HCR 240 FINAL EXAM | 103 QUESTIONS AND
ANSWERS | WITH COMPLETE SOLUTION!!
A patient asks the nurse why they need to wear oxygen in the hospital and how
it works with blood cells. Which is the best response?
-Blood cells passing through the arteries in the lungs are oxygenated and then
carry oxygen to the 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
Answer - Blood cells passing through the arteries in the lungs are oxygenated
and then carry oxygen to the body
How does severe hypoxia develop with pneumonia?
-Inflammatory exudate absorbs oxygen from the alveolar air
-Infection reduces effective compensation by the heart
-Acidosis depresses respirations
-Oxygen diffusion is impaired by the congestion Answer - Oxygen diffusion is
impaired by the congestion
The nurse is discussing with the student nurse a pulse oxygenation
measurement. The student nurse knows what measurement is acceptable for a
pulse oxygenation reading in a healthy adult?
-92-95%
-89-92%
,-97-100%
-90-93% Answer - 97-100%
What causes the expanded anteroposterior (A-P) thoracic diameter (barrel
chest) in patients with emphysema?
-Persistent coughing to remove mucus
-Recurrent damage to lung tissues
-Dilated bronchi and increased mucus secretions
-Air trapping and hyperinflation Answer - Air trapping and hyperinflation
What is an early sign of lung cancer?
-Weight loss
-Chronic cough
-Air trapping and over inflation of the lung
-Bone pain Answer - Chronic cough
Which of the following describes lobar pneumonia?
-Sudden onset fever and chills with crackles and 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 Answer - Sudden
onset fever and chills with crackles and rusty sputum
One of the functions of the pulmonary system is the?
-Principle mechanism for cooling the heart
-Exchange of gases between the environment and blood
, -Movement of blood into and out of the capillaries
-Expelling of bacteria Answer - Exchange of gases between the environment
and blood
A 10-year-old develops pneumonia. Physical exam reveals 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
-Hyperpnea
-Orthopnea
-Dyspnea Answer - Dyspnea
A 65-year-old diagnosed with emphysema presents to 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 Answer - Cyanosis
A 50-year-old presents with hypertension, 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?
-Open pneumothorax
-Pleural effusion
-Tension pneumothorax
-Transudative pneumothorax Answer - Tension pneumothorax
ANSWERS | WITH COMPLETE SOLUTION!!
A patient asks the nurse why they need to wear oxygen in the hospital and how
it works with blood cells. Which is the best response?
-Blood cells passing through the arteries in the lungs are oxygenated and then
carry oxygen to the 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
Answer - Blood cells passing through the arteries in the lungs are oxygenated
and then carry oxygen to the body
How does severe hypoxia develop with pneumonia?
-Inflammatory exudate absorbs oxygen from the alveolar air
-Infection reduces effective compensation by the heart
-Acidosis depresses respirations
-Oxygen diffusion is impaired by the congestion Answer - Oxygen diffusion is
impaired by the congestion
The nurse is discussing with the student nurse a pulse oxygenation
measurement. The student nurse knows what measurement is acceptable for a
pulse oxygenation reading in a healthy adult?
-92-95%
-89-92%
,-97-100%
-90-93% Answer - 97-100%
What causes the expanded anteroposterior (A-P) thoracic diameter (barrel
chest) in patients with emphysema?
-Persistent coughing to remove mucus
-Recurrent damage to lung tissues
-Dilated bronchi and increased mucus secretions
-Air trapping and hyperinflation Answer - Air trapping and hyperinflation
What is an early sign of lung cancer?
-Weight loss
-Chronic cough
-Air trapping and over inflation of the lung
-Bone pain Answer - Chronic cough
Which of the following describes lobar pneumonia?
-Sudden onset fever and chills with crackles and 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 Answer - Sudden
onset fever and chills with crackles and rusty sputum
One of the functions of the pulmonary system is the?
-Principle mechanism for cooling the heart
-Exchange of gases between the environment and blood
, -Movement of blood into and out of the capillaries
-Expelling of bacteria Answer - Exchange of gases between the environment
and blood
A 10-year-old develops pneumonia. Physical exam reveals 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
-Hyperpnea
-Orthopnea
-Dyspnea Answer - Dyspnea
A 65-year-old diagnosed with emphysema presents to 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 Answer - Cyanosis
A 50-year-old presents with hypertension, 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?
-Open pneumothorax
-Pleural effusion
-Tension pneumothorax
-Transudative pneumothorax Answer - Tension pneumothorax
