BSN 366 Week 3 Questions with Verified Correct
Answers
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 abnormal, 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. The adult health nurse is assessing a patient admitted with acute respiratory 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. 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. 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. The nurse is caring for a patient with metastatic lung cancer and worsening 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. 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.
7. The nurse is caring for several patients. Which patient’s vital signs and diagnostic
information indicate the need for immediate evaluation by the nurse?
Answers
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 abnormal, 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. The adult health nurse is assessing a patient admitted with acute respiratory 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. 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. 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. The nurse is caring for a patient with metastatic lung cancer and worsening 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. 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.
7. The nurse is caring for several patients. Which patient’s vital signs and diagnostic
information indicate the need for immediate evaluation by the nurse?
