Question 1

The nurse is careful to monitor a patient's cardiac output because this helps the nurse to determine which of the following?

Accepted Answer

A) Peripheral extremity circulation. 
B) Oxygenation requirements. 
C) Cardiac arrhythmias. 
D) Ventilation status. 
A) Peripheral extremity circulation. 
B) Oxygenation requirements. 
C) Cardiac arrhythmias. 
D) Ventilation status. A

Question 2

A nurse is caring for a patient who suffered a myocardial infarction to the left coronary artery.Upon assessment,what would the nurse expect to find?

Accepted Answer

A) Blood in the sputum. 
B) Distended jugular vein. 
C) Peripheral edema. 
D) Crackles in the lungs. 
A) Blood in the sputum. 
B) Distended jugular vein. 
C) Peripheral edema. 
D) Crackles in the lungs. D

Question 3

In care for a patient who was in a motor vehicle accident that resulted in trauma to C4,what would the nurse expect to find?

Accepted Answer

A) Decreased tidal volumes. 
B) Increased perfusion. 
C) Increased use of accessory muscles. 
D) Decreased hemoglobin. 
A) Decreased tidal volumes. 
B) Increased perfusion. 
C) Increased use of accessory muscles. 
D) Decreased hemoglobin. A

Question 4

The nurse knows that a myocardial infarction is an occlusion of what blood vessel?

Accepted Answer

A) Pulmonary artery. 
B) Ascending aorta. 
C) Coronary artery. 
D) Carotid artery. 
A) Pulmonary artery. 
B) Ascending aorta. 
C) Coronary artery. 
D) Carotid artery.

Question 5

The nurse is assessing a patient with a right pneumothorax.Which finding would the nurse expect?

Accepted Answer

A) Bilateral expiratory crackles. 
B) Absence of breath sounds on the right side. 
C) Right-sided wheezes on inspiration. 
D) Trachea deviated to the right. 
A) Bilateral expiratory crackles. 
B) Absence of breath sounds on the right side. 
C) Right-sided wheezes on inspiration. 
D) Trachea deviated to the right.

Question 6

A nurse is caring for a patient who has poor tissue perfusion as the result of hypertension.When the patient asks what he should eat for breakfast,what should the nurse recommend?

Accepted Answer

A) A bowl of cereal with whole milk and a banana. 
B) A cup of nonfat yogurt with granola,and a handful of dried apricots. 
C) Whole wheat toast with butter,a side of cottage cheese. 
D) Omelette with sausage,cheese,and onions. 
A) A bowl of cereal with whole milk and a banana. 
B) A cup of nonfat yogurt with granola,and a handful of dried apricots. 
C) Whole wheat toast with butter,a side of cottage cheese. 
D) Omelette with sausage,cheese,and onions.

Question 7

Where are chemical receptors that stimulate inspiration located?

Accepted Answer

A) Brain. 
B) Lungs. 
C) Aorta. 
D) Heart. 
A) Brain. 
B) Lungs. 
C) Aorta. 
D) Heart.

Question 8

Which nursing diagnosis is the priority in the care of a patient with a traumatic brain injury in whom a tracheostomy is placed?

Accepted Answer

A) Risk for skin breakdown. 
B) Impaired gas exchange. 
C) Ineffective airway clearance. 
D) Risk for infection. 
A) Risk for skin breakdown. 
B) Impaired gas exchange. 
C) Ineffective airway clearance. 
D) Risk for infection.

Question 9

A patient has inadequate stroke volume related to decreased preload.What action does the nurse anticipate?

Accepted Answer

A) Placing the patient on oxygen monitoring. 
B) Administering vasodilators. 
C) Verifying that the blood consent form has been signed. 
D) Preparing the patient for dialysis. 
A) Placing the patient on oxygen monitoring. 
B) Administering vasodilators. 
C) Verifying that the blood consent form has been signed. 
D) Preparing the patient for dialysis.

Question 10

What assessment finding is the earliest sign of hypoxia?

Accepted Answer

A) Restlessness. 
B) Decreased blood pressure. 
C) Cardiac dysrhythmias. 
D) Cyanosis. 
A) Restlessness. 
B) Decreased blood pressure. 
C) Cardiac dysrhythmias. 
D) Cyanosis.

Question 11

The nurse knows that the primary function of the alveoli is which of the following?

Accepted Answer

A) Carry out gas exchange. 
B) Store oxygen. 
C) Regulate tidal volume. 
D) Produce hemoglobin. 
A) Carry out gas exchange. 
B) Store oxygen. 
C) Regulate tidal volume. 
D) Produce hemoglobin.

Question 12

A 5-year-old who has "strep throat" was given aspirin for fever.The nurse knows to expect which change in the child's respiratory pattern?

Accepted Answer

A) Hyperventilation to decrease serum levels of carbon dioxide. 
B) Hypoventilation to compensate for metabolic alkalosis. 
C) Flail chest to decrease the work of breathing. 
D) Shallow respirations to decrease serum pH. 
A) Hyperventilation to decrease serum levels of carbon dioxide. 
B) Hypoventilation to compensate for metabolic alkalosis. 
C) Flail chest to decrease the work of breathing. 
D) Shallow respirations to decrease serum pH.

Question 13

While the nurse is changing the ties on a tracheostomy collar,the patient coughs,dislodging the tracheostomy tube.What is the nurse's first nursing action?

Accepted Answer

A) Press the emergency response button. 
B) Place the patient on a face mask delivering 100% oxygen. 
C) Insert a spare tracheostomy tube. 
D) Manually occlude the tracheostomy with sterile gauze. 
A) Press the emergency response button. 
B) Place the patient on a face mask delivering 100% oxygen. 
C) Insert a spare tracheostomy tube. 
D) Manually occlude the tracheostomy with sterile gauze.

Question 14

Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an elderly patient?

Accepted Answer

A) Assisting the patient to cough,turn,and deep breathe every 2 hours. 
B) Encouraging patient to drink through a straw to prevent aspiration. 
C) Discontinuing humidification delivery to keep excess fluid from the lungs. 
D) Monitoring oxygen saturation and frequently assessing lung bases. 
A) Assisting the patient to cough,turn,and deep breathe every 2 hours. 
B) Encouraging patient to drink through a straw to prevent aspiration. 
C) Discontinuing humidification delivery to keep excess fluid from the lungs. 
D) Monitoring oxygen saturation and frequently assessing lung bases.

Question 15

A nurse caring for a patient with COPD knows that which oxygen delivery device is most appropriate?

Accepted Answer

A) Nasal cannula. 
B) Simple face mask. 
C) Partial non-rebreather mask. 
D) Non-rebreather mask. 
A) Nasal cannula. 
B) Simple face mask. 
C) Partial non-rebreather mask. 
D) Non-rebreather mask.

Question 16

What is the structure that is responsible for returning oxygenated blood to the heart?

Accepted Answer

A) Pulmonary artery. 
B) Pulmonary vein. 
C) Superior vena cava. 
D) Inferior vena cava. 
A) Pulmonary artery. 
B) Pulmonary vein. 
C) Superior vena cava. 
D) Inferior vena cava.

Question 17

The nurse is assessing a patient with emphysema.Which assessment finding requires further follow-up with the physician?

Accepted Answer

A) Clubbing of the fingers. 
B) Increased anterior-posterior diameter of the chest. 
C) Hemoptysis. 
D) Tachypnea. 
A) Clubbing of the fingers. 
B) Increased anterior-posterior diameter of the chest. 
C) Hemoptysis. 
D) Tachypnea.

Question 18

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD)who is recovering from a myocardial infarction.Which of the following nursing actions is the priority?

Accepted Answer

A) Initiate continuous cardiac monitoring. 
B) Administer 6 L/min of oxygen via nasal cannula. 
C) Deep suction the patient every 2 hours. 
D) Assess bilateral lung sounds every hour. 
A) Initiate continuous cardiac monitoring. 
B) Administer 6 L/min of oxygen via nasal cannula. 
C) Deep suction the patient every 2 hours. 
D) Assess bilateral lung sounds every hour.

Question 19

The nurse is caring for a patient with a tracheostomy tube.Which nursing intervention is most effective in promoting effective airway clearance?

Accepted Answer

A) Suctioning respiratory secretions several times every hour. 
B) Administering humidified oxygen through a tracheostomy collar. 
C) Instilling normal saline into the tracheostomy to thin secretions before suctioning. 
D) Deflating the tracheostomy cuff before allowing the patient to cough up secretions. 
A) Suctioning respiratory secretions several times every hour. 
B) Administering humidified oxygen through a tracheostomy collar. 
C) Instilling normal saline into the tracheostomy to thin secretions before suctioning. 
D) Deflating the tracheostomy cuff before allowing the patient to cough up secretions.

Question 20

When caring for a patient with atrial fibrillation,the nurse is most concerned with which vital sign?

Accepted Answer

A) Heart rate. 
B) Pain. 
C) Oxygen saturation. 
D) Blood pressure. 
A) Heart rate. 
B) Pain. 
C) Oxygen saturation. 
D) Blood pressure.

Exam 39: Cardiopulmonary Functioning and Oxygenation

The nurse is careful to monitor a patient's cardiac output because this helps the nurse to determine which of the following?

A nurse is caring for a patient who suffered a myocardial infarction to the left coronary artery.Upon assessment,what would the nurse expect to find?

In care for a patient who was in a motor vehicle accident that resulted in trauma to C4,what would the nurse expect to find?

The nurse knows that a myocardial infarction is an occlusion of what blood vessel?

The nurse is assessing a patient with a right pneumothorax.Which finding would the nurse expect?

A nurse is caring for a patient who has poor tissue perfusion as the result of hypertension.When the patient asks what he should eat for breakfast,what should the nurse recommend?

Where are chemical receptors that stimulate inspiration located?

Which nursing diagnosis is the priority in the care of a patient with a traumatic brain injury in whom a tracheostomy is placed?

A patient has inadequate stroke volume related to decreased preload.What action does the nurse anticipate?

What assessment finding is the earliest sign of hypoxia?

The nurse knows that the primary function of the alveoli is which of the following?

A 5-year-old who has "strep throat" was given aspirin for fever.The nurse knows to expect which change in the child's respiratory pattern?

While the nurse is changing the ties on a tracheostomy collar,the patient coughs,dislodging the tracheostomy tube.What is the nurse's first nursing action?

Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an elderly patient?

A nurse caring for a patient with COPD knows that which oxygen delivery device is most appropriate?

What is the structure that is responsible for returning oxygenated blood to the heart?

The nurse is assessing a patient with emphysema.Which assessment finding requires further follow-up with the physician?

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD)who is recovering from a myocardial infarction.Which of the following nursing actions is the priority?

The nurse is caring for a patient with a tracheostomy tube.Which nursing intervention is most effective in promoting effective airway clearance?

When caring for a patient with atrial fibrillation,the nurse is most concerned with which vital sign?

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