NURS-4581 Quiz 1 Questions and 100% Correct Answers 2026/27 Update - UTA
Question 1
0..1 pts
Which of the following is not a probable risk factor for ARDS?
1. Multiple trauma
2. Sepsis
3. Pancreatitis
4. Chronic kidney disease
Some causes of ARDS include acute infections, inflammation, multiple blood
transfusion, or trauma. Chronic kidney disease is less likely to cause ARDS.
Question 2
0..1 pts
Which of the following is not a diagnostic finding in a client with ARDS?
1. Increasing interstitial infiltrates on a chest X-ray
2. Hypoxemia refractory to oxygen therapy
3. Pulmonary artery wedge pressure of 22 mm Hg
4. History of a predisposing condition for ARDS in the previous 48 hours
Acute Respiratory Distress Syndrome is not a disease - it is the result of
predisposing conditions that have an inflammatory response causing
damage to the lungs in about 48 hours. In ARDS, the capillary bed begins to
lead so your will see increasing interstitial infiltrates on x-ray. This increase
in infiltrates causes refractory hypoxemia meaning even though the FiO2 is
increase, the patient's PaO2 does not increase with it. The response that you
wanted to select was the high PAWP reading. Normal PAWP is 6-12. In ARDS
it does not elevate much, staying below 20. If it is heart failure and fluid is
backing up then the PAWP will be over 20 as in this response.
Question 3
0..1 pts
NURS-4581 Quiz 1
, Which of the following signs is an early sign of respiratory distress?
1. Anxiety
2. Bradycardia
3. Hypotension
4. Cyanosis
Anxiety is an early sign of resp. distress, and should be addressed, cyanosis
is a late sign other signs are tachycardia and increased BP due to anxiety
Question 4
0..1 pts
Which of the following statements best describe the concept of shunting?
1. Shunting occurs when there is an occlusion in one of the pulmonary
arteries
2. Blood passes the affected area of the lung without being oxygenated
3. High flow oxygen increases the risk of shunting
4. Shunting is always normal physiologic process
The concept of shunting when blood passes the lung without being
oxygenated. Shunting occurs due to pathologic changes withing the lung
tissue or it's a normal physiologic process.
Question 5
0..1 pts
Continuous bubbling in the water-seal chamber of the collection device
would alert the nurse that
1. the lung has partially expanded.
2. a pneumothorax is developing.
NURS-4581 Quiz 1
Question 1
0..1 pts
Which of the following is not a probable risk factor for ARDS?
1. Multiple trauma
2. Sepsis
3. Pancreatitis
4. Chronic kidney disease
Some causes of ARDS include acute infections, inflammation, multiple blood
transfusion, or trauma. Chronic kidney disease is less likely to cause ARDS.
Question 2
0..1 pts
Which of the following is not a diagnostic finding in a client with ARDS?
1. Increasing interstitial infiltrates on a chest X-ray
2. Hypoxemia refractory to oxygen therapy
3. Pulmonary artery wedge pressure of 22 mm Hg
4. History of a predisposing condition for ARDS in the previous 48 hours
Acute Respiratory Distress Syndrome is not a disease - it is the result of
predisposing conditions that have an inflammatory response causing
damage to the lungs in about 48 hours. In ARDS, the capillary bed begins to
lead so your will see increasing interstitial infiltrates on x-ray. This increase
in infiltrates causes refractory hypoxemia meaning even though the FiO2 is
increase, the patient's PaO2 does not increase with it. The response that you
wanted to select was the high PAWP reading. Normal PAWP is 6-12. In ARDS
it does not elevate much, staying below 20. If it is heart failure and fluid is
backing up then the PAWP will be over 20 as in this response.
Question 3
0..1 pts
NURS-4581 Quiz 1
, Which of the following signs is an early sign of respiratory distress?
1. Anxiety
2. Bradycardia
3. Hypotension
4. Cyanosis
Anxiety is an early sign of resp. distress, and should be addressed, cyanosis
is a late sign other signs are tachycardia and increased BP due to anxiety
Question 4
0..1 pts
Which of the following statements best describe the concept of shunting?
1. Shunting occurs when there is an occlusion in one of the pulmonary
arteries
2. Blood passes the affected area of the lung without being oxygenated
3. High flow oxygen increases the risk of shunting
4. Shunting is always normal physiologic process
The concept of shunting when blood passes the lung without being
oxygenated. Shunting occurs due to pathologic changes withing the lung
tissue or it's a normal physiologic process.
Question 5
0..1 pts
Continuous bubbling in the water-seal chamber of the collection device
would alert the nurse that
1. the lung has partially expanded.
2. a pneumothorax is developing.
NURS-4581 Quiz 1
