AACN ECCO Pulmonary Part 1
Exam Questions with 100%
Correct Answers
Which are nursing care priorities for a post-thoracotomy patient? - Answer- NOT:
Elevate, Use, Manage
A patient with respiratory failure following cardiac surgery has crackles in bilateral
posterior lower lobes and is on 4 L/min NC. Which interventions will promote normal
respiratory function? - Answer- Reduce anxiety
Ensure early mobility
Administer bronchodilators
A patient with respiratory failure following cardiac surgery has crackles in bilateral
posterior lower lobes and is on 4 L/min NC. Which interventions will promote normal
respiratory function? - Answer- Reduce anxiety...
Ensure early progressive mobility...
Administer bronchodilators...
A nurse monitoring a patient undergoing bedside bronchoscopy notes a decline in a
patient's oxygen saturation. Which should the nurse anticipate? - Answer- Auscultate
lung sounds...
Provide supplemental O2...
Monitor EtCO2
The ABG test results for a patient with a spinal cord injury are pH 7.29, PaCO2 54, and
HCO3- 25. Which acid-base disorder is reflected? - Answer- Respiratory acidosis
A patient with COPD on PEEP reports sudden chest pain. The nurse observes
tachycardia and shortness of breath. Which other conditions should the nurse
expected? - Answer- Decreased PaCO2 levels...
Decreased chest excursion on one side...
Decreased SaO2 level
Which are correct statements about a closed-chest drainage system or component? -
Answer- To drain, system pressure must be lower...
Gravity, and sometimes suction...
Wet suction chambers create suction...
, A nurse caring for a patient with worsening hypoxia should anticipate which signs of
ARDS? - Answer- PaO2/FiO2 below 300...
PEEP requirements of at least 5...
Respiratory failure unexplained...
Which may affect pulse oximetry accuracy? - Answer- Cardiac Arrest
How does tension pneumothorax destabilize circulation? - Answer- Intrathoracic
pressure reduces venous return and preload
A nurse caring for a patient with worsening hypoxia should anticipate which signs of
ARDS? - Answer- PaO2/FiO2 below 300
PEEP requirements of at least 5
Respiratory failure unexplained
For which complication should the nurse observe in a patient following bronchoscopy? -
Answer- Dysrhythmias
What are the nursing priorities for patient care before, during, or after thoracentesis? -
Answer- Position patient sitting on or lying...
Continually monitor...
Help attach tubes to chest drainage...
A nurse caring for a patient with ARDS on BiPAP observes rapid progression and
tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? -
Answer- Call emergency team for rapid intubation
For which purposes is EtCO2 monitoring indicated? - Answer- WRONG
Determining accurate...
Monitoring patients recovering from general...
Measuring effectiveness of CPR
A patient has the following ABG results: pH 7.25, PaCO2 43, PaO2 80, SaO2 91%, and
HCO3- 18. What is the most likely underlying cause? - Answer- Acute kidney injury
Which patient has an indication for oxygen therapy with a low-flow device? - Answer-
Who is postoperative...
Which may affect pulse oximetry accuracy? - Answer- Cardiac arrest
By what signs or symptoms should the nurse recognize tension pneumothorax in a
patient with worsening respiratory distress? - Answer- WRONG
Progressive tachy...
Decreased PaCO2
Absence of breath sounds...
Exam Questions with 100%
Correct Answers
Which are nursing care priorities for a post-thoracotomy patient? - Answer- NOT:
Elevate, Use, Manage
A patient with respiratory failure following cardiac surgery has crackles in bilateral
posterior lower lobes and is on 4 L/min NC. Which interventions will promote normal
respiratory function? - Answer- Reduce anxiety
Ensure early mobility
Administer bronchodilators
A patient with respiratory failure following cardiac surgery has crackles in bilateral
posterior lower lobes and is on 4 L/min NC. Which interventions will promote normal
respiratory function? - Answer- Reduce anxiety...
Ensure early progressive mobility...
Administer bronchodilators...
A nurse monitoring a patient undergoing bedside bronchoscopy notes a decline in a
patient's oxygen saturation. Which should the nurse anticipate? - Answer- Auscultate
lung sounds...
Provide supplemental O2...
Monitor EtCO2
The ABG test results for a patient with a spinal cord injury are pH 7.29, PaCO2 54, and
HCO3- 25. Which acid-base disorder is reflected? - Answer- Respiratory acidosis
A patient with COPD on PEEP reports sudden chest pain. The nurse observes
tachycardia and shortness of breath. Which other conditions should the nurse
expected? - Answer- Decreased PaCO2 levels...
Decreased chest excursion on one side...
Decreased SaO2 level
Which are correct statements about a closed-chest drainage system or component? -
Answer- To drain, system pressure must be lower...
Gravity, and sometimes suction...
Wet suction chambers create suction...
, A nurse caring for a patient with worsening hypoxia should anticipate which signs of
ARDS? - Answer- PaO2/FiO2 below 300...
PEEP requirements of at least 5...
Respiratory failure unexplained...
Which may affect pulse oximetry accuracy? - Answer- Cardiac Arrest
How does tension pneumothorax destabilize circulation? - Answer- Intrathoracic
pressure reduces venous return and preload
A nurse caring for a patient with worsening hypoxia should anticipate which signs of
ARDS? - Answer- PaO2/FiO2 below 300
PEEP requirements of at least 5
Respiratory failure unexplained
For which complication should the nurse observe in a patient following bronchoscopy? -
Answer- Dysrhythmias
What are the nursing priorities for patient care before, during, or after thoracentesis? -
Answer- Position patient sitting on or lying...
Continually monitor...
Help attach tubes to chest drainage...
A nurse caring for a patient with ARDS on BiPAP observes rapid progression and
tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? -
Answer- Call emergency team for rapid intubation
For which purposes is EtCO2 monitoring indicated? - Answer- WRONG
Determining accurate...
Monitoring patients recovering from general...
Measuring effectiveness of CPR
A patient has the following ABG results: pH 7.25, PaCO2 43, PaO2 80, SaO2 91%, and
HCO3- 18. What is the most likely underlying cause? - Answer- Acute kidney injury
Which patient has an indication for oxygen therapy with a low-flow device? - Answer-
Who is postoperative...
Which may affect pulse oximetry accuracy? - Answer- Cardiac arrest
By what signs or symptoms should the nurse recognize tension pneumothorax in a
patient with worsening respiratory distress? - Answer- WRONG
Progressive tachy...
Decreased PaCO2
Absence of breath sounds...
