NSGD 2256: AHA FINAL (PACE FA24)
1. What is the MOST significant modifiable risk factor for the development of
impaired gas exchange?
Answer Tobacco use
2. When reviewing the concept of gas exchange, how should the nurse BEST
describe the movement of oxygen and carbon dioxide?
Answer Gas moves from an area of high pressure to an area of low pressure across the alveolar
membrane.
3. A healthcare provider writes a prescription for arterial blood gases (ABG).
What should the nurse recognize that this test is used to detect?
Answer Status of acid-base balance in arterial blood.
4. The nurse is administering oral glucocorticoids to a patient with asthma.
What finding indicates a therapeutic response to the medication?
Answer No observable respiratory diflculty or shortness of breath over the last 24 hours.
,5. The nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD). The patient tells the nurse he is having a "hard time breathing." His RR
is 32, P 120, O2 90%. Which action should the nurse take?
Answer Initiate oxygen via a nasal cannula, and begin at a flow rate of 2L/min.
6. The nurse should anticipate that the patient with which diagnosis or symp-
toms will need to be treated with insertion of a chest tube?
Answer Unequal thoracic expansion suspected of having a pneumothorax.
7. The nurse is assessing a female patient at the neighborhood clinic. The pa-
tient reports frequent shortness of breath and dizziness. The nurse knows that
these symptoms may be an underlying symptom of which condition?
Answer Myocardial infarction
8. The nurse is assessing the sleep patterns of a patient when the patient
reports having trouble sleeping when lying flat. Which is the best response by
the nurse?
Answer Use pillows to prop yourself up while sleeping.
,9. A patient is experiencing periods of confusion, and the family is concerned.
The patient's son asks the nurse for an explanation and recommendation.
Which is the best response by the nurse?
Answer "Your father may be having mini-strokes; I will notify his healthcare provider."
10. A patient is questioning the nurse about circulation and perfusion. Which
response about perfusion by the nurse is the best?
Answer "It is the flow of blood through arteries and capillaries delivering nutrients and oxygen to
cells."
, 11. What is the purpose of including exercise and activity in a cardiac rehabilita-
tion program?
Answer - Increase cardiac output
- Increase blood flow through the arteries
- Increase muscle mass
- Increase flexibility
12. A nursing instructor assigns the clinical group the task of writing a journal
depicting the student's clinical day. What is the most likely rationale for this
assignment?
Answer Allows reflection, an important aspect of clinical judgement.
13. Which statement best describes clinical reasoning?
Answer Includes the thinking used for analyzing knowledge relative to a clinical situation or specific
patient.
14. Tanner's Clinical Judgment Model, the most commonly used model in nurs-
ing education and based on three decades of research, has different stages.
1. What is the MOST significant modifiable risk factor for the development of
impaired gas exchange?
Answer Tobacco use
2. When reviewing the concept of gas exchange, how should the nurse BEST
describe the movement of oxygen and carbon dioxide?
Answer Gas moves from an area of high pressure to an area of low pressure across the alveolar
membrane.
3. A healthcare provider writes a prescription for arterial blood gases (ABG).
What should the nurse recognize that this test is used to detect?
Answer Status of acid-base balance in arterial blood.
4. The nurse is administering oral glucocorticoids to a patient with asthma.
What finding indicates a therapeutic response to the medication?
Answer No observable respiratory diflculty or shortness of breath over the last 24 hours.
,5. The nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD). The patient tells the nurse he is having a "hard time breathing." His RR
is 32, P 120, O2 90%. Which action should the nurse take?
Answer Initiate oxygen via a nasal cannula, and begin at a flow rate of 2L/min.
6. The nurse should anticipate that the patient with which diagnosis or symp-
toms will need to be treated with insertion of a chest tube?
Answer Unequal thoracic expansion suspected of having a pneumothorax.
7. The nurse is assessing a female patient at the neighborhood clinic. The pa-
tient reports frequent shortness of breath and dizziness. The nurse knows that
these symptoms may be an underlying symptom of which condition?
Answer Myocardial infarction
8. The nurse is assessing the sleep patterns of a patient when the patient
reports having trouble sleeping when lying flat. Which is the best response by
the nurse?
Answer Use pillows to prop yourself up while sleeping.
,9. A patient is experiencing periods of confusion, and the family is concerned.
The patient's son asks the nurse for an explanation and recommendation.
Which is the best response by the nurse?
Answer "Your father may be having mini-strokes; I will notify his healthcare provider."
10. A patient is questioning the nurse about circulation and perfusion. Which
response about perfusion by the nurse is the best?
Answer "It is the flow of blood through arteries and capillaries delivering nutrients and oxygen to
cells."
, 11. What is the purpose of including exercise and activity in a cardiac rehabilita-
tion program?
Answer - Increase cardiac output
- Increase blood flow through the arteries
- Increase muscle mass
- Increase flexibility
12. A nursing instructor assigns the clinical group the task of writing a journal
depicting the student's clinical day. What is the most likely rationale for this
assignment?
Answer Allows reflection, an important aspect of clinical judgement.
13. Which statement best describes clinical reasoning?
Answer Includes the thinking used for analyzing knowledge relative to a clinical situation or specific
patient.
14. Tanner's Clinical Judgment Model, the most commonly used model in nurs-
ing education and based on three decades of research, has different stages.
