NR 283 Exam 2 Test UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
In a burn injury, the Rule of nines is used to estimate: - CORRECT ANSWER total body
surface area burned
The nurse is aware that hypercapnia can lead to which of the following? - CORRECT
ANSWER Respiratory acidosis
A patient's arterial blood gas reveals decreased carbon dioxide levels. What is the most likely cause of
this situation? - CORRECT ANSWER Hyperventilation
What lab value would the nurse expect in a patient who has sustained trauma to the lungs and chest
wall is experiencing respiratory failure? - CORRECT ANSWER Elevated PaCO2
A 10-year-old develops pneumonia. Physical exam reveals subcostal and intercostal contractions. The
child reports that breathing is difficult with feeling that "I cannot get enough air." What term should
the nurse use to document this condition? - CORRECT ANSWER Dyspnea
A 50 year old presents with hypotension, hypoxemia, and tracheal deviation to the left. Tests reveal
that the air pressure in the pleural cavity exceeds barometric pressure in the atmosphere. Based upon
these assessment findings, what does the nurse suspect the patient is experiencing - CORRECT
ANSWER Tension Pneumothorax
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse
expect to assess in this client? - CORRECT ANSWER Dyspnea, Barrel chest, and Hypocapnia
A nurse in the emergency department is caring for a patient who has extensive partial and full
thickness burns of the head, neck, and chest. While planning the patients care, the nurse should
identify what risk as the priority for assessment and intervention? - CORRECT
ANSWER Airway obstruction
A patient presents to the ER with complaints of difficulty breathing and fever. Upon assessment, nurse
notes that the patient has a fever of 102.2 F, HR: 94. RR: 28, and BP 124/78. The patients O2 sat is
89% on room air. The nurse auscultates the patients lungs and notes decreased breath sounds to the
QUESTIONS AND CORRECT ANSWERS
In a burn injury, the Rule of nines is used to estimate: - CORRECT ANSWER total body
surface area burned
The nurse is aware that hypercapnia can lead to which of the following? - CORRECT
ANSWER Respiratory acidosis
A patient's arterial blood gas reveals decreased carbon dioxide levels. What is the most likely cause of
this situation? - CORRECT ANSWER Hyperventilation
What lab value would the nurse expect in a patient who has sustained trauma to the lungs and chest
wall is experiencing respiratory failure? - CORRECT ANSWER Elevated PaCO2
A 10-year-old develops pneumonia. Physical exam reveals subcostal and intercostal contractions. The
child reports that breathing is difficult with feeling that "I cannot get enough air." What term should
the nurse use to document this condition? - CORRECT ANSWER Dyspnea
A 50 year old presents with hypotension, hypoxemia, and tracheal deviation to the left. Tests reveal
that the air pressure in the pleural cavity exceeds barometric pressure in the atmosphere. Based upon
these assessment findings, what does the nurse suspect the patient is experiencing - CORRECT
ANSWER Tension Pneumothorax
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse
expect to assess in this client? - CORRECT ANSWER Dyspnea, Barrel chest, and Hypocapnia
A nurse in the emergency department is caring for a patient who has extensive partial and full
thickness burns of the head, neck, and chest. While planning the patients care, the nurse should
identify what risk as the priority for assessment and intervention? - CORRECT
ANSWER Airway obstruction
A patient presents to the ER with complaints of difficulty breathing and fever. Upon assessment, nurse
notes that the patient has a fever of 102.2 F, HR: 94. RR: 28, and BP 124/78. The patients O2 sat is
89% on room air. The nurse auscultates the patients lungs and notes decreased breath sounds to the
