Question 1

Endotracheal tube or tracheostomy tube cuffs are inflated to minimal occlusive volume.Adequate occlusion is determined using a stethoscope to

Accepted Answer

A) hear a hissing sound over the suprasternal notch on expiration. 
B) hear a hissing sound over the suprasternal notch on end inspiration. 
C) hear the client speak softly on exhalation. 
D) infalted cuff pressure greater than client's blood pressure. 
A) hear a hissing sound over the suprasternal notch on expiration. 
B) hear a hissing sound over the suprasternal notch on end inspiration. 
C) hear the client speak softly on exhalation. 
D) infalted cuff pressure greater than client's blood pressure. B

Question 2

Oxygen is most accurately delivered by

Accepted Answer

A) Nasal cannula. 
B) Simple mask. 
C) Mask with reservoir bag. 
D) Venturi mask. 
A) Nasal cannula. 
B) Simple mask. 
C) Mask with reservoir bag. 
D) Venturi mask. D

Question 3

The oxygen delivery system that provides the highest concentration of oxygen is

Accepted Answer

A) Nasal prongs. 
B) Mask without reservoir bag. 
C) Mask with reservoir bag. 
D) Venturi mask. 
A) Nasal prongs. 
B) Mask without reservoir bag. 
C) Mask with reservoir bag. 
D) Venturi mask. C

Question 4

The most accurate statement about percussion,vibration,and drainage is

Accepted Answer

A) Percussion is done for 1 minute over each lung segment. 
B) Vibration is performed on exhalation. 
C) To drain lower right lobe,the client is positioned in Fowler's position. 
D) Coughing and deep breathing are done at the end of the treatment. 
A) Percussion is done for 1 minute over each lung segment. 
B) Vibration is performed on exhalation. 
C) To drain lower right lobe,the client is positioned in Fowler's position. 
D) Coughing and deep breathing are done at the end of the treatment.

Question 5

Place an X in front of the statements that are correct about tracheostomy care.

Accepted Answer

A) The outer cannula is frequently disposable and needs no cleaning._______ 
B) The inner cannula is cleansed with hydrogen peroxide when nondisposable cannula is used._______ 
C) Oropharyngeal suctioning should be done before deflating the trach cuff._______ 
D) The incision site should be observed and cleansed only if dried blood surrounds the site._______ 
E) Nonraveling dressings are used to prevent aspiration of lint._______
F)Trach ties should only be changed when assistance is available._______ 
A) The outer cannula is frequently disposable and needs no cleaning._______ 
B) The inner cannula is cleansed with hydrogen peroxide when nondisposable cannula is used._______ 
C) Oropharyngeal suctioning should be done before deflating the trach cuff._______ 
D) The incision site should be observed and cleansed only if dried blood surrounds the site._______ 
E) Nonraveling dressings are used to prevent aspiration of lint._______
F)Trach ties should only be changed when assistance is available._______

Question 6

Place an X in front of the true statements related to airway insertion.

Accepted Answer

A) Oropharyngeal airways are initially turned upside down for insertion._______ 
B) Only the tip of the nasopharyngeal airway is lubricated prior to insertion._______ 
C) Clients are placed in a semi-Fowler's position for endotracheal intubation._______ 
D) Breath sounds are assessed following endotracheal intubation._______ 
E) Sterile technique is used in cleaning and suctioning the new tracheostomy tube._______ 
A) Oropharyngeal airways are initially turned upside down for insertion._______ 
B) Only the tip of the nasopharyngeal airway is lubricated prior to insertion._______ 
C) Clients are placed in a semi-Fowler's position for endotracheal intubation._______ 
D) Breath sounds are assessed following endotracheal intubation._______ 
E) Sterile technique is used in cleaning and suctioning the new tracheostomy tube._______

Question 7

Nursing responsibilities when assisting with endotracheal intubation include all of the following except

Accepted Answer

A) Place client in a supine position with chin flexed toward chest. 
B) Tape ET tube in place after insertion. 
C) Suction client before intubation. 
D) Auscultate lung fields before and after intubation. 
A) Place client in a supine position with chin flexed toward chest. 
B) Tape ET tube in place after insertion. 
C) Suction client before intubation. 
D) Auscultate lung fields before and after intubation.

Question 8

Inaccurate pulse oximetry readings can be found in clients with

Accepted Answer

A) Polycythemia. 
B) Recent contrast media studies. 
C) High CO2 levels. 
D) Cardiac anomalies. 
A) Polycythemia. 
B) Recent contrast media studies. 
C) High CO2 levels. 
D) Cardiac anomalies.

Question 9

The priority concern for the client with a capped tracheostomy tube is

Accepted Answer

A) Means for communication. 
B) Tube cuff deflation. 
C) Aspiration precautions. 
D) Continuous pulse oximetry. 
A) Means for communication. 
B) Tube cuff deflation. 
C) Aspiration precautions. 
D) Continuous pulse oximetry.

Question 10

Match between columns
                        Premises: Suction is applied only on withdrawal of the catheter.
Suction catheter tips are lubricated with water-soluble lubricant before suctioning.
When using a catheter and sleeve,sterile gloves are required for the procedure.
Suction time is limited to less than 10 seconds at one time.
Saline instillation before suctioning facilitates airway secretion clearance.

Accepted Answer

The Answer of True and False is...

Question 11

Both sensor probes must be aligned directly opposite each other when using a finger or toe site for pulse oximetry to ensure _____________.

Accepted Answer

That the photodetector registe

Question 12

When suctioning a client with a cuffed tracheostomy tube,which of the following nursing measures should be considered?

Accepted Answer

A) Oxygenation should be provided after the suctioning procedure only if it was prolonged. 
B) The size of the suction catheter should not exceed half the diameter of the tracheostomy tube. 
C) Apply suction when inserting as well as when removing the catheter. 
D) Suctioning should not exceed 15 seconds at a time.
Clinical Situation: James Jackson was injured in an automobile accident.His chest hit the steering wheel and,upon admission to the ER,he was complaining of shortness of breath.A chest tube has been inserted to evacuate a hemothorax.Questions 27-30 refer to this situation. 
A) Oxygenation should be provided after the suctioning procedure only if it was prolonged. 
B) The size of the suction catheter should not exceed half the diameter of the tracheostomy tube. 
C) Apply suction when inserting as well as when removing the catheter. 
D) Suctioning should not exceed 15 seconds at a time.
Clinical Situation: James Jackson was injured in an automobile accident.His chest hit the steering wheel and,upon admission to the ER,he was complaining of shortness of breath.A chest tube has been inserted to evacuate a hemothorax.Questions 27-30 refer to this situation.

Question 13

Chest tubes are inserted following a thoracotomy and attached to a Pleur-evac drainage system.When evaluating the effectiveness of the drainage system,you notice that fluid is fluctuating up and down in the water-seal chamber.What is your initial intervention?

Accepted Answer

A) Clamp the chest tubes closest to the client. 
B) Call the physician immediately. 
C) Look for leaks in the tubing. 
D) Do nothing because this fluctuation is normal. 
A) Clamp the chest tubes closest to the client. 
B) Call the physician immediately. 
C) Look for leaks in the tubing. 
D) Do nothing because this fluctuation is normal.

Question 14

Oxygen delivered through a nasal cannula can deliver no more than _____________% oxygen.

Accepted Answer

A) 24 
B) 30 
C) 38 
D) 44 
A) 24 
B) 30 
C) 38 
D) 44

Question 15

Negative pressure used when performing tracheostomy suction is _____________ mm Hg.

Accepted Answer

A) 40-60 
B) 60-80 
C) 80-120 
D) 120-140 
A) 40-60 
B) 60-80 
C) 80-120 
D) 120-140

Question 16

Which of the following statements is true for the client receiving oxygen per nasal cannulae?

Accepted Answer

A) Deep breathing will increase the amount of oxygen inhaled. 
B) Vaseline use is appropriate for nares care. 
C) Mouth breathing will not alter oxygen percent inspired. 
D) Humidification of inspired air is indicated. 
A) Deep breathing will increase the amount of oxygen inhaled. 
B) Vaseline use is appropriate for nares care. 
C) Mouth breathing will not alter oxygen percent inspired. 
D) Humidification of inspired air is indicated.

Question 17

Which one of the following principles is incorrect when discussing the water-seal chest drainage system?

Accepted Answer

A) When the chest has been opened,a vacuum must be applied to reestablish positive pressure. 
B) Water acts as a seal to prevent air from being drawn into the pleural space. 
C) Air drawn into the chest cavity collapses the lung. 
D) Water-seal mechanisms operate on a negative pressure principle. 
A) When the chest has been opened,a vacuum must be applied to reestablish positive pressure. 
B) Water acts as a seal to prevent air from being drawn into the pleural space. 
C) Air drawn into the chest cavity collapses the lung. 
D) Water-seal mechanisms operate on a negative pressure principle.

Question 18

Match the definition in column B with the type of lung volume in column A.
Column A
A)Expiratory reserve volume
B)Inspiratory reserve volume
C)Reserve volume
D)Tidal volume
Column B
1)Volume of air expelled following maximum inspiration
2)Volume of air normally inspired
3)Volume of air expelled following a resting expiration
4)Volume of air remaining in lungs at end of maximum expiration
5)Maximum volume of air inspired above tidal volume

Accepted Answer

The answer of Match the definition in column B with...

Question 19

Safety measures that are monitored for all clients requiring a closed drainage system include all of the following except

Accepted Answer

A) Keeping rubber-tipped hemostats at bedside. 
B) Air vent is closed to the environment. 
C) Keeping the system below chest tube insertion site. 
D) Ensuring that suction control chamber water level is maintained. 
A) Keeping rubber-tipped hemostats at bedside. 
B) Air vent is closed to the environment. 
C) Keeping the system below chest tube insertion site. 
D) Ensuring that suction control chamber water level is maintained.

Question 20

An important principle of nebulization therapy is to caution the client against

Accepted Answer

A) Coughing too much. 
B) Hyperventilation. 
C) Too much exertion just prior to the treatment. 
D) Cleaning the equipment with soap and water. 
A) Coughing too much. 
B) Hyperventilation. 
C) Too much exertion just prior to the treatment. 
D) Cleaning the equipment with soap and water.

Exam 30: Respiratory Care

Endotracheal tube or tracheostomy tube cuffs are inflated to minimal occlusive volume.Adequate occlusion is determined using a stethoscope to

Oxygen is most accurately delivered by

The oxygen delivery system that provides the highest concentration of oxygen is

The most accurate statement about percussion,vibration,and drainage is

Place an X in front of the statements that are correct about tracheostomy care.

Place an X in front of the true statements related to airway insertion.

Nursing responsibilities when assisting with endotracheal intubation include all of the following except

Inaccurate pulse oximetry readings can be found in clients with

The priority concern for the client with a capped tracheostomy tube is

Both sensor probes must be aligned directly opposite each other when using a finger or toe site for pulse oximetry to ensure _____________.

When suctioning a client with a cuffed tracheostomy tube,which of the following nursing measures should be considered?

Chest tubes are inserted following a thoracotomy and attached to a Pleur-evac drainage system.When evaluating the effectiveness of the drainage system,you notice that fluid is fluctuating up and down in the water-seal chamber.What is your initial intervention?

Oxygen delivered through a nasal cannula can deliver no more than _____________% oxygen.

Negative pressure used when performing tracheostomy suction is _____________ mm Hg.

Which of the following statements is true for the client receiving oxygen per nasal cannulae?

Which one of the following principles is incorrect when discussing the water-seal chest drainage system?

Safety measures that are monitored for all clients requiring a closed drainage system include all of the following except

An important principle of nebulization therapy is to caution the client against

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