STUDENTS SUCCESS
Revision Examination Tests
“Come all for this Greatness”
... 100% Correct Ans ...
CHAPTER 8 - IMPLEMENTING STRATEGIES: MARKETING,
FINANCE/ACCOUNTING, R&D, AND MIS ISSUES MNG3702 ASSIGNMENT 8
WITHN 100%CORRECT ANSWERS
1. During the assessment of a 64-year-old female patient, you note the following
signs: dyspnea, hypotension, and a tracheal shift to the right. The patient also has
absent breath sounds, reduced chest expansion, and a hyper resonant percussion
note all on the left side. These findings suggest which of the following?
A. A pleural effusion on the left side
B. A pneumothorax on the left side
C. Atelectasis on the left side
D. Consolidation on the left side
Ans: B. A pneumothorax on the left side
Quiz 2. A 39-year-old male patient was admitted to the emergency department with a
fever and an SpO2 of 87% on room air. Upon auscultation, rhonchi is heard and the
patient has a productive cough. Which of the following would you recommend?
A. Intubate and provide mechanical ventilation with 40% oxygen
B. Provide noninvasive positive pressure ventilation using a full face mask
C. Implement postural drainage and percussion with directed coughing
D. Provide oxygen therapy and obtain a sputum sample for culture and sensitivity
Ans: D. Provide oxygen therapy and obtain a sputum sample for culture and
sensitivity
Quiz 3. A 50-year-old male patient is intubated with a size 8 endotracheal tube and is
receiving volume-controlled A/C ventilation. Upon assessment, you note that the
patient's cuff pressure is measured at 38 cm H2O. Which of the following would you
recommend?
A. Withdraw the tube 1-2 cm and reassess the patient's breath sounds
B. Recommend reintubation with a smaller endotracheal tube
C. Lower the cuff pressure to < 30 cm H2O
,D. Recommend ventilation via a tracheostomy instead
Ans: C. Lower the cuff pressure to < 30 cm H2O
Quiz 4. During the assessment of a 52-year-old female patient that is receiving
oxygen via nasal cannula at 4 L/min, you hear the bubble humidifier making a
whistling noise. Which of the following is the most likely cause of this finding?
A. There is an obstruction in the delivery tube
B. The patient's ventilation has increased
C. There is a clogged system diffuser
D. The flowmeter pressure is set too high
Ans: A. There is an obstruction in the delivery tube
Quiz 5. A pre and post bronchodilator test was ordered on a 48-year-old female
patient. The forced expiratory measurement that was obtained after the
bronchodilator was given shows an increase in the patient's FEV1 from 60% to 80%
of the predicted value. This finding suggests which of the following?
A. A fixed airway obstruction
B. A reversible airway obstruction
C. A normal diffusion capacity
D. A restrictive process
Ans: B. A reversible airway obstruction
Quiz 6. A 58-year-old female patient is intubated and appears to be breathing
asynchronously with the ventilator. Her breath sounds are absent on the left side and
the trachea appears to be shifted to the left. The patient has a dull percussion note
on the left side as well. Which of the following is the most likely explanation of these
findings?
A. A tracheoesophageal fistula has developed
B. A tension pneumothorax has developed on the left side
C. The endotracheal tube is in the right mainstem bronchus
D. The patient is experiencing diffuse bronchospasm
Ans: C. The endotracheal tube is in the right mainstem bronchus
Quiz 7. A 63-year-old female patient is intubated and receiving mechanical
ventilation in the pressure-controlled A/C mode. If the patient's compliance were to
decrease, which of the following would you expect to occur?
A. Her delivered volume will decrease
B. Her peak pressure will increase
C. Her inspiratory time will increase
D. Her PEEP level will decrease
Ans: A. Her delivered volume will decrease
,Quiz 8. A 70-year-old male patient is intubated and receiving mechanical ventilation
in the volume-controlled A/C mode. After performing endotracheal suctioning, which
of the following would indicate the effective clearance of retained secretions?
A. An increased tidal volume
B. A decreased inspiratory time
C. A decreased plateau pressure
D. A decreased peak pressure
Ans: D. A decreased peak pressure
Quiz 9. An adult patient who is receiving mechanical ventilation suddenly started
showing signs of tachypnea. Upon assessment, you note tracheal deviation to the
right and decreased breath sounds and hyperresonance on the left. Which of the
following would you recommend?
A. The patient needs suctioning
B. The patient needs a bronchoscopy
C. The insertion of a chest tube
D. The patient needs a thoracentesis
Ans: C. The insertion of a chest tube
Quiz 10. A 57-year-old female patient with acute pulmonary edema is dyspneic and
appears to be wheezing. The resident physician has ordered an albuterol breathing
treatment via SVN. Which of the following would you recommend?
A. Recommend acetylcysteine instead of albuterol
B. Perform the therapy with supplemental oxygen
C. Perform the treatment as ordered
D. Recommend a diuretic and oxygen therapy
Ans: D. Recommend a diuretic and oxygen therapy
Quiz 11. A 39-year-old female patient who is intubated was admitted to the
emergency department and the nurse was unable to start an intravenous line during
CPR. It is believed that the patient is suffering from a narcotic overdose and the
physician wants to administer Naloxone. Which of the following is an alternative
route that can be used to deliver this medication?
A. Through the feeding tube
B. Aerosolized via SVN
C. Through the nasogastric tube
D. Through the endotracheal tube
Ans: D. Through the endotracheal tube
, Quiz 12. A 176 lb male patient is intubated and receiving volume control A/C
ventilation with the following settings: FiO2 of 40%, Rate of 12/min, and Tidal
Volume of 550 mL. An ABG was analyzed and the following results were obtained:
pH 7.39
PaCO2 37
HCO3 23
PaO2 107
Which of the following would you recommend?
A. Place the patient on a 40% T-piece and monitor closely
B. Switch the patient to SIMV at a rate of 5/minute
C. Place the patient on CPAP and monitor closely
D. Maintain the current ventilator settings and re-evaluate later
Ans: D. Maintain the current ventilator settings and re-evaluate later
Quiz 13. An adult patient was admitted to the emergency department after
involvement in a motor vehicle accident. The patient is hyperventilating and appears
to have a flail chest. Which of the following ABG results would you expect for this
patient?
A. Increased pH and decreased SaO2
B. Increased pH and increased SaO2
C. Decreased pH and decreased SaO2
D. Decreased pH and increased SaO2
Ans: A. Increased pH and decreased SaO2
Quiz 14. A 51-year-old female patient with a history of asthma is receiving
mechanical ventilation in the assist-control mode. Upon assessment, you note that
she is struggling to initiate inspiration. Which of the following settings would you
check first in order to resolve this problem?
A. Tidal volume
B. Pressure limit
C. Sensitivity
D. PEEP
Ans: C. Sensitivity
Quiz 15. The physician has requested the insertion of a nasopharyngeal airway on
an adult patient. This type of airway is useful in supporting which of the following?
A. Mechanical ventilation
B. Frequent suctioning
C. Incentive spirometry
D. Aerosol drug therapy
Ans: B. Frequent suctioning
Revision Examination Tests
“Come all for this Greatness”
... 100% Correct Ans ...
CHAPTER 8 - IMPLEMENTING STRATEGIES: MARKETING,
FINANCE/ACCOUNTING, R&D, AND MIS ISSUES MNG3702 ASSIGNMENT 8
WITHN 100%CORRECT ANSWERS
1. During the assessment of a 64-year-old female patient, you note the following
signs: dyspnea, hypotension, and a tracheal shift to the right. The patient also has
absent breath sounds, reduced chest expansion, and a hyper resonant percussion
note all on the left side. These findings suggest which of the following?
A. A pleural effusion on the left side
B. A pneumothorax on the left side
C. Atelectasis on the left side
D. Consolidation on the left side
Ans: B. A pneumothorax on the left side
Quiz 2. A 39-year-old male patient was admitted to the emergency department with a
fever and an SpO2 of 87% on room air. Upon auscultation, rhonchi is heard and the
patient has a productive cough. Which of the following would you recommend?
A. Intubate and provide mechanical ventilation with 40% oxygen
B. Provide noninvasive positive pressure ventilation using a full face mask
C. Implement postural drainage and percussion with directed coughing
D. Provide oxygen therapy and obtain a sputum sample for culture and sensitivity
Ans: D. Provide oxygen therapy and obtain a sputum sample for culture and
sensitivity
Quiz 3. A 50-year-old male patient is intubated with a size 8 endotracheal tube and is
receiving volume-controlled A/C ventilation. Upon assessment, you note that the
patient's cuff pressure is measured at 38 cm H2O. Which of the following would you
recommend?
A. Withdraw the tube 1-2 cm and reassess the patient's breath sounds
B. Recommend reintubation with a smaller endotracheal tube
C. Lower the cuff pressure to < 30 cm H2O
,D. Recommend ventilation via a tracheostomy instead
Ans: C. Lower the cuff pressure to < 30 cm H2O
Quiz 4. During the assessment of a 52-year-old female patient that is receiving
oxygen via nasal cannula at 4 L/min, you hear the bubble humidifier making a
whistling noise. Which of the following is the most likely cause of this finding?
A. There is an obstruction in the delivery tube
B. The patient's ventilation has increased
C. There is a clogged system diffuser
D. The flowmeter pressure is set too high
Ans: A. There is an obstruction in the delivery tube
Quiz 5. A pre and post bronchodilator test was ordered on a 48-year-old female
patient. The forced expiratory measurement that was obtained after the
bronchodilator was given shows an increase in the patient's FEV1 from 60% to 80%
of the predicted value. This finding suggests which of the following?
A. A fixed airway obstruction
B. A reversible airway obstruction
C. A normal diffusion capacity
D. A restrictive process
Ans: B. A reversible airway obstruction
Quiz 6. A 58-year-old female patient is intubated and appears to be breathing
asynchronously with the ventilator. Her breath sounds are absent on the left side and
the trachea appears to be shifted to the left. The patient has a dull percussion note
on the left side as well. Which of the following is the most likely explanation of these
findings?
A. A tracheoesophageal fistula has developed
B. A tension pneumothorax has developed on the left side
C. The endotracheal tube is in the right mainstem bronchus
D. The patient is experiencing diffuse bronchospasm
Ans: C. The endotracheal tube is in the right mainstem bronchus
Quiz 7. A 63-year-old female patient is intubated and receiving mechanical
ventilation in the pressure-controlled A/C mode. If the patient's compliance were to
decrease, which of the following would you expect to occur?
A. Her delivered volume will decrease
B. Her peak pressure will increase
C. Her inspiratory time will increase
D. Her PEEP level will decrease
Ans: A. Her delivered volume will decrease
,Quiz 8. A 70-year-old male patient is intubated and receiving mechanical ventilation
in the volume-controlled A/C mode. After performing endotracheal suctioning, which
of the following would indicate the effective clearance of retained secretions?
A. An increased tidal volume
B. A decreased inspiratory time
C. A decreased plateau pressure
D. A decreased peak pressure
Ans: D. A decreased peak pressure
Quiz 9. An adult patient who is receiving mechanical ventilation suddenly started
showing signs of tachypnea. Upon assessment, you note tracheal deviation to the
right and decreased breath sounds and hyperresonance on the left. Which of the
following would you recommend?
A. The patient needs suctioning
B. The patient needs a bronchoscopy
C. The insertion of a chest tube
D. The patient needs a thoracentesis
Ans: C. The insertion of a chest tube
Quiz 10. A 57-year-old female patient with acute pulmonary edema is dyspneic and
appears to be wheezing. The resident physician has ordered an albuterol breathing
treatment via SVN. Which of the following would you recommend?
A. Recommend acetylcysteine instead of albuterol
B. Perform the therapy with supplemental oxygen
C. Perform the treatment as ordered
D. Recommend a diuretic and oxygen therapy
Ans: D. Recommend a diuretic and oxygen therapy
Quiz 11. A 39-year-old female patient who is intubated was admitted to the
emergency department and the nurse was unable to start an intravenous line during
CPR. It is believed that the patient is suffering from a narcotic overdose and the
physician wants to administer Naloxone. Which of the following is an alternative
route that can be used to deliver this medication?
A. Through the feeding tube
B. Aerosolized via SVN
C. Through the nasogastric tube
D. Through the endotracheal tube
Ans: D. Through the endotracheal tube
, Quiz 12. A 176 lb male patient is intubated and receiving volume control A/C
ventilation with the following settings: FiO2 of 40%, Rate of 12/min, and Tidal
Volume of 550 mL. An ABG was analyzed and the following results were obtained:
pH 7.39
PaCO2 37
HCO3 23
PaO2 107
Which of the following would you recommend?
A. Place the patient on a 40% T-piece and monitor closely
B. Switch the patient to SIMV at a rate of 5/minute
C. Place the patient on CPAP and monitor closely
D. Maintain the current ventilator settings and re-evaluate later
Ans: D. Maintain the current ventilator settings and re-evaluate later
Quiz 13. An adult patient was admitted to the emergency department after
involvement in a motor vehicle accident. The patient is hyperventilating and appears
to have a flail chest. Which of the following ABG results would you expect for this
patient?
A. Increased pH and decreased SaO2
B. Increased pH and increased SaO2
C. Decreased pH and decreased SaO2
D. Decreased pH and increased SaO2
Ans: A. Increased pH and decreased SaO2
Quiz 14. A 51-year-old female patient with a history of asthma is receiving
mechanical ventilation in the assist-control mode. Upon assessment, you note that
she is struggling to initiate inspiration. Which of the following settings would you
check first in order to resolve this problem?
A. Tidal volume
B. Pressure limit
C. Sensitivity
D. PEEP
Ans: C. Sensitivity
Quiz 15. The physician has requested the insertion of a nasopharyngeal airway on
an adult patient. This type of airway is useful in supporting which of the following?
A. Mechanical ventilation
B. Frequent suctioning
C. Incentive spirometry
D. Aerosol drug therapy
Ans: B. Frequent suctioning
