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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.  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.
3.  Which of the following is a normal finding in the aging adult?
A.
B.
C.
D.
4.  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.
5.  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.
6.  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.
7.  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.
8.  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.
9.  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.
10.  The patient is scheduled to have a pulmonary function test. Further instruction is needed when she states:
A.
B.
C.
D.
11.  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.
12.  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.
13.  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.
14.  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.
15.  A nurse is providing discharge instructions for a tracheostomy patient. Which statement indicates that the patient understands tracheostomy care?
A.
B.
C.
D.
16.  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.
17.  Which clinical manifestation is the main sign of lung disease?
A.
B.
C.
D.
18.  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.
19.  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.
20.  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.
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