Medical Surgical Nursing I (Score for this attempt: 78 out of 80)
Due Oct 25 at 10:30am Points 80 Questions
80 Available Oct 25 at 9:45am - Oct 25 at 10:30am 45
minutes Time Limit 90 Minutes Allowed
Attempts Unlimited
Instructions
Respiratory Test: Read the questions carefully and choose the best option(s) that
answer the questions. Be mindful of your time. You are given 90 minutes to
complete the test. Good luck!
This quiz was locked Oct 25 at 10:30am.
Attempt History
Attempt Time Score
LATEST Attempt 1 21 minutes 78 out of 80
Score for this attempt: 78 out
of 80 Submitted Oct 25 at
10:44am
This attempt took 21 minutes.
Question 1 pts
Which test is a quick and reliable aid to diagnosis latent TB?
TB tine test
PPD skin test
Correct! QFT-G
Sputum smears
, Sputum smears, cultures and PPD skin test are still done. However, QFT-G
offers a quick and reliable diagnosis for the patient and health care provider.
The results of QFT-G are greater specificity and results are available 24 hours
after the blood is collected.
Question 2 pts
Determine the ABG and the compensatory mechanism:
ABG Value
pH: 7.55
-
[HCO3 ]: 31 mEq/L
PaCO2: 37 mmHg
metabolic alkalosis, complete compensated
respiratory alkalosis, complete compensated
normal ABG
respiratory acidosis, partial uncompensated
metabolic acidosis, partial compensated
Correct! metabolic alkalosis, partial uncompensated
Question 3 pts
, These structures of the brain are responsible for the nervous control
of breathing and regulates the basic rhythm and depth of
respirations.
coronary sinus and alveoli
carotid artery and aorta
brachiocephalic vein and superior vena cava
Correct! medulla oblongata and pons
Question 4 pts
A client with a chronic airflow limitation is experiencing respiratory
acidosis as a complication. The nurse who is trying to enhance the
client’s respiratory status would avoid doing which of the
following?
Correct! Encouraging the client to breathe fast and shallowly
Assisting the client to turn, cough, and deep breathe
Keeping the head of the bed elevated
Monitoring the flow rate of supplemental oxygen
, Rationale: The client with respiratory acidosis is experiencing elevated
carbon dioxide levels due to
insufficient ventilation. The nurse would encourage the client to breathe
slowly and deeply (not shallowly) to expand alveoli and to promote
better gas exchange. The actions listed in options 1, 2, and 3 are
helpful actions on the part of the nurse.
Test-Taking Strategy: Note that the question contains the strategic
word “avoid.” With this in mind, eliminate options that are beneficial to
airway status, and choose the one that would cause further impairment.
Review care of the client with respiratory acidosis if you had difficulty
with this question.
Question 5 pts
A client is seen in the health care clinic and a diagnosis of acute
sinusitis is made. The nurse reinforces home care instructions to the
client regarding measures that will promote sinus drainage and
comfort. Which statement by the client indicates a need for
further education?
"I should apply heat such as a wet pack over the
sinuses."
Correct! "I will need surgery asap to drain the sinuses."
"I should try to sleep with the head of the bed elevated."
"I should drink large amounts of fluids."