Certified Medical Surgical Practice Exam Questions with Correct Answer.

The nurse recognizes the patient most likely to experience hypercarbic respiratory failure is the one with a diagnosis of a. acute respiratory distress syndrome b. pulmonary embolus c. bronchitis d. pulmonary edema Correct Answer Correct answer: C. Hypercarbic respiratory failure occurs when conditions cause a reduction in minute volume or an increase in physiologic dead space (for example, COPD [including bronchitis], asthma, exacerbation of underlying neuromuscular disease). Hypoxic respiratory failure results from an insult to the pulmonary tissues (such as pneumonia, ARDS, pulmonary contusion) A patient with Stage II adenocarcinoma of the lung is being treated with the anti-tumor antibiotic doxorubicin (Adriamycin). The nurse knows that alteration in dose scheduling of doxorubicin is needed to decrease the risk of toxicity to which of the following organs: a. liver b. heart c. pancreas d. kidney Correct Answer Correct Answer: B. Cardiotoxicity can develop from a cumulative drug effect. Altering the dose scheduling of doxorubicin to include frequent lower doses has resulted in reduction of cardiotoxicity without compromise of anti tumor effects. A 57 Year old patient is admitted to the medical unit for progressive symptoms of dyspnea on exertion and decreased appetite, and is scheduled for pulmonary function testing. when the patient asks what the test will measure, the nurse's response is based on the knowledge that the tests are used to identify which three general patterns of pulmonary abnormality? a. obstructive, restrictive, and mixed b. obstructive, constrictive, and mixed c. restrictive, functional, and mixed d. constrictive, functional and mixed Correct Answer Correct Answer: A. Pulmonary function tests are used to identify and quantify abnormalities in respiratory function, including three general patterns of abnormality: obstructive, restrictive, and mixed. The preferred Mantoux test for screening and diagnosis of tuberculosis should be read by the trained nurse in: