Chapter 36: Airway Management
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. A patient in the ICU is producing an increased amount of sputum and has a fever. The
nurse suspect Which of the following characteristics of the patients sputum would
indicate a bacterial infection, as infection? Select all that apply.
A. Yellow
B. Clear
C. Blood-streaked
D. Green SaO2
E. Brown
F. White
2. An older patient in the ICU has labored breathing and a history of smoking. The nurse
suspects that has chronic obstructive pulmonary disease (COPD). Which of the following
signs would tend to con hat the patient has COPD? Select all that apply.
A. Increased anterior-posterior diameter of the chest
B. The patient lying propped onto one side
C. Deviation of the trachea from the midline
D. Inspiration taking just as long as expiration
3. A patient in the ICU with a history of smoking is having tests performed to assess his
respiratory fun Which test would be best for measuring the oxygenation of this patients
blood?
A. SaO2
B. Pulse oximetry
C. End-tidal carbon dioxide
D. pH
4. A patient has arterial blood gas testing performed. Her PaO2 is 95 mm Hg, SaO2 is 90%,
pH is 7.4, HCO3 is 23 mEq/L. Which of these values should the nurse be most concerned
about?
A. PaO2
B. HCO3
C. pH
D. SaO2
5. A patient in her first trimester is in the ICU and is displaying signs of metabolic alkalosis.
On speaking with the patient, the nurse learns that she has been experiencing much
vomiting, diarrhea, and anxiety in the past week. The nurse should recognize that which
of the following is the most likely cause of this acid-base imbalance?
A. Pregnancy
B. Diarrhea
C. Vomiting
D. Anxiety
6. A patient has arterial blood gas testing performed. His PaO2 is 83 mm Hg, SaO2 is 91%,
, pH is 7.5, PaCO2 is 24 mm Hg, and HCO3 is 22 mEq/L. Which of the following
indicates this patients condition
A. Respiratory acidosis with normal saturation (uncompensated)
B. Metabolic alkalosis with low saturation (uncompensated)
C. Respiratory alkalosis with low saturation (uncompensated)
D. Metabolic alkalosis with low saturation (fully compensated)
7. A patient in the ICU has just undergone arterial blood gas testing. Her results are as
follows: PaO2 is 90 mm Hg, pH is 7.43, PaCO2 is 24, and HCO3 is 19 mEq/L. Which of
the following indicates this patients condition?
A. Respiratory alkalosis, fully compensated
B. Respiratory acidosis, partially compensated
C. Metabolic alkalosis, fully compensated
D. Metabolic acidosis, partially compensated
8. A patient in the ICU with pneumonia and on mechanical ventilation is suspected to have
pulmonary embolus. Which diagnostic study would be best for assessing for this
condition?
A. Chest radiography
B. Ventilation-perfusion scanning
C. Pulmonary angiography
D. Bronchoscopy
9. A patient in the ICU is suspected of having tuberculosis. The nurse understands that
which diagnostic test will most likely be performed on this patient to confirm this
suspicion?
A. Sputum culture
B. Thoracentesis
C. Ventilation-perfusion scanning
D. Pulmonary angiography
10. The nurse is completing a history on a patient with dyspnea. What characteristic of
dyspnea is most indicative of pulmonary disease?
A. Most severe when patient is supine
B. Awakens patient from sleep at night
C. Accompanied by anginal chest pain
D. Most severe with exertion
11. During the inspection phase of the physical examination, the nurse notices that the
patients chest wall is round, and the anterior-to-posterior diameter and the lateral
diameter are equal. Based on this information, what disease process does the nurse
suspect?
A. Lobular pneumonia
B. Chronic obstructive pulmonary disease
C. Acute respiratory distress syndrome
D. Respiratory syncytial virus
12. The nurse is caring for a patient who has undergone thoracic surgery. What assessment
information would best support the nurses suspicion of pulmonary consolidation?
A. Vesicular lung sounds at bases
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. A patient in the ICU is producing an increased amount of sputum and has a fever. The
nurse suspect Which of the following characteristics of the patients sputum would
indicate a bacterial infection, as infection? Select all that apply.
A. Yellow
B. Clear
C. Blood-streaked
D. Green SaO2
E. Brown
F. White
2. An older patient in the ICU has labored breathing and a history of smoking. The nurse
suspects that has chronic obstructive pulmonary disease (COPD). Which of the following
signs would tend to con hat the patient has COPD? Select all that apply.
A. Increased anterior-posterior diameter of the chest
B. The patient lying propped onto one side
C. Deviation of the trachea from the midline
D. Inspiration taking just as long as expiration
3. A patient in the ICU with a history of smoking is having tests performed to assess his
respiratory fun Which test would be best for measuring the oxygenation of this patients
blood?
A. SaO2
B. Pulse oximetry
C. End-tidal carbon dioxide
D. pH
4. A patient has arterial blood gas testing performed. Her PaO2 is 95 mm Hg, SaO2 is 90%,
pH is 7.4, HCO3 is 23 mEq/L. Which of these values should the nurse be most concerned
about?
A. PaO2
B. HCO3
C. pH
D. SaO2
5. A patient in her first trimester is in the ICU and is displaying signs of metabolic alkalosis.
On speaking with the patient, the nurse learns that she has been experiencing much
vomiting, diarrhea, and anxiety in the past week. The nurse should recognize that which
of the following is the most likely cause of this acid-base imbalance?
A. Pregnancy
B. Diarrhea
C. Vomiting
D. Anxiety
6. A patient has arterial blood gas testing performed. His PaO2 is 83 mm Hg, SaO2 is 91%,
, pH is 7.5, PaCO2 is 24 mm Hg, and HCO3 is 22 mEq/L. Which of the following
indicates this patients condition
A. Respiratory acidosis with normal saturation (uncompensated)
B. Metabolic alkalosis with low saturation (uncompensated)
C. Respiratory alkalosis with low saturation (uncompensated)
D. Metabolic alkalosis with low saturation (fully compensated)
7. A patient in the ICU has just undergone arterial blood gas testing. Her results are as
follows: PaO2 is 90 mm Hg, pH is 7.43, PaCO2 is 24, and HCO3 is 19 mEq/L. Which of
the following indicates this patients condition?
A. Respiratory alkalosis, fully compensated
B. Respiratory acidosis, partially compensated
C. Metabolic alkalosis, fully compensated
D. Metabolic acidosis, partially compensated
8. A patient in the ICU with pneumonia and on mechanical ventilation is suspected to have
pulmonary embolus. Which diagnostic study would be best for assessing for this
condition?
A. Chest radiography
B. Ventilation-perfusion scanning
C. Pulmonary angiography
D. Bronchoscopy
9. A patient in the ICU is suspected of having tuberculosis. The nurse understands that
which diagnostic test will most likely be performed on this patient to confirm this
suspicion?
A. Sputum culture
B. Thoracentesis
C. Ventilation-perfusion scanning
D. Pulmonary angiography
10. The nurse is completing a history on a patient with dyspnea. What characteristic of
dyspnea is most indicative of pulmonary disease?
A. Most severe when patient is supine
B. Awakens patient from sleep at night
C. Accompanied by anginal chest pain
D. Most severe with exertion
11. During the inspection phase of the physical examination, the nurse notices that the
patients chest wall is round, and the anterior-to-posterior diameter and the lateral
diameter are equal. Based on this information, what disease process does the nurse
suspect?
A. Lobular pneumonia
B. Chronic obstructive pulmonary disease
C. Acute respiratory distress syndrome
D. Respiratory syncytial virus
12. The nurse is caring for a patient who has undergone thoracic surgery. What assessment
information would best support the nurses suspicion of pulmonary consolidation?
A. Vesicular lung sounds at bases
