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