Question 1

Which of the following chest radiography findings is consistent with a left pneumothorax?

Accepted Answer

A)  Flattening of the diaphragm 
B)  Shifting of the mediastinum to the right 
C)  Presence of a gastric air bubble 
D)  Increased radiolucency of the left lung field 
A)  Flattening of the diaphragm 
B)  Shifting of the mediastinum to the right 
C)  Presence of a gastric air bubble 
D)  Increased radiolucency of the left lung field

Question 2

A patient presents with absent lung sounds in the left lower lung fields,moderate shortness of breath,and dyspnea.The nurse suspects pneumothorax and notifies the physician or nurse practitioner.Orders for a STAT chest radiography and reading are obtained.Which of the following findings best supports the nurse's suspicions?

Accepted Answer

A)  Blackness in the left lower lung area 
B)  Whiteness in the left lower lung area 
C)  Blunted costophrenic angles 
D)  Elevated left hemidiaphragm 
A)  Blackness in the left lower lung area 
B)  Whiteness in the left lower lung area 
C)  Blunted costophrenic angles 
D)  Elevated left hemidiaphragm

Question 3

Place the steps for analyzing arterial blood gases in the proper order.
1)Assess HCO3- level for metabolic abnormalities.
2)Assess PaO2 for hypoxemia.
3)Examine PaCO2 for acidosis or alkalosis.
4)Re-examine pH to determine level of compensation.
5)Examine pH for acidemia or alkalemia.

Accepted Answer

A)  5, 1, 2, 4, 3 
B)  2, 5, 3, 1, 4 
C)  1, 2, 4, 3, 5 
D)  1, 3, 4, 5, 2 
A)  5, 1, 2, 4, 3 
B)  2, 5, 3, 1, 4 
C)  1, 2, 4, 3, 5 
D)  1, 3, 4, 5, 2

Question 4

Which of the following patients would be considered hypoxemic?

Accepted Answer

A)  A 70-year-old man with a PaO2 of 72 
B)  A 50-year-old woman with a PaO2 of 65 
C)  An 84-year-old man with a PaO2 of 96 
D)  A 68-year-old woman with a PaO2 of 80 
A)  A 70-year-old man with a PaO2 of 72 
B)  A 50-year-old woman with a PaO2 of 65 
C)  An 84-year-old man with a PaO2 of 96 
D)  A 68-year-old woman with a PaO2 of 80

Question 5

In a patient who is hemodynamically stable,which procedure can be used to estimate the PaCO2 levels?

Accepted Answer

A)  PaO2/FIO2 ratio 
B)  A-a gradient 
C)  Residual volume (RV) 
D)  End-tidal CO2 
A)  PaO2/FIO2 ratio 
B)  A-a gradient 
C)  Residual volume (RV) 
D)  End-tidal CO2

Question 6

Nursing management of a patient undergoing a diagnostic procedure involves

Accepted Answer

A)  positioning the patient for the procedure. 
B)  monitoring the patient's responses to the procedure. 
C)  monitoring vital signs. 
D)  teaching the patient about the procedure. 
E)  medicating the patient before and after procedure. 
A)  positioning the patient for the procedure. 
B)  monitoring the patient's responses to the procedure. 
C)  monitoring vital signs. 
D)  teaching the patient about the procedure. 
E)  medicating the patient before and after procedure.

Question 7

A patient is admitted with signs and symptoms of a pulmonary embolus (PE).The diagnostic test most conclusive to determine this diagnosis is a(n)

Accepted Answer

A)  ABG. 
B)  bronchoscopy. 
C)  pulmonary function test. 
D)  V/Q scan. 
A)  ABG. 
B)  bronchoscopy. 
C)  pulmonary function test. 
D)  V/Q scan.

Question 8

A patient with chronic obstructive pulmonary disease requires intubation.After the physician intubates the patient,the nurse auscultates for breath sounds.Breath sounds are questionable in this patient.Which action would best assist in determining endotracheal tube placement in this patient?

Accepted Answer

A)  Stat chest radiographic examination 
B)  End-tidal CO2 monitor 
C)  V/Q scan 
D)  Pulmonary artery catheter insertion 
A)  Stat chest radiographic examination 
B)  End-tidal CO2 monitor 
C)  V/Q scan 
D)  Pulmonary artery catheter insertion

Question 9

Which blood gas parameter is the acid-base component that reflects kidney function?

Accepted Answer

A)  pH 
B)  PaO2 
C)  PaCO2 
D)  HCO3- 
A)  pH 
B)  PaO2 
C)  PaCO2 
D)  HCO3-

Question 10

Preprocedural medications for a diagnostic bronchoscopy may include

Accepted Answer

A)  aspirin for anticoagulation. 
B)  vecuronium to inhibit breathing. 
C)  codeine to decrease the cough reflex. 
D)  cimetidine to decrease hydrochloric acid secretion. 
A)  aspirin for anticoagulation. 
B)  vecuronium to inhibit breathing. 
C)  codeine to decrease the cough reflex. 
D)  cimetidine to decrease hydrochloric acid secretion.

Exam 19: Pulmonary Diagnostic Procedures

Which of the following chest radiography findings is consistent with a left pneumothorax?

Place the steps for analyzing arterial blood gases in the proper order. 1)Assess HCO3- level for metabolic abnormalities. 2)Assess PaO2 for hypoxemia. 3)Examine PaCO2 for acidosis or alkalosis. 4)Re-examine pH to determine level of compensation. 5)Examine pH for acidemia or alkalemia.

Which of the following patients would be considered hypoxemic?

In a patient who is hemodynamically stable,which procedure can be used to estimate the PaCO2 levels?

Nursing management of a patient undergoing a diagnostic procedure involves

A patient is admitted with signs and symptoms of a pulmonary embolus (PE).The diagnostic test most conclusive to determine this diagnosis is a(n)

A patient with chronic obstructive pulmonary disease requires intubation.After the physician intubates the patient,the nurse auscultates for breath sounds.Breath sounds are questionable in this patient.Which action would best assist in determining endotracheal tube placement in this patient?

Which blood gas parameter is the acid-base component that reflects kidney function?

Preprocedural medications for a diagnostic bronchoscopy may include

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

Filters

Place the steps for analyzing arterial blood gases in the proper order. 1)Assess HCO₃- level for metabolic abnormalities. 2)Assess PaO₂ for hypoxemia. 3)Examine PaCO₂ for acidosis or alkalosis. 4)Re-examine pH to determine level of compensation. 5)Examine pH for acidemia or alkalemia.

In a patient who is hemodynamically stable,which procedure can be used to estimate the PaCO₂ levels?