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Pulmonary Post Quiz

Total questions: 10

Worksheet time: 7mins

Name
Class
Date
1.

The nurse suspects respiratory failure secondary to hypoventilation in a patient with which condition?

a)

anxiety

b)

neuromuscular disease

c)

fever

d)

volume A/C ventilation at a rate of 20 breaths/min

2.

A patient is hospitalized in the ICU after a near drowning event and is continuing to deteriorate. The physician is suspecting acute respiratory distress syndrome. What finding on the chest xray would be indicative of ARDS?

a)

Bilateral pneumothorax

b)

Heart enlargement with lower lobe infiltrates

c)

Right lung white out of pulmonary infiltrates

d)

Bilateral white out of pulmonary infiltrates

3.

If the Pa02 is 60mm Hg and the Fi02 is 60%, what is the Pa02/Fi02 ratio?

a)

100

b)

1000

c)

3600

d)

3600

4.

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

a)

15 degrees

b)

20 degrees

c)

30 degrees

d)

45 degrees

5.

Interpret the following ABG: pH 7.48, Pa02 56, PaC02 30, HC03 25, Fi02 45

a)

uncompensated respiratory alkalosis

b)

uncompensated metabolic acidosis

c)

uncompensated respiratory acidosis

d)

compensated respiratory acidosis

6.

What is the primary goal for a patient with ARDS?

a)

increase respiratory rate

b)

achieve adequate oxygenation

c)

volume control

d)

keep C02 within normal range

7.

Where do pulmonary emboli most commonly originate?

a)

upper extremities

b)

brain

c)

heart

d)

lower extremities

8.

Which nursing management strategies help to prevent ventilator associated pneumonia?

a)

Bedrest

b)

Subglottic suction of secretions

c)

Change ventilator circuit tubing every 8 hours

d)

Elevate HOB 30-45 degrees

e)

Oral care with chlorhexidine

9.

Interpret the following ABG: pH 7.34, Pa02 90, PaC02 70, HC03 36, Fi02 45

a)

compensated respiratory alkalosis

b)

uncompensated respiratory alkalosis

c)

compensated respiratory acidosis

d)

partially compensated respiratory acidosis

10.

Which of the following meets the criteria for ARDS?

a)

54 year old with Pa02 of 70 on 21% Fi02

b)

45 year old with Pa02 200 on 55% Fi02

c)

63 year old with Pa02 of 115 on 65% Fi02

d)

75 year old with Pa02 of 91 on 30% Fi02