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