Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 21 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A A nasal cannula
B An oropharyngeal catheter
C A nonrebreathing mask
D A Venturi mask
Question #2
A Turning and repositioning the client every 4 hours
B Maintaining the client in a high Fowler’s position
C Cleaning the client’s mouth with chlorhexidine daily
D Ensuring that the client remains sedated while intubated
Question #3
A “I received my pain medication 10 minutes ago, let’s do my CPT now.”
B “I just finished eating my lunch, I’m ready for my CPT now.”
C “I have been coughing all morning and am barely bringing anything up.”
D “I just changed into my running suit; we can do my CPT now.”
Question #4
A Mood swings
B Bradycardia
C Fatigue
D Substernal pain
E Dyspnea
Question #5
A Maintain a supine position to use the spirometer.
B Inhale and exhale rapidly with the spirometer.
C Use the spirometer twice every hour
D Expect coughing when using the spirometer properly.
Question #6
A 13 mm Hg
B 16 mm Hg
C 22 mm Hg
D 19 mm Hg
Question #7
A cough as the cuff is being deflated.
B hold the breath as the cuff is being reinflated.
C take a deep breath as the nurse deflates the cuff.
D exhale deeply as the nurse reinflates the cuff.
Question #8
A exhale deeply as the nurse reinflates the cuff.
B cough as the cuff is being deflated.
C take a deep breath as the nurse deflates the cuff.
D hold the breath as the cuff is being reinflated.
Question #9
A Tracheal bleeding
B Tracheal ischemia
C Pressure necrosis
D Hypoxia
E Tracheal aspiration
Question #10
A It increases the respiratory rate to improve oxygenation.
B It will prevent the alveoli from overexpanding.
C It will assist with widening the airway.
D It prolongs exhalation.
Question #11
A Promote more efficient and controlled ventilation and to decrease the work of breathing
B Improve oxygen transport; induce a slow, deep breathing pattern; and assist the client to control breathing
C Promote the strengthening of the client’s diaphragm
D Promote the client’s ability to take in oxygen
Question #12
A To clear respiratory secretions
B To provide visual feedback to encourage the client to inhale slowly and deeply
C To provide adequate transport of oxygen in the blood
D To reduce stress on the myocardium
E To decrease the work of breathing
Question #13
A Impaired physical mobility related to being on a ventilator
B Impaired gas exchange related to ventilator setting adjustments
C Risk for trauma related to endotracheal intubation and cuff pressure
D Risk for infection related to endotracheal intubation and suctioning
Question #14
A report fluctuations in the water-seal chamber.
B encourage coughing and deep breathing.
C clamp the chest tube once every shift.
D milk the chest tube every 2 hours.
Question #15
A continuous positive airway pressure (CPAP).
B synchronized intermittent mandatory ventilation (SIMV).
C pressure support ventilation (PSV).
D assist-control (AC) ventilation.
Question #16
A Milk the chest tube.
B Disconnect the system and get another.
C Notify the physician.
D Place the head of the patient’s bed flat
Question #17
A The patient will begin the weaning process.
B The patient will be extubated and a nasotracheal tube will be inserted.
C The patient will be extubated and another endotracheal tube will be inserted.
D The patient will have an insertion of a tracheostomy tube.
Question #18
A Reposition the endotracheal tube.
B Notify the respiratory therapist.
C Manually ventilate the client.
D Troubleshoot to identify the malfunction.
Question #19
A Pneumonectomy
B Segmentectomy
C Lobectomy
D Wedge resection
Question #20
A Prepare a chest tube insertion tray.
B Apply a dressing over the wound and tape it on three sides.
C Prepare to start an I.V. line.
D Draw blood for a hematocrit and hemoglobin level.
Question #21
A Prepare to start an I.V. line.
B Draw blood for a hematocrit and hemoglobin level.
C Apply a dressing over the wound and tape it on three sides.
D Prepare a chest tube insertion tray.
Question #22
A 5 to 20 minutes.
B 30 to 40 minutes.
C 15 to 60 seconds.
D 45 to 60 minutes.
Question #23
A Call the physician.
B Add more air to the cuff.
C Remove the malfunctioning cuff.
D Suction the client, withdraw residual air from the cuff, and reinflate it.
Question #24
A They help prevent pneumothorax.
B They help prevent cardiac arrhythmias.
C They help prevent pulmonary edema.
D They help prevent subcutaneous emphysema.
Question #25
A Moderate amounts of colorless sputum
B Heart rate, 112 bpm
C Chest tube drainage, 190 mL/hr
D Pain of 5 on a 1-to-10 scale
Question #26
A Assist with positioning the client on the right side.
B Encourage coughing to mobilize secretions.
C Make sure that a thoracotomy tube is linked to open chest drainage.
D Restrict intravenous fluids for at least 24 hours.
Question #27
A Transtracheal
B Low-flow systems
C Hyperbaric
D High-flow systems
Question #28
A Simple mask
B Nonrebreather mask
C Face tent
D Nasal cannula
Question #29
A Secure the chest tube with tape.
B Clamp the chest tube immediately.
C Apply an occlusive dressing and notify the physician.
D Place the end of the chest tube in a container of sterile saline.
Question #30
A “Don’t use the incentive spirometer more than 5 times every hour.”
B “Before you do the exercise, I’ll give you pain medication if you need it.”
C “Breathe in and out quickly.”
D “You need to start using the incentive spirometer 2 days after surgery.”
Question #31
A a malignant tumor.
B a compromised skin graft.
C pneumonia.
D hyperthermia.
Question #32
A Circulatory hypoxia
B Anemic hypoxia
C Hypoxic hypoxia
D Histotoxic hypoxia
Question #33
A The patient is in a hypermetabolic state.
B The patient is hypoxic from suctioning.
C The patient is having a stress reaction
D The patient is having a myocardial infarction.
Question #34
A Oxygen-induced atelectasis
B Hypoxia
C Oxygen-induced hypoventilation
D Oxygen toxicity
Question #35
A “Exhale forcefully while the chest tube is being removed.”
B “When the tube is being removed, take a deep breath, exhale, and bear down.”
C “Do not move during the removal of the chest tube because moving will make it more painful.”
D “While the chest tube is being removed, raise your arms above your head.”
Question #36
A IMV
B SIMV
C Pressure support
D Assist control
Question #37
A Aspiration pneumonia
B Tracheal bleeding
C Pressure necrosis
D Tracheal ischemia
Question #38
A Tracheal bleeding
B Pressure necrosis
C Aspiration pneumonia
D Tracheal ischemia
Question #39
A T-piece
B Venturi mask
C Nasal cannula
D Partial-rebreathing mask
Question #40
A Catheter
B Nonrebreathing mask
C Venturi mask
D Face tent
Question #41
A Ventilate the client with a handheld mechanical ventilator
B Increase the oxygen percentage.
C Check for an apical pulse.
D Suction the client’s artificial airway.
Question #42
A Have the patient lie in a supine position during the use of the spirometer.
B Inform the patient that using the spirometer is not necessary if the patient is experiencing pain
C Encourage the patient to take approximately 10 breaths per hour, while awake.
D Encourage the patient to try to stop coughing during and after using the spirometer.
Question #43
A Time cycled
B Volume cycled
C Negative pressure
D Pressure cycled
Question #44
A Continues assessing the client’s respiratory status frequently
B Changes the setting on the ventilator to increase breaths to 14 per minute
C Contacts the respiratory therapy department to report the ventilator is malfunctioning
D Consults with the physician about removing the client from the ventilator
Question #45
A Partial pressure of arterial carbon dioxide (PaCO2)
B Bicarbonate (HCO3–)
C Partial pressure of arterial oxygen (PaO2)
D pH
Question #46
A Deflating the cuff before removing the tube
B Routinely deflating the cuff
C Checking the cuff pressure every 6 to 8 hours
D Ensuring that humidified oxygen is always introduced through the tube
Question #47
A Have the patient cough.
B Assess the CO2 level to determine if the patient requires suctioning.
C Have the patient inform the nurse of the need to be suctioned.
D Auscultate the lung for adventitious sounds.
Question #48
A pH
B PCO2
C HCO3
D PaO2
Question #49
A Puts on clean gloves; removes and discards the soiled dressing in a biohazard container
B Places clean tracheostomy ties then removes soiled ties after the new ties are in place
C Dries and reinserts the inner cannula or replaces it with a new disposable inner cannula
D Cleans the wound and the plate with a sterile cotton tip moistened with hydrogen peroxide
Question #50
A 84 mm Hg
B 58 mm Hg
C 45 mm Hg
D 120 mm Hg
Question #51
A Pressure support
B IMV
C SIMV
D Assist control
Question #52
A Negative-pressure
B Volume-controlled
C Time-cycled
D Pressure-cycled
Question #53
A Auscultating the lungs for bilateral breath sounds
B Monitoring serial blood gas values every 4 hours
C Turning the client from side to side every 2 hours
D Providing frequent oral hygiene
Question #54
A An ET cuff leak
B Kinking of the ventilator tubing
C A change in the oxygen concentration without resetting the oxygen level alarm
D A disconnected ventilator circuit
Question #55
A Suction control chamber
B Water-seal chamber
C Air-leak chamber
D Collection chamber
Question #56
A An Ambu bag
B A bottle of sterile water
C A set of hemostats
D An incentive spirometer
Question #57
A A kink in the ventilator tubing
B Malfunction of the alarm button
C Higher than normal endotracheal cuff pressure
D A cut or slice in the tubing from the ventilator
Question #58
A 30 to 35 seconds
B 10 to 15 seconds
C 20 to 25 seconds
D 0 to 5 seconds
Question #59
A The system has an air leak.
B The client has a pneumothorax.
C The chest tube is obstructed.
D The system is functioning normally.
Question #60
A Keeping the collection chamber at chest level
B Stripping the chest tube every hour
C Maintaining continuous bubbling in the water-seal chamber
D Measuring and documenting the drainage in the collection chamber