6001 FINAL PRACTICE QUESTIONS
1. 1. A nurse caring for a patient with chronic obstructive pulmonary
disease (COPD) knows that hypoxia may occur in patients with respiratory
problems. What are signs of this serious condition?
Select all answers that apply.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiratory rate
E. Pallor
F. Increased pulse rate: 1. a, c, e, f. If a problem exists in ventilation,
respiration, or perfusion, hypoxia may occur. Hypoxia is a condition in
which an inadequate amount of oxygen is available to cells. The most
common symptoms of hypoxia are dyspnea (difficulty breathing), an
elevated blood pressure with a small pulse pressure, increased
respiratory and pulse rates, pallor, and cyanosis.
2. 2. A nurse is suctioning the nasopharyngeal airway of a patient to
maintain a patent airway. For which condition would the nurse anticipate
the need for a nasal trumpet?
A. The patient vomits during suctioning.
B. The secretions appear to be stomach contents.
,C. The catheter touches an unsterile surface.
D. Epistaxis is noted with continued suctioning: d. When epistaxis is
noted with continued suctioning, the nurse should notify the physician
and anticipate the need for a nasal trumpet. The nasal trumpet will
protect the nasal mucosa from further trauma related to suctioning.
3. 3. A nurse is inserting an oropharyngeal airway for a patient who
vomits when it is inserted. Which action would be the first that should be
taken by the nurse related to this occurrence?
A. Quickly position the patient on his or her side.
B. Put on disposable gloves and remove the oral airway.
C. Check that the airway is the appropriate size for the patient.
D. Put on sterile gloves and suction the airway: a. When a patient vomits
upon insertion of an oropharyngeal airway, the nurse should
immediately position the patient on his or her side to prevent
aspiration, remove the oral airway, and suction the mouth if needed
,4. 4. A nurse is choosing a catheter to use to suction a patient's
endotracheal tube via an open system. On which variable would the nurse
base the size of the catheter to use?
A. The age of the patient
B. The size of the endotracheal tube
C. The type of secretions to be suctioned
D. The height and weight of the patient: b. The nurse would base the size
of the suctioning catheter on the size of the endotracheal tube. The
external diameter of the suction catheter should not exceed half of the
internal diameter of the endotracheal tube. Larger catheters can
contribute to trauma and hypoxemia.
5. 5. A nurse is caring for a 16-year-old male patient who has been hospi-
talized for an acute asthma exacerbation. Which testing methods might the
nurse use to measure the patient's oxygen saturation? Select all that
apply.
A. Thoracentesis
B. Spirometry
C. Pulse oximetry
D. Peak expiratory flow rate
E. Diffusion capacity
F. Maximal respiratory pressure: b, c, d.
Spirometers are used to monitor the health status of patients with
respiratory disorders, such as asthma.
, Pulse oximetry is used to obtain baseline information about the
patient's oxygen saturation level and is also performed for patients
with asthma, along with PEFR to monitor airflow. These three tests
may be administered by the nurse.
Diffusion capacity estimates the patient's ability to absorb alveolar
gases and determines if a gas exchange problem exists. Maximal
respiratory pressures help evaluate neuromuscular causes of
respiratory dysfunction. Both tests are usually performed by a
respiratory therapist. The physician or other advanced practice
professional can perform a thoracentesis at the bedside with the nurse
assisting, or in the radiology department.
6. 6. A patient with COPD is unable to perform activities of daily living
(ADLs) without becoming exhausted. Which nursing diagnosis best
describes this alteration in oxygenation as the etiology?
A. Decreased Cardiac Output related to difficulty breathing
B. Impaired Gas Exchange related to use of bronchodilators
1. 1. A nurse caring for a patient with chronic obstructive pulmonary
disease (COPD) knows that hypoxia may occur in patients with respiratory
problems. What are signs of this serious condition?
Select all answers that apply.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiratory rate
E. Pallor
F. Increased pulse rate: 1. a, c, e, f. If a problem exists in ventilation,
respiration, or perfusion, hypoxia may occur. Hypoxia is a condition in
which an inadequate amount of oxygen is available to cells. The most
common symptoms of hypoxia are dyspnea (difficulty breathing), an
elevated blood pressure with a small pulse pressure, increased
respiratory and pulse rates, pallor, and cyanosis.
2. 2. A nurse is suctioning the nasopharyngeal airway of a patient to
maintain a patent airway. For which condition would the nurse anticipate
the need for a nasal trumpet?
A. The patient vomits during suctioning.
B. The secretions appear to be stomach contents.
,C. The catheter touches an unsterile surface.
D. Epistaxis is noted with continued suctioning: d. When epistaxis is
noted with continued suctioning, the nurse should notify the physician
and anticipate the need for a nasal trumpet. The nasal trumpet will
protect the nasal mucosa from further trauma related to suctioning.
3. 3. A nurse is inserting an oropharyngeal airway for a patient who
vomits when it is inserted. Which action would be the first that should be
taken by the nurse related to this occurrence?
A. Quickly position the patient on his or her side.
B. Put on disposable gloves and remove the oral airway.
C. Check that the airway is the appropriate size for the patient.
D. Put on sterile gloves and suction the airway: a. When a patient vomits
upon insertion of an oropharyngeal airway, the nurse should
immediately position the patient on his or her side to prevent
aspiration, remove the oral airway, and suction the mouth if needed
,4. 4. A nurse is choosing a catheter to use to suction a patient's
endotracheal tube via an open system. On which variable would the nurse
base the size of the catheter to use?
A. The age of the patient
B. The size of the endotracheal tube
C. The type of secretions to be suctioned
D. The height and weight of the patient: b. The nurse would base the size
of the suctioning catheter on the size of the endotracheal tube. The
external diameter of the suction catheter should not exceed half of the
internal diameter of the endotracheal tube. Larger catheters can
contribute to trauma and hypoxemia.
5. 5. A nurse is caring for a 16-year-old male patient who has been hospi-
talized for an acute asthma exacerbation. Which testing methods might the
nurse use to measure the patient's oxygen saturation? Select all that
apply.
A. Thoracentesis
B. Spirometry
C. Pulse oximetry
D. Peak expiratory flow rate
E. Diffusion capacity
F. Maximal respiratory pressure: b, c, d.
Spirometers are used to monitor the health status of patients with
respiratory disorders, such as asthma.
, Pulse oximetry is used to obtain baseline information about the
patient's oxygen saturation level and is also performed for patients
with asthma, along with PEFR to monitor airflow. These three tests
may be administered by the nurse.
Diffusion capacity estimates the patient's ability to absorb alveolar
gases and determines if a gas exchange problem exists. Maximal
respiratory pressures help evaluate neuromuscular causes of
respiratory dysfunction. Both tests are usually performed by a
respiratory therapist. The physician or other advanced practice
professional can perform a thoracentesis at the bedside with the nurse
assisting, or in the radiology department.
6. 6. A patient with COPD is unable to perform activities of daily living
(ADLs) without becoming exhausted. Which nursing diagnosis best
describes this alteration in oxygenation as the etiology?
A. Decreased Cardiac Output related to difficulty breathing
B. Impaired Gas Exchange related to use of bronchodilators
