Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 21 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A A nasal cannula
B An oropharyngeal catheter
C A nonrebreathing mask
D A Venturi mask
Question #2
A Ensuring that the client remains sedated while intubated
B Maintaining the client in a high Fowler’s position
C Cleaning the client’s mouth with chlorhexidine daily
D Turning and repositioning the client every 4 hours
Question #3
A “I received my pain medication 10 minutes ago, let’s do my CPT now.”
B “I have been coughing all morning and am barely bringing anything up.”
C “I just finished eating my lunch, I’m ready for my CPT now.”
D “I just changed into my running suit; we can do my CPT now.”
Question #4
A Substernal pain
B Dyspnea
C Bradycardia
D Mood swings
E Fatigue
Question #5
A Use the spirometer twice every hour
B Maintain a supine position to use the spirometer.
C Inhale and exhale rapidly with the spirometer.
D Expect coughing when using the spirometer properly.
Question #6
A 16 mm Hg
B 13 mm Hg
C 22 mm Hg
D 19 mm Hg
Question #7
A take a deep breath as the nurse deflates the cuff.
B cough as the cuff is being deflated.
C hold the breath as the cuff is being reinflated.
D exhale deeply as the nurse reinflates the cuff.
Question #8
A cough as the cuff is being deflated.
B exhale deeply as the nurse reinflates the cuff.
C take a deep breath as the nurse deflates the cuff.
D hold the breath as the cuff is being reinflated.
Question #9
A Tracheal aspiration
B Tracheal bleeding
C Tracheal ischemia
D Pressure necrosis
E Hypoxia
Question #10
A It will prevent the alveoli from overexpanding.
B It increases the respiratory rate to improve oxygenation.
C It prolongs exhalation.
D It will assist with widening the airway.
Question #11
A Promote the strengthening of the client’s diaphragm
B Promote more efficient and controlled ventilation and to decrease the work of breathing
C Promote the client’s ability to take in oxygen
D Improve oxygen transport; induce a slow, deep breathing pattern; and assist the client to control breathing
Question #12
A To provide adequate transport of oxygen in the blood
B To decrease the work of breathing
C To reduce stress on the myocardium
D To provide visual feedback to encourage the client to inhale slowly and deeply
E To clear respiratory secretions
Question #13
A Risk for trauma related to endotracheal intubation and cuff pressure
B Risk for infection related to endotracheal intubation and suctioning
C Impaired gas exchange related to ventilator setting adjustments
D Impaired physical mobility related to being on a ventilator
Question #14
A clamp the chest tube once every shift.
B milk the chest tube every 2 hours.
C encourage coughing and deep breathing.
D report fluctuations in the water-seal chamber.
Question #15
A assist-control (AC) ventilation.
B synchronized intermittent mandatory ventilation (SIMV).
C continuous positive airway pressure (CPAP).
D pressure support ventilation (PSV).
Question #16
A Milk the chest tube.
B Disconnect the system and get another.
C Place the head of the patient’s bed flat
D Notify the physician.
Question #17
A The patient will begin the weaning process.
B The patient will have an insertion of a tracheostomy tube.
C The patient will be extubated and a nasotracheal tube will be inserted.
D The patient will be extubated and another endotracheal tube will be inserted.
Question #18
A Manually ventilate the client.
B Notify the respiratory therapist.
C Reposition the endotracheal tube.
D Troubleshoot to identify the malfunction.
Question #19
A Segmentectomy
B Pneumonectomy
C Wedge resection
D Lobectomy
Question #20
A Apply a dressing over the wound and tape it on three sides.
B Prepare to start an I.V. line.
C Draw blood for a hematocrit and hemoglobin level.
D Prepare a chest tube insertion tray.
Question #21
A Apply a dressing over the wound and tape it on three sides.
B Prepare to start an I.V. line.
C Draw blood for a hematocrit and hemoglobin level.
D Prepare a chest tube insertion tray.
Question #22
A 15 to 60 seconds.
B 45 to 60 minutes.
C 30 to 40 minutes.
D 5 to 20 minutes.
Question #23
A Suction the client, withdraw residual air from the cuff, and reinflate it.
B Remove the malfunctioning cuff.
C Call the physician.
D Add more air to the cuff.
Question #24
A They help prevent cardiac arrhythmias.
B They help prevent subcutaneous emphysema.
C They help prevent pneumothorax.
D They help prevent pulmonary edema.
Question #25
A Pain of 5 on a 1-to-10 scale
B Chest tube drainage, 190 mL/hr
C Heart rate, 112 bpm
D Moderate amounts of colorless sputum
Question #26
A Restrict intravenous fluids for at least 24 hours.
B Make sure that a thoracotomy tube is linked to open chest drainage.
C Encourage coughing to mobilize secretions.
D Assist with positioning the client on the right side.
Question #27
A High-flow systems
B Hyperbaric
C Transtracheal
D Low-flow systems
Question #28
A Nonrebreather mask
B Nasal cannula
C Simple mask
D Face tent
Question #29
A Place the end of the chest tube in a container of sterile saline.
B Secure the chest tube with tape.
C Apply an occlusive dressing and notify the physician.
D Clamp the chest tube immediately.
Question #30
A “Breathe in and out quickly.”
B “You need to start using the incentive spirometer 2 days after surgery.”
C “Before you do the exercise, I’ll give you pain medication if you need it.”
D “Don’t use the incentive spirometer more than 5 times every hour.”
Question #31
A hyperthermia.
B pneumonia.
C a compromised skin graft.
D a malignant tumor.
Question #32
A Hypoxic hypoxia
B Anemic hypoxia
C Histotoxic hypoxia
D Circulatory hypoxia
Question #33
A The patient is in a hypermetabolic state.
B The patient is hypoxic from suctioning.
C The patient is having a myocardial infarction.
D The patient is having a stress reaction
Question #34
A Oxygen-induced hypoventilation
B Hypoxia
C Oxygen toxicity
D Oxygen-induced atelectasis
Question #35
A “Do not move during the removal of the chest tube because moving will make it more painful.”
B “When the tube is being removed, take a deep breath, exhale, and bear down.”
C “Exhale forcefully while the chest tube is being removed.”
D “While the chest tube is being removed, raise your arms above your head.”
Question #36
A Assist control
B IMV
C SIMV
D Pressure support
Question #37
A Aspiration pneumonia
B Tracheal bleeding
C Tracheal ischemia
D Pressure necrosis
Question #38
A Pressure necrosis
B Tracheal ischemia
C Tracheal bleeding
D Aspiration pneumonia
Question #39
A Venturi mask
B T-piece
C Nasal cannula
D Partial-rebreathing mask
Question #40
A Catheter
B Face tent
C Nonrebreathing mask
D Venturi mask
Question #41
A Check for an apical pulse.
B Suction the client’s artificial airway.
C Ventilate the client with a handheld mechanical ventilator
D Increase the oxygen percentage.
Question #42
A Have the patient lie in a supine position during the use of the spirometer.
B Inform the patient that using the spirometer is not necessary if the patient is experiencing pain
C Encourage the patient to try to stop coughing during and after using the spirometer.
D Encourage the patient to take approximately 10 breaths per hour, while awake.
Question #43
A Pressure cycled
B Volume cycled
C Time cycled
D Negative pressure
Question #44
A Changes the setting on the ventilator to increase breaths to 14 per minute
B Contacts the respiratory therapy department to report the ventilator is malfunctioning
C Continues assessing the client’s respiratory status frequently
D Consults with the physician about removing the client from the ventilator
Question #45
A Bicarbonate (HCO3–)
B Partial pressure of arterial carbon dioxide (PaCO2)
C Partial pressure of arterial oxygen (PaO2)
D pH
Question #46
A Routinely deflating the cuff
B Deflating the cuff before removing the tube
C Ensuring that humidified oxygen is always introduced through the tube
D Checking the cuff pressure every 6 to 8 hours
Question #47
A Have the patient cough.
B Auscultate the lung for adventitious sounds.
C Assess the CO2 level to determine if the patient requires suctioning.
D Have the patient inform the nurse of the need to be suctioned.
Question #48
A PaO2
B HCO3
C pH
D PCO2
Question #49
A Cleans the wound and the plate with a sterile cotton tip moistened with hydrogen peroxide
B Puts on clean gloves; removes and discards the soiled dressing in a biohazard container
C Places clean tracheostomy ties then removes soiled ties after the new ties are in place
D Dries and reinserts the inner cannula or replaces it with a new disposable inner cannula
Question #50
A 120 mm Hg
B 84 mm Hg
C 45 mm Hg
D 58 mm Hg
Question #51
A IMV
B Assist control
C SIMV
D Pressure support
Question #52
A Time-cycled
B Volume-controlled
C Pressure-cycled
D Negative-pressure
Question #53
A Providing frequent oral hygiene
B Turning the client from side to side every 2 hours
C Monitoring serial blood gas values every 4 hours
D Auscultating the lungs for bilateral breath sounds
Question #54
A A change in the oxygen concentration without resetting the oxygen level alarm
B Kinking of the ventilator tubing
C An ET cuff leak
D A disconnected ventilator circuit
Question #55
A Suction control chamber
B Collection chamber
C Air-leak chamber
D Water-seal chamber
Question #56
A An incentive spirometer
B A set of hemostats
C A bottle of sterile water
D An Ambu bag
Question #57
A Malfunction of the alarm button
B A kink in the ventilator tubing
C Higher than normal endotracheal cuff pressure
D A cut or slice in the tubing from the ventilator
Question #58
A 30 to 35 seconds
B 10 to 15 seconds
C 0 to 5 seconds
D 20 to 25 seconds
Question #59
A The chest tube is obstructed.
B The client has a pneumothorax.
C The system is functioning normally.
D The system has an air leak.
Question #60
A Stripping the chest tube every hour
B Maintaining continuous bubbling in the water-seal chamber
C Keeping the collection chamber at chest level
D Measuring and documenting the drainage in the collection chamber