Answers-2025 Update., Exams of
Nursing
A thin 75 year old male complains of difficulty breathing. He
states he has smoked "3 packs of
cigarettes a day for 30 years." He has bilateral wheezes -
Correct Answer -Emphysema
16 asthmatic female is in tripod position complains of increased
shortness of breath. SPO2 is 79% you should administer oxygen
at - Correct Answer -10 lpm via nonrebreather
During a long transport you are administering oxygen - Correct
Answer -Consider using a humidified oxygen
A 45 year old female is complaining of breathing difficult. Her
lung sounds are clear but she is becoming cyanotic on the lips -
Correct Answer -Deliver oxygen via nonrebreather at 15 lmp
What relaxes bronchial smooth muscles? - Correct Answer -
beta agonists
1
,A 47-year old male complains of chest discomfort and difficulty
breathing. He has had a fever, chills, and a productive cough for
3 days. Crackles are present upon auscultation. What is the
most likely cause? - Correct Answer -Bacterial Pneumonia
A 45 year old male was assaulted and you note a small,
localized area on the chest that is edematous. You hear
crackling when the skin palpated. What should you expect? -
Correct Answer -Subcutaneous Emphysema
While ventilating an intubated patient, you notice a shark fin
waveform on capnography. Ventilations become increasingly
difficult. What should you do? - Correct Answer -Administer
albuterol
A 28 year old female is complaining of gradual-onset dyspnea
after being released from the hospital. She was hospitalized for
1 day following thoracic trauma and a lung contusion. Lung
sounds present with crackles in both bases. Vital signs are BP
130/80, P 110, R 32 shallow, SpO2:88%. You should - Correct
Answer -apply oxygen via non-rebreather and transport
emergently
What is the volume of air that a patient inhales during each
breath referred to as? - Correct Answer -Tidal Volume
2
,When you hear wheezing, where is the obstruction located? -
Correct Answer -Lower Airway
a 68 year old female complains of shortness of breath and is
sitting in a tripod position and has pink sputum in the corners
of her mouth. Vital signs are BP 165/110, P88, R22 with
crackles, SpO2 82% on 3lpm. What should you do? - Correct
Answer -Increase oxygen
A 71 year old mle with a tracheostomy tube is cyanotic. You
hear audible gurgling during inspiration and crackles in the base
of the lungs. Vital signs are BP 148/100, P 94, R 24, SpO2 88%.
What should you do? - Correct Answer -Suction the lumen with
a soft tip catheter
A 19 year old male was extricated from a structure fire. He is
actively coughing and complains of pain due to burns on his
chest, arms and stomach. What is the priority? - Correct
Answer -Laryngeal swelling
a 62 year old female complains of shortness of breath. She is
sitting upright in bed with multiple pillows behind her back. She
has history of COPD and diabetes. Skin is warm to the touch. BP
166/100, P 84 irregular, R 20 with crackles, SpO2 95%. What
should you do? - Correct Answer -Administer 2.5mg of
Albuterol
3
, A 29 year old male inhaled an unknown chemical. His voice is
now horse and its difficult to understand him. Vital signs P136,
R28, SpO2 78%. What should you do? - Correct Answer -Place
the patient on a nasal cannula and lie the patient supine
A 56 year old female is sitting upright in bed on a home CPAP
machine. She is unable to follow verbal commands and is
lethargic. What should you do? - Correct Answer -Assist
ventilations with a bag mask device.
How does emphysema affect the lungs and ventilations? -
Correct Answer -decreases surface area making gas exchange
inefficient
What disease has the greatest effect on alveolar oxygen
diffusion? - Correct Answer -Emphysema
A 19 year old female overdosed on benzodiazepines. She has
snoring respirations and with minimal response to painful
stimuli. How should you manage her airway? - Correct Answer -
Oropharyngeal Adjunct
You are taking over ventilations from your partner when you
notice the endotracheal tube shows the 26 cm at the teeth.
Whaat should you expect? - Correct Answer -Right Mainstem
intubation
4