Patient Assessment and Care Management 6. Since being told of the diagnosis of cancer, a patient has
become argumentative about his care and threatens to hit
SELF-STUDY QUESTIONS FOR THE ENTRY LEVEL EXAM the nurse and therapist. He should be evaluated for
1. You have finished charting on your patient when you A. Language barrier problems
notice that an error was made. You should do which of the B. Hypercarbia
following? C. Emotional state
D. Hypoxemia
A. Tell the nurse so that she will tell the physician.
B. Tell the nurse so that she will chart the correct 7. To help determine your patient’s level of consciousness,
information. you should ask which of the following questions?
C. Place a line through the error, initial it, and write in
the correct information. 1. “Do you know what day this is?”
D. Have your supervisor chart the correct information. 2. “Can I see your identification wristband?”
3. “Do you know where you are?”
2. In listening to a patient’s lungs, you notice bronchial breath 4. “How are you feeling today?”
sounds in her right lower lobe. These would indicate which of 5. “Do you know who the president is?”
the following?
A. 2, 4
A. Normal lungs B. 3
B. Pneumothorax C. 5
C. Consolidation in her right lower lobe D. 1, 3
D. Pleural effusion in her right lower lobe
8. To help you determine whether your patient has
3. You are called to start a new aerosolized medication orthopnea, you would ask which of the following?
treatment. After reading the physician’s order, you notice
that the drug dosage is outside the normal department A. “How many flights of stairs can you climb before you
guidelines. You should do which of the following? become short of breath?”
B. “Do you know who the governor is?”
A. Give the treatment as ordered. C. “Do you need to use extra pillows behind your head
B. Contact the physician to confirm that the order is and back to keep from getting short of breath when
indeed correct. you sleep?”
C. Give the treatment as ordered, and leave a note in D. “Do any particular foods seem to make it harder for
the chart asking for clarification for the next you to cough up your secretions?”
treatment.
D. Have the nurse rewrite the order. 9. In observing an infant’s chest configuration, you notice that
it is the same size in both the AP and lateral dimensions. This
4. You are called to the Emergency Department to help care would indicate that the patient has
for a patient who was in a car accident and has chest injuries,
including broken ribs. While palpating her neck, you feel a A. A normal chest
crepitation. What is the most likely cause of this? B. Funnel chest/pectus excavatum
C. Pulmonary emphysema with air trapping
A. She has a laryngeal tumor. D. Lordosis
B. Blood is in the back of her throat.
C. She has aspirated a tooth. 10. In examining your patient, you notice that she has greatly
D. She has an air leak from her lung. diminished breath sounds in her right lower lobe, and her
trachea has shifted to the right. These signs indicate which
5. You are called to help in the evaluation of a 55-yearold condition?
male patient. You notice the following signs and symptoms:
oral temperature of 40° C (104.5° F), diaphoresis, respiratory A. Right-sided pneumothorax
rate of 22, the use of accessory muscles of respiration, and B. Right-sided atelectasis
palpable rhonchi in the right lower lobe. You would suspect C. Left-sided pneumothorax
which of the following diagnoses: D. Left-sided pneumonia
A. Bacterial pneumonia 11. In palpating your patient for symmetrical chest
B. Heart attack movements, you notice that his left side does not move as
C. Pneumothorax much as his right side. This indicates that he has which
D. Viral pneumonia condition or conditions?
, 1. Emphysema A. Pleural friction rub
2. Congestive heart failure B. Normal breath sounds
3. Left-sided pneumonia C. Wheeze
4. Left-sided pneumothorax D. Rhonchi
5. Right-sided pneumonia
16. Your patient has distended external jugular veins, even
A. 1, 2 though her head and body are raised 45 degrees above her
B. 3, 4 legs. This would indicate that she
C. 4, 5
D. 2 A. Is hypertensive
B. Is fluid overloaded
12. You are called to the Emergency Department to help C. Has emphysema
evaluate a pediatric patient. On entering the room, you D. Is dehydrated
observe the patient’s breathing effort and can hear a harsh,
high-pitched sound on inspiration. Which of the following is 17. Tactile fremitus would be reduced in all of the following
true? conditions EXCEPT
A. Sounds are tracheal and normal. A. Pneumothorax
B. Sounds are bronchovesicular and not normal. B. COPD
C. Sounds are stridorous and indicate a respiratory C. Pulmonary edema
emergency. D. Pleural effusion
D. Sounds are bronchial and indicate a respiratory
emergency. 18. A frail, thin patient known to have lung cancer is admitted
to the hospital. His family members are also present. What
13. You are called to evaluate a patient’s breathing pattern. should be asked of them to make sure the proper level of
You notice that the patient’s tidal volumes go from small to care is delivered?
large to small and then stop for 10 seconds before starting up
again. The pattern repeats itself. This patient’s breathing A. The last time he ate
pattern would best be called B. The last time he had a bowel movement
C. Whether any advance directives have been
A. Eupnea documented
B. Obstructed expiration D. Whether he has brought his home care medications
C. Kussmaul’s respiration with him
D. Cheyne-Stokes respiration
19. It is most important to ask a patient with a broken ankle
14. A tension pneumothorax is identified by which of the from a recent slip on an icy sidewalk about which of the
following? following?
1. Chest x-ray fi lm shows a shift of the mediastinum A. Level of pain
toward the affected lung. B. Level of consciousness
2. Chest x-ray fi lm shows elevation of the C. Work of breathing
hemidiaphragm on the affected side. D. Emotional state
3. The patient’s vital signs suddenly deteriorate.
4. Chest x-ray fi lm shows a depression of the 20. All of the following could result in a mediastinal shift on a
hemidiaphragm on the affected side. chest x-ray fi lm EXCEPT
5. Chest x-ray fi lm shows a shift of the mediastinum
away from the affected lung. A. Right-sided hemothorax
6. Vital signs are essentially unchanged. B. Bilateral lower lobe pneumonia
C. Left-sided tension pneumothorax
A. 1, 2, 6 D. Right lower lobe atelectasis
B. 3, 4, 5
C. 1, 2, 3 21. A patient who is suffering respiratory distress would
D. 1, 3, 4 exhibit all of the following EXCEPT
15. Your patient is complaining of localized pain over the A. Normal respiratory rate
lower right area of the chest while breathing. When you B. Nasal flaring
auscultate her chest, you hear a rasping noise at her point of C. Intercostal retractions
pain on both inspiration and expiration. This is most likely D. Use of accessory muscles of inspiration
, SELF-STUDY QUESTIONS FOR THE WRITTEN REGISTRY EXAM 6. You are called to the Pediatrics Department to help in the
evaluation and care of a 4-year-old girl who has been sick
1. An adult patient with a history of smoking has shown an with a bad cold for the past 2 days. The nurse shows you a
increased anteroposterior diameter and depressed lateral neck radiograph of the child and asks for your opinion.
hemidiaphragms on a PA chest radiograph. It is most likely You notice a clear air column through the upper airway but a
that the patient pointed narrowing of the tracheal air column below the
larynx. You tell the nurse that you suspect the child has
A. Has pulmonary fibrosis.
B. Has emphysema. A. Laryngotracheobronchitis
C. Would have normal findings if an AP chest B. Aspirated a coin
radiograph were taken. C. Epiglottitis
D. Has left ventricular failure. D. Bilateral upper lobe pneumonia
2. After 2 days of vomiting and diarrhea caused by the flu, a 7. A young adult who had surgery for a deviated nasal septum
50-year-old patient is admitted. Her ECG shows five PVCs in 1 was accidentally given 2 L of intravenous fluid in 1 hour.
minute and flat T waves. What laboratory test would you Which of the following signs cause you to suspect that the
recommend? patient is fluid overloaded?
A. Urinalysis 1. Tachycardia
B. Arterial blood gas analysis 2. Bradycardia
C. Electrolytes 3. High urine specific gravity
D. Complete blood count 4. Peripheral edema in the dependent parts of the
body
3. A 48-year-old patient with an extensive smoking history 5. Low urine specific gravity
usually coughs out about 20 mL of sputum every day. He
developed a “chest cold” 4 days ago and has noticed A. 1, 4, 5
increased shortness of breath and thicker secretions. What B. 3, 4
should be done at this time? C. 1, 3
D. 2, 5
A. Have him increase the flow on his home oxygen
concentrator. 8. Patients with heart or lung disease commonly have shifting
B. Get a sputum sample for a culture-and-sensitivity of mediastinal structures. In evaluating patients with
study. cardiopulmonary disease, which of the following could result
C. Have him perform a 6-minute walk test. in a mediastinal shift being seen on a chest radiograph?
D. Perform percussion to determine the
hemidiaphragm positions. 1. Right-sided hemothorax
2. Bilateral lower lobe pneumonia
4. A recently home-delivered baby is brought in to the 3. Left-sided tension pneumothorax
4. Right lower lobe atelectasis
Emergency Department by the paramedics. The physician 5. Fibrosis of the left lung
asks you to help evaluate her condition. Normal vital signs for
a term newborn include all of the following EXCEPT A. 3
B. 4, 5
A. Heart rate of 130/min C. 1, 2, 3
B. Rectal temperature of 36.5° C D. 1, 3, 4, 5
C. Blood pressure of 64/40 mm Hg
D. Respiratory rate of 20/min 9. The radiologist remarks to you during the viewing of a 65-
year-old patient’s posteroanterior (PA) chest radiograph that
5. You are assisting with the delivery of a high-risk infant. the patient has an enlarged left side of the heart. This
After evaluating the infant, you give it a indicates to you that:
5-minute Apgar score of 8 and recommend that the assisting A. The patient has an athletic heart.
nurse and physician: B. The patient has a left pleural effusion.
C. The patient has an abnormal heart.
A. Give the infant supplemental oxygen. D. The patient has a left middle lobe infiltrate.
B. Give the mother supplemental oxygen.
C. Begin bag-mask rescue breathing on the infant. 10. A patient has acute respiratory distress syndrome
D. Give the infant to the mother as soon as possible for
bonding.
, (ARDS) and is significantly hypoxemic. It is likely that the C. Aortic arch
patient will exhibit all the following EXCEPT D. Right ventricle
A. A normal respiratory rate 16. The respiratory therapist has instructed a 16-year-old
B. Nasal flaring asthma patient in the proper use of a metered-dose inhaler
C. Intercostal retractions with reservoir and the bronchodilator medication. The
D. Use of accessory muscles of inspiration patient has shown the proper drug administration and
breathing pattern. What should be recommended now?
11. An adult patient with a history of COPD and left
ventricular failure has been hospitalized. A series of A. Continue to administer the treatment because the
diagnostic procedures is being performed. The preferred patient is a minor.
radiographic position to minimize distortion of the heart is B. Have the parent administer the treatment because
the patient is a minor.
A. Anteroposterior C. With the parent’s permission, begin a patient driven
B. Posteroanterior medication protocol.
C. Lateral D. Delegate the treatments to a nurse.
D. Oblique
17. You are assisting in the delivery of a high-risk neonate. At
12. A patient who is intubated has been moved from the 1 minute after birth, the following are noted:
Operating Room to the Intensive Care Unit. Concern is voiced
that the endotracheal tube has been moved. What is the best Heart rate is 90 beats/min.
way to determine its location? There is a weak cry.
Arms and legs show some flexion.
A. Palpate the larynx. The baby grimaces when a nasal catheter is inserted
B. Listen to stomach sounds. into a nostril.
C. Percuss the patient’s chest. Extremities are blue with a pink body (acrocyanosis).
D. Get a chest radiograph.
You would give the neonate an Apgar score of:
13. A 65-year-old patient with repeated episodes of
congestive heart failure has a chest radiograph taken. It A. 3
shows the left costophrenic angle to be blunted with an B. 5
air/fluid level with a meniscus in the left lower lung area. How C. 7
should this be interpreted? D. 9
A. Pleural effusion of the left lung 18. An elderly patient with congestive heart failure has been
B. Pulmonary edema of the left lung treated with the diuretic furosemide (Lasix). Which serum
C. Pneumonia of the left lung electrolyte is the most important to monitor in this situation?
D. Pulmonary embolism of the left lung
A. Potassium
14. A 3-day-old newborn is brought into the Emergency B. Chloride
Department with her father after they were involved in an C. Calcium
automobile accident. The newborn is showing signs of D. Sodium
respiratory distress with cyanosis and tachycardia. What test
would you recommend to determine whether she has a 19. After feeling a sudden chest pain and shortness of breath
pneumothorax? while lifting weights, a 37-year-old man drove himself to the
Emergency Department. After starting oxygen therapy on the
A. Arterial blood gases patient, the respiratory therapist performed a physical exam.
B. Apgar score Pertinent findings included a hyperresonant percussion note
C. Transillumination on the right side and tracheal shift to the left. Based on these
D. Thoracentesis findings, what is the patient’s most likely problem?
15. You have been assisting with the insertion of a flow A. Broken ribs on the right side
directed, balloon-tipped pulmonary artery catheter. After the B. Right-sided pneumothorax
procedure, a chest radiograph was taken. It would be C. Broken clavicle on the right side
acceptable to take a mixed-venous blood sample from the D. Acute myocardial infarction
catheter if the tip were found in the
A. Right pulmonary artery
B. Superior vena cava
become argumentative about his care and threatens to hit
SELF-STUDY QUESTIONS FOR THE ENTRY LEVEL EXAM the nurse and therapist. He should be evaluated for
1. You have finished charting on your patient when you A. Language barrier problems
notice that an error was made. You should do which of the B. Hypercarbia
following? C. Emotional state
D. Hypoxemia
A. Tell the nurse so that she will tell the physician.
B. Tell the nurse so that she will chart the correct 7. To help determine your patient’s level of consciousness,
information. you should ask which of the following questions?
C. Place a line through the error, initial it, and write in
the correct information. 1. “Do you know what day this is?”
D. Have your supervisor chart the correct information. 2. “Can I see your identification wristband?”
3. “Do you know where you are?”
2. In listening to a patient’s lungs, you notice bronchial breath 4. “How are you feeling today?”
sounds in her right lower lobe. These would indicate which of 5. “Do you know who the president is?”
the following?
A. 2, 4
A. Normal lungs B. 3
B. Pneumothorax C. 5
C. Consolidation in her right lower lobe D. 1, 3
D. Pleural effusion in her right lower lobe
8. To help you determine whether your patient has
3. You are called to start a new aerosolized medication orthopnea, you would ask which of the following?
treatment. After reading the physician’s order, you notice
that the drug dosage is outside the normal department A. “How many flights of stairs can you climb before you
guidelines. You should do which of the following? become short of breath?”
B. “Do you know who the governor is?”
A. Give the treatment as ordered. C. “Do you need to use extra pillows behind your head
B. Contact the physician to confirm that the order is and back to keep from getting short of breath when
indeed correct. you sleep?”
C. Give the treatment as ordered, and leave a note in D. “Do any particular foods seem to make it harder for
the chart asking for clarification for the next you to cough up your secretions?”
treatment.
D. Have the nurse rewrite the order. 9. In observing an infant’s chest configuration, you notice that
it is the same size in both the AP and lateral dimensions. This
4. You are called to the Emergency Department to help care would indicate that the patient has
for a patient who was in a car accident and has chest injuries,
including broken ribs. While palpating her neck, you feel a A. A normal chest
crepitation. What is the most likely cause of this? B. Funnel chest/pectus excavatum
C. Pulmonary emphysema with air trapping
A. She has a laryngeal tumor. D. Lordosis
B. Blood is in the back of her throat.
C. She has aspirated a tooth. 10. In examining your patient, you notice that she has greatly
D. She has an air leak from her lung. diminished breath sounds in her right lower lobe, and her
trachea has shifted to the right. These signs indicate which
5. You are called to help in the evaluation of a 55-yearold condition?
male patient. You notice the following signs and symptoms:
oral temperature of 40° C (104.5° F), diaphoresis, respiratory A. Right-sided pneumothorax
rate of 22, the use of accessory muscles of respiration, and B. Right-sided atelectasis
palpable rhonchi in the right lower lobe. You would suspect C. Left-sided pneumothorax
which of the following diagnoses: D. Left-sided pneumonia
A. Bacterial pneumonia 11. In palpating your patient for symmetrical chest
B. Heart attack movements, you notice that his left side does not move as
C. Pneumothorax much as his right side. This indicates that he has which
D. Viral pneumonia condition or conditions?
, 1. Emphysema A. Pleural friction rub
2. Congestive heart failure B. Normal breath sounds
3. Left-sided pneumonia C. Wheeze
4. Left-sided pneumothorax D. Rhonchi
5. Right-sided pneumonia
16. Your patient has distended external jugular veins, even
A. 1, 2 though her head and body are raised 45 degrees above her
B. 3, 4 legs. This would indicate that she
C. 4, 5
D. 2 A. Is hypertensive
B. Is fluid overloaded
12. You are called to the Emergency Department to help C. Has emphysema
evaluate a pediatric patient. On entering the room, you D. Is dehydrated
observe the patient’s breathing effort and can hear a harsh,
high-pitched sound on inspiration. Which of the following is 17. Tactile fremitus would be reduced in all of the following
true? conditions EXCEPT
A. Sounds are tracheal and normal. A. Pneumothorax
B. Sounds are bronchovesicular and not normal. B. COPD
C. Sounds are stridorous and indicate a respiratory C. Pulmonary edema
emergency. D. Pleural effusion
D. Sounds are bronchial and indicate a respiratory
emergency. 18. A frail, thin patient known to have lung cancer is admitted
to the hospital. His family members are also present. What
13. You are called to evaluate a patient’s breathing pattern. should be asked of them to make sure the proper level of
You notice that the patient’s tidal volumes go from small to care is delivered?
large to small and then stop for 10 seconds before starting up
again. The pattern repeats itself. This patient’s breathing A. The last time he ate
pattern would best be called B. The last time he had a bowel movement
C. Whether any advance directives have been
A. Eupnea documented
B. Obstructed expiration D. Whether he has brought his home care medications
C. Kussmaul’s respiration with him
D. Cheyne-Stokes respiration
19. It is most important to ask a patient with a broken ankle
14. A tension pneumothorax is identified by which of the from a recent slip on an icy sidewalk about which of the
following? following?
1. Chest x-ray fi lm shows a shift of the mediastinum A. Level of pain
toward the affected lung. B. Level of consciousness
2. Chest x-ray fi lm shows elevation of the C. Work of breathing
hemidiaphragm on the affected side. D. Emotional state
3. The patient’s vital signs suddenly deteriorate.
4. Chest x-ray fi lm shows a depression of the 20. All of the following could result in a mediastinal shift on a
hemidiaphragm on the affected side. chest x-ray fi lm EXCEPT
5. Chest x-ray fi lm shows a shift of the mediastinum
away from the affected lung. A. Right-sided hemothorax
6. Vital signs are essentially unchanged. B. Bilateral lower lobe pneumonia
C. Left-sided tension pneumothorax
A. 1, 2, 6 D. Right lower lobe atelectasis
B. 3, 4, 5
C. 1, 2, 3 21. A patient who is suffering respiratory distress would
D. 1, 3, 4 exhibit all of the following EXCEPT
15. Your patient is complaining of localized pain over the A. Normal respiratory rate
lower right area of the chest while breathing. When you B. Nasal flaring
auscultate her chest, you hear a rasping noise at her point of C. Intercostal retractions
pain on both inspiration and expiration. This is most likely D. Use of accessory muscles of inspiration
, SELF-STUDY QUESTIONS FOR THE WRITTEN REGISTRY EXAM 6. You are called to the Pediatrics Department to help in the
evaluation and care of a 4-year-old girl who has been sick
1. An adult patient with a history of smoking has shown an with a bad cold for the past 2 days. The nurse shows you a
increased anteroposterior diameter and depressed lateral neck radiograph of the child and asks for your opinion.
hemidiaphragms on a PA chest radiograph. It is most likely You notice a clear air column through the upper airway but a
that the patient pointed narrowing of the tracheal air column below the
larynx. You tell the nurse that you suspect the child has
A. Has pulmonary fibrosis.
B. Has emphysema. A. Laryngotracheobronchitis
C. Would have normal findings if an AP chest B. Aspirated a coin
radiograph were taken. C. Epiglottitis
D. Has left ventricular failure. D. Bilateral upper lobe pneumonia
2. After 2 days of vomiting and diarrhea caused by the flu, a 7. A young adult who had surgery for a deviated nasal septum
50-year-old patient is admitted. Her ECG shows five PVCs in 1 was accidentally given 2 L of intravenous fluid in 1 hour.
minute and flat T waves. What laboratory test would you Which of the following signs cause you to suspect that the
recommend? patient is fluid overloaded?
A. Urinalysis 1. Tachycardia
B. Arterial blood gas analysis 2. Bradycardia
C. Electrolytes 3. High urine specific gravity
D. Complete blood count 4. Peripheral edema in the dependent parts of the
body
3. A 48-year-old patient with an extensive smoking history 5. Low urine specific gravity
usually coughs out about 20 mL of sputum every day. He
developed a “chest cold” 4 days ago and has noticed A. 1, 4, 5
increased shortness of breath and thicker secretions. What B. 3, 4
should be done at this time? C. 1, 3
D. 2, 5
A. Have him increase the flow on his home oxygen
concentrator. 8. Patients with heart or lung disease commonly have shifting
B. Get a sputum sample for a culture-and-sensitivity of mediastinal structures. In evaluating patients with
study. cardiopulmonary disease, which of the following could result
C. Have him perform a 6-minute walk test. in a mediastinal shift being seen on a chest radiograph?
D. Perform percussion to determine the
hemidiaphragm positions. 1. Right-sided hemothorax
2. Bilateral lower lobe pneumonia
4. A recently home-delivered baby is brought in to the 3. Left-sided tension pneumothorax
4. Right lower lobe atelectasis
Emergency Department by the paramedics. The physician 5. Fibrosis of the left lung
asks you to help evaluate her condition. Normal vital signs for
a term newborn include all of the following EXCEPT A. 3
B. 4, 5
A. Heart rate of 130/min C. 1, 2, 3
B. Rectal temperature of 36.5° C D. 1, 3, 4, 5
C. Blood pressure of 64/40 mm Hg
D. Respiratory rate of 20/min 9. The radiologist remarks to you during the viewing of a 65-
year-old patient’s posteroanterior (PA) chest radiograph that
5. You are assisting with the delivery of a high-risk infant. the patient has an enlarged left side of the heart. This
After evaluating the infant, you give it a indicates to you that:
5-minute Apgar score of 8 and recommend that the assisting A. The patient has an athletic heart.
nurse and physician: B. The patient has a left pleural effusion.
C. The patient has an abnormal heart.
A. Give the infant supplemental oxygen. D. The patient has a left middle lobe infiltrate.
B. Give the mother supplemental oxygen.
C. Begin bag-mask rescue breathing on the infant. 10. A patient has acute respiratory distress syndrome
D. Give the infant to the mother as soon as possible for
bonding.
, (ARDS) and is significantly hypoxemic. It is likely that the C. Aortic arch
patient will exhibit all the following EXCEPT D. Right ventricle
A. A normal respiratory rate 16. The respiratory therapist has instructed a 16-year-old
B. Nasal flaring asthma patient in the proper use of a metered-dose inhaler
C. Intercostal retractions with reservoir and the bronchodilator medication. The
D. Use of accessory muscles of inspiration patient has shown the proper drug administration and
breathing pattern. What should be recommended now?
11. An adult patient with a history of COPD and left
ventricular failure has been hospitalized. A series of A. Continue to administer the treatment because the
diagnostic procedures is being performed. The preferred patient is a minor.
radiographic position to minimize distortion of the heart is B. Have the parent administer the treatment because
the patient is a minor.
A. Anteroposterior C. With the parent’s permission, begin a patient driven
B. Posteroanterior medication protocol.
C. Lateral D. Delegate the treatments to a nurse.
D. Oblique
17. You are assisting in the delivery of a high-risk neonate. At
12. A patient who is intubated has been moved from the 1 minute after birth, the following are noted:
Operating Room to the Intensive Care Unit. Concern is voiced
that the endotracheal tube has been moved. What is the best Heart rate is 90 beats/min.
way to determine its location? There is a weak cry.
Arms and legs show some flexion.
A. Palpate the larynx. The baby grimaces when a nasal catheter is inserted
B. Listen to stomach sounds. into a nostril.
C. Percuss the patient’s chest. Extremities are blue with a pink body (acrocyanosis).
D. Get a chest radiograph.
You would give the neonate an Apgar score of:
13. A 65-year-old patient with repeated episodes of
congestive heart failure has a chest radiograph taken. It A. 3
shows the left costophrenic angle to be blunted with an B. 5
air/fluid level with a meniscus in the left lower lung area. How C. 7
should this be interpreted? D. 9
A. Pleural effusion of the left lung 18. An elderly patient with congestive heart failure has been
B. Pulmonary edema of the left lung treated with the diuretic furosemide (Lasix). Which serum
C. Pneumonia of the left lung electrolyte is the most important to monitor in this situation?
D. Pulmonary embolism of the left lung
A. Potassium
14. A 3-day-old newborn is brought into the Emergency B. Chloride
Department with her father after they were involved in an C. Calcium
automobile accident. The newborn is showing signs of D. Sodium
respiratory distress with cyanosis and tachycardia. What test
would you recommend to determine whether she has a 19. After feeling a sudden chest pain and shortness of breath
pneumothorax? while lifting weights, a 37-year-old man drove himself to the
Emergency Department. After starting oxygen therapy on the
A. Arterial blood gases patient, the respiratory therapist performed a physical exam.
B. Apgar score Pertinent findings included a hyperresonant percussion note
C. Transillumination on the right side and tracheal shift to the left. Based on these
D. Thoracentesis findings, what is the patient’s most likely problem?
15. You have been assisting with the insertion of a flow A. Broken ribs on the right side
directed, balloon-tipped pulmonary artery catheter. After the B. Right-sided pneumothorax
procedure, a chest radiograph was taken. It would be C. Broken clavicle on the right side
acceptable to take a mixed-venous blood sample from the D. Acute myocardial infarction
catheter if the tip were found in the
A. Right pulmonary artery
B. Superior vena cava
