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n8 NUR 265 Exam 2
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Respiratory/ Endocrine n
8
Practice Questions
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Respiratory
1. What finding is consistent for a patient with PE (pulmonary embolism)?
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Pleural friction rub n8 n8
2. For A patient with shortness of breath and chest pain, rapid response is
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called, the head of the bed is elevated, and oxygen is applied. What do
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
you do next?
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Place the patient on a cardiac monitor. And pulse oximetry.
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3. A patient is d/c’d on warfarin for PE. What Comment from the patient
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achieves a clear understanding?
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My INR is to be monitored frequently.
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4. Which ABG will a patient who has just developed PE likely have?
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pH 7.60, PaO2 85, PaCO2 32, HCO3 23,
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(Respiratory alkalosis) n8
5. Who is a priority patient?
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A patient on day 10 of heparin with blood oozing from their Foley
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catheter.
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6. A chest tube is continuously bubbling in the suction control chamber.
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Do you call the doctor?
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No. This is normal in the suction control chamber.
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, 7. A patient with a chest tube has asymmetrical chest expansion. Do you
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call the doctor?
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Absolutely! YES!! n8
8. Apatienthas95 mLof drainage from theirchest tubeinonehour. Do you
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call the provider?
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Yes! It is >70 ml/hr n8 n8 n8
9. Eyelets of the chest tube become visible. Do you call the provider?
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Yes! The tube is coming out of the pleural space.
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10. It is day 4 with chest tube therapy. Now, there is a continuous
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n8 bubbling of water in the water seal chamber. What priority action
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n8 needs to come next? n8 n8 n8
Call the doctor to report a leak in the system.
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11. A patient with dyspnea, BP 145/86, R 10, HR 110, pH 7.28.,
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PaO2 60, PaCo2 52, HCO3 24, SaO2 84%. What would be this problem?
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Acute respiratory failure. n8 n8
12. Who is at greatest risk for ARDS? n8 n8 n8 n8 n8 n8
A burn victim receiving IV fluid boluses.
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13. Who would be considered a priority patient?
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A patient receiving 100% oxygen therapy and their PAO2 is 55.
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14. ApatientwithARDS wasintubated45 minutesago.Whatis the next
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priority?
n8
n8 NUR 265 Exam 2
n8 n8 n8 n8
Respiratory/ Endocrine n
8
Practice Questions
n8 n8
Respiratory
1. What finding is consistent for a patient with PE (pulmonary embolism)?
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Pleural friction rub n8 n8
2. For A patient with shortness of breath and chest pain, rapid response is
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
called, the head of the bed is elevated, and oxygen is applied. What do
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
you do next?
n8 n8 n8
Place the patient on a cardiac monitor. And pulse oximetry.
n8 n8 n8 n8 n8 n8 n8 n8 n8
3. A patient is d/c’d on warfarin for PE. What Comment from the patient
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
achieves a clear understanding?
n8 n8 n8 n8
My INR is to be monitored frequently.
n8 n8 n8 n8 n8 n8
4. Which ABG will a patient who has just developed PE likely have?
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
pH 7.60, PaO2 85, PaCO2 32, HCO3 23,
n8 n8 n 8 n8 n8 n 8 SaO2 88 n8
(Respiratory alkalosis) n8
5. Who is a priority patient?
n8 n8 n8 n8
A patient on day 10 of heparin with blood oozing from their Foley
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
catheter.
n8
6. A chest tube is continuously bubbling in the suction control chamber.
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Do you call the doctor?
n8 n8 n8 n8 n8
No. This is normal in the suction control chamber.
n8 n8 n8 n8 n8 n8 n8 n8
, 7. A patient with a chest tube has asymmetrical chest expansion. Do you
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
call the doctor?
n8 n8 n8
Absolutely! YES!! n8
8. Apatienthas95 mLof drainage from theirchest tubeinonehour. Do you
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
call the provider?
n8 n8 n8
Yes! It is >70 ml/hr n8 n8 n8
9. Eyelets of the chest tube become visible. Do you call the provider?
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Yes! The tube is coming out of the pleural space.
n8 n8 n8 n8 n8 n8 n8 n8 n8
10. It is day 4 with chest tube therapy. Now, there is a continuous
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
n8 bubbling of water in the water seal chamber. What priority action
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
n8 needs to come next? n8 n8 n8
Call the doctor to report a leak in the system.
n8 n8 n8 n8 n8 n8 n8 n8 n8
11. A patient with dyspnea, BP 145/86, R 10, HR 110, pH 7.28.,
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PaO2 60, PaCo2 52, HCO3 24, SaO2 84%. What would be this problem?
n8 n 8 n8 n8 n8 n 8 n 8 n8 n8 n8 n8 n8
Acute respiratory failure. n8 n8
12. Who is at greatest risk for ARDS? n8 n8 n8 n8 n8 n8
A burn victim receiving IV fluid boluses.
n8 n8 n8 n8 n8 n8
13. Who would be considered a priority patient?
n8 n8 n8 n8 n8 n8
A patient receiving 100% oxygen therapy and their PAO2 is 55.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
14. ApatientwithARDS wasintubated45 minutesago.Whatis the next
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priority?
n8
