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2025/2026 GRADED A+
, A male adult patient on mechanical ventilation is
receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as
needed. Which assessment finding indicates that the patient needs
another pancuronium dose?
A. Leg movement
B. Finger movement
C. Lip movement
D. Fighting the ventilator
On auscultation, which finding suggests a right pneumothorax?
A. Bilateral inspiratory and expiratory
crackles B. Absence of breaths sound in
the right thorax
C. Inspiratory wheezes in the right thorax
D. Bilateral pleural friction rub.
Rhea, confused and short breath, is brought to the
emergency department by a family member. The medical
history reveals chronic bronchitis and hypertension. To learn
more about the current respiratory problem, the doctor orders a
,chest x-ray and
arterial blood gas (ABG) analysis. When reviewing the ABG report,
the nurses sees many abbreviations. What does a lowercase “a” in
ABG value present?
A. Acid-base
balance B. Arterial
Blood
C. Arterial oxygen saturation
D. Alveoli
A male patient is admitted to the healthcare facility for
treatment of chronic obstructive pulmonary disease. Which
nursing diagnosis is most important for this patient?
A. Activity intolerance related to fatigue
B. Anxiety related to actual threat to health status
C. Risk for infection related to retained secretions
D. Impaired gas exchange related to airflow obstruction
Nurse Ruth assessing a patient for tracheal displacement
should know that the trachea will deviate toward the:
, A. Contralateral side in a simple pneumothorax
B. Affected side in a hemothorax
C. Affected side in a tension
pneumothorax D. Contralateral side in
hemothorax
After undergoing a left pneumonectomy, a female patient has a
chest tube in place for drainage. When caring for this patient, the
nurse must:
A. Monitor fluctuations in the water-seal chamber
B. Clamp the chest tube once every
shift C. Encourage coughing and deep
breathing
D. Milk the chest tube every 2 hours
When caring for a male patient who has just had a
total laryngectomy, the nurse should plan to:
A. Encourage oral feeding as soon as possible
B. Develop an alternative communication method
C. Keep the tracheostomy cuff fully inflated