Arizona State University-Downtown Phoenix HCR 240 Final Exam
|| All Answers are Valid.
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 correct answers
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 correct answers 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% correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers Tension pneumothorax
What assessment findings will the nurse observe in a patient diagnosed with severe pulmonary
edema?
-Pink, frothy sputum
-Thick mucous secretions
-Hypocapnia
-Wheezing correct answers Pink, frothy sputum
A 42-year-old presents with dyspnea, rapid shallow breathing, inspiratory crackles, decreased
lung compliance, and hypoxemia. Tests reveal a fulminant form of respiratory failure
|| All Answers are Valid.
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 correct answers
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 correct answers 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% correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers Tension pneumothorax
What assessment findings will the nurse observe in a patient diagnosed with severe pulmonary
edema?
-Pink, frothy sputum
-Thick mucous secretions
-Hypocapnia
-Wheezing correct answers Pink, frothy sputum
A 42-year-old presents with dyspnea, rapid shallow breathing, inspiratory crackles, decreased
lung compliance, and hypoxemia. Tests reveal a fulminant form of respiratory failure
