Pulmonary 2 Pre-Test

Front

What finding on the chest x-ray would be indicative of acute respiratory distress syndrome (ARDS) in a patient hospitalized in the ICU after a near drowning event? Options: Bilateral pneumothorax, Heart enlargement with lower lobe infiltrates, Right lung white out from pulmonary infiltrates, Bilateral white out from pulmonary infiltrates

Back

Bilateral white out from pulmonary infiltrates

Front

To prevent VAP, it is recommended that the head of bed be elevated to a minimum of what degree?

Back

30 degrees

Front

Where do pulmonary emboli most commonly originate?

Back

lower extremities

Front

Interpret the following ABG: pH 7.34, PaC02 60, HC03 36, Pa02 90

Back

partially compensated respiratory acidosis

Front

Which one of the following is reliever medication for asthma: Montelukast, short acting B2 agonist bronchodilator SABA, long acting B2 agonist bronchodilator LABA, inhaled muscarinic (ex ipratropium)?

Back

short acting B2 agonist bronchodilator SABA

Front

Procedure to remove fluid from pleural space

Back

thoracentesis

Front

The patient with acute respiratory distress syndrome (ARDS) would exhibit which of the following symptoms? Decreasing PaO2 levels despite increased FiO2 administration, Increased lung compliance, Increased surfactant production, Wheezing on expiration

Back

Decreasing PaO2 levels despite increased FiO2 administration

Front

In assessing a patient, the nurse understands that an early sign of hypoxemia is:

Back

restlessness

Front

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Which assessment would be a cue to the client developing pneumonia? Options: Bradycardia, Pursed-lip breathing, Dyspnea on exertion.

Back

Change in sputum characteristics

Front

Which of the following treatments may be used to dissolve a thrombus that is lodged in the pulmonary artery? thrombolytics, heparin, aspirin, Lovenox

Back

thrombolytics