NRSG 2500 Exam 1 Questions With Complete Solutions
5 A's of smoking cessation Correct Answer 1. ask if they
smoke
2. advise to quit
3. assess willingness to quit
4.. assist with cessation
5. arrange follow up
Acidosis: Physical assessment Correct Answer -CV
(bradycardia, low bp)
-CNS (lethargy, confusion)
-Neuromuscular (diminished reflexes, weak muscles)
-Integumentary (cyanotic, dry, pale)
Adventitious Sounds Correct Answer -crackles (fine, coarse)
-wheezes
-ronchi
-pleural friction rub
Alkalosis Correct Answer over-elimination or
underproduction of acid
Allergies Correct Answer ask what kind of reaction patient
has
Assess lung and thorax: inspection Correct Answer -inspect
thorax w/ patient sitting up
-observe chest wall
-rate, rhythm, depth of inspiration, symmetry of movement
-type of breathing
,-use of accessory muscles
Assessment and monitoring patient: chest tube Correct Answer
-listen to breath sounds
-assess pulse ox, vs
-assess for difficulty breathing, alignment of trachea
-ensure dressing around tube is intact, change per policy
-check insertion site for signs of infection, subq emphysema,
excessive bleeding
-check tube to see if eyelets are visible (should NOT be)
-assess pain level
-assist PT to cough and deep breathe, us incentive spirometer
Assessment of lung and thorax: palpation Correct Answer -
assess respiratory movement, symmetry
-chest expansion
-crepitus (subq emphysema)
-tactile fremitus (vibration)
Asthma airway obstruction Correct Answer -inflammation
-airway tissue/bronchoconstriction
-when severe, reduces gas exchange
Asthma: Education Correct Answer -avoid triggers
-use proper technique w/ inhaler
-get adequate rest and sleep
-reduce stress and anxiety
-wash all bedding in hot water
-use PFM if asthma is not well controlled
-seek immediate help if (gray/blue fingers, difficulty breathing,
retractions, nasal flaring, failure of drugs to work)
, Asthma: Lab Assessment Correct Answer -ABGs
-PaO2 may decrease in acute asthma attack
-PaCO2 may decrease early in attack and increase later
-Respiratory alkalosis followed by respiratory acidosis
Asthma: Recognize Cues: History Correct Answer -what
meds do you take/have taken?
-any triggers?
-productive cough?
-how long been coughing?
Asthma: Recognize Cues: Physical Assessment Correct
Answer -lung sounds (wheezing)
-respiratory rate (high)
-HR (high)
-cough (yes)
-accessory muslce use
-inspection of chest
-color (cyanotic)
-Blood gas/O2 sat
-LOC (depends on oxygenation)
Asthma: Take Action Correct Answer -control/prevent
episodes, improve airflow, relieve symptoms
-GOAL: decrease number of attacks
-use PFM to assess severity at home
-medication therapy
Blood Correct Answer -ABG (7.35-7.45)
-hemoglobin (12-16)
5 A's of smoking cessation Correct Answer 1. ask if they
smoke
2. advise to quit
3. assess willingness to quit
4.. assist with cessation
5. arrange follow up
Acidosis: Physical assessment Correct Answer -CV
(bradycardia, low bp)
-CNS (lethargy, confusion)
-Neuromuscular (diminished reflexes, weak muscles)
-Integumentary (cyanotic, dry, pale)
Adventitious Sounds Correct Answer -crackles (fine, coarse)
-wheezes
-ronchi
-pleural friction rub
Alkalosis Correct Answer over-elimination or
underproduction of acid
Allergies Correct Answer ask what kind of reaction patient
has
Assess lung and thorax: inspection Correct Answer -inspect
thorax w/ patient sitting up
-observe chest wall
-rate, rhythm, depth of inspiration, symmetry of movement
-type of breathing
,-use of accessory muscles
Assessment and monitoring patient: chest tube Correct Answer
-listen to breath sounds
-assess pulse ox, vs
-assess for difficulty breathing, alignment of trachea
-ensure dressing around tube is intact, change per policy
-check insertion site for signs of infection, subq emphysema,
excessive bleeding
-check tube to see if eyelets are visible (should NOT be)
-assess pain level
-assist PT to cough and deep breathe, us incentive spirometer
Assessment of lung and thorax: palpation Correct Answer -
assess respiratory movement, symmetry
-chest expansion
-crepitus (subq emphysema)
-tactile fremitus (vibration)
Asthma airway obstruction Correct Answer -inflammation
-airway tissue/bronchoconstriction
-when severe, reduces gas exchange
Asthma: Education Correct Answer -avoid triggers
-use proper technique w/ inhaler
-get adequate rest and sleep
-reduce stress and anxiety
-wash all bedding in hot water
-use PFM if asthma is not well controlled
-seek immediate help if (gray/blue fingers, difficulty breathing,
retractions, nasal flaring, failure of drugs to work)
, Asthma: Lab Assessment Correct Answer -ABGs
-PaO2 may decrease in acute asthma attack
-PaCO2 may decrease early in attack and increase later
-Respiratory alkalosis followed by respiratory acidosis
Asthma: Recognize Cues: History Correct Answer -what
meds do you take/have taken?
-any triggers?
-productive cough?
-how long been coughing?
Asthma: Recognize Cues: Physical Assessment Correct
Answer -lung sounds (wheezing)
-respiratory rate (high)
-HR (high)
-cough (yes)
-accessory muslce use
-inspection of chest
-color (cyanotic)
-Blood gas/O2 sat
-LOC (depends on oxygenation)
Asthma: Take Action Correct Answer -control/prevent
episodes, improve airflow, relieve symptoms
-GOAL: decrease number of attacks
-use PFM to assess severity at home
-medication therapy
Blood Correct Answer -ABG (7.35-7.45)
-hemoglobin (12-16)
