adult,/.CCRN/PCCN,/.certification,/.practice,/.test
One,/.day,/.following,/.posterior,/.spinal,/.fusion,/.surgery,/.a,/.35,/.year,/.old,/.femal
e,/.suddenly,/.exhibits,/.restlessness,,/.labored,/.breathing,/.and,/.acute,/.chest,/.pai
n.,/.Her,/.heart,/.rate,/.is,/.122/min.,,/.she,/.is,/.afebrile,,/.and,/.exhibits,/.slightly,/.dimi
nished,/.breath,/.sounds,/.on,/.the,/.right,/.side.
The,/.findings,/.described,/.above,/.should,/.lead,/.the,/.nurse,/.to,/.suspect,/.that,/.the,/
.patient,/.has,/.developed:
A.,/.A,/.spontaneous,/.pneumothorax
B.,/.A,/.pulmonary,/.embolus
C.,/.Aspiration,/.pneumonia
D.,/.A,/.pleural,/.effusion,/.-,/.correct,/.answer,/.✔ ✔
B.,/.A,/.pulmonary,/.embolus
One,/.day,/.following,/.posterior,/.spinal,/.fusion,/.surgery,/.a,/.35,/.year,/.old,/.femal
e,/.suddenly,/.exhibits,/.restlessness,,/.labored,/.breathing,/.and,/.acute,/.chest,/.pai
n.,/.Her,/.heart,/.rate,/.is,/.122/min.,,/.she,/.is,/.afebrile,,/.and,/.exhibits,/.slightly,/.dimi
nished,/.breath,/.sounds,/.on,/.the,/.right,/.side.
Which,/.of,/.the,/.following,/.will,/.most,/.likely,/.confirm,/.the,/.patient's,/.diagnosis
?
,A.,/.Pulmonary,/.radioisotope,/.scan
B.,/.Echocardiogram
C.,/.Cardiac,/.enzyme,/.studies
D.,/.Chest,/.x-ray,/.and,/.arterial,/.blood,/.gases,/.-,/.correct,/.answer,/.✔ ✔
A.,/.Pulmonary,/.radioisotope,/.scan
The,/.nursing,/.staff,/.does,/.not,/.wish,/.to,/.be,/.assigned,/.a,/.difficult,/.patient,/.who,/.
continues,/.to,/.demonstrate,/.disorderly,/.behavior.,/.Which,/.of,/.the,/.following,/.
is,/.an,/.acceptable,/.solution?
A.,/.Request,/.the,/.family,/.control,/.the,/.patient's,/.behavior.
B.,/.Transfer,/.the,/.patient
C.,/.The,/.patient,/.assignment,/.should,/.be,/.decided,/.by,/.the,/.Charge,/.Nurse.
D.,/.Alternate,/.the,/.patient,/.assignment,/.among,/.the,/.nursing,/.staff.,/.-
,/.correct,/.answer,/.✔ ✔
D.,/.Alternate,/.the,/.patient,/.assignment,/.among,/.the,/.nursing,/.staff.
A,/.patient,/.who,/.is,/.72,/.hours,/.postoperative,/.repair,/.of,/.a,/.bowel,/.obstruction,/.
suddenly,/.demonstrates,/.shortness,/.of,/.breath,/.and,/.his,/.respiratory,/.rate,/.incr
eases,/.from,/.22,/.to,/.45/min.,/.His,/.SpO2,/.went,/.from,/.95%,/.to,/.88%,/.acutely.,/.A
n,/.arterial,/.blood,/.gas,/.sample,/.obtained,/.while,/.the,/.patient,/.is,/.receiving,/.oxy
gen,/.via,/.a,/.nasal,/.cannula,/.at,/.6L/min,/.reveals,/.the,/.following,/.results:
pH,/.7.40
, pCO2,/.27
pO2,/.50
A,/.chest,/.x-ray,/.is,/.obtained,/.and,/.a,/."ground-glass-
like,/.appearance",/.is,/.reported.,/.Auscultation,/.of,/.the,/.lungs,/.reveals,/.diffuse,/.
crackles,/.that,/.were,/.not,/.present,/.previously.
The,/.findings,/.described,/.above,/.should,/.lead,/.the,/.nurse,/.to,/.believe,/.that,/.the,/.
patient,/.has:
A.,/.Acute,/.respiratory,/.distress,/.syndrome
B.,/.A,/.pulmonary,/.embolus
C.,/.A,/.spontaneous,/.pneumothorax
D.,/.Aspiration,/.pneumonia,/.-,/.correct,/.answer,/.✔ ✔
A.,/.Acute,/.respiratory,/.distress,/.syndrome
A,/.patient,/.who,/.is,/.72,/.hours,/.postoperative,/.repair,/.of,/.a,/.bowel,/.obstruction,/.
suddenly,/.demonstrates,/.shortness,/.of,/.breath,/.and,/.his,/.respiratory,/.rate,/.incr
eases,/.from,/.22,/.to,/.45/min.,/.His,/.SpO2,/.went,/.from,/.95%,/.to,/.88%,/.acutely.,/.A
n,/.arterial,/.blood,/.gas,/.sample,/.obtained,/.while,/.the,/.patient,/.is,/.receiving,/.oxy
gen,/.via,/.a,/.nasal,/.cannula,/.at,/.6L/min,/.reveals,/.the,/.following,/.results:
pH,/.7.40
pCO2,/.27
pO2,/.50
One,/.day,/.following,/.posterior,/.spinal,/.fusion,/.surgery,/.a,/.35,/.year,/.old,/.femal
e,/.suddenly,/.exhibits,/.restlessness,,/.labored,/.breathing,/.and,/.acute,/.chest,/.pai
n.,/.Her,/.heart,/.rate,/.is,/.122/min.,,/.she,/.is,/.afebrile,,/.and,/.exhibits,/.slightly,/.dimi
nished,/.breath,/.sounds,/.on,/.the,/.right,/.side.
The,/.findings,/.described,/.above,/.should,/.lead,/.the,/.nurse,/.to,/.suspect,/.that,/.the,/
.patient,/.has,/.developed:
A.,/.A,/.spontaneous,/.pneumothorax
B.,/.A,/.pulmonary,/.embolus
C.,/.Aspiration,/.pneumonia
D.,/.A,/.pleural,/.effusion,/.-,/.correct,/.answer,/.✔ ✔
B.,/.A,/.pulmonary,/.embolus
One,/.day,/.following,/.posterior,/.spinal,/.fusion,/.surgery,/.a,/.35,/.year,/.old,/.femal
e,/.suddenly,/.exhibits,/.restlessness,,/.labored,/.breathing,/.and,/.acute,/.chest,/.pai
n.,/.Her,/.heart,/.rate,/.is,/.122/min.,,/.she,/.is,/.afebrile,,/.and,/.exhibits,/.slightly,/.dimi
nished,/.breath,/.sounds,/.on,/.the,/.right,/.side.
Which,/.of,/.the,/.following,/.will,/.most,/.likely,/.confirm,/.the,/.patient's,/.diagnosis
?
,A.,/.Pulmonary,/.radioisotope,/.scan
B.,/.Echocardiogram
C.,/.Cardiac,/.enzyme,/.studies
D.,/.Chest,/.x-ray,/.and,/.arterial,/.blood,/.gases,/.-,/.correct,/.answer,/.✔ ✔
A.,/.Pulmonary,/.radioisotope,/.scan
The,/.nursing,/.staff,/.does,/.not,/.wish,/.to,/.be,/.assigned,/.a,/.difficult,/.patient,/.who,/.
continues,/.to,/.demonstrate,/.disorderly,/.behavior.,/.Which,/.of,/.the,/.following,/.
is,/.an,/.acceptable,/.solution?
A.,/.Request,/.the,/.family,/.control,/.the,/.patient's,/.behavior.
B.,/.Transfer,/.the,/.patient
C.,/.The,/.patient,/.assignment,/.should,/.be,/.decided,/.by,/.the,/.Charge,/.Nurse.
D.,/.Alternate,/.the,/.patient,/.assignment,/.among,/.the,/.nursing,/.staff.,/.-
,/.correct,/.answer,/.✔ ✔
D.,/.Alternate,/.the,/.patient,/.assignment,/.among,/.the,/.nursing,/.staff.
A,/.patient,/.who,/.is,/.72,/.hours,/.postoperative,/.repair,/.of,/.a,/.bowel,/.obstruction,/.
suddenly,/.demonstrates,/.shortness,/.of,/.breath,/.and,/.his,/.respiratory,/.rate,/.incr
eases,/.from,/.22,/.to,/.45/min.,/.His,/.SpO2,/.went,/.from,/.95%,/.to,/.88%,/.acutely.,/.A
n,/.arterial,/.blood,/.gas,/.sample,/.obtained,/.while,/.the,/.patient,/.is,/.receiving,/.oxy
gen,/.via,/.a,/.nasal,/.cannula,/.at,/.6L/min,/.reveals,/.the,/.following,/.results:
pH,/.7.40
, pCO2,/.27
pO2,/.50
A,/.chest,/.x-ray,/.is,/.obtained,/.and,/.a,/."ground-glass-
like,/.appearance",/.is,/.reported.,/.Auscultation,/.of,/.the,/.lungs,/.reveals,/.diffuse,/.
crackles,/.that,/.were,/.not,/.present,/.previously.
The,/.findings,/.described,/.above,/.should,/.lead,/.the,/.nurse,/.to,/.believe,/.that,/.the,/.
patient,/.has:
A.,/.Acute,/.respiratory,/.distress,/.syndrome
B.,/.A,/.pulmonary,/.embolus
C.,/.A,/.spontaneous,/.pneumothorax
D.,/.Aspiration,/.pneumonia,/.-,/.correct,/.answer,/.✔ ✔
A.,/.Acute,/.respiratory,/.distress,/.syndrome
A,/.patient,/.who,/.is,/.72,/.hours,/.postoperative,/.repair,/.of,/.a,/.bowel,/.obstruction,/.
suddenly,/.demonstrates,/.shortness,/.of,/.breath,/.and,/.his,/.respiratory,/.rate,/.incr
eases,/.from,/.22,/.to,/.45/min.,/.His,/.SpO2,/.went,/.from,/.95%,/.to,/.88%,/.acutely.,/.A
n,/.arterial,/.blood,/.gas,/.sample,/.obtained,/.while,/.the,/.patient,/.is,/.receiving,/.oxy
gen,/.via,/.a,/.nasal,/.cannula,/.at,/.6L/min,/.reveals,/.the,/.following,/.results:
pH,/.7.40
pCO2,/.27
pO2,/.50