HCR 240 Final Exam
Study online at https://quizlet.com/_jf34q7
1. A patient asks the nurse why they need to wear oxy- Blood cells passing
gen in the hospital and how it works with blood cells. through the arteries in the
Which is the best response? lungs are oxygenated and
-Blood cells passing through the arteries in the lungs then carry oxygen to the
are oxygenated and then carry oxygen to the body body
-When you take in a breath the blood cells in your nose
takes in the oxygen
-The blood that pumps through the heart takes in
oxygen
-The blood receives oxygen from the bone marrow
and carries it to the tissues
2. How does severe hypoxia develop with pneumonia? Oxygen diffusion is im-
-Inflammatory exudate absorbs oxygen from the alve- paired by the congestion
olar air
-Infection reduces effective compensation by the
heart
-Acidosis depresses respirations
-Oxygen diffusion is impaired by the congestion
3. The nurse is discussing with the student nurse a pulse 97-100%
oxygenation measurement. The student nurse knows
what measurement is acceptable for a pulse oxygena-
tion reading in a healthy adult?
-92-95%
-89-92%
-97-100%
-90-93%
4. What causes the expanded anteroposterior (A-P) tho- Air trapping and hyperin-
racic diameter (barrel chest) in patients with emphy- flation
sema?
, HCR 240 Final Exam
Study online at https://quizlet.com/_jf34q7
-Persistent coughing to remove mucus
-Recurrent damage to lung tissues
-Dilated bronchi and increased mucus secretions
-Air trapping and hyperinflation
5. What is an early sign of lung cancer? Chronic cough
-Weight loss
-Chronic cough
-Air trapping and over inflation of the lung
-Bone pain
6. Which of the following describes lobar pneumonia? Sudden onset fever and
-Sudden onset fever and chills with crackles and rusty chills with crackles and
sputum rusty sputum
-Insidious onset, diffuse interstitial infection
-Opportunistic bacteria causing low-grade fever with
cough and thick greenish sputum
-Viral infection causing nonproductive cough and
pleuric pain
7. One of the functions of the pulmonary system is the? Exchange of gases be-
-Principle mechanism for cooling the heart tween the environment
-Exchange of gases between the environment and and blood
blood
-Movement of blood into and out of the capillaries
-Expelling of bacteria
8. A 10-year-old develops pneumonia. Physical exam re- Dyspnea
veals subcostal and intercostal retractions. The child
reports that breathing is difficult with feelings that "I
cannot get enough air". What term should the nurse
use to document this condition?
-Cyanosis
, HCR 240 Final Exam
Study online at https://quizlet.com/_jf34q7
-Hyperpnea
-Orthopnea
-Dyspnea
9. A 65-year-old diagnosed with emphysema presents to Cyanosis
the ER for difficulty breathing. Physical exam reveals
both bluish skin and mucous membranes. What term
will the nurse use to document these observations?
-Hemoptysis
-Hematemesis
-Ischemia
-Cyanosis
10. A 50-year-old presents with hypertension, hypoxemia, Tension pneumothorax
and tracheal deviation to the left. Tests reveal that the
air pressure in the pleural cavity exceeds barometric
pressure in the atmosphere. Based upon these as-
sessment findings what does the nurse suspect the
patient is experiencing?
-Open pneumothorax
-Pleural effusion
-Tension pneumothorax
-Transudative pneumothorax
11. What assessment findings will the nurse observe in a Pink, frothy sputum
patient diagnosed with severe pulmonary edema?
-Pink, frothy sputum
-Thick mucous secretions
-Hypocapnia
-Wheezing
12. A 42-year-old presents with dyspnea, rapid shallow Acute respiratory distress
breathing, inspiratory crackles, decreased lung com- syndrome (ARDS)
Study online at https://quizlet.com/_jf34q7
1. A patient asks the nurse why they need to wear oxy- Blood cells passing
gen in the hospital and how it works with blood cells. through the arteries in the
Which is the best response? lungs are oxygenated and
-Blood cells passing through the arteries in the lungs then carry oxygen to the
are oxygenated and then carry oxygen to the body body
-When you take in a breath the blood cells in your nose
takes in the oxygen
-The blood that pumps through the heart takes in
oxygen
-The blood receives oxygen from the bone marrow
and carries it to the tissues
2. How does severe hypoxia develop with pneumonia? Oxygen diffusion is im-
-Inflammatory exudate absorbs oxygen from the alve- paired by the congestion
olar air
-Infection reduces effective compensation by the
heart
-Acidosis depresses respirations
-Oxygen diffusion is impaired by the congestion
3. The nurse is discussing with the student nurse a pulse 97-100%
oxygenation measurement. The student nurse knows
what measurement is acceptable for a pulse oxygena-
tion reading in a healthy adult?
-92-95%
-89-92%
-97-100%
-90-93%
4. What causes the expanded anteroposterior (A-P) tho- Air trapping and hyperin-
racic diameter (barrel chest) in patients with emphy- flation
sema?
, HCR 240 Final Exam
Study online at https://quizlet.com/_jf34q7
-Persistent coughing to remove mucus
-Recurrent damage to lung tissues
-Dilated bronchi and increased mucus secretions
-Air trapping and hyperinflation
5. What is an early sign of lung cancer? Chronic cough
-Weight loss
-Chronic cough
-Air trapping and over inflation of the lung
-Bone pain
6. Which of the following describes lobar pneumonia? Sudden onset fever and
-Sudden onset fever and chills with crackles and rusty chills with crackles and
sputum rusty sputum
-Insidious onset, diffuse interstitial infection
-Opportunistic bacteria causing low-grade fever with
cough and thick greenish sputum
-Viral infection causing nonproductive cough and
pleuric pain
7. One of the functions of the pulmonary system is the? Exchange of gases be-
-Principle mechanism for cooling the heart tween the environment
-Exchange of gases between the environment and and blood
blood
-Movement of blood into and out of the capillaries
-Expelling of bacteria
8. A 10-year-old develops pneumonia. Physical exam re- Dyspnea
veals subcostal and intercostal retractions. The child
reports that breathing is difficult with feelings that "I
cannot get enough air". What term should the nurse
use to document this condition?
-Cyanosis
, HCR 240 Final Exam
Study online at https://quizlet.com/_jf34q7
-Hyperpnea
-Orthopnea
-Dyspnea
9. A 65-year-old diagnosed with emphysema presents to Cyanosis
the ER for difficulty breathing. Physical exam reveals
both bluish skin and mucous membranes. What term
will the nurse use to document these observations?
-Hemoptysis
-Hematemesis
-Ischemia
-Cyanosis
10. A 50-year-old presents with hypertension, hypoxemia, Tension pneumothorax
and tracheal deviation to the left. Tests reveal that the
air pressure in the pleural cavity exceeds barometric
pressure in the atmosphere. Based upon these as-
sessment findings what does the nurse suspect the
patient is experiencing?
-Open pneumothorax
-Pleural effusion
-Tension pneumothorax
-Transudative pneumothorax
11. What assessment findings will the nurse observe in a Pink, frothy sputum
patient diagnosed with severe pulmonary edema?
-Pink, frothy sputum
-Thick mucous secretions
-Hypocapnia
-Wheezing
12. A 42-year-old presents with dyspnea, rapid shallow Acute respiratory distress
breathing, inspiratory crackles, decreased lung com- syndrome (ARDS)
