AACN ECCO Pulmonary Part 1 qith
correct answers
A nurse caring for a patient with ARDS on BiPAP observes rapid progression and
tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? -
CORRECT ANSWERS-Call emergency response for intubation
A nurse caring for a patient with ARDS on BiPAP observes rapid progression and
tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? -
CORRECT ANSWERS-Call emergency team for rapid intubation
A nurse caring for a patient with worsening hypoxia should anticipate which signs of
ARDS? - CORRECT ANSWERS-PaO2/FiO2 below 300
PEEP requirements of at least 5
Respiratory failure unexplained
A nurse caring for a patient with worsening hypoxia should anticipate which signs of
ARDS? - CORRECT ANSWERS-PaO2/FiO2 below 300...
PEEP requirements of at least 5...
Respiratory failure unexplained...
A nurse is monitoring patient undergoing bedside bronchoscopy notes a decline in
patient's oxygen saturation. What should you anticipate? - CORRECT ANSWERS-
Auscultate lungs bilaterally
Monitor EtCO2
Provide supplemental oxygen
A nurse monitoring a patient undergoing bedside bronchoscopy notes a decline in a
patient's oxygen saturation. Which should the nurse anticipate? - CORRECT
ANSWERS-Auscultate lung sounds...
Provide supplemental O2...
Monitor EtCO2
, A patient admitted 48 hours ago, temp 38.9, cough with purulent sputum, crackles that
don't clear, and ↓ right lower lobe breath sounds. What should you anticipate? -
CORRECT ANSWERS-Broad spectrum ABX
A patient has the following ABG results: pH 7.25, PaCO2 43, PaO2 80, SaO2 91%, and
HCO3- 18. What is the most likely underlying cause? - CORRECT ANSWERS-Acute
kidney injury
A patient in respiratory failure has a low expiratory airflow unresponsive to medication.
The nruse observes tachycardia and hypoxemia. What additional signs/symptoms
should the nurse anticipate? - CORRECT ANSWERS-WRONG
Respiratory acidosis on ABG
A-fib
Declining PaO2
A patient is admitted with acute hypoxemic respiratory failure. Which assessments
confirm the diagnosis? - CORRECT ANSWERS-WRONG
Tachypnea
Tachycardia
PaO2 55 mmHg
A patient is admitted with COPD exacerbation. ABGs are: pH 7.28, PaO2 60, PaCO2
76, HCO3- 27 mEq/L, and SaO2 86% on fiO2 50% via air entrainment device. Which
treatment would you anticipate next? - CORRECT ANSWERS-NIPPV
A patient with a hemothorax and a chest tube draining system is admitted. Which
intervention should the nurse anticipate? - CORRECT ANSWERS-Attach chest tube to
wall suction
A patient with a hip fracture fro a fall has a sudden decrease in SpO2, from 99% to
92%, and reports dyspnea. Which other signs or symptoms should the nurse anticipate?
- CORRECT ANSWERS-Pleural friction rub and pleuritic chest pain
A patient with COPD on PEEP reports sudden chest pain. The nurse observes
tachycardia and shortness of breath. Which other conditions should the nurse expect? -
CORRECT ANSWERS-Decrease
Decrease
Decrease
A patient with COPD on PEEP reports sudden chest pain. The nurse observes
tachycardia and shortness of breath. Which other conditions should the nurse
expected? - CORRECT ANSWERS-Decreased PaCO2 levels...
Decreased chest excursion on one side...
Decreased SaO2 level
correct answers
A nurse caring for a patient with ARDS on BiPAP observes rapid progression and
tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? -
CORRECT ANSWERS-Call emergency response for intubation
A nurse caring for a patient with ARDS on BiPAP observes rapid progression and
tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? -
CORRECT ANSWERS-Call emergency team for rapid intubation
A nurse caring for a patient with worsening hypoxia should anticipate which signs of
ARDS? - CORRECT ANSWERS-PaO2/FiO2 below 300
PEEP requirements of at least 5
Respiratory failure unexplained
A nurse caring for a patient with worsening hypoxia should anticipate which signs of
ARDS? - CORRECT ANSWERS-PaO2/FiO2 below 300...
PEEP requirements of at least 5...
Respiratory failure unexplained...
A nurse is monitoring patient undergoing bedside bronchoscopy notes a decline in
patient's oxygen saturation. What should you anticipate? - CORRECT ANSWERS-
Auscultate lungs bilaterally
Monitor EtCO2
Provide supplemental oxygen
A nurse monitoring a patient undergoing bedside bronchoscopy notes a decline in a
patient's oxygen saturation. Which should the nurse anticipate? - CORRECT
ANSWERS-Auscultate lung sounds...
Provide supplemental O2...
Monitor EtCO2
, A patient admitted 48 hours ago, temp 38.9, cough with purulent sputum, crackles that
don't clear, and ↓ right lower lobe breath sounds. What should you anticipate? -
CORRECT ANSWERS-Broad spectrum ABX
A patient has the following ABG results: pH 7.25, PaCO2 43, PaO2 80, SaO2 91%, and
HCO3- 18. What is the most likely underlying cause? - CORRECT ANSWERS-Acute
kidney injury
A patient in respiratory failure has a low expiratory airflow unresponsive to medication.
The nruse observes tachycardia and hypoxemia. What additional signs/symptoms
should the nurse anticipate? - CORRECT ANSWERS-WRONG
Respiratory acidosis on ABG
A-fib
Declining PaO2
A patient is admitted with acute hypoxemic respiratory failure. Which assessments
confirm the diagnosis? - CORRECT ANSWERS-WRONG
Tachypnea
Tachycardia
PaO2 55 mmHg
A patient is admitted with COPD exacerbation. ABGs are: pH 7.28, PaO2 60, PaCO2
76, HCO3- 27 mEq/L, and SaO2 86% on fiO2 50% via air entrainment device. Which
treatment would you anticipate next? - CORRECT ANSWERS-NIPPV
A patient with a hemothorax and a chest tube draining system is admitted. Which
intervention should the nurse anticipate? - CORRECT ANSWERS-Attach chest tube to
wall suction
A patient with a hip fracture fro a fall has a sudden decrease in SpO2, from 99% to
92%, and reports dyspnea. Which other signs or symptoms should the nurse anticipate?
- CORRECT ANSWERS-Pleural friction rub and pleuritic chest pain
A patient with COPD on PEEP reports sudden chest pain. The nurse observes
tachycardia and shortness of breath. Which other conditions should the nurse expect? -
CORRECT ANSWERS-Decrease
Decrease
Decrease
A patient with COPD on PEEP reports sudden chest pain. The nurse observes
tachycardia and shortness of breath. Which other conditions should the nurse
expected? - CORRECT ANSWERS-Decreased PaCO2 levels...
Decreased chest excursion on one side...
Decreased SaO2 level
