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NUR |/211: |/Exam |/ 1 |/Practice |/Questions |/with
|/correct |/answers
- |/A |/student |/nurse |/is |/explaining |/to |/a |/pt |/about |/the |/respiratory |/system. |/Which |/statement |/by |/the |/student |/nurse |/would |/require |/correction |/from |/the |/clinical |/instructor? a. |/Neural |/& |/chemical |/regulators |/control |/the |/rate |/and |/depth |/of |/respiration |/in |/response |/to |/changing |/tissue |/O2 |/demands. |/ b. |/The |/respiratory |/system |/is |/the |/system |/responsible |/for |/supplying |/O2 |/to |/the |/rest |/of |/the |/body. |/ c. |/The |/exchange |/of |/respiratory |/gases |/occurs |/between |/the |/environment |/and |/the |/blood. |/ d. |/Respiration |/is |/the |/exchange |/of |/O2 |/and |/CO2 |/during |/cellular |/metabolism. |/- |/CORRECT |/ANSWERS |/✔✔B: |/Both |/the |/respiratory |/and |/cardiac |/systems |/are |/responsible |/for |/supplying |/O2 |/to |/the |/rest |/of |/the |/body.
- |/While |/doing |/a |/respiratory |/assessment |/on |/a |/pt. |/during |/clinical, |/a |/student |/nurse |/notices |/that |/the |/pt. |/elevates |/his |/clavicles |/upon |/inspiration. |/The |/student |/nurse |/knows |/that |/raised |/clavicles |/could |/indicate |/which |/of |/the |/following? |/SATA. |/ a. |/Increased |/lung |/expansion b. |/Ventilatory |/fatigue |/
c. |/Air |/hunger d. |/Decrease |/in |/work |/of |/breathing |/- |/CORRECT |/ANSWERS |/✔✔B |/& |/C: |/Elevation |/of |/the |/clavicles |/upon |/inspiration |/can |/indicate |/ventilatory |/fatigue, |/air |/hunger, |/or |/decreased |/lunch |/expansion.
- |/A |/student |/nurse's |/pt |/is |/immobile. |/She |/knows |/that |/her |/pt |/is |/mainly |/at |/risk |/for |/which |/respiratory |/event? a. |/Increased |/work |/of |/breathing b. |/Decreased |/surfactant c. |/Decreased |/compliance |/ d. |/Atelectasis |/ e. |/Increased |/airway |/resistance |/- |/CORRECT |/ANSWERS |/✔✔D: |/Atelectasis |/(collapse |/of |/the |/alveoli |/the |/prevents |/normal |/exchange |/of |/gases) |/is |/a |/major |/concern |/for |/immobile |/pts. |/The |/pt's |/work |/of |/breathing |/(effort |/required |/to |/expand |/& |/contract |/the |/lungs) |/may |/be |/increased, |/compliance |/(ability |/of |/the |/lungs |/to |/expand |/in |/response |/to |/increase |/alveolar |/pressure) |/may |/be |/decreased, |/and |/airway |/resistance |/(increase |/in |/pressure |/that |/occurs |/as |/the |/diameter |/of |/airway |/decreases |/from |/nose/mouth |/to |/the |/alveoli) |/may |/be |/increased, |/but |/the |/main |/concern |/would |/be |/atelectasis. |/Surfactant |/is |/the |/chemical |/produced |/in |/the |/lungs |/to |/maintain |/the |/surface |/tension |/of |/the |/alveoli |/& |/keep |/them |/from |/collapsing; |/surfactant |/dysfunction |/typically |/occurs |/in |/newborns |/& |/children.
- |/Which |/of |/the |/following |/terms |/is |/matched |/correctly |/with |/its |/definition? |/SATA. |/
a. |/Teach |/pt |/how |/to |/use |/an |/incentive |/spirometer |/5-10 |/time |/every |/hour b. |/Turn |/pt |/every |/three |/hours c. |/Ambulate |/pts |/as |/soon |/as |/possible d. |/Give |/the |/pt |/a |/nebulizer |/treatment |/PRN |/- |/CORRECT |/ANSWERS |/✔✔A |/& |/C: |/Pts |/should |/be |/turned |/every |/two |/hours. |/Nebulizer |/treatments |/must |/be |/ordered |/by |/the |/HCP |/and |/are |/typically |/given |/by |/the |/respiratory |/therapist, |/not |/the |/nurse.
- |/Which |/factors |/affect |/respiratory |/gas |/exchange? |/SATA. |/ a. |/Thickness |/of |/the |/alveolar |/capillary |/membrane b. |/Surface |/area |/of |/the |/Hgb c. |/Blood |/capacity |/to |/carry |/O d. |/Forced |/vital |/capacity |/- |/CORRECT |/ANSWERS |/✔✔A |/& |/C: |/The |/surface |/areas |/of |/the |/alveoli |/would |/affect |/gas |/exchange. |/Blood |/capacity |/to |/carry |/O2 |/is |/influenced |/by |/the |/amount |/of |/O2 |/dissolved |/in |/the |/plasma, |/the |/amount |/of |/Hgb, |/& |/the |/ability |/of |/the |/Hgb |/to |/bind |/with |/O2 |/and |/form |/reversible |/oxyHgb.
- |/A |/student |/nurse |/is |/explained |/how |/respiration |/is |/regulated. |/Which |/of |/the |/following |/statements |/would |/require |/correction |/from |/her |/clinical |/instructor? a. |/The |/CNS |/controls |/the |/respiratory |/rate, |/depth, |/& |/rhythm
b. |/Chemical |/regulation |/maintains |/the |/rate |/& |/depth |/of |/respirations |/primarily |/based |/on |/changes |/in |/blood |/concentrations. |/ c. |/Chemoreceptors |/stimulated |/neural |/regulators |/to |/adjust |/in |/order |/to |/maintain |/normal |/ABG |/levels. d. |/The |/cerebral |/cortex |/regulated |/the |/voluntary |/control |/of |/respiration. |/- |/CORRECT |/ANSWERS |/✔✔B: |/Chemical |/regulation |/is |/based |/on |/blood |/concentrations |/of |/CO2 |/and |/O2 |/as |/well |/as |/H+ |/concentration |/(aka |/pH).
- |/Which |/of |/the |/following |/are |/physiological |/factors |/that |/affect |/oxygenation? |/SATA. |/ a. |/Conditions |/affecting |/chest |/wall |/movement b. |/Decreased |/O2-carrying |/capacity |/ c. |/Hypovolemia |/ d. |/Influence |/of |/chronic |/disease e. |/Decreased |/inspired |/O2 |/concentration |/ f. |/Increased |/metabolic |/rate |/- |/CORRECT |/ANSWERS |/✔✔B, |/C, |/E, |/& |/F: |/Conditions |/affecting |/chest |/wall |/movement |/and |/influence |/of |/chronic |/disease |/are |/other |/factors |/that |/affect |/oxygenation, |/not |/physiological |/factors. |/The |/four |/main |/factors |/that |/influence |/oxygenation |/include |/physiological, |/lifestyle, |/development, |/& |/environment.
- |/A |/pt |/presents |/with |/polycythemia |/secondary |/to |/anemia. |/The |/student |/nurse |/knows |/that |/which |/factor |/affecting |/oxygenation |/is |/being |/affected? |/
|/expression |/of |/pain. |/This |/lack |/of |/providing |/appropriate |/treatment |/for |/the |/pt |/can |/cause |/harm |/bc |/pain |/can |/delay |/healing |/time, |/increase |/the |/length |/of |/hospitalization, |/and |/make |/the |/pt |/develop |/other |/complications |/from |/not |/getting |/out |/of |/bed. |/The |/nurse |/needs |/to |/be |/reminded |/of |/which |/of |/the |/following |/ethical |/principles? a. |/Justice |/ b. |/Autonomy c. |/Nonmaleficence d. |/Veracity |/- |/CORRECT |/ANSWERS |/✔✔C: |/Nonmaleficence |/is |/a |/nurse's |/duty |/to |/do |/no |/harm.
- |/A |/nurse |/is |/treating |/a |/pt |/differently |/bc |/the |/pt |/was |/driving |/drunk |/and |/killed |/a |/child |/in |/another |/car. |/The |/nurse |/is |/violating |/which |/ethical |/principle? a. |/Distributive |/Justice b. |/Privacy |/ c. |/Veracity |/ d. |/Justice |/- |/CORRECT |/ANSWERS |/✔✔D: |/Justice |/is |/providing |/fair |/and |/equal |/treatment.
- |/The |/nurse |/is |/withholding |/information |/from |/a |/pt |/about |/their |/diagnosis |/bc |/he |/fears |/it |/will |/be |/upsetting |/to |/the |/pt. |/Which |/ethical |/principle |/does |/this |/situation |/specifically |/refer |/to? a. |/Justice
b. |/Autonomy |/ c. |/Veracity |/ d. |/Fidelity |/- |/CORRECT |/ANSWERS |/✔✔C: |/Veracity |/is |/telling |/the |/truth.
- |/The |/patient |/is |/considering |/whether |/or |/not |/they |/want |/to |/get |/a |/blood |/transfusion |/based |/on |/the |/doctor's |/recommendations. |/The |/nurse |/says, |/"I |/give |/them |/all |/the |/time |/and |/it's |/no |/big |/deal. |/I |/think |/you |/should |/go |/ahead |/and |/do |/what |/the |/doctor |/says." |/This |/is |/an |/example |/of |/a |/violation |/of |/what |/ethical |/principle? |/ a. |/Justice b. |/Autonomy |/ c. |/Veracity d. |/Fidelity |/- |/CORRECT |/ANSWERS |/✔✔B: |/Autonomy |/is |/the |/right |/to |/make |/one's |/own |/decisions |/and |/respecting |/the |/client's |/right |/to |/make |/their |/own |/choices.
- |/Enhancing |/ethical |/decisions |/and |/practice |/is |/an |/important |/aspect |/of |/hospital |/ethics. |/This |/can |/be |/done |/by |/which |/of |/the |/following |/ways? |/SATA. a. |/Becoming |/aware |/of |/one's |/own |/values b. |/Familiarity |/with |/ANA |/Code |/of |/Ethics |/for |/Nurses c. |/Continuing |/education |/to |/stay |/knowledgeable d. |/Questioning |/values, |/opinions, |/and |/responsibilities |/of |/other |/HCP's |/ e. |/Serving |/on |/institutional |/committees |/
- |/The |/following |/are |/common |/roles |/of |/the |/nurse: |/SATA. |/ a. |/Teach b. |/Communicate |/findings c. |/Manager d. |/Advocate |/ e. |/Agent |/of |/change f. |/Leader |/- |/CORRECT |/ANSWERS |/✔✔A, |/B, |/D, |/E, |/& |/F: |/Roles |/of |/the |/nurse |/include |/physical |/and |/psychological |/caregiver, |/perform |/skills, |/communicate |/abnormal |/findings, |/teach, |/advocate, |/counsel, |/act |/as |/an |/agent |/of |/change, |/and |/leader. |/A |/nurse |/can |/be |/a |/manager, |/but |/does |/not |/have |/to |/be.
- |/Which |/organization |/on |/which |/the |/BSN |/is |/based |/plays |/a |/key |/role |/in |/education |/of |/one |/of |/the |/top |/concerns |/in |/nursing |/practice? a. |/American |/Association |/of |/Colleges |/of |/Nursing |/ b. |/Quality |/and |/Safety |/Education |/for |/Nurses c. |/Institute |/of |/Medicine's |/Safety |/Initiatives d. |/ANA |/Standards |/of |/Nursing |/Practice |/- |/CORRECT |/ANSWERS |/✔✔B: |/Safety |/is |/a |/top |/concern! |/The |/QSEN |/educates |/nurses |/about |/safety |/and |/being |/a |/safe |/practitioner |/(focus |/on |/competent |/pt |/care, |/developing |/strong |/knowledge |/base, |/and |/providing |/evidence-based |/care).
- |/Which |/of |/the |/following |/is |/a |/goal |/of |/socialization |/to |/nursing? |/SATA
a. |/Learn |/the |/social |/rules |/defining |/relationships |/into |/which |/you |/will |/enter. b. |/Learning |/to |/become |/friends |/with |/other |/nurses. |/ c. |/Networking |/to |/create |/job |/opportunities |/for |/oneself. |/ d. |/Instill |/norms, |/values, |/attitudes, |/and |/behaviors |/essential |/for |/survival |/of |/the |/profession. |/- |/CORRECT |/ANSWERS |/✔✔A |/& |/D: |/Socialization |/to |/nursing |/involves |/learning |/to |/behave, |/feel, |/and |/see |/the |/world |/in |/a |/similar |/manner |/as |/a |/nurse |/does, |/including |/learning |/how |/to |/become |/a |/member |/of |/a |/group.
- |/Your |/coworker, |/Susie, |/has |/many |/attributes |/of |/a |/professional |/nurse |/including... |/SATA. |/ a. |/She |/has |/an |/orientation |/towards |/service |/and |/ethical |/principles. b. |/She |/uses |/evidence-based |/practice. |/ c. |/She |/adheres |/to |/legal |/requirements. |/ d. |/She |/is |/part |/of |/the |/ANA. |/ e. |/She |/communicates |/therapeutically. |/ f. |/She |/is |/licensed |/by |/the |/American |/Association |/of |/Colleges |/of |/Nursing. |/ g. |/She |/has |/a |/strong |/knowledge |/base. |/- |/CORRECT |/ANSWERS |/✔✔A, |/B, |/C, |/D, |/& |/G: |/Attributes |/of |/the |/professional |/nurse |/include |/a |/strong |/knowledge |/base, |/orientation |/toward |/service, |/adherence |/to |/ethical |/principles, |/use |/of |/evidence-based |/practice, |/adherence |/to |/legal |/requirements, |/licensed |/by |/the |/STATE |/BOARD |/OF |/NURSING, |/and |/involvement |/in |/professional |/organizations. |/Communicating
a. |/SA |/& |/adolescents: |/risk |/for |/2nd |/hand |/smoke |/& |/cigarette |/smoking b. |/OA: |/risk |/for |/pneumonia |/& |/respiratory |/infection |/bc |/of |/changes |/in |/cardiac |/and |/pulmonary |/systems c. |/infants |/& |/toddlers: |/risk |/for |/decreased |/oxygenation |/as |/a |/result |/from |/immature |/lungs |/and |/low |/surfactant |/levels d. |/YA |/& |/MA: |/cardiopulmonary |/risk |/factors |/& |/occupational |/risks |/- |/CORRECT |/ANSWERS |/✔✔C: |/Infants |/are |/at |/risk |/for |/decreased |/oxygenation |/due |/to |/immature |/lungs |/and |/low |/surfactant |/levels. |/Infants |/and |/toddlers |/are |/at |/risk |/for |/upper |/respiratory |/tract |/infections.
- |/A |/nursing |/student |/is |/taking |/care |/of |/an |/older |/adult. |/She |/knows |/that |/she |/might |/expect |/to |/see |/all |/of |/the |/following |/except |/for |/which |/factor |/that |/could |/affect |/his |/oxygenation |/due |/to |/his |/age? a. |/Changes |/in |/cough |/mechanism |/that |/may |/lead |/to |/retention |/of |/pulmonary |/secretions, |/airway |/plugging, |/& |/atelectasis |/when |/using |/cough |/suppressants b. |/Immunity |/decline |/leading |/to |/risk |/for |/respiratory |/infection c. |/May |/not |/complain |/of |/dyspnea |/until |/it |/affect |/ADLs, |/so |/need |/to |/watch |/for |/mental |/status |/change, |/which |/is |/the |/first |/sign |/of |/a |/respiratory |/problem. |/ d. |/Diminished |/respiratory |/muscle |/strength |/from |/changes |/in |/the |/thorax |/and |/hypertrophy |/of |/breathing |/muscles |/leading |/to |/chest |/expansion |/problems |/- |/CORRECT |/ANSWERS |/✔✔D: |/Diminished |/respiratory |/muscle |/strength |/from |/changes |/in |/the |/thorax |/and |/the |/atrophy |/of |/breathing |/muscles |/lead |/to |/chest |/expansion |/problems.
- |/Your |/patient |/is |/suffering |/from |/an |/infection, |/which |/is |/causing |/her |/great |/anxiety. |/She |/is |/experiencing |/rapid |/respirations |/and |/numbness |/& |/tingling |/in |/her |/hands/feet. |/You |/know |/she |/is |/experiencing |/which |/of |/the |/following? a. |/Cyanosis |/ b. |/Hyperventilation c. |/Hypoxia d. |/Hypoventilation |/- |/CORRECT |/ANSWERS |/✔✔B: |/Hyperventilation |/is |/ventilation |/in |/excess |/of |/that |/required |/to |/eliminate |/CO2 |/produced |/by |/cellular |/metabolism |/(lungs |/remove |/CO2 |/faster |/than |/it's |/produced |/by |/cellular |/metabolism). |/It |/is |/caused |/by |/anxiety, |/infection, |/drugs, |/and |/acid-base |/imbalances. |/Signs |/and |/symptoms |/include |/rapid |/respirations, |/sighing |/breaths, |/numbness |/& |/tingling |/in |/hands |/and |/feet, |/light-headedness, |/and |/loss |/of |/consciousness.
- |/Your |/patient |/just |/began |/to |/suffer |/from |/inadequate |/tissue |/oxygenation |/at |/the |/cellular |/level |/caused |/poor |/tissue |/perfusion |/and |/impaired |/ventilation. |/You |/expect |/him |/to |/be |/suffering |/from |/which |/of |/the |/following |/signs |/and |/symptoms? |/SATA. |/ a. |/Apprehension b. |/Cyanosis c. |/Behavioral |/changes d. |/Increased |/pulse, |/RR, |/& |/bp e. |/Restlessness
a. |/Obstructed |/airway b. |/Anemia c. |/Pulmonary |/embolism |/ d. |/COPD |/- |/CORRECT |/ANSWERS |/✔✔D: |/COPD |/is |/the |/only |/obstructive |/disease |/that |/would |/cause |/the |/chronic |/hypoxia |/from |/which |/the |/pt |/is |/suffering |/aeb |/his |/lethargy, |/SOA |/& |/activity |/intolerance. |/Other |/symptoms |/of |/chronic |/hypoxia |/include |/clubbed |/fingers, |/barrel |/chest, |/proximal |/nocturnal |/dyspnea, |/and |/orthopnea.
- |/A |/nursing |/student |/is |/conducting |/an |/assessment |/on |/a |/pt's |/cardiopulmonary |/functioning. |/She |/knows |/that |/which |/of |/the |/following |/are |/priority |/nursing |/assessments |/to |/include? |/SATA. a. |/SpO2 |/levels b. |/Changes |/in |/respiratory |/rate c. |/Fluid |/balance d. |/Color, |/amount, |/consistency, |/& |/odor |/of |/sputum |/ e. |/Pain |/in |/legs f. |/Adventitious |/breath |/sounds |/- |/CORRECT |/ANSWERS |/✔✔A, |/B, |/D, |/& |/F: |/A |/cardiopulmonary |/assessment |/includes |/past |/impairments |/in |/circulatory/respiratory |/functioning, |/methods |/used |/to |/optimize |/oxygenation, |/allergy |/review, |/physical |/exam, |/laboratory |/& |/diagnostic |/tests, |/and |/a |/nursing |/history. |/The |/nurse |/should |/prioritize |/changes |/in |/respiratory |/rate, |/volume, |/rhythm, |/effort, |/AP:T, |/& |/cough. |/Fluid |/balance |/& |/pain |/in |/legs |/are |/not |/priorities |/for |/the |/cardiopulmonary |/assessment.
- |/A |/nurse |/is |/getting |/a |/respiratory |/nursing |/history |/on |/her |/pt. |/Which |/questions |/should |/she |/ask |/as |/part |/of |/her |/assessment? |/SATA. |/ a. |/If |/you |/are |/having |/chest |/pain, |/what |/causes |/the |/pain |/and |/how |/long |/does |/it |/last? |/Is |/this |/a |/different |/type |/of |/pain? b. |/When |/did |/your |/coughing |/increase? |/How |/does |/this |/differ |/from |/your |/usual |/pattern |/of |/coughing? c. |/Do |/you |/smoke? |/Have |/you |/been |/exposed |/to |/secondhand |/smoke? |/ d. |/Have |/you |/been |/exposed |/to |/a |/cold |/or |/flu? e. |/How |/have |/you |/tolerated |/your |/interventions? |/Have |/any |/of |/them |/helped |/your |/breathing? |/- |/CORRECT |/ANSWERS |/✔✔A, |/B, |/C, |/& |/D: |/E |/should |/be |/asked |/when |/evaluating |/the |/success |/of |/nursing |/interventions |/rather |/than |/during |/the |/assessment |/phase |/of |/the |/nursing |/process. |/Other |/focuses |/of |/a |/nursing |/history |/include |/fatigue, |/dyspnea, |/wheezing, |/respiratory |/infection, |/allergies, |/medications, |/& |/environmental/geographical |/exposures.
- |/Your |/pt |/has |/been |/diagnosed |/with |/pneumonia. |/Upon |/listening |/to |/her |/breath |/sounds, |/you |/hear |/a |/continuous, |/high-pitched |/whistling |/sound |/caused |/by |/air |/moving |/through |/narrow |/passages. |/What |/adventitious |/breath |/sound |/are |/you |/hearing? a. |/Crackles b. |/Rhonchi c. |/Wheezes d. |/Stridor
b. |/Emphysema c. |/Surgically |/removed |/lung |/lobes d. |/Obstruction e. |/Atelectasis |/- |/CORRECT |/ANSWERS |/✔✔A, |/C, |/D, |/& |/E: |/A |/pneumothorax, |/surgically |/removed |/lung |/lobes, |/obstruction |/& |/sometimes |/atelectasis |/can |/all |/cause |/absent |/breath |/sounds. |/Atelectasis |/can |/also |/cause |/diminished |/breath |/sounds |/depending |/on |/the |/severity |/of |/the |/alveolar |/collapse. |/Emphysema |/causes |/diminished |/breath |/sounds |/due |/to |/the |/loss |/of |/alveolar |/elasticity |/leading |/to |/the |/retention |/of |/CO2.
- |/You |/want |/to |/assess |/your |/pts |/level |/of |/hypoxia |/and |/hypoxemia. |/Which |/of |/the |/following |/would |/be |/your |/first |/choice |/in |/order |/to |/measure |/their |/severity? |/SATA. |/ a. |/Arterial |/Blood |/Gases b. |/Complete |/Blood |/Count c. |/Pulse |/oximetry d. |/Hemoglobin |/& |/Hematocrit |/- |/CORRECT |/ANSWERS |/✔✔A |/& |/C: |/ABGs |/are |/the |/most |/precise |/way |/to |/measure |/hypoxia |/and |/hypoxemia. |/A |/pulse |/ox |/is |/the |/quickest |/assessment |/tool |/to |/get |/a |/general |/idea |/of |/a |/pt's |/O2 |/saturation. |/A |/complete |/blood |/count |/(CBC) |/includes |/Hgb |/& |/hematocrit |/values, |/which |/give |/information |/about |/the |/pt's |/oxygenation, |/but |/are |/more |/expensive |/and |/take |/longer.
- |/Your |/pt |/presents |/with |/dyspnea |/and |/rhonchi |/in |/the |/bases |/of |/her |/lungs |/as |/well |/as |/a |/productive |/cough. |/Upon |/examination |/of |/sputum |/cultures, |/the |/pt |/is |/diagnosed |/with |/pneumonia. |/What |/would |/be |/your |/priority |/nursing |/diagnosis |/for |/the |/pt? a. |/Ineffective |/breathing |/pattern b. |/Ineffective |/airway |/clearance c. |/Activity |/intolerance |/ d. |/Impaired |/gas |/exchange |/ e. |/Risk |/for |/aspiration |/- |/CORRECT |/ANSWERS |/✔✔D: |/pt |/has |/actual |/decreased |/passage |/of |/gases |/between |/alveoli |/of |/the |/lungs |/and |/the |/vascular |/system. |/Impaired |/gas |/exchange |/is |/defined |/by |/the |/presence |/of |/dyspnea |/upon |/exertion. |/Ineffective |/airway |/clearance |/would |/not |/be |/applicable |/bc |/the |/pt's |/cough |/is |/productive. |/Ineffective |/breathing |/pattern |/is |/an |/umbrella |/term |/and |/should |/not |/be |/used |/if |/one |/can |/be |/more |/specific. |/Activity |/intolerance |/focuses |/more |/on |/cardiac |/pts. |/The |/pt |/has |/an |/actual |/problem, |/so |/don't |/use |/a |/risk |/diagnosis.
