NUR 1018 - Gas exchange - adaptive
Q's with Complete Solutions
2025/2026 Updated.
When a client has a right pneumothorax, which type of breath sounds will the nurse expect to
hear on the right chest?
1. Crackling
2. Wheezing
3. Decreased sounds
4. Vesicular sounds - Answer 3. Decreased sounds
In which order would the nurse take these actions when suctioning a client who is receiving
mechanical ventilation through an endotracheal tube?
1. Activate the ventilator hyper oxygenation settings
2. Assess lung sounds and vital signs
3. rotate catheter while suctioning
4. insert catheter without suctioning - Answer 1. Assess lung sounds and vital signs
2.Activate the ventilator hyper oxygenation setting
3. Insert catheter without applying suction
4. rotate catheter while suctioning is applied
During the respiratory assessment of an 8-month-old infant, the nurse notes bronchial breath
sounds over areas of consolidation, mild substernal retractions, profuse nasal mucus
production, pallor, and a temperature of 102°F (38.9°C). Which action would the nurse take?
1.Suction the nasopharynx so a patent airway can be maintained.
2
Start an intravenous infusion to provide necessary fluids and electrolytes.
Incorrect3
Call the respiratory therapist to start preparations for oxygen administration.
4
Administer an antipyretic for the fever - Answer 1. Suction the nasopharynx so a patent
airway can be maintained.
Which factor may affect the accuracy of oxygen saturations obtained using pulse oximetry?
, 1
Fever
2
Obesity
3
Hypertension
4
Nail thickening - Answer 4. nail thickening
Which nursing care plan is indicated for a child admitted to the hospital with pneumonia?
1
rest
2
exercise
3
nutrition
4
elimination - Answer 1
rest
The arterial blood gases for a client with acute respiratory distress are pH 7.30, PaO 2 80 mm Hg
(10.64 kPa), PaCO 2 55 mm Hg (7.32 kPa), and HCO 3 23 mEq/L (23 mmol/L). How would the
nurse interpret these findings?
1
Hypoxemia
2
Hypocapnia
3
Compensated metabolic acidosis
4
Uncompensated respiratory acidosis - Answer Correct4
Uncompensated respiratory acidosis
A client with emphysema reports increased shortness of breath and becoming increasingly
anxious. The health care provider prescribes oxygen at 1 L/min via nasal cannula. The nurse
recognizes that this prescription is appropriate for which reason?
Q's with Complete Solutions
2025/2026 Updated.
When a client has a right pneumothorax, which type of breath sounds will the nurse expect to
hear on the right chest?
1. Crackling
2. Wheezing
3. Decreased sounds
4. Vesicular sounds - Answer 3. Decreased sounds
In which order would the nurse take these actions when suctioning a client who is receiving
mechanical ventilation through an endotracheal tube?
1. Activate the ventilator hyper oxygenation settings
2. Assess lung sounds and vital signs
3. rotate catheter while suctioning
4. insert catheter without suctioning - Answer 1. Assess lung sounds and vital signs
2.Activate the ventilator hyper oxygenation setting
3. Insert catheter without applying suction
4. rotate catheter while suctioning is applied
During the respiratory assessment of an 8-month-old infant, the nurse notes bronchial breath
sounds over areas of consolidation, mild substernal retractions, profuse nasal mucus
production, pallor, and a temperature of 102°F (38.9°C). Which action would the nurse take?
1.Suction the nasopharynx so a patent airway can be maintained.
2
Start an intravenous infusion to provide necessary fluids and electrolytes.
Incorrect3
Call the respiratory therapist to start preparations for oxygen administration.
4
Administer an antipyretic for the fever - Answer 1. Suction the nasopharynx so a patent
airway can be maintained.
Which factor may affect the accuracy of oxygen saturations obtained using pulse oximetry?
, 1
Fever
2
Obesity
3
Hypertension
4
Nail thickening - Answer 4. nail thickening
Which nursing care plan is indicated for a child admitted to the hospital with pneumonia?
1
rest
2
exercise
3
nutrition
4
elimination - Answer 1
rest
The arterial blood gases for a client with acute respiratory distress are pH 7.30, PaO 2 80 mm Hg
(10.64 kPa), PaCO 2 55 mm Hg (7.32 kPa), and HCO 3 23 mEq/L (23 mmol/L). How would the
nurse interpret these findings?
1
Hypoxemia
2
Hypocapnia
3
Compensated metabolic acidosis
4
Uncompensated respiratory acidosis - Answer Correct4
Uncompensated respiratory acidosis
A client with emphysema reports increased shortness of breath and becoming increasingly
anxious. The health care provider prescribes oxygen at 1 L/min via nasal cannula. The nurse
recognizes that this prescription is appropriate for which reason?
