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Medical Surgical Nursing: Respiratory Care

20 Questions  I  By Frostanity
Medical Surgical Nursing: Respiratory Care
Test your cognitive nursing skills in med-surg respiratory care for the adult patient. Please note that this quiz does not cover respiratory disorders.

  
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Question Excerpt

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1.  As the nurse auscultates the patient, she hears a popping, discontinuous sound over the lung fields. This type of adventitious sound is known as:
A.
B.
C.
D.
2.  Which clinical manifestation is the main sign of lung disease?
A.
B.
C.
D.
3.  A nurse is providing discharge instructions for a tracheostomy patient. Which statement indicates that the patient understands tracheostomy care?
A.
B.
C.
D.
4.  A 37-year-old patient is admitted to the ED with dyspnea, tachypnea and pink, frothy sputum. The nurse determines that the patient is experiencing:
A.
B.
C.
D.
5.  Which of the following is a normal finding in the aging adult?
A.
B.
C.
D.
6.  The patient is scheduled to have a pulmonary function test. Further instruction is needed when she states:
A.
B.
C.
D.
7.  A patient with a chronic lung disease arrives on the med-surg unit. Which delivery system would offer the most precise oxygen concentration for this patient?
A.
B.
C.
D.
8.  While auscultating a 65-year-old patient, the nurse hears bronchovesicular breath sounds over the lung fields. How does this nurse interpret this finding?
A.
B.
C.
D.
9.  The nurse is suctioning a patient with an endotracheal tube. Which of the following is a correct technique for this procedure?
A.
B.
C.
D.
10.  A nurse is caring for a patient who had a thoracentesis eight hours ago. While assessing the patient, the nurse observes that the patient has a rapid heart rate, rapid, shallow respirations, and has absent breath sounds to the left upper lobe of the lung. The nurse interprets this complication as:
A.
B.
C.
D.
11.  A nurse is caring for a patient who had a surgical placement of a tracheostomy 48 hours ago. What should the nurse's initial action be if tube dislodgement occurs?
A.
B.
C.
D.
12.  A 53-year-old patient reports smoking two packs of cigarettes per day for the past 35 years. Calculate the pack-years for this patient.
A.
B.
C.
D.
13.  A nurse is reviewing the ABG values and notes a pH of 7.42, a PCO2 of 55 mm Hg, and a HCO3 of 24 mEq/L. What does the nurse interpret these values as?
A.
B.
C.
D.
14.  A postop patient who had a bronchoscopy two hours ago is NPO and states that he is hungry. What should the nurse do?
A.
B.
C.
D.
15.  The nurse comes into the patient's room and discovers that the patient's pulse oximetry reading is 91%. The nurse should first:
A.
B.
C.
D.
16.  A nurse is administering oxygen to a patient who has hypoxemia and hypercarbia. Which oxygen delivery system is appropriate for this patient?
A.
B.
C.
D.
17.  While the nurse interviews a patient, he verbalizes that he has difficulty breathing during sleep and uses three pillows for relief. The nurse notes that he may be experiencing :
A.
B.
C.
D.
18.  While assessing a trachostomy patient, the nurse notices that there is a crackling sensation around the neck. The nurse suspects this complication as:
A.
B.
C.
D.
19.  What aspiration precaution measures should the nurse implement to the 78-year-old patient with a tracheostomy? (Select all that apply.)
A.
B.
C.
D.
E.
20.  A nurse is monitoring a patient who has a chest tube drainage system and notices that there is gentle bubbling in the suction control chamber. What is the appropriate nursing action for this scenario?
A.
B.
C.
D.
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