Kaplan Respiratory Test b
The nurse identifies it is MOST important to observe for hyperventilation in a patient
receiving which mode of mechanical
... [Show More] ventilation?
a) control ventilation (CV)
b) assist-control ventilation (AC)
c) synchronous intermittent mandatory ventilation
d) continuous positive airway pressure (CPAP)
A patient is admitted to the hospital with a diagnosis of acute right upper lobe
pneumonia. The patient has a history of chronic bronchitis and type 1 diabetes. Which
symptom would the nurse expect to see?
a) moist, cool skin
b) rust-colored sputum
c) bradycardia
d) decreased respiratory rate
The nurse cares for a patient after rhinosplasty and observes bright red blood on the
external dressing. Which action should the nurse take FIRST?
a) return the patient to the operating room
b) contact the physician
c) examine the patient's throat
d) perform nasopharyngeal suctioning
The nurse cares for a client diagnosed wit tuberculosis. The client asks, "Why do I have
to take vitamin B6 (pyroxidine)?" What explanation does the nurse provide?
a) promote the absorption of isoniazid (an antibiotic)
b) prevent neuritis
c) alleviate gastrointestinal symptoms
d) prevent kidney damage
A patient with a chest tube asks the nurse about the bubbling he sees in the water seal
chamber of his drainage equipment. Which response by the nurse is the MOST
appropriate?
a) "it's supposed to do that."
b) "it shows your lung has not yet re-expanded."
Kaplan Med Surg Midterm Exam 2023-2024
Version Graded A+
c) "why don't you ask your doctor?"
d) "what do you think it means?"
Blood gas results on a patient with emphysema indicate severe hypoxia. Oxygen
therapy is ordered. Which method of oxygen administration will MOST likely be used?
a) face mask with reservoir
b) face mask without reservoir
c) nasal cannula
d) venturi mask
The nurse cares for the client needing a tracheostomy. The client's daughter asks the
nurse, "Why does my father need a tracheostomy?" The nurse understands that which
is the primary reason for performing a tracheostomy?
a) promotes pulmonary function
b) improves breathing capabilities
c) prevents respiratory infections
d) decreases respiratory tract secretions
The nurse monitors a patient receiving oxygen per face mask. The nurse is MOST
concerned if which is observed?
a) there is condensation in the tubing of the humidifier container
b) the pulse oximetry reading is 92%
c) the patient has a nonproductive cough
d) the skin under the elastic band is reddened
The nurse identifies which is the characteristic sound of breathing in a patient
experiencing an acute asthma attack?
a) murmuring, with "lubb"/"dub" sounds
b) high-pitched musical-like squeaky sounds
c) high-pitched harsh, loud, blowing sounds
d) low-pitched rubbing or grating sounds
(Kaplan Resp Set 9/30)
b) describes wheezes, heard primarily during expiration but may also be heard on
inspiration; caused by air passing through narrowed airways' auscultated over small
airways; heard in cases of acute asthma or chronic emphysema
(Kaplan Resp Set 9/30)
Kaplan Med Surg Midterm Exam 2023-2024
Version Graded A+
The nurse identifies which group of equipment is essential to have at the bedside of a
patient with a closed-chest chest tube drainage system in place?
a) tape measure, portable scale, Sengstaken-Blakemore tube
b) penlight, reflex hammer, safety pin
c) sterile connector, sterile petrolatum gauze pad, padded clamp
d) nasogastric tube, blood glucose monitor, sputum jar
(Kaplan Resp Set 10/30)
c) all are related to management of chest tubes, particularly emergencies; sterile
connector is used to reestablish drainage system if tubing disconnects from the
drainage equipment; gauze pad is used if chest tube dislodges from body of patient,
forming a seal so atmospheric air cannot get into the negative pressure thoracic cavity;
padded clamp is used, briefly and with extreme caution, to assess for possible air leaks
and also prior to removing chest tube
(Kaplan Resp Set 10/30)
The nurse cares for a patient with a new tracheostomy immediately postop. It is MOST
important for the nurse to take which action?
a) place the patient supine until vital signs are stable
b) ask the patient which position makes the patient most comfortable
c) place the patient with head elevated and neck hyperextended
d) elevate the patient's head and turn the head to one side until consciousness returns
(Kaplan Resp Set 11/30)
d) semi-Fowler's position facilitates respiration, promotes drainage, prevents edema,
and prevents strain on the suture line
(Kaplan Resp Set 11/30) [Show Less]