1. A patient has been facing consecutive gas exchange impairment due to unmanaged asthma. Pronounced
issues with ventilation can cause a buildup of acid that will most likely present itself through what condition?
a. Metabolic alkalosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Respiratory acidosis
d. Respiratory acidosis
2. A 30 year-old patient is suffering from 2 fractured ribs following a motor vehicle accident. In addition to the
pain experienced from injury, the patient is also experiencing an impairment of gas exchange most likely to do
what?
a. Inadequate perfusion
b. Ineffective ventilation
c. Inability to transport O2 .
d. Reduced capacity for gas transportation
b. Ineffective ventilation
,3. A young adult patient is being assessed for gas exchange impairment. The patient states that she was
diagnosed with mild asthma in her adolescence, however has been facing a recent increased difficulty
breathing during exercise and stress. The nurse decides to educate the patient on individual risk factors that
could be playing a role on her gas exchange ability. What statement made by the patient indicates a need for
further education?
a. "I am going to quit smoking cigarettes and using other tobacco products."
b. "As I get older, it is understandable that my breathing may get worse."
c. "The more active I am, the more complications I am going to have breathing."
d. "When I am sick, my immune system is impaired and might play a role in my regular gas exchange ability."
c. "The more active I am, the more complications I am going to have breathing."
4. The nurse is responsible for monitoring during the first 24 hours after the birth of a neonate at 38 weeks'
gestation. What is the most important parameter for the nurse to monitor?
a. Duration of cry
b. Decreased body temperature
c. Sleep patterns
d. Respiratory distress
d. Respiratory distress
(ABC's always come first)
,5. What is considered the earliest sign of decreased tissue oxygenation?
a. Unexplained restlessness
b. Blue-ish nail beds
c. Cold skin
d. Cyanosis
a. Unexplained restlessness
(the others come later)
, 1. In a long-term care facility, the nurse is working with a patient who has been suffering from COPD with a
predominance of pulmonary emphysema. Which of the following are symptoms that correspond with
pulmonary emphysema? Select all that apply.
a. Barrel chest
b. Cyanosis
c. Dyspnea
d. Respiratory Acidosis
e. Thin appearance
f. Ineffective cough
a. Barrel chest
c. Dyspnea
e. Thin appearance
f. Ineffective cough
(described as a "pink puffer"; trapped air in enlarged airspaces = barrel)
issues with ventilation can cause a buildup of acid that will most likely present itself through what condition?
a. Metabolic alkalosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Respiratory acidosis
d. Respiratory acidosis
2. A 30 year-old patient is suffering from 2 fractured ribs following a motor vehicle accident. In addition to the
pain experienced from injury, the patient is also experiencing an impairment of gas exchange most likely to do
what?
a. Inadequate perfusion
b. Ineffective ventilation
c. Inability to transport O2 .
d. Reduced capacity for gas transportation
b. Ineffective ventilation
,3. A young adult patient is being assessed for gas exchange impairment. The patient states that she was
diagnosed with mild asthma in her adolescence, however has been facing a recent increased difficulty
breathing during exercise and stress. The nurse decides to educate the patient on individual risk factors that
could be playing a role on her gas exchange ability. What statement made by the patient indicates a need for
further education?
a. "I am going to quit smoking cigarettes and using other tobacco products."
b. "As I get older, it is understandable that my breathing may get worse."
c. "The more active I am, the more complications I am going to have breathing."
d. "When I am sick, my immune system is impaired and might play a role in my regular gas exchange ability."
c. "The more active I am, the more complications I am going to have breathing."
4. The nurse is responsible for monitoring during the first 24 hours after the birth of a neonate at 38 weeks'
gestation. What is the most important parameter for the nurse to monitor?
a. Duration of cry
b. Decreased body temperature
c. Sleep patterns
d. Respiratory distress
d. Respiratory distress
(ABC's always come first)
,5. What is considered the earliest sign of decreased tissue oxygenation?
a. Unexplained restlessness
b. Blue-ish nail beds
c. Cold skin
d. Cyanosis
a. Unexplained restlessness
(the others come later)
, 1. In a long-term care facility, the nurse is working with a patient who has been suffering from COPD with a
predominance of pulmonary emphysema. Which of the following are symptoms that correspond with
pulmonary emphysema? Select all that apply.
a. Barrel chest
b. Cyanosis
c. Dyspnea
d. Respiratory Acidosis
e. Thin appearance
f. Ineffective cough
a. Barrel chest
c. Dyspnea
e. Thin appearance
f. Ineffective cough
(described as a "pink puffer"; trapped air in enlarged airspaces = barrel)
