ARDS, burns, emergency nursing- Exam Questions with Correct Answers
Question 1:
The unlicensed assistive personnel (UAP)is bathing the client diagnosed with acute respiratory
distress syndrome (ARDS). The bed is in a high position with the opposite side rail in the low
position. Which action should the nurse implement?
Demonstrate the correct technique for giving a bed bath. Encourage the UAP to put the bed in
the lowest position. Instruct the UAP to get another person to help with the bath.
Provide praise for performing the bath safely for the client and the UAP.
Answer:
Demonstrate the correct technique for giving a bed bath.
Question 2:
Verify that the ventilator alarms are functioning properly. Assess the respiratory status and
pulse oximeter reading. Monitor the client's arterial blood gas results.
Answer:
Assess the respiratory status and pulse oximeter reading.
Question 3:
"Your lungs are filling up with fluid, causing breathing problems." "Smoking has caused your
lungs to become weakened, so you got ARDS."
Answer:
"Smoking has caused your lungs to become weakened, so you got
Question 4:
The pulse oximeter reading is greater than 95%. The client has asymmetrical chest expansion.
The telemetry reading shows sinus tachycardia.
Answer:
The client has asymmetrical chest expansion.
Question 5:
The health-care provider ordered STAT arterial blood gases (ABGs) for the client diagnosed with
ARDS. The ABG results are pH 7.38, Pao2 92,
Paco2 38, Hco3 24. Which action should the nurse implement? Continue to monitor the client
without taking any action.
, Encourage the client to take deep breaths and cough. Administer one (1) ampule of sodium
bicarbonate IVP. Notify the respiratory therapist of the ABG results.
Answer:
Continue to monitor the client without taking any action.
Question 6:
Determine if the ET cuff is deflated. Ensure that the ET tube is secure.
Answer:
Determine if the ET cuff is deflated. Ensure that the ET tube is secure.
Question 7:
The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning.
Which intervention should the nurse implement first?
Notify the respiratory therapist immediately. Ventilate with a manual resuscitation bag.
Request STAT arterial blood gases. Auscultate the client's lung sounds.
Answer:
Notify the respiratory therapist immediately.
Question 8:
interventions should the nurse implement? Select all that apply.
Assess the client's level of consciousness. Monitor urine output every shift.
Turn the client every two (2) hours. Maintain intravenous fluids as ordered. Place the client in
the Fowler's position. 1,3,4,5
Answer:
Assess the client's level of consciousness.
Question 9:
The client is at risk for fluid volume overload, so the nurse should monitor and maintain the
fluid intake.
Fowler's position facilitates lung expansion and reduces the workload of breathing.
Answer:
intake.
Question 1:
The unlicensed assistive personnel (UAP)is bathing the client diagnosed with acute respiratory
distress syndrome (ARDS). The bed is in a high position with the opposite side rail in the low
position. Which action should the nurse implement?
Demonstrate the correct technique for giving a bed bath. Encourage the UAP to put the bed in
the lowest position. Instruct the UAP to get another person to help with the bath.
Provide praise for performing the bath safely for the client and the UAP.
Answer:
Demonstrate the correct technique for giving a bed bath.
Question 2:
Verify that the ventilator alarms are functioning properly. Assess the respiratory status and
pulse oximeter reading. Monitor the client's arterial blood gas results.
Answer:
Assess the respiratory status and pulse oximeter reading.
Question 3:
"Your lungs are filling up with fluid, causing breathing problems." "Smoking has caused your
lungs to become weakened, so you got ARDS."
Answer:
"Smoking has caused your lungs to become weakened, so you got
Question 4:
The pulse oximeter reading is greater than 95%. The client has asymmetrical chest expansion.
The telemetry reading shows sinus tachycardia.
Answer:
The client has asymmetrical chest expansion.
Question 5:
The health-care provider ordered STAT arterial blood gases (ABGs) for the client diagnosed with
ARDS. The ABG results are pH 7.38, Pao2 92,
Paco2 38, Hco3 24. Which action should the nurse implement? Continue to monitor the client
without taking any action.
, Encourage the client to take deep breaths and cough. Administer one (1) ampule of sodium
bicarbonate IVP. Notify the respiratory therapist of the ABG results.
Answer:
Continue to monitor the client without taking any action.
Question 6:
Determine if the ET cuff is deflated. Ensure that the ET tube is secure.
Answer:
Determine if the ET cuff is deflated. Ensure that the ET tube is secure.
Question 7:
The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning.
Which intervention should the nurse implement first?
Notify the respiratory therapist immediately. Ventilate with a manual resuscitation bag.
Request STAT arterial blood gases. Auscultate the client's lung sounds.
Answer:
Notify the respiratory therapist immediately.
Question 8:
interventions should the nurse implement? Select all that apply.
Assess the client's level of consciousness. Monitor urine output every shift.
Turn the client every two (2) hours. Maintain intravenous fluids as ordered. Place the client in
the Fowler's position. 1,3,4,5
Answer:
Assess the client's level of consciousness.
Question 9:
The client is at risk for fluid volume overload, so the nurse should monitor and maintain the
fluid intake.
Fowler's position facilitates lung expansion and reduces the workload of breathing.
Answer:
intake.
