following reflects the normal ranges for RBC count, hemoglobin, and hematocrit (respectively)?

Select one of the following:

  • 4.2-5.14 x 10(6) cells/ mm(3); 11.7-17.4 g/dL; 38- 44%

  • 3.1- 5.14 x 10(6) cells/ mm(3); 11.0- 17.0 g/dL; 38- 54%

  • 5.6- 7.9 x 10(6) cells/ mm(3); 12.3- 19.7 g/dL; 42- 51%

  • 3.6- 5.14 x 10(6) cells/mm(3); 11.7- 17.4 g/dL; 40- 48%

Explanation

Question 14 of 21

1

The amount of blood circulating and entering the right atrium is the

Select one of the following:

  • Preload

  • Afterload

  • Stroke volume

  • Cardiac output

Explanation

Question 15 of 21

1

Heart rate X Stroke volume=

Select one of the following:

  • Preload

  • Afterload

  • Rate of perfusion

  • Cardiac ouput

Explanation

Question 16 of 21

1

The pressure the heart must pump against is the

Select one of the following:

  • Preload

  • Afterload

  • Stroke volume

  • Cardiac ouput

Explanation

Question 17 of 21

1

Which of the following symptoms can indicate decreased cardiac output?

Select one of the following:

  • Low hematocrit

  • Low hemoglobin

  • Low urine output

  • Dyspnea

Explanation

Question 18 of 21

1

The SA node is found

Select one of the following:

  • At the top of the right atrium

  • At the top of the left atrium

  • At the bottom of the right ventricle.

  • Next to the tricuspid valve.

Explanation

Question 19 of 21

1

Which of the following correctly identifies the path of an electrical impulse through the heart?

Select one of the following:

  • SA node --> AV junction --> HIS bundle --> bundle branches --> purkinjie fibers --> ventricular muscle

  • AV junction --> SA node --> bundle branches --> HIS bundle --> purkinjie fibers --> ventricular muscle

  • SA node --> HIS bundle --> AV junction --> purkinjie fibers --> bundle branches --> ventricular muscle

  • SA node --> AV junction --> bundle branches --> HIS bundle --> purkinjie fibers --> ventricular muscle

Explanation

Question 20 of 21

1

The stroke volume of the heart increases in response to an increase in the volume of blood filling the heart (the end diastolic volume) when all other factors remain constant is also know as

Select one of the following:

  • Cardiac output

  • Frank Starling Law of the Heart

  • Afterload

  • Preload

Explanation

Question 21 of 21

1

Which of the following is NOT a sign or symptom of heart failure?

Select one of the following:

  • Weakness, fatigue

  • Decreased exercise tolerance

  • Dizziness, syncope

  • Weight gain

  • Dyspnea

Explanation

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