NUR 283 EXAM 2 TEST QUESTIONS WITH VERIFIED
ANSWERS
In a burn injury, the Rule of nines is used to estimate: - Answers - total body surface
area burned
The nurse is aware that hypercapnia can lead to which of the following? - Answers -
Respiratory acidosis
A patient's arterial blood gas reveals decreased carbon dioxide levels. What is the most
likely cause of this situation? - Answers - Hyperventilation
What lab value would the nurse expect in a patient who has sustained trauma to the
lungs and chest wall is experiencing respiratory failure? - Answers - Elevated PaCO2
A 10-year-old develops pneumonia. Physical exam reveals subcostal and intercostal
contractions. The child reports that breathing is difficult with feeling that "I cannot get
enough air." What term should the nurse use to document this condition? - Answers -
Dyspnea
A 50 year old presents with hypotension, hypoxemia, 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 assessment findings, what does the nurse suspect
the patient is experiencing - Answers - Tension Pneumothorax
A nurse is caring for a client who has emphysema. Which of the following findings
should the nurse expect to assess in this client? - Answers - Dyspnea, Barrel chest, and
Hypocapnia
A nurse in the emergency department is caring for a patient who has extensive partial
and full thickness burns of the head, neck, and chest. While planning the patients care,
the nurse should identify what risk as the priority for assessment and intervention? -
Answers - Airway obstruction
A patient presents to the ER with complaints of difficulty breathing and fever. Upon
assessment, nurse notes that the patient has a fever of 102.2 F, HR: 94. RR: 28, and
BP 124/78. The patients O2 sat is 89% on room air. The nurse auscultates the patients
lungs and notes decreased breath sounds to the right lower lobe and crackles to the left
lower lobe. Based upon these findings, what does the nurse suspect the patient may be
experiencing? - Answers - Pneumonia
ANSWERS
In a burn injury, the Rule of nines is used to estimate: - Answers - total body surface
area burned
The nurse is aware that hypercapnia can lead to which of the following? - Answers -
Respiratory acidosis
A patient's arterial blood gas reveals decreased carbon dioxide levels. What is the most
likely cause of this situation? - Answers - Hyperventilation
What lab value would the nurse expect in a patient who has sustained trauma to the
lungs and chest wall is experiencing respiratory failure? - Answers - Elevated PaCO2
A 10-year-old develops pneumonia. Physical exam reveals subcostal and intercostal
contractions. The child reports that breathing is difficult with feeling that "I cannot get
enough air." What term should the nurse use to document this condition? - Answers -
Dyspnea
A 50 year old presents with hypotension, hypoxemia, 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 assessment findings, what does the nurse suspect
the patient is experiencing - Answers - Tension Pneumothorax
A nurse is caring for a client who has emphysema. Which of the following findings
should the nurse expect to assess in this client? - Answers - Dyspnea, Barrel chest, and
Hypocapnia
A nurse in the emergency department is caring for a patient who has extensive partial
and full thickness burns of the head, neck, and chest. While planning the patients care,
the nurse should identify what risk as the priority for assessment and intervention? -
Answers - Airway obstruction
A patient presents to the ER with complaints of difficulty breathing and fever. Upon
assessment, nurse notes that the patient has a fever of 102.2 F, HR: 94. RR: 28, and
BP 124/78. The patients O2 sat is 89% on room air. The nurse auscultates the patients
lungs and notes decreased breath sounds to the right lower lobe and crackles to the left
lower lobe. Based upon these findings, what does the nurse suspect the patient may be
experiencing? - Answers - Pneumonia