MED-SURG Test Bank Exam Questions
and Answers
5. The nurse is providing care to a patient with a new tracheostomy. Which of the
following is appropriate to include in this patient's care? Select all that apply.
A. Remove the dressing with sterile gloves.
B. Suction the patient prior to care using sterile technique.
C. Clean the inner cannula with sterile normal saline.
D. Remove crusted secretions with hydrogen peroxide and flush with normal saline.
E. Apply new dressing in a V shape. - Answer-remove with clean gloves not sterile,
suction pt prior to care using sterile gloves, clean inner cannula with sterile saline,
remove crusted secretions with hydrogen peroxide and flush with normal saline,
apply new 4x4 V shaped dressing.
retractions in intercostal space may be seen in - Answer-asthma
bulging in intercostal space may be seen in - Answer-pneumothorax
The trachea shifts to the ___side in atelectasis. - Answer-unaffected, affected
Dullness is heard in pt with atelactasis, pneumonia and pleural effusion. _____ is
heard in those with chronic asthma, emphysema and pneumothorax. - Answer-
Hyperresonance
Describe the three normal breath sounds - Answer-Vesicular- soft, low pitched w/
inspiration longer than expiration(heard on all areas of the lungs except the major
bronchi )
Bronchovesicular-Medium, (heard over `````````````bronchus,stermnum and scalpulae)
Bronchial-loud, expiration longer than inspiration (heard over manubrium)
Describe the adventitious breath sounds :
crackels
wheeze
friction rub - Answer-crackling, bubbling (pneumonia, bronchitis, CHF)
musical (bronchitis, emphysema, asthma)
loud, dry, creaking sound
Dextromorphan is a ___class of drugs that should be used at ____? - Answer-
antitissuive,night
measures to increase secretion mobilization - Answer-coughing, deep breathing,
increased fluid intake, expectorants,
A patient who just had a thoracentisis to drain a pleural effusion would be doing
better if:
A: they have clear lung sounds bilaterally
B: breathing without accessory muscles - Answer-B
Clear lung sounds shows an effective airway clearance
and Answers
5. The nurse is providing care to a patient with a new tracheostomy. Which of the
following is appropriate to include in this patient's care? Select all that apply.
A. Remove the dressing with sterile gloves.
B. Suction the patient prior to care using sterile technique.
C. Clean the inner cannula with sterile normal saline.
D. Remove crusted secretions with hydrogen peroxide and flush with normal saline.
E. Apply new dressing in a V shape. - Answer-remove with clean gloves not sterile,
suction pt prior to care using sterile gloves, clean inner cannula with sterile saline,
remove crusted secretions with hydrogen peroxide and flush with normal saline,
apply new 4x4 V shaped dressing.
retractions in intercostal space may be seen in - Answer-asthma
bulging in intercostal space may be seen in - Answer-pneumothorax
The trachea shifts to the ___side in atelectasis. - Answer-unaffected, affected
Dullness is heard in pt with atelactasis, pneumonia and pleural effusion. _____ is
heard in those with chronic asthma, emphysema and pneumothorax. - Answer-
Hyperresonance
Describe the three normal breath sounds - Answer-Vesicular- soft, low pitched w/
inspiration longer than expiration(heard on all areas of the lungs except the major
bronchi )
Bronchovesicular-Medium, (heard over `````````````bronchus,stermnum and scalpulae)
Bronchial-loud, expiration longer than inspiration (heard over manubrium)
Describe the adventitious breath sounds :
crackels
wheeze
friction rub - Answer-crackling, bubbling (pneumonia, bronchitis, CHF)
musical (bronchitis, emphysema, asthma)
loud, dry, creaking sound
Dextromorphan is a ___class of drugs that should be used at ____? - Answer-
antitissuive,night
measures to increase secretion mobilization - Answer-coughing, deep breathing,
increased fluid intake, expectorants,
A patient who just had a thoracentisis to drain a pleural effusion would be doing
better if:
A: they have clear lung sounds bilaterally
B: breathing without accessory muscles - Answer-B
Clear lung sounds shows an effective airway clearance
