Question 1

The nurse clarifies that the cough mechanism is stimulated when:

Accepted Answer

A)  foreign substances are propelled by the cilia toward the respiratory tract. 
B)  dehumidified air enters the upper airway passages. 
C)  more than 250 mL of air moves in and out of the lungs with each breath. 
D)  the blood transports carbon dioxide to the lungs. 
A)  foreign substances are propelled by the cilia toward the respiratory tract. 
B)  dehumidified air enters the upper airway passages. 
C)  more than 250 mL of air moves in and out of the lungs with each breath. 
D)  the blood transports carbon dioxide to the lungs.

Question 2

The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

Accepted Answer

A)  took 10 slow, deep breaths every hour. 
B)  took five quick "huffs" and then coughed vigorously. 
C)  exhaled deeply and then inhaled quickly and forcefully three times. 
D)  took five deep breaths slowly every 4 hours. 
A)  took 10 slow, deep breaths every hour. 
B)  took five quick "huffs" and then coughed vigorously. 
C)  exhaled deeply and then inhaled quickly and forcefully three times. 
D)  took five deep breaths slowly every 4 hours.

Question 3

The nurse explains that the rate of respiration is triggered when the medulla senses a change in the level of ________ ions in the blood.

Accepted Answer

hydrogen
When there is an increase in hy

Question 4

The multiple causes for hypoxia include: (Select all that apply.)

Accepted Answer

A)  extreme fright. 
B)  aspirated vomit. 
C)  pulmonary fibrosis. 
D)  hiccoughs. 
E)  high altitude. 
A)  extreme fright. 
B)  aspirated vomit. 
C)  pulmonary fibrosis. 
D)  hiccoughs. 
E)  high altitude.

Question 5

A nurse is aware that adequate hydration is necessary to mobilize respiratory secretions. To thin respiratory secretions for easier expectoration, the patient should consume at least _____ mL/day.

Accepted Answer

A)  500 to 1000 
B)  1000 to 1500 
C)  1500 to 2000 
D)  2500 to 3000 
A)  500 to 1000 
B)  1000 to 1500 
C)  1500 to 2000 
D)  2500 to 3000

Question 6

The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

Accepted Answer

A)  dark skinned. 
B)  jaundiced. 
C)  obese. 
D)  febrile. 
A)  dark skinned. 
B)  jaundiced. 
C)  obese. 
D)  febrile.

Question 7

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

Accepted Answer

A)  apply suction while advancing the catheter into the airway. 
B)  suction the nasotracheal passage after suctioning the mouth. 
C)  hold the catheter with the dominant hand after donning sterile gloves. 
D)  insert the non-lubricated catheter into the nasal passage. 
A)  apply suction while advancing the catheter into the airway. 
B)  suction the nasotracheal passage after suctioning the mouth. 
C)  hold the catheter with the dominant hand after donning sterile gloves. 
D)  insert the non-lubricated catheter into the nasal passage.

Question 8

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

Accepted Answer

A)  semi-Fowler's position with a single pillow behind the head. 
B)  high Fowler's position without a pillow behind the head. 
C)  right lateral with the head of the bed elevated 45 degrees. 
D)  sitting upright and forward with arms supported on an over-the-bed table. 
A)  semi-Fowler's position with a single pillow behind the head. 
B)  high Fowler's position without a pillow behind the head. 
C)  right lateral with the head of the bed elevated 45 degrees. 
D)  sitting upright and forward with arms supported on an over-the-bed table.

Question 9

The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

Accepted Answer

A)  using clothing of synthetic cloth for the patient. 
B)  removing any adhesive from the patient's skin with acetone. 
C)  assessing equipment in room for frayed cords. 
D)  reducing humidification on the oxygen delivery device. 
A)  using clothing of synthetic cloth for the patient. 
B)  removing any adhesive from the patient's skin with acetone. 
C)  assessing equipment in room for frayed cords. 
D)  reducing humidification on the oxygen delivery device.

Question 10

The nurse recognizes that a post-operative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefited by a(n):

Accepted Answer

A)  pharyngeal airway. 
B)  endotracheal tube. 
C)  tracheostomy. 
D)  partial rebreather oxygen mask. 
A)  pharyngeal airway. 
B)  endotracheal tube. 
C)  tracheostomy. 
D)  partial rebreather oxygen mask.

Question 11

The nurse administering cardiopulmonary resuscitation (CPR) would administer chest compressions at the rate of ________ compressions/minute.

Accepted Answer

100
The CPR guidelin

Question 12

The nurse is aware that the best time to schedule a postural drainage treatment is:

Accepted Answer

A)  shortly after the patient arises in the morning, before breakfast. 
B)  in the morning immediately after breakfast. 
C)  30 minutes after lunch. 
D)  1 hour after supper. 
A)  shortly after the patient arises in the morning, before breakfast. 
B)  in the morning immediately after breakfast. 
C)  30 minutes after lunch. 
D)  1 hour after supper.

Exam 28: Assisting with Respiration and Oxygen Delivery

The nurse clarifies that the cough mechanism is stimulated when:

The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

The nurse explains that the rate of respiration is triggered when the medulla senses a change in the level of ________ ions in the blood.

The multiple causes for hypoxia include: (Select all that apply.)

A nurse is aware that adequate hydration is necessary to mobilize respiratory secretions. To thin respiratory secretions for easier expectoration, the patient should consume at least _____ mL/day.

The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

The nurse recognizes that a post-operative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefited by a(n):

The nurse administering cardiopulmonary resuscitation (CPR) would administer chest compressions at the rate of ________ compressions/minute.

The nurse is aware that the best time to schedule a postural drainage treatment is:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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