Pulmonary CCRN- Critical Care Registered Nurse Study
Questions 2024/2025 Fully Answered 100%
In pneumonia are breath sounds louder or decreased? - ANSWERLouder
Bronchial breath soudns - ANSWERonly heard on expiration. Harsh, continous sound
heard over trachea only
Bronchovesicular breath sounds - ANSWEREqual on inspiration and experation.
Heard over R/L main stem
Vesicular breath sounds - ANSWERHeard over inspiration and over lung lobes only
ARDS - ANSWERShunt only, PEEP will save your life. Will see non cardiogenic
pulmonary edema on exam
Which of the following statements regarding vesicular breath sounds is true?
a) these are medium intesnity so9unds heard over the large main-stem bronchi
b) they are heard longer on exhalation
c) they are decreased or absent when airflow to that area of lung is diminished
d) they are ausculated over the trach - ANSWERc) they are decreased or absent
when airflow to that area of lung is dimished
Which of the following chst ausculation findings is abnormal?
a) vesicualr breath sounds over lung periphery
b) bronchial breath sounds heard over large airway
c) vesicular breath sounds heard during inspriation and expriation
d) bronchovesicular sounds adjacent to the sternum - ANSWERc) vesicular breath
sounds heard during inspriation and expiration
Pulmonary consolidation (lobar pneumonia) will cause which of the following
physical findings over the diseased area?
a) dull percussion note
b) decreased tactile fremitus
c) bronchial breath sounds
d) both A and C - ANSWERd) both A and C
A notable characteristic of mucus will often be present in pts with status asthmatic
attack in its:
a) color
b) tenaciousness
c) copious nature
, d) absence - ANSWERb) tenaciousness
An aminous finding in the patient with status asthmaticus would be:
a) a respiratory rate of 34
b) loud expiratory wheezing
c) a CO2 of 55
d) use a accessory muscles - ANSWERc) a CO2 of 55
a pt with status asthmaticus is admitted. His breath sounds are diminished througout
h8is lung fields. RR = 40. After giving your pt an aerosol bronchodilator, your pt
sounds worse as they are now louder. This indicates:
a) the pt has gotten worse
b) the need for anesthesia to be present STAT
c) the pt is getting better
d) the pt does not have asthma - ANSWERc) the pt is getting better
When adjusting the initial settings on a volume ventilator for an adult in respiratory
failure, the tidal volume is ususally set at:
a) at least 10 mL per Kg or twice onrmal
b) 15-20 mL per Kg or twice normal
c) 500 mL for all pts
d) 300-500 mL - ANSWERa) at least 10 mL per kg or twice normal
a 70 kg pt ventilated with Fi02 of 45%, VT of 800, IMV of 8. pt repsirations are
10/min. ABG results: 02 85, CO2 55. What ventilator parameter should be change?
a) Fi02
b) IMV
c) VT
d) all of the above - ANSWERb) IMV
only fix one setting at a time!!!
Administration of 100% oxygen will NOT improve the Pa02 in hypoxia caused by:
a) V/Q imblance
b) right to left shunting
c) alveolar hypoventilation
d) impaired diffusion - ANSWERb) right to left shunting
Which of the following diasese states does not cause hypoxia due to a primary
mechanism of V/Q mismatching?
a) bronchospastic diease
Questions 2024/2025 Fully Answered 100%
In pneumonia are breath sounds louder or decreased? - ANSWERLouder
Bronchial breath soudns - ANSWERonly heard on expiration. Harsh, continous sound
heard over trachea only
Bronchovesicular breath sounds - ANSWEREqual on inspiration and experation.
Heard over R/L main stem
Vesicular breath sounds - ANSWERHeard over inspiration and over lung lobes only
ARDS - ANSWERShunt only, PEEP will save your life. Will see non cardiogenic
pulmonary edema on exam
Which of the following statements regarding vesicular breath sounds is true?
a) these are medium intesnity so9unds heard over the large main-stem bronchi
b) they are heard longer on exhalation
c) they are decreased or absent when airflow to that area of lung is diminished
d) they are ausculated over the trach - ANSWERc) they are decreased or absent
when airflow to that area of lung is dimished
Which of the following chst ausculation findings is abnormal?
a) vesicualr breath sounds over lung periphery
b) bronchial breath sounds heard over large airway
c) vesicular breath sounds heard during inspriation and expriation
d) bronchovesicular sounds adjacent to the sternum - ANSWERc) vesicular breath
sounds heard during inspriation and expiration
Pulmonary consolidation (lobar pneumonia) will cause which of the following
physical findings over the diseased area?
a) dull percussion note
b) decreased tactile fremitus
c) bronchial breath sounds
d) both A and C - ANSWERd) both A and C
A notable characteristic of mucus will often be present in pts with status asthmatic
attack in its:
a) color
b) tenaciousness
c) copious nature
, d) absence - ANSWERb) tenaciousness
An aminous finding in the patient with status asthmaticus would be:
a) a respiratory rate of 34
b) loud expiratory wheezing
c) a CO2 of 55
d) use a accessory muscles - ANSWERc) a CO2 of 55
a pt with status asthmaticus is admitted. His breath sounds are diminished througout
h8is lung fields. RR = 40. After giving your pt an aerosol bronchodilator, your pt
sounds worse as they are now louder. This indicates:
a) the pt has gotten worse
b) the need for anesthesia to be present STAT
c) the pt is getting better
d) the pt does not have asthma - ANSWERc) the pt is getting better
When adjusting the initial settings on a volume ventilator for an adult in respiratory
failure, the tidal volume is ususally set at:
a) at least 10 mL per Kg or twice onrmal
b) 15-20 mL per Kg or twice normal
c) 500 mL for all pts
d) 300-500 mL - ANSWERa) at least 10 mL per kg or twice normal
a 70 kg pt ventilated with Fi02 of 45%, VT of 800, IMV of 8. pt repsirations are
10/min. ABG results: 02 85, CO2 55. What ventilator parameter should be change?
a) Fi02
b) IMV
c) VT
d) all of the above - ANSWERb) IMV
only fix one setting at a time!!!
Administration of 100% oxygen will NOT improve the Pa02 in hypoxia caused by:
a) V/Q imblance
b) right to left shunting
c) alveolar hypoventilation
d) impaired diffusion - ANSWERb) right to left shunting
Which of the following diasese states does not cause hypoxia due to a primary
mechanism of V/Q mismatching?
a) bronchospastic diease
