PBST Test EXAM 110 Questions & Answers 2024/2025
Pneumothorax nursing assesment - ANSWER-History, blood pressure, pulse rate, paretic chest
pain, cough, dyspnea, cyanosis, respiratory distress, shop, asymmetry of respirations,
diminished breath sounds on affected side, referred pain to shoulder, tachycardia, rapid
shallow breathing, hyper resonance to percussion, if tension pneumothorax, week rapid pulse,
pallor, neck vein distention, anxiety, tracheal deviation, crepitus
Pneumothorax nursing intervention - ANSWER-O2, monitor BP, pulse rate, respirations,
bedrest, SaO2
Pneumothorax data to report - ANSWER-BP, respiratory status, pulse, chest mobility, tracheal
deviation, crepitius, hypotension, cyanosis, dyspnea, SaO2
Pneumothorax orders anticipated - ANSWER-O2, ECG, chest x-ray, ABG's, cardiac monitor,
pain relieve, IV access
Pneumothorax labs and meds - ANSWER-Labs: ABG's, respiratory acidosis
Meds: intrapleural doxycycline, morphine
Aspiration and Pneumonia nursing assessment - ANSWER-History, assess for airway
obstruction, fever, foul smelling sputum and congestion, tachycardia, dyspnea, cough, cyanosis,
swallowing difficulty, BP, RR, LOC, chest pain, heart and lung sound
Aspiration and Pneumonia nursing intervention - ANSWER-SaO2, O2, clear airway if indicated,
monitor patient, elevate HOB
Aspiration and Pneumonia data to report - ANSWER-BP, respiratory status, pulse, LOC, chest
pain, heart and lung sounds, history, SaO2, smell & color of sputumCBC
, Aspiration and Pneumonia orders to anticipate - ANSWER-O2, chest x-ray, ABG's, NG tube,
possible G-tube, CBC, swallowing study, possible antibiotics
Aspiration and Pneumonia labs and meds - ANSWER-Labs: WBC may be normal to elevated
meds: ribavirin, albuterol, nebulizer, anitbiotics
Sepsis nursing assessment - ANSWER-History essay or two, fever, SOB, tachycardia, LOC
tachypnea,hyperthermia, blood pressure, hypotension, perfusion, reduced urine output,
abdominal pain, nausea vomiting, diarrhea, flank pain, heart and lung sounds, rash, erythema
Sepsis data to report - ANSWER-SaO2, LOC, temperature, heart rate, respiratory status, BP,
perfusion, urine output, pain scale, heart and lung sounds, N/V,rash erythema
Sepsis nursing interventions - ANSWER-Minimize handling, decreased environmental stimuli,
bed rest, positioning to prevent aspiration
Sepsis anticipated orders - ANSWER-O2, CBC, electrolytes, liver function, ABGs, blood
cultures, UA and culture, chest x-ray, lactic acid, CT of abdomen, anabiotic's, IV for value
replacement, amylase level
Sepsis labs & meds - ANSWER-Positive blood cultures, positive cultures from other sites,
elevated WBC, ventilator if respiratory failure
Meds: antibiotics, vasopressin if hypotensive
IICP nursing assessment - ANSWER-Changes, restlessness, irritability, drowsiness, confusion,
apathy, change your response to pain, posturing, temperature, rising BP, past changes,
respiratory irregularities, headache, nausea and vomiting, seizure activity, CPP
Pneumothorax nursing assesment - ANSWER-History, blood pressure, pulse rate, paretic chest
pain, cough, dyspnea, cyanosis, respiratory distress, shop, asymmetry of respirations,
diminished breath sounds on affected side, referred pain to shoulder, tachycardia, rapid
shallow breathing, hyper resonance to percussion, if tension pneumothorax, week rapid pulse,
pallor, neck vein distention, anxiety, tracheal deviation, crepitus
Pneumothorax nursing intervention - ANSWER-O2, monitor BP, pulse rate, respirations,
bedrest, SaO2
Pneumothorax data to report - ANSWER-BP, respiratory status, pulse, chest mobility, tracheal
deviation, crepitius, hypotension, cyanosis, dyspnea, SaO2
Pneumothorax orders anticipated - ANSWER-O2, ECG, chest x-ray, ABG's, cardiac monitor,
pain relieve, IV access
Pneumothorax labs and meds - ANSWER-Labs: ABG's, respiratory acidosis
Meds: intrapleural doxycycline, morphine
Aspiration and Pneumonia nursing assessment - ANSWER-History, assess for airway
obstruction, fever, foul smelling sputum and congestion, tachycardia, dyspnea, cough, cyanosis,
swallowing difficulty, BP, RR, LOC, chest pain, heart and lung sound
Aspiration and Pneumonia nursing intervention - ANSWER-SaO2, O2, clear airway if indicated,
monitor patient, elevate HOB
Aspiration and Pneumonia data to report - ANSWER-BP, respiratory status, pulse, LOC, chest
pain, heart and lung sounds, history, SaO2, smell & color of sputumCBC
, Aspiration and Pneumonia orders to anticipate - ANSWER-O2, chest x-ray, ABG's, NG tube,
possible G-tube, CBC, swallowing study, possible antibiotics
Aspiration and Pneumonia labs and meds - ANSWER-Labs: WBC may be normal to elevated
meds: ribavirin, albuterol, nebulizer, anitbiotics
Sepsis nursing assessment - ANSWER-History essay or two, fever, SOB, tachycardia, LOC
tachypnea,hyperthermia, blood pressure, hypotension, perfusion, reduced urine output,
abdominal pain, nausea vomiting, diarrhea, flank pain, heart and lung sounds, rash, erythema
Sepsis data to report - ANSWER-SaO2, LOC, temperature, heart rate, respiratory status, BP,
perfusion, urine output, pain scale, heart and lung sounds, N/V,rash erythema
Sepsis nursing interventions - ANSWER-Minimize handling, decreased environmental stimuli,
bed rest, positioning to prevent aspiration
Sepsis anticipated orders - ANSWER-O2, CBC, electrolytes, liver function, ABGs, blood
cultures, UA and culture, chest x-ray, lactic acid, CT of abdomen, anabiotic's, IV for value
replacement, amylase level
Sepsis labs & meds - ANSWER-Positive blood cultures, positive cultures from other sites,
elevated WBC, ventilator if respiratory failure
Meds: antibiotics, vasopressin if hypotensive
IICP nursing assessment - ANSWER-Changes, restlessness, irritability, drowsiness, confusion,
apathy, change your response to pain, posturing, temperature, rising BP, past changes,
respiratory irregularities, headache, nausea and vomiting, seizure activity, CPP
