3/19/25, 6:13 Respiratory Exam Med-Surg Flashcards |
AM
RESPIRATORY EXAM MED-SURG EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (27)
The nurse is caring for a patient with B. 5 minutes
chronic obstructive pulmonary disorder
(COPD) and pneumonia who has an order After obtaining blood for an arterial blood gas measurement, the nurse should hold
for arterial blood gases to be drawn. What pressure on the puncture site for 5 minutes by the clock to be sure that bleeding
is the minimum length of time the nurse has stopped. An artery is an elastic vessel under much higher pressure than veins,
should plan to hold pressure on the and
puncture site? significant blood loss or hematoma formation could occur if the time is insufficient.
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
A patient with a recent history of a D. Positron emission tomography (PET)
dry cough has had a chest x-ray that
revealed the presence of nodules. In
PET is used to distinguish benign and malignant pulmonary nodules. Because
an effort to
malignant lung cells have an increased uptake of glucose, the PET scan (which uses
determine whether the nodules are
an IV radioactive glucose preparation) can demonstrate increased uptake of glucose
malignant or benign, what is the primary
in malignant lung cells. This differentiation cannot be made using CT, a pulmonary
care provider likely to order?
angiogram, or thoracentesis.
A. Thoracentesis
B. Pulmonary angiogram
C. CT scan of the patient's chest
D. Positron emission tomography (PET)
1/
12
, 3/19/25, 6:13 Respiratory Exam Med-Surg Flashcards |
AM
After assisting at the bedside with a B. Pneumothorax
thoracentesis, the nurse should continue
to assess the patient for signs and Because thoracentesis involves the introduction of a catheter into the pleural space,
symptoms of what? there is a risk of pneumothorax. Thoracentesis does not carry a significant potential
for causing bronchospasm, pulmonary edema, or respiratory acidosis.
A. Bronchospasm
B.Pneumothorax
C. Pulmonary edema
D.Respiratory acidosis
The patient had abdominal surgery B. Atelectasis
yesterday. Today the lung sounds in the
lower lobes have decreased. The nurse
Postoperatively there is an increased risk for atelectasis from anesthesia as well as
knows this could be due to what
restricted breathing from pain. Without deep breathing to stretch the alveoli,
occurring?
surfactant secretion to hold the alveoli open is not promoted. Pneumonia will occur
later after surgery. Pleural effusion occurs because of blockage of lymphatic
A. Pain drainage or an imbalance between intravascular and oncotic fluid pressures, which
B. Atelectasis is not expected in this case
C. Pneumonia
D. Pleural effusion
The patient is hospitalized with pneumonia. C. Arterial blood gases
Which diagnostic test should be used to
measure the efficiency of gas transfer in Arterial blood gases are used to assess the efficiency of gas transfer in the lung and
the lung and tissue oxygenation? tissue oxygenation as is pulse oximetry. Thoracentesis is used to obtain specimens
for diagnostic evaluation, remove pleural fluid, or instill medication into the pleural
A. Thoracentesis space. Bronchoscopy is used for diagnostic purposes, to obtain biopsy specimens,
and to assess changes resulting from treatment. Pulmonary function tests measure
B. Bronchoscopy
lung volumes and airflow to diagnose pulmonary disease, monitor disease
C. Arterial blood gases
progression, evaluate disability, and evaluate response to bronchodilators
D. Pulmonary function tests
The nurse is interpreting a tuberculin skin C. 11-mm area of induration at the TST injection site
test (TST) for a 58-year-old female patient
with end-stage kidney disease secondary
An area of induration ≥ 10 mm would be a positive reaction in a person with end-
to diabetes mellitus. Which finding would
stage kidney disease. Reddened, flat areas do not indicate a positive reaction. A
indicate a positive reaction?
wheal appears when the TST is administered that indicates correct administration of
the intradermal antigen. Presence of acid-fast bacilli in the sputum indicates active
2/
12
AM
RESPIRATORY EXAM MED-SURG EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (27)
The nurse is caring for a patient with B. 5 minutes
chronic obstructive pulmonary disorder
(COPD) and pneumonia who has an order After obtaining blood for an arterial blood gas measurement, the nurse should hold
for arterial blood gases to be drawn. What pressure on the puncture site for 5 minutes by the clock to be sure that bleeding
is the minimum length of time the nurse has stopped. An artery is an elastic vessel under much higher pressure than veins,
should plan to hold pressure on the and
puncture site? significant blood loss or hematoma formation could occur if the time is insufficient.
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
A patient with a recent history of a D. Positron emission tomography (PET)
dry cough has had a chest x-ray that
revealed the presence of nodules. In
PET is used to distinguish benign and malignant pulmonary nodules. Because
an effort to
malignant lung cells have an increased uptake of glucose, the PET scan (which uses
determine whether the nodules are
an IV radioactive glucose preparation) can demonstrate increased uptake of glucose
malignant or benign, what is the primary
in malignant lung cells. This differentiation cannot be made using CT, a pulmonary
care provider likely to order?
angiogram, or thoracentesis.
A. Thoracentesis
B. Pulmonary angiogram
C. CT scan of the patient's chest
D. Positron emission tomography (PET)
1/
12
, 3/19/25, 6:13 Respiratory Exam Med-Surg Flashcards |
AM
After assisting at the bedside with a B. Pneumothorax
thoracentesis, the nurse should continue
to assess the patient for signs and Because thoracentesis involves the introduction of a catheter into the pleural space,
symptoms of what? there is a risk of pneumothorax. Thoracentesis does not carry a significant potential
for causing bronchospasm, pulmonary edema, or respiratory acidosis.
A. Bronchospasm
B.Pneumothorax
C. Pulmonary edema
D.Respiratory acidosis
The patient had abdominal surgery B. Atelectasis
yesterday. Today the lung sounds in the
lower lobes have decreased. The nurse
Postoperatively there is an increased risk for atelectasis from anesthesia as well as
knows this could be due to what
restricted breathing from pain. Without deep breathing to stretch the alveoli,
occurring?
surfactant secretion to hold the alveoli open is not promoted. Pneumonia will occur
later after surgery. Pleural effusion occurs because of blockage of lymphatic
A. Pain drainage or an imbalance between intravascular and oncotic fluid pressures, which
B. Atelectasis is not expected in this case
C. Pneumonia
D. Pleural effusion
The patient is hospitalized with pneumonia. C. Arterial blood gases
Which diagnostic test should be used to
measure the efficiency of gas transfer in Arterial blood gases are used to assess the efficiency of gas transfer in the lung and
the lung and tissue oxygenation? tissue oxygenation as is pulse oximetry. Thoracentesis is used to obtain specimens
for diagnostic evaluation, remove pleural fluid, or instill medication into the pleural
A. Thoracentesis space. Bronchoscopy is used for diagnostic purposes, to obtain biopsy specimens,
and to assess changes resulting from treatment. Pulmonary function tests measure
B. Bronchoscopy
lung volumes and airflow to diagnose pulmonary disease, monitor disease
C. Arterial blood gases
progression, evaluate disability, and evaluate response to bronchodilators
D. Pulmonary function tests
The nurse is interpreting a tuberculin skin C. 11-mm area of induration at the TST injection site
test (TST) for a 58-year-old female patient
with end-stage kidney disease secondary
An area of induration ≥ 10 mm would be a positive reaction in a person with end-
to diabetes mellitus. Which finding would
stage kidney disease. Reddened, flat areas do not indicate a positive reaction. A
indicate a positive reaction?
wheal appears when the TST is administered that indicates correct administration of
the intradermal antigen. Presence of acid-fast bacilli in the sputum indicates active
2/
12
