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
, B. Bronchial breath sounds over upper airway
C. Egophony at left posterior base of lung
D. Basal crackles that clear with cough
13. A patient is being monitored with continuous pulse oximetry. Under what circumstance
would the nurse question the accuracy of the pulse oximetry reading?
A. The patient is a victim of a fire in an enclosed space.
B. Cardiac monitor pattern shows normal sinus rhythm.
C. Extremities are warm and dry with intact pulses.
D. Respiratory rate and pulse rate are elevated.
14. The patient is being monitored with an end-tidal CO2 monitor and has values trending
upward. What acidbase abnormality should the nurse assess for?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
15. The patient has experienced a significant drop in hemoglobin levels and is slightly
tachycardic. The pulse oximetry value is 100% and arterial blood gas values are normal.
What is the most important adverse physiologic effect that the nurse would expect?
A. Polycythemia
B. Diminished blood pressure
C. Hyperalertness and hyperreflexia
D. Diminished tissue oxygenation
16. The nurse is evaluating the following arterial blood gas values: pH 7.35, PaO2 95 mm
Hg, SaO295 Hg, and HCO3 24 mEq/L. How does the nurse interpret these results?
A. Normal
B. Respiratory acidosis
C. Metabolic acidosis
D. Technical error
17. The patient is experiencing respiratory acidosis. What nursing action is most likely to
alleviate this
A. Suction the endotracheal tube.
B. Reduce the respiratory rate on the ventilator.
C. Administer intravenous bicarbonate.
D. Increase the rate of crystalloid intravenous fluids.
18. A patient has experienced a cardiopulmonary arrest and is receiving cardiopulmonary
resuscitation evaluates the effectiveness of this therapy, what value on arterial blood
gases is most indicative of
A. Diminished PaO2
B. Diminished SaO2
C. Elevated HCO3
D. Elevated PaCO2
19. A critically ill patient has arterial blood gas results of pH 7.6, PaCO2 40 mm Hg, and
HCO3 30 mEq/ medical situation do these results most clearly correlate?
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
, B. Bronchial breath sounds over upper airway
C. Egophony at left posterior base of lung
D. Basal crackles that clear with cough
13. A patient is being monitored with continuous pulse oximetry. Under what circumstance
would the nurse question the accuracy of the pulse oximetry reading?
A. The patient is a victim of a fire in an enclosed space.
B. Cardiac monitor pattern shows normal sinus rhythm.
C. Extremities are warm and dry with intact pulses.
D. Respiratory rate and pulse rate are elevated.
14. The patient is being monitored with an end-tidal CO2 monitor and has values trending
upward. What acidbase abnormality should the nurse assess for?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
15. The patient has experienced a significant drop in hemoglobin levels and is slightly
tachycardic. The pulse oximetry value is 100% and arterial blood gas values are normal.
What is the most important adverse physiologic effect that the nurse would expect?
A. Polycythemia
B. Diminished blood pressure
C. Hyperalertness and hyperreflexia
D. Diminished tissue oxygenation
16. The nurse is evaluating the following arterial blood gas values: pH 7.35, PaO2 95 mm
Hg, SaO295 Hg, and HCO3 24 mEq/L. How does the nurse interpret these results?
A. Normal
B. Respiratory acidosis
C. Metabolic acidosis
D. Technical error
17. The patient is experiencing respiratory acidosis. What nursing action is most likely to
alleviate this
A. Suction the endotracheal tube.
B. Reduce the respiratory rate on the ventilator.
C. Administer intravenous bicarbonate.
D. Increase the rate of crystalloid intravenous fluids.
18. A patient has experienced a cardiopulmonary arrest and is receiving cardiopulmonary
resuscitation evaluates the effectiveness of this therapy, what value on arterial blood
gases is most indicative of
A. Diminished PaO2
B. Diminished SaO2
C. Elevated HCO3
D. Elevated PaCO2
19. A critically ill patient has arterial blood gas results of pH 7.6, PaCO2 40 mm Hg, and
HCO3 30 mEq/ medical situation do these results most clearly correlate?
