Question 1

Which coughing technique will the nurse use to help a patient clear central airways?

Accepted Answer

A)   Huff
B)   Quad
C)   Cascade
D)   Incentive spirometry A

Question 2

A patient has heart failure and cardiac output is decreased. Which formula can the nurse use to calculate cardiac output?

Accepted Answer

A)   Myocardial contractility * Myocardial blood flow
B)   Ventricular filling time/Diastolic filling time
C)   Stroke volume * Heart rate
D)   Preload/Afterload C

Question 3

A nurse is following the Ventilator Bundle standards to prevent ventilator-associated pneumonia. Which strategies is the nurse using? (Select all that apply.)

Accepted Answer

A)   Head of bed elevation to 90 degrees at all times
B)   Daily oral care with chlorhexidine
C)   Cuff monitoring for adequate seal
D)   Clean technique when suctioning
E)   Daily "sedation vacations"F)  Heart failure prophylaxis B, C, E

Question 4

A nurse is caring for a patient with continuous cardiac monitoring for heart dysrhythmias. Which rhythm will cause the nurse to intervene immediately?

Accepted Answer

A)   Ventricular tachycardia
B)   Atrial fibrillation
C)   Sinus rhythm
D)   Paroxysmal supraventricular tachycardia

Question 5

A nurse is teaching staff about the conduction of the heart. In which order will the nurse present the conduction cycle, starting with the first structure
1) Bundle of His
2) Purkinje network
3) Intraatrial pathways
4) Sinoatrial (SA) node
5) Atrioventricular (AV) node

Accepted Answer

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

Question 6

A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?

Accepted Answer

A)   Diuretics
B)   Vasodilators
C)   Chest physiotherapy
D)   Intravenous (IV)  fluids

Question 7

A nurse auscultates heart sounds. When the nurse hears S?, which valves is the nurse hearing close?

Accepted Answer

A)   Aortic and mitral
B)   Mitral and tricuspid
C)   Aortic and pulmonic
D)   Mitral and pulmonic

Question 8

A nurse is caring for a patient who is taking warfarin (Coumadin) and discovers that the patient is taking garlic to help with hypertension. Which condition will the nurse assess for in this patient?

Accepted Answer

A)   Increased cholesterol level
B)   Distended jugular vein
C)   Bleeding
D)   Angina

Question 9

Upon auscultation of the patient's chest, the nurse hears a whooshing sound at the fifth intercostal space. What does this finding indicate to the nurse?

Accepted Answer

A)   The beginning of the systolic phase
B)   Regurgitation of the mitral valve
C)   The opening of the aortic valve
D)   Presence of orthopnea

Question 10

A patient with chronic obstructive pulmonary disease (COPD) asks the nurse why clubbing occurs. Which response by the nurse is most therapeutic?

Accepted Answer

A)   "Your disease doesn't send enough oxygen to your fingers."
B)   "Your disease affects both your lungs and your heart, and not enough blood is being pumped."
C)   "Your disease will be helped if you pursed-lip breathe."
D)   "Your disease often makes patients lose mental status."

Question 11

The home health nurse recommends that a patient with respiratory problems install a carbon monoxide detector in the home. What is the rationale for the nurse's action?

Accepted Answer

A)   Carbon monoxide detectors are required by law in the home.
B)   Carbon monoxide tightly binds to hemoglobin, causing hypoxia.
C)   Carbon monoxide signals the cerebral cortex to cease ventilations.
D)   Carbon monoxide combines with oxygen in the body and produces a deadly toxin.

Question 12

The nurse is caring for a patient with respiratory problems. Which assessment finding indicates a late sign of hypoxia?

Accepted Answer

A)   Elevated blood pressure
B)   Increased pulse rate
C)   Restlessness
D)   Cyanosis

Question 13

A nurse is reviewing the electrocardiogram (ECG) results. Which portion of the conduction system does the nurse consider when evaluating the P wave?

Accepted Answer

A)   SA node
B)   AV node
C)   Bundle of His
D)   Purkinje fibers

Question 14

The nurse is suctioning a patient with a tracheostomy tube. Which action will the nurse take?

Accepted Answer

A)   Set suction regulator at 150 to 200 mm Hg.
B)   Limit the length of suctioning to 10 seconds.
C)   Apply suction while gently rotating and inserting the catheter.
D)   Liberally lubricate the end of the suction catheter with a water-soluble solution.

Question 15

A nurse explains the function of the alveoli to a patient with respiratory problems. Which information about the alveoli's function will the nurse share with the patient?

Accepted Answer

A)   Carries out gas exchange
B)   Regulates tidal volume
C)   Produces hemoglobin
D)   Stores oxygen

Question 16

A nurse is teaching the patient with mitral valve problems about the valves in the heart. Starting on the right side of the heart, describe the sequence of the blood flow through these valves.
1) Mitral
2) Aortic
3) Tricuspid
4) Pulmonic

Accepted Answer

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

Question 17

A nurse is caring for a patient who was in a motor vehicle accident that resulted in cervical trauma to C4. Which assessment is the $\bold{priority}$?

Accepted Answer

A)   Pulse
B)   Respirations
C)   Temperature
D)   Blood pressure

Question 18

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving 2 L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the oxygen?

Accepted Answer

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

Question 19

The nurse is caring for a patient who needs oxygen via a nasal cannula. Which task can the nurse delegate to the nursing assistive personnel?

Accepted Answer

A)   Applying the nasal cannula
B)   Adjusting the oxygen flow
C)   Assessing lung sounds
D)   Setting up the oxygen

Question 20

The nurse is caring for a patient with fluid volume overload. Which physiological effect does the nurse $\bold{most}$ likely expect?

Accepted Answer

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

Exam 41: Oxygenation

Which coughing technique will the nurse use to help a patient clear central airways?

A patient has heart failure and cardiac output is decreased. Which formula can the nurse use to calculate cardiac output?

A nurse is following the Ventilator Bundle standards to prevent ventilator-associated pneumonia. Which strategies is the nurse using? (Select all that apply.)

A nurse is caring for a patient with continuous cardiac monitoring for heart dysrhythmias. Which rhythm will cause the nurse to intervene immediately?

A nurse is teaching staff about the conduction of the heart. In which order will the nurse present the conduction cycle, starting with the first structure 1) Bundle of His 2) Purkinje network 3) Intraatrial pathways 4) Sinoatrial (SA) node 5) Atrioventricular (AV) node

A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?

A nurse auscultates heart sounds. When the nurse hears S?, which valves is the nurse hearing close?

A nurse is caring for a patient who is taking warfarin (Coumadin) and discovers that the patient is taking garlic to help with hypertension. Which condition will the nurse assess for in this patient?

Upon auscultation of the patient's chest, the nurse hears a whooshing sound at the fifth intercostal space. What does this finding indicate to the nurse?

A patient with chronic obstructive pulmonary disease (COPD) asks the nurse why clubbing occurs. Which response by the nurse is most therapeutic?

The home health nurse recommends that a patient with respiratory problems install a carbon monoxide detector in the home. What is the rationale for the nurse's action?

The nurse is caring for a patient with respiratory problems. Which assessment finding indicates a late sign of hypoxia?

A nurse is reviewing the electrocardiogram (ECG) results. Which portion of the conduction system does the nurse consider when evaluating the P wave?

The nurse is suctioning a patient with a tracheostomy tube. Which action will the nurse take?

A nurse explains the function of the alveoli to a patient with respiratory problems. Which information about the alveoli's function will the nurse share with the patient?

A nurse is teaching the patient with mitral valve problems about the valves in the heart. Starting on the right side of the heart, describe the sequence of the blood flow through these valves. 1) Mitral 2) Aortic 3) Tricuspid 4) Pulmonic

A nurse is caring for a patient who was in a motor vehicle accident that resulted in cervical trauma to C4. Which assessment is the $\bold{priority}$ ?

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving 2 L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the oxygen?

The nurse is caring for a patient who needs oxygen via a nasal cannula. Which task can the nurse delegate to the nursing assistive personnel?

The nurse is caring for a patient with fluid volume overload. Which physiological effect does the nurse $\bold{most}$ likely expect?

Exam 41: Oxygenation

Which coughing technique will the nurse use to help a patient clear central airways?

A patient has heart failure and cardiac output is decreased. Which formula can the nurse use to calculate cardiac output?

A nurse is following the Ventilator Bundle standards to prevent ventilator-associated pneumonia. Which strategies is the nurse using? (Select all that apply.)

A nurse is caring for a patient with continuous cardiac monitoring for heart dysrhythmias. Which rhythm will cause the nurse to intervene immediately?

A nurse is teaching staff about the conduction of the heart. In which order will the nurse present the conduction cycle, starting with the first structure 1) Bundle of His 2) Purkinje network 3) Intraatrial pathways 4) Sinoatrial (SA) node 5) Atrioventricular (AV) node

A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?

A nurse auscultates heart sounds. When the nurse hears S?, which valves is the nurse hearing close?

A nurse is caring for a patient who is taking warfarin (Coumadin) and discovers that the patient is taking garlic to help with hypertension. Which condition will the nurse assess for in this patient?

Upon auscultation of the patient's chest, the nurse hears a whooshing sound at the fifth intercostal space. What does this finding indicate to the nurse?

A patient with chronic obstructive pulmonary disease (COPD) asks the nurse why clubbing occurs. Which response by the nurse is most therapeutic?

The home health nurse recommends that a patient with respiratory problems install a carbon monoxide detector in the home. What is the rationale for the nurse's action?

The nurse is caring for a patient with respiratory problems. Which assessment finding indicates a late sign of hypoxia?

A nurse is reviewing the electrocardiogram (ECG) results. Which portion of the conduction system does the nurse consider when evaluating the P wave?

The nurse is suctioning a patient with a tracheostomy tube. Which action will the nurse take?

A nurse explains the function of the alveoli to a patient with respiratory problems. Which information about the alveoli's function will the nurse share with the patient?

A nurse is teaching the patient with mitral valve problems about the valves in the heart. Starting on the right side of the heart, describe the sequence of the blood flow through these valves. 1) Mitral 2) Aortic 3) Tricuspid 4) Pulmonic

A nurse is caring for a patient who was in a motor vehicle accident that resulted in cervical trauma to C4. Which assessment is the priority\bold{priority}priority ?

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving 2 L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the oxygen?

The nurse is caring for a patient who needs oxygen via a nasal cannula. Which task can the nurse delegate to the nursing assistive personnel?

The nurse is caring for a patient with fluid volume overload. Which physiological effect does the nurse most\bold{most}most likely expect?

A nurse is caring for a patient who was in a motor vehicle accident that resulted in cervical trauma to C4. Which assessment is the $\bold{priority}$ ?

The nurse is caring for a patient with fluid volume overload. Which physiological effect does the nurse $\bold{most}$ likely expect?