Question 1

The nurse finds the patient in cardiopulmonary arrest with no pulse or respirations. Which oxygen delivery device will the nurse use for this patient?

Accepted Answer

A)  Non-rebreather mask 
B)  Bag-valve-mask unit 
C)  Continuous positive airway pressure (CPAP) 
D)  High-flow nasal cannula 
A)  Non-rebreather mask 
B)  Bag-valve-mask unit 
C)  Continuous positive airway pressure (CPAP) 
D)  High-flow nasal cannula

Question 2

The nurse is caring for a patient who has been prescribed warfarin (Coumadin) therapy after being diagnosed with atrial fibrillation. The patient asks the nurse what could happen if the prescription doesn't get filled. What is the nurse's best response?

Accepted Answer

A)  "You could have a stroke." 
B)  "Your kidneys could fail." 
C)  "You could develop heart failure." 
D)  "You could go into respiratory failure." 
A)  "You could have a stroke." 
B)  "Your kidneys could fail." 
C)  "You could develop heart failure." 
D)  "You could go into respiratory failure."

Question 3

The nurse is performing a respiratory assessment on a patient. Which assessment findings indicate to the nurse that the patient has a history of long-standing chronic respiratory disease?

Accepted Answer

A)  All the patient's fingernails are noticeably clubbed. 
B)  The patient needs to sleep on at least four to five pillows at night. 
C)  The patient's chest has equal antero-posterior and transverse diameters. 
D)  The patient's lower legs have large areas of brownish spotted discoloration. 
E)  The patient reports puffiness of both feet when standing for long periods.
F) The patient's forced vital capacity test result is 3.8 L of air. 
A)  All the patient's fingernails are noticeably clubbed. 
B)  The patient needs to sleep on at least four to five pillows at night. 
C)  The patient's chest has equal antero-posterior and transverse diameters. 
D)  The patient's lower legs have large areas of brownish spotted discoloration. 
E)  The patient reports puffiness of both feet when standing for long periods.
F) The patient's forced vital capacity test result is 3.8 L of air.

Question 4

The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis impaired gas exchange r/t impaired pulmonary blood flow from embolus?

Accepted Answer

A)  The patient will maintain pulse oximetry values of at least 95% on room air. 
B)  The patient will verbalize understanding of ordered anticoagulants. 
C)  The patient will report chest pain of no greater than 3 on a 1 to 10 scale. 
D)  The patient will ambulate 50 feet in hallway without shortness of breath. 
A)  The patient will maintain pulse oximetry values of at least 95% on room air. 
B)  The patient will verbalize understanding of ordered anticoagulants. 
C)  The patient will report chest pain of no greater than 3 on a 1 to 10 scale. 
D)  The patient will ambulate 50 feet in hallway without shortness of breath.

Exam 38: Oxygenation and Tissue Perfusion

The nurse finds the patient in cardiopulmonary arrest with no pulse or respirations. Which oxygen delivery device will the nurse use for this patient?

The nurse is caring for a patient who has been prescribed warfarin (Coumadin) therapy after being diagnosed with atrial fibrillation. The patient asks the nurse what could happen if the prescription doesn't get filled. What is the nurse's best response?

The nurse is performing a respiratory assessment on a patient. Which assessment findings indicate to the nurse that the patient has a history of long-standing chronic respiratory disease?

The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis impaired gas exchange r/t impaired pulmonary blood flow from embolus?

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