NSG 3130 EXAM 4 TEST BANK QUESTIONS NEWEST EXAM WITH
MULTIPLE CHOICE OF QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+ AND 100% GUARANTEE PASS (BRAND NEW!!!!!!!!!)
The nurse finds the patient in cardiopulmonary arrest with no pulse or
respirations. Which oxygen delivery device will the nurse use for this patient?
a. Non-rebreather mask
b. Bag-valve-mask unit
c. Continuous positive airway pressure (CPAP)
d. High-flow nasal cannula
b. Bag-valve-mask unit
The priority of the nurse is to ventilate the patient manually using a bag-valve-
mask (BVM) unit. This allows air to be forced into the patient's lungs when there
are no spontaneous respirations. The non-rebreather mask and nasal cannula
require the patient to breathe on his or her own. CPAP is used for patients who
are awake, oriented, and in respiratory failure.
The nurse is caring for a patient who is slow to awaken following general
anesthesia. The patient is breathing spontaneously but is minimally responsive
and having difficulty maintaining a patent airway. Which intervention is the
most appropriate for the patient to improve oxygenation?
a. Insert an oral airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry.
a. Insert an oral airway.
An oral (oropharyngeal) airway will prevent the patient's tongue from falling
back and occluding the airway. Lowering the head of the bed will only increase
airway occlusion and risk of aspiration. Turning the patient's head to the side
, will not clear the back of the patient's tongue from the airway. Monitoring the
patient's pulse oximetry will not improve oxygenation or clear the airway.
The nurse is caring for a patient who developed a pulmonary embolism after
surgery. Which goal statement is the highest priority for the nurse to include in
the patient's care plan for the diagnosis impaired gas exchange r/t impaired
pulmonary blood flow from embolus?
a. The patient will maintain pulse oximetry values of at least 95% on room air.
b. The patient will verbalize understanding of ordered anticoagulants.
c. The patient will report chest pain of no greater than 3 on a 1 to 10 scale.
d. The patient will ambulate 50 feet in hallway without shortness of breath.
a. The patient will maintain pulse oximetry values of at least 95% on room air.
Oxygenation is the most important human need, so adequate oxygenation of
tissues as evidenced by pulse oximetry values of at least 95% on room air is the
highest priority goal. The other goals may be addressed once the oxygenation
goal has been met.
The nurse is caring for a patient with severe COPD who is becoming increasingly
confused and disoriented. What is the priority action of the nurse?
a. Obtain an arterial blood gas to check for carbon dioxide retention.
b. Increase the patient's oxygen until the pulse oximetry is greater than 98%.
c. Lower the head of the patient's bed and insert a nasal airway.
d. Administer a mild sedative and reorient the patient as needed.
a. Obtain an arterial blood gas to check for carbon dioxide retention.
Alteration of lung tissue may decrease delivery of oxygen to the alveoli, impede
transfer of oxygen from alveoli to the bloodstream, and hinder expulsion of
carbon dioxide. COPD causes impaired gas exchange, leading to decreased
oxygen levels and higher circulating levels of carbon dioxide (i.e., respiratory
acidosis). Confusion and disorientation in a patient with severe COPD may likely
be due to carbon dioxide retention. An arterial blood gas should be drawn to
determine if this is the case. COPD patients should be kept on low oxygen flow
MULTIPLE CHOICE OF QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+ AND 100% GUARANTEE PASS (BRAND NEW!!!!!!!!!)
The nurse finds the patient in cardiopulmonary arrest with no pulse or
respirations. Which oxygen delivery device will the nurse use for this patient?
a. Non-rebreather mask
b. Bag-valve-mask unit
c. Continuous positive airway pressure (CPAP)
d. High-flow nasal cannula
b. Bag-valve-mask unit
The priority of the nurse is to ventilate the patient manually using a bag-valve-
mask (BVM) unit. This allows air to be forced into the patient's lungs when there
are no spontaneous respirations. The non-rebreather mask and nasal cannula
require the patient to breathe on his or her own. CPAP is used for patients who
are awake, oriented, and in respiratory failure.
The nurse is caring for a patient who is slow to awaken following general
anesthesia. The patient is breathing spontaneously but is minimally responsive
and having difficulty maintaining a patent airway. Which intervention is the
most appropriate for the patient to improve oxygenation?
a. Insert an oral airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry.
a. Insert an oral airway.
An oral (oropharyngeal) airway will prevent the patient's tongue from falling
back and occluding the airway. Lowering the head of the bed will only increase
airway occlusion and risk of aspiration. Turning the patient's head to the side
, will not clear the back of the patient's tongue from the airway. Monitoring the
patient's pulse oximetry will not improve oxygenation or clear the airway.
The nurse is caring for a patient who developed a pulmonary embolism after
surgery. Which goal statement is the highest priority for the nurse to include in
the patient's care plan for the diagnosis impaired gas exchange r/t impaired
pulmonary blood flow from embolus?
a. The patient will maintain pulse oximetry values of at least 95% on room air.
b. The patient will verbalize understanding of ordered anticoagulants.
c. The patient will report chest pain of no greater than 3 on a 1 to 10 scale.
d. The patient will ambulate 50 feet in hallway without shortness of breath.
a. The patient will maintain pulse oximetry values of at least 95% on room air.
Oxygenation is the most important human need, so adequate oxygenation of
tissues as evidenced by pulse oximetry values of at least 95% on room air is the
highest priority goal. The other goals may be addressed once the oxygenation
goal has been met.
The nurse is caring for a patient with severe COPD who is becoming increasingly
confused and disoriented. What is the priority action of the nurse?
a. Obtain an arterial blood gas to check for carbon dioxide retention.
b. Increase the patient's oxygen until the pulse oximetry is greater than 98%.
c. Lower the head of the patient's bed and insert a nasal airway.
d. Administer a mild sedative and reorient the patient as needed.
a. Obtain an arterial blood gas to check for carbon dioxide retention.
Alteration of lung tissue may decrease delivery of oxygen to the alveoli, impede
transfer of oxygen from alveoli to the bloodstream, and hinder expulsion of
carbon dioxide. COPD causes impaired gas exchange, leading to decreased
oxygen levels and higher circulating levels of carbon dioxide (i.e., respiratory
acidosis). Confusion and disorientation in a patient with severe COPD may likely
be due to carbon dioxide retention. An arterial blood gas should be drawn to
determine if this is the case. COPD patients should be kept on low oxygen flow
