BSN 366 WEEK 3 EXAM QUESTIONS AND ANSWERS GRADED A+
1. 1. A student nurse is caring for a patient who has
Guillen-Barré syndrome. The nurse reminds the student
to check which laboratory value that, if abnor-mal, can
suggest the ventilatory compromise seen in acute
respiratory failure (ARF)?
Oxygen saturation
Ventilation/perfusion (V/Q)
ratio Partial arterial oxygen
tension (PaO2)
Partial pressure of carbon dioxide in arterial blood (PaCO2):
Partial pressure of carbon dioxide in arterial blood (PaCO2)
2. 2. The adult health nurse is assessing a patient admitted
with acute respi-ratory failure (ARF). Which information
is most important to obtain from the patient's history?
Select all that apply.
Diagnosed with asthma at
age 9 Employed as a
bartender for 7 years Acute
,pneumonia infection last
year
Fractured humerus that was casted for 6 weeks
Smokes 2 packs of cigarettes a day for the last 12 years:
Diagnosed with asthma at age 9
Smokes 2 packs of cigarettes a day for the last 12 years
3. 3. The nurse is assessing a patient with dyspnea who
has asthma. The nurse will recognize that this patient
may be beginning to experience type II acute respiratory
failure (ARF) if which finding is noted?
Respiratory rate of 15 breaths/min and a
PaCO2 of 40 mm Hg Respiratory rate of 24
breaths/min and a PaCO2 of 48 mm Hg
Respiratory rate of 19 breaths/min and
PaCO2 of 44 mm Hg
Respiratory rate of 36 breaths/minute and a partial
pressure of carbon dioxide in arterial blood (Paco2)of 38 mm
Hg: Respiratory rate of 24 breaths/min and a PaCO2 of 48 mm Hg
,The patient who is beginning to show signs of type II ARF will have an increased
respiratory rate (12 to 20 breaths/min is normal), decreased PaO2, and a PaCO2 that
is greater than 50 mm Hg (normal is 35 to 45 mm Hg). This is indicative of type II
ARF beginning.
4. 4. A patient with bilateral pneumonia presents with
crackles in both lung bases, a temperature of 103.6° F,
heart rate of 98 beats/min, blood pressure of 167/98 mm
Hg, functional oxygen saturation of 84%, and respiratory
rate of 32 breath/min.Which action would the nurse
take first?
Apply oxygen.
Administer
albuterol.
Administer acetaminophen.
Administer methylprednisolone.: Apply oxygen.
5. 5. The nurse is caring for a patient with metastatic lung
cancer and worsen-ing anxiety. The nurse notes that the
patient has become increasingly restless. The nurse
anticipates which order form the health care provider?
Albuterol via nebulizer
Oxygen via nasal cannula at 3
L/min Furosemide, 40 mg, to be
administered orally
Lorazepam, 2 mg, to be administered intravenously: Oxygen via
, nasal cannula at 3 L/min
This patient is displaying signs of hypoxemia caused by acute respiratory failure
(ARF). Oxygen is the appropriate treatment.
6. 6. A new nurse is caring for a patient with acute
respiratory failure (ARF). Which action by the new
nurse, if noted by the registered nurse, indicates a need
for further teaching?
The new nurse encourages the patient to remain seated
upright after meals. The new nurse encourages the
patient to maintain a low-protein, high-calorie diet.
The new nurse encourages the patient to increase fluid
intake to maintain hydration.
The new nurse encourages the patient to incorporate
periods of rest between activities.: The new nurse encourages the
patient to maintain a low-protein, high-calorie diet.
1. 1. A student nurse is caring for a patient who has
Guillen-Barré syndrome. The nurse reminds the student
to check which laboratory value that, if abnor-mal, can
suggest the ventilatory compromise seen in acute
respiratory failure (ARF)?
Oxygen saturation
Ventilation/perfusion (V/Q)
ratio Partial arterial oxygen
tension (PaO2)
Partial pressure of carbon dioxide in arterial blood (PaCO2):
Partial pressure of carbon dioxide in arterial blood (PaCO2)
2. 2. The adult health nurse is assessing a patient admitted
with acute respi-ratory failure (ARF). Which information
is most important to obtain from the patient's history?
Select all that apply.
Diagnosed with asthma at
age 9 Employed as a
bartender for 7 years Acute
,pneumonia infection last
year
Fractured humerus that was casted for 6 weeks
Smokes 2 packs of cigarettes a day for the last 12 years:
Diagnosed with asthma at age 9
Smokes 2 packs of cigarettes a day for the last 12 years
3. 3. The nurse is assessing a patient with dyspnea who
has asthma. The nurse will recognize that this patient
may be beginning to experience type II acute respiratory
failure (ARF) if which finding is noted?
Respiratory rate of 15 breaths/min and a
PaCO2 of 40 mm Hg Respiratory rate of 24
breaths/min and a PaCO2 of 48 mm Hg
Respiratory rate of 19 breaths/min and
PaCO2 of 44 mm Hg
Respiratory rate of 36 breaths/minute and a partial
pressure of carbon dioxide in arterial blood (Paco2)of 38 mm
Hg: Respiratory rate of 24 breaths/min and a PaCO2 of 48 mm Hg
,The patient who is beginning to show signs of type II ARF will have an increased
respiratory rate (12 to 20 breaths/min is normal), decreased PaO2, and a PaCO2 that
is greater than 50 mm Hg (normal is 35 to 45 mm Hg). This is indicative of type II
ARF beginning.
4. 4. A patient with bilateral pneumonia presents with
crackles in both lung bases, a temperature of 103.6° F,
heart rate of 98 beats/min, blood pressure of 167/98 mm
Hg, functional oxygen saturation of 84%, and respiratory
rate of 32 breath/min.Which action would the nurse
take first?
Apply oxygen.
Administer
albuterol.
Administer acetaminophen.
Administer methylprednisolone.: Apply oxygen.
5. 5. The nurse is caring for a patient with metastatic lung
cancer and worsen-ing anxiety. The nurse notes that the
patient has become increasingly restless. The nurse
anticipates which order form the health care provider?
Albuterol via nebulizer
Oxygen via nasal cannula at 3
L/min Furosemide, 40 mg, to be
administered orally
Lorazepam, 2 mg, to be administered intravenously: Oxygen via
, nasal cannula at 3 L/min
This patient is displaying signs of hypoxemia caused by acute respiratory failure
(ARF). Oxygen is the appropriate treatment.
6. 6. A new nurse is caring for a patient with acute
respiratory failure (ARF). Which action by the new
nurse, if noted by the registered nurse, indicates a need
for further teaching?
The new nurse encourages the patient to remain seated
upright after meals. The new nurse encourages the
patient to maintain a low-protein, high-calorie diet.
The new nurse encourages the patient to increase fluid
intake to maintain hydration.
The new nurse encourages the patient to incorporate
periods of rest between activities.: The new nurse encourages the
patient to maintain a low-protein, high-calorie diet.
