6001 FINAL PRACTICE QUESTIONS Questions
and Correct Answers/ Latest Update / Already Graded
1. A nurse caring for a patient with chronic obstructive pulmonary disease
(COPD) knows that hypoxia may occur in patients with respiratory problems.
What are signs of this serious condition?
Select all answers that apply.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiratory rate
E. Pallor
F. Increased pulse rate
Ans: 1. a, c, e, f. If a problem exists in ventilation, respiration, or perfusion,
hypoxia may occur. Hypoxia is a condition in which an inadequate amount of
oxygen is available to cells. The most common symptoms of hypoxia are dyspnea
(difficulty breathing), an elevated blood pressure with a small pulse pressure,
increased respiratory and pulse rates, pallor, and cyanosis.
2. A nurse is suctioning the nasopharyngeal airway of a patient to maintain a
patent airway. For which condition would the nurse anticipate the need for a
nasal trumpet?
A. The patient vomits during suctioning.
B. The secretions appear to be stomach contents.
C. The catheter touches an unsterile surface.
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D. Epistaxis is noted with continued suctioning.
Ans: . d. When epistaxis is noted with continued suctioning, the nurse should
notify the physician and anticipate the need for a nasal trumpet. The nasal trumpet
will protect the nasal mucosa from further trauma related to suctioning.
3. A nurse is inserting an oropharyngeal airway for a patient who vomits when it
is inserted. Which action would be the first that should be taken by the nurse
related to this occurrence?
A. Quickly position the patient on his or her side.
B. Put on disposable gloves and remove the oral airway.
C. Check that the airway is the appropriate size for the patient.
D. Put on sterile gloves and suction the airway.
Ans: a. When a patient vomits upon insertion of an oropharyngeal airway, the
nurse should immediately position the patient on his or her side to prevent
aspiration, remove the oral airway, and suction the mouth if needed
4. A nurse is choosing a catheter to use to suction a patient's endotracheal tube
via an open system. On which variable would the nurse base the size of the
catheter to use?
A. The age of the patient
B. The size of the endotracheal tube
C. The type of secretions to be suctioned
D. The height and weight of the patient
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Ans: . b. The nurse would base the size of the suctioning catheter on the size of
the endotracheal tube. The external diameter of the suction catheter should not
exceed half of the internal diameter of the endotracheal tube. Larger catheters
can contribute to trauma and hypoxemia.
5. A nurse is caring for a 16-year-old male patient who has been hospitalized for
an acute asthma exacerbation. Which testing methods might the nurse use to
measure the patient's oxygen saturation? Select all that apply.
A. Thoracentesis
B. Spirometry
C. Pulse oximetry
D. Peak expiratory flow rate
E. Diffusion capacity
F. Maximal respiratory pressure
Ans: b, c, d.
Spirometers are used to monitor the health status of patients with respiratory
disorders, such as asthma.
Pulse oximetry is used to obtain baseline information about the patient's oxygen
saturation level and is also performed for patients with asthma, along with PEFR
to monitor airflow. These three tests may be administered by the nurse.
Diffusion capacity estimates the patient's ability to absorb alveolar gases and
determines if a gas exchange problem exists. Maximal respiratory pressures help
evaluate neuromuscular causes of respiratory dysfunction. Both tests are usually
performed by a respiratory therapist. The physician or other advanced practice
professional can perform a thoracentesis at the bedside with the nurse assisting,
or in the radiology department.
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6. A patient with COPD is unable to perform activities of daily living (ADLs)
without becoming exhausted. Which nursing diagnosis best describes this
alteration in oxygenation as the etiology?
A. Decreased Cardiac Output related to difficulty breathing
B. Impaired Gas Exchange related to use of bronchodilators
C. Fatigue related to impaired oxygen transport system
D. Ineffective Airway Clearance related to fatigue
Ans: c. Fatigue related to an impaired oxygen transport system is an example of
a nursing diagnosis with alteration in oxygenation as the etiology or cause of
other problems. Ineffective Airway Clearance, Decreased Cardiac Output and
Impaired Gas Exchange are examples of nursing diagnoses indicating alterations in
oxygenation as the problem
7. A nurse working in a long-term care facility is providing teaching to patients
with altered oxygenation due to conditions such as asthma and COPD. Which
measures would the nurse recommend? Select all that apply.
A. Refrain from exercise.
B. Reduce anxiety.
C. Eat meals 1 to 2 hours prior to breathing treatments.
D. Eat a high-protein/high-calorie diet.
E. Maintain a high-Fowler's position when possible.
F. Drink 2 to 3 pints of clear fluids daily
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