Question 1

The nurse caring for a patient with ischemia to the left coronary artery would expect to find

Accepted Answer

A)  Increased ventricular diastole. 
B)  Increased stroke volume. 
C)  Decreased preload. 
D)  Decreased afterload. 
A)  Increased ventricular diastole. 
B)  Increased stroke volume. 
C)  Decreased preload. 
D)  Decreased afterload. D

Question 2

A nurse is assisting a patient with ambulation.The patient becomes short of breath and begins to complain of sharp chest pain.Which action by the nurse is the first priority?

Accepted Answer

A)  Call for the emergency response team to bring the defibrillator. 
B)  Have the patient sit down in the nearest chair. 
C)  Return the patient to the room and apply 100% oxygen. 
D)  Ask a coworker to get the ECG machine STAT. 
A)  Call for the emergency response team to bring the defibrillator. 
B)  Have the patient sit down in the nearest chair. 
C)  Return the patient to the room and apply 100% oxygen. 
D)  Ask a coworker to get the ECG machine STAT. B

Question 3

The nurse is educating a student nurse on caring for a patient with a chest tube.The nurse knows that teaching has been effective when the student states

Accepted Answer

A)  "I should strip the drains on the chest tube every hour to promote drainage." 
B)  "If the chest tube becomes dislodged, the first thing I should do is notify the physician." 
C)  "I should clamp the chest tube when giving the patient a bed bath." 
D)  "I should report if I see continuous bubbling in the water-seal chamber." 
A)  "I should strip the drains on the chest tube every hour to promote drainage." 
B)  "If the chest tube becomes dislodged, the first thing I should do is notify the physician." 
C)  "I should clamp the chest tube when giving the patient a bed bath." 
D)  "I should report if I see continuous bubbling in the water-seal chamber." D

Question 4

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

Question 5

A nurse is caring for a patient whose temperature is 100.2° F.The nurse expects this patient to hyperventilate owing to

Accepted Answer

A)  Increased metabolic demands. 
B)  Anxiety over illness. 
C)  Decreased drive to breathe. 
D)  Infection destroying lung tissues. 
A)  Increased metabolic demands. 
B)  Anxiety over illness. 
C)  Decreased drive to breathe. 
D)  Infection destroying lung tissues.

Question 6

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

Accepted Answer

A)  Assist patient to cough, turn, and deep breathe every 2 hours. 
B)  Encourage patient to drink through a straw to prevent aspiration. 
C)  Discontinue humidification delivery device to keep excess fluid from lungs. 
D)  Monitor oxygen saturation, and frequently assess lung bases. 
A)  Assist patient to cough, turn, and deep breathe every 2 hours. 
B)  Encourage patient to drink through a straw to prevent aspiration. 
C)  Discontinue humidification delivery device to keep excess fluid from lungs. 
D)  Monitor oxygen saturation, and frequently assess lung bases.

Question 7

The nurse would expect which change in cardiac output for a patient with fluid volume overload?

Accepted Answer

A)  Increased preload 
B)  Decreased afterload 
C)  Decreased tissue perfusion 
D)  Increased heart rate 
A)  Increased preload 
B)  Decreased afterload 
C)  Decreased tissue perfusion 
D)  Increased heart rate

Question 8

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 9

The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing.Which intervention best addresses a short-term goal that the patient could achieve?

Accepted Answer

A)  Running 30 minutes every morning 
B)  Stopping smoking immediately 
C)  Sleeping on two to three pillows at night 
D)  Limiting the diet to 1500 calories a day 
A)  Running 30 minutes every morning 
B)  Stopping smoking immediately 
C)  Sleeping on two to three pillows at night 
D)  Limiting the diet to 1500 calories a day

Question 10

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 11

The nurse needs to closely monitor the oxygen status of an elderly patient undergoing anesthesia because of which age-related change?

Accepted Answer

A)  Decreased lung defense mechanisms may cause ineffective airway clearance. 
B)  Thickening of the heart muscle wall decreases cardiac output. 
C)  Decreased lung capacity makes proper anesthesia induction more difficult. 
D)  Alterations in mental status prevent patients' awareness of ineffective breathing. 
A)  Decreased lung defense mechanisms may cause ineffective airway clearance. 
B)  Thickening of the heart muscle wall decreases cardiac output. 
C)  Decreased lung capacity makes proper anesthesia induction more difficult. 
D)  Alterations in mental status prevent patients' awareness of ineffective breathing.

Question 12

Myocardial blood flow is unidirectional; the nurse knows that the correct pathway is which of the following?

Accepted Answer

A)  Right atrium, right ventricle, left ventricle, left atrium 
B)  Right atrium, left atrium, right ventricle, left ventricle 
C)  Right atrium, right ventricle, left atrium, left ventricle 
D)  Right atrium, left atrium, left ventricle, right ventricle 
A)  Right atrium, right ventricle, left ventricle, left atrium 
B)  Right atrium, left atrium, right ventricle, left ventricle 
C)  Right atrium, right ventricle, left atrium, left ventricle 
D)  Right atrium, left atrium, left ventricle, right ventricle

Question 13

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 14

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 15

Which statement by the patient indicates an understanding of atelectasis?

Accepted Answer

A)  "It is important to do breathing exercises every hour to prevent atelectasis." 
B)  "If I develop atelectasis, I will need a chest tube to drain excess fluid." 
C)  "Atelectasis affects only those with chronic conditions such as emphysema." 
D)  "Hyperventilation will open up my alveoli, preventing atelectasis." 
A)  "It is important to do breathing exercises every hour to prevent atelectasis." 
B)  "If I develop atelectasis, I will need a chest tube to drain excess fluid." 
C)  "Atelectasis affects only those with chronic conditions such as emphysema." 
D)  "Hyperventilation will open up my alveoli, preventing atelectasis."

Question 16

A patient has inadequate stroke volume related to decreased preload.The nurse anticipates

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 17

A nurse is caring for a patient who suffered a myocardial infarction to the left coronary artery.Upon assessment,the nurse expects 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.

Question 18

Chemical receptors that stimulate inspiration are located in the

Accepted Answer

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

Question 19

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)  Omelet 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)  Omelet with sausage, cheese, and onions

Question 20

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

Exam 40: Oxygenation

The nurse caring for a patient with ischemia to the left coronary artery would expect to find

A nurse is assisting a patient with ambulation.The patient becomes short of breath and begins to complain of sharp chest pain.Which action by the nurse is the first priority?

The nurse is educating a student nurse on caring for a patient with a chest tube.The nurse knows that teaching has been effective when the student states

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

A nurse is caring for a patient whose temperature is 100.2° F.The nurse expects this patient to hyperventilate owing to

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

The nurse would expect which change in cardiac output for a patient with fluid volume overload?

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

The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing.Which intervention best addresses a short-term goal that the patient could achieve?

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?

The nurse needs to closely monitor the oxygen status of an elderly patient undergoing anesthesia because of which age-related change?

Myocardial blood flow is unidirectional; the nurse knows that the correct pathway is which of the following?

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

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

Which statement by the patient indicates an understanding of atelectasis?

A patient has inadequate stroke volume related to decreased preload.The nurse anticipates

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

Chemical receptors that stimulate inspiration are located in the

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?

What assessment finding is the earliest sign of hypoxia?

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