A nurse explains the function of the alveoli to a patient with respiratory problems. Which information about the alveoli's function will the nurse share with the patient?
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Carries out gas exchange
Regulates tidal volume
Produces hemoglobin
Stores oxygen
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Question 2
Free
Multiple Choice
A nurse auscultates heart sounds. When the nurse hears S?, which valves is the nurse hearing close?
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Aortic and mitral
Mitral and tricuspid
Aortic and pulmonic
Mitral and pulmonic
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Question 3
Free
Multiple Choice
The nurse is teaching about the process of exchanging gases through the alveolar capillary membrane. Which term will the nurse use to describe this process?
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Ventilation
Surfactant
Perfusion
Diffusion
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Question 4
Free
Multiple Choice
A nurse is caring for a patient who was in a motor vehicle accident that resulted in cervical trauma to C4. Which assessment is the priority?
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Pulse
Respirations
Temperature
Blood pressure
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Question 5
Free
Multiple Choice
The patient is breathing normally. Which process does the nurse consider is working properly when the patient inspires?
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Stimulation of chemical receptors in the aorta
Reduction of arterial oxygen saturation levels
Requirement of elastic recoil lung properties
Enhancement of accessory muscle usage
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Question 6
Multiple Choice
The home health nurse recommends that a patient with respiratory problems install a carbon monoxide detector in the home. What is the rationale for the nurse's action?
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Carbon monoxide detectors are required by law in the home.
Carbon monoxide tightly binds to hemoglobin, causing hypoxia.
Carbon monoxide signals the cerebral cortex to cease ventilations.
Carbon monoxide combines with oxygen in the body and produces a deadly toxin.
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Question 7
Multiple Choice
While performing an assessment, the nurse hears crackles in the patient's lung fields. The nurse also learns that the patient is sleeping on three pillows to help with the difficulty breathing during the night. Which condition will the nurse most likely observe written in the patient's medical record?
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Atrial fibrillation
Myocardial ischemia
Left-sided heart failure
Right-sided heart failure
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Question 8
Multiple Choice
A patient has a myocardial infarction. On which primary blood vessel will the nurse focus care to reduce ischemia?
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Superior vena cava
Pulmonary artery
Coronary artery
Carotid artery
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Question 9
Multiple Choice
A nurse is teaching a health class about the heart. Which information from the class members indicates teaching by the nurse is successful for the flow of blood through the heart, starting in the right atrium?
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Right ventricle, left ventricle, left atrium
Left atrium, right ventricle, left ventricle
Right ventricle, left atrium, left ventricle
Left atrium, left ventricle, right ventricle
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Question 10
Multiple Choice
The nurse suspects the patient has increased afterload. Which piece of equipment should the nurse obtain to determine the presence of this condition?
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Pulse oximeter
Oxygen cannula
Blood pressure cuff
Yankauer suction tip catheter
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Question 11
Multiple Choice
A patient has heart failure and cardiac output is decreased. Which formula can the nurse use to calculate cardiac output?
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Myocardial contractility * Myocardial blood flow
Ventricular filling time/Diastolic filling time
Stroke volume * Heart rate
Preload/Afterload
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Question 12
Multiple Choice
A patient's heart rate increased from 94 to 164 beats/min. What will the nurse expect?
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Increase in diastolic filling time
Decrease in hemoglobin level
Decrease in cardiac output
Increase in stroke volume
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Question 13
Multiple Choice
The nurse is careful to monitor a patient's cardiac output. Which goal is the nurse trying to achieve?
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To determine peripheral extremity circulation
To determine oxygenation requirements
To determine cardiac dysrhythmias
To determine ventilation status
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Question 14
Multiple Choice
A nurse is caring for a group of patients. Which patient should the nurse see first?
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A patient with hypercapnia wearing an oxygen mask
A patient with a chest tube ambulating with the chest tube unclamped
A patient with thick secretions being tracheal suctioned first and then orally
A patient with a new tracheostomy and tracheostomy obturator at bedside
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Question 15
Multiple Choice
A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?
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Diuretics
Vasodilators
Chest physiotherapy
Intravenous (IV) fluids
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Question 16
Multiple Choice
A nurse is preparing to suction a patient. The pulse is 65 and pulse oximetry is 94%. Which finding will cause the nurse to stop suctioning?
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Pulse 75
Pulse 80
Oxygen saturation 91%
Oxygen saturation 88%
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Question 17
Multiple Choice
The patient has right-sided heart failure. Which finding will the nurse expect when performing an assessment?
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Peripheral edema
Basilar crackles
Chest pain
Cyanosis
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Question 18
Multiple Choice
A nurse is reviewing the electrocardiogram (ECG) results. Which portion of the conduction system does the nurse consider when evaluating the P wave?
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SA node
AV node
Bundle of His
Purkinje fibers
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Question 19
Multiple Choice
A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?
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"Atelectasis affects only those with chronic conditions such as emphysema."
"It is important to do breathing exercises every hour to prevent atelectasis."
"If I develop atelectasis, I will need a chest tube to drain excess fluid."
"Hyperventilation will open up my alveoli, preventing atelectasis."
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Question 20
Multiple Choice
The nurse is caring for a patient with respiratory problems. Which assessment finding indicates a late sign of hypoxia?