Florida International University NUR 3029: Fundamentals
Questions With Complete Solutions
A 6-year-old boy is admitted to the pediatric unit with chills and
a fever of 104°F (40°C). What physiological process explains
why the child is at risk for developing dyspnea?
A. Fever increases metabolic demands, requiring increased
oxygen need.
B. Blood glucose stores are depleted, and the cells do not have
energy to use oxygen.
C. Carbon dioxide production increases as result of
hyperventilation.
D. Carbon dioxide production decreases as a result of
hypoventilation. Correct Answer A
A 62 year old male tells you he thinks he is having a heart attack
(Myocardial infarction [MI]). What symptoms should you look
for? (Select all that apply)
A. Crushing/Squeezing or stabbing chest pain
B. Left sided chest pain
C. Right sided chest pain
D. Back pain
E. Left arm pain
F. Right arm pain
G. Neck, Jaw, teeth pain Correct Answer A, B, D, E, G
A 62 year old woman tells you she thinks she is having a heart
attack (Myocardial infarction [MI]). What symptoms should you
look for? (Select all that apply)
A. Chest pain/discomfort/tightness
B. Fatigue
,C. Right sided chest pain
D. Back pain
E. Indigestion
F. Shortness of breath
G. Jaw pain Correct Answer A, B, D, E, F, G
A blue discoloration of the skin and mucous membranes caused
by the presence of desaturated hemoglobin in capillaries:
A. Hyperventilation
B. Hypoventilation
C. Hypoxia
D. Cyanosis Correct Answer D
A collection of air in the pleural space, caused by loss of
negative intrapleural pressure:
A. Hemothorax
B. Pneumothorax Correct Answer B
A home health nurse is caring for Mr. Lee. Mr. Lee has a PaO2
of 55 mm Hg or less or an SaO2 of 88% or less on room air on
average when at rest, on exertion, or with exercise. With the
findings what would be the nursing recommendation for
treatement?
A. No action needed, he is doing fine.
B. Mr. Lee should not be at home so the nurse calls an
ambulance
C. The nurse calls Mr. Lee's provider to get an order for oxygen
therapy in the home for Mr. Lee.
D. The nurse instructs Mr Lee to take several deep breaths to
resolve the problem. Correct Answer C
,A nurse finds Mr. Burke restless, agitated, and confused. His
pulse is 102 beats/min, and respirations are 42 breaths/min and
shallow. He is sitting up in bed grasping the side rails and trying
to catch his breath. He is most likely experiencing which of the
following conditions?
A. Hyperventilation
B. Hypoventilation
C. Hypoxia
D. Dysrhythmia Correct Answer C
A patient has been diagnosed with severe iron deficiency
anemia. During physical assessment for which of the following
symptoms would the nurse assess to determine the patient's
oxygen status?
A. Increased breathlessness but increased activity tolerance
B. Decreased breathlessness and decreased activity tolerance
C. Increased activity tolerance and decreased breathlessness
D. Decreased activity tolerance and increased breathlessness
Correct Answer D
A patient has been newly diagnosed with emphysema. In
discussing his condition with the nurse, which of his statements
would indicate a need for further education?
A."I'll make sure that I rest between activities so I don't get so
short of breath."
B. "I'll rest for 30 minutes before I eat my meal."
C. "If I have trouble breathing at night, I'll use two to three
pillows to prop up."
D. "If I get short of breath, I'll turn up my oxygen level to 6
L/min." Correct Answer D
, A patient is admitted to the emergency department with
suspected carbon monoxide poisoning. Even though the patient's
color is ruddy, not cyanotic, the nurse understands that the
patient is at a risk for decreased oxygen-carrying capacity of
blood because carbon monoxide does which of the following:
A. Stimulates hyperventilation, causing respiratory alkalosis
B. Forms a strong bond with hemoglobin, creating a functional
anemia.
C. Stimulates hypoventilation, causing respiratory acidosis
D. Causes alveoli to overinflate, leading to atelectasis Correct
Answer B
A patient is admitted with severe lobar pneumonia. Which of the
following assessment findings would indicate that the patient
needs airway suctioning?
A. Coughing up thick sputum only occasionally
B. Coughing up thin, watery sputum easily after nebulization
C. Decreased independent ability to cough
D. Lung sounds clear only after coughing Correct Answer C
A patient is admitted with the diagnosis of severe left-sided
heart failure. The nurse expects to auscultate which adventitious
lung sounds?
A. Sonorous wheezes in the left lower lung
B. Rhonchi midsternum
C. Crackles only in apex of lungs
D. Inspiratory crackles in lung bases Correct Answer D
A patient was admitted after a motor vehicle accident with
multiple fractured ribs. Respiratory assessment includes
Questions With Complete Solutions
A 6-year-old boy is admitted to the pediatric unit with chills and
a fever of 104°F (40°C). What physiological process explains
why the child is at risk for developing dyspnea?
A. Fever increases metabolic demands, requiring increased
oxygen need.
B. Blood glucose stores are depleted, and the cells do not have
energy to use oxygen.
C. Carbon dioxide production increases as result of
hyperventilation.
D. Carbon dioxide production decreases as a result of
hypoventilation. Correct Answer A
A 62 year old male tells you he thinks he is having a heart attack
(Myocardial infarction [MI]). What symptoms should you look
for? (Select all that apply)
A. Crushing/Squeezing or stabbing chest pain
B. Left sided chest pain
C. Right sided chest pain
D. Back pain
E. Left arm pain
F. Right arm pain
G. Neck, Jaw, teeth pain Correct Answer A, B, D, E, G
A 62 year old woman tells you she thinks she is having a heart
attack (Myocardial infarction [MI]). What symptoms should you
look for? (Select all that apply)
A. Chest pain/discomfort/tightness
B. Fatigue
,C. Right sided chest pain
D. Back pain
E. Indigestion
F. Shortness of breath
G. Jaw pain Correct Answer A, B, D, E, F, G
A blue discoloration of the skin and mucous membranes caused
by the presence of desaturated hemoglobin in capillaries:
A. Hyperventilation
B. Hypoventilation
C. Hypoxia
D. Cyanosis Correct Answer D
A collection of air in the pleural space, caused by loss of
negative intrapleural pressure:
A. Hemothorax
B. Pneumothorax Correct Answer B
A home health nurse is caring for Mr. Lee. Mr. Lee has a PaO2
of 55 mm Hg or less or an SaO2 of 88% or less on room air on
average when at rest, on exertion, or with exercise. With the
findings what would be the nursing recommendation for
treatement?
A. No action needed, he is doing fine.
B. Mr. Lee should not be at home so the nurse calls an
ambulance
C. The nurse calls Mr. Lee's provider to get an order for oxygen
therapy in the home for Mr. Lee.
D. The nurse instructs Mr Lee to take several deep breaths to
resolve the problem. Correct Answer C
,A nurse finds Mr. Burke restless, agitated, and confused. His
pulse is 102 beats/min, and respirations are 42 breaths/min and
shallow. He is sitting up in bed grasping the side rails and trying
to catch his breath. He is most likely experiencing which of the
following conditions?
A. Hyperventilation
B. Hypoventilation
C. Hypoxia
D. Dysrhythmia Correct Answer C
A patient has been diagnosed with severe iron deficiency
anemia. During physical assessment for which of the following
symptoms would the nurse assess to determine the patient's
oxygen status?
A. Increased breathlessness but increased activity tolerance
B. Decreased breathlessness and decreased activity tolerance
C. Increased activity tolerance and decreased breathlessness
D. Decreased activity tolerance and increased breathlessness
Correct Answer D
A patient has been newly diagnosed with emphysema. In
discussing his condition with the nurse, which of his statements
would indicate a need for further education?
A."I'll make sure that I rest between activities so I don't get so
short of breath."
B. "I'll rest for 30 minutes before I eat my meal."
C. "If I have trouble breathing at night, I'll use two to three
pillows to prop up."
D. "If I get short of breath, I'll turn up my oxygen level to 6
L/min." Correct Answer D
, A patient is admitted to the emergency department with
suspected carbon monoxide poisoning. Even though the patient's
color is ruddy, not cyanotic, the nurse understands that the
patient is at a risk for decreased oxygen-carrying capacity of
blood because carbon monoxide does which of the following:
A. Stimulates hyperventilation, causing respiratory alkalosis
B. Forms a strong bond with hemoglobin, creating a functional
anemia.
C. Stimulates hypoventilation, causing respiratory acidosis
D. Causes alveoli to overinflate, leading to atelectasis Correct
Answer B
A patient is admitted with severe lobar pneumonia. Which of the
following assessment findings would indicate that the patient
needs airway suctioning?
A. Coughing up thick sputum only occasionally
B. Coughing up thin, watery sputum easily after nebulization
C. Decreased independent ability to cough
D. Lung sounds clear only after coughing Correct Answer C
A patient is admitted with the diagnosis of severe left-sided
heart failure. The nurse expects to auscultate which adventitious
lung sounds?
A. Sonorous wheezes in the left lower lung
B. Rhonchi midsternum
C. Crackles only in apex of lungs
D. Inspiratory crackles in lung bases Correct Answer D
A patient was admitted after a motor vehicle accident with
multiple fractured ribs. Respiratory assessment includes
