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Worksheets

O2 & Circulation

Total questions: 60

Worksheet time: 2hrs 46mins

Name
Class
Date
1.

What is the normal blood pressure for an infant?

a)

120/80

b)

73/55

c)

112/64

d)

95/57

2.

What is the normal blood pressure for a school aged child?

a)

112/64

b)

124/85

c)

95/57

d)

73/55

3.

What is the normal blood pressure for a teenager <18 ?

a)

112/64

b)

120/80

c)

113/65

d)

95/57

4.

A 73-year-old female patient who lives alone is admitted to the hospital with a diagnosis of pneumococcal pneumonia. Which clinical manifestation, if observed by the nurse, indicates that the patient is likely to be hypoxic?

a)

Sudden onset of confusion

b)

Oral temperature of 102.3o F

c)

Coarse crackles in lung bases

d)

Clutching chest on inspiration

5.

To promote airway clearance in a patient with pneumonia, what should the nurse instruct the patient to do (select all that apply)?

a)

Maintain adequate fluid intake.

b)

Splint the chest when coughing.

c)

Maintain a 30-degree elevation.

d)

Maintain a semi-Fowler's position.

e)

Instruct patient to cough at end of exhalation.

6.

Which clinical manifestation should the nurse expect to find during assessment of a patient admitted with pneumonia?

a)

Hyperresonance on percussion

b)

Vesicular breath sounds in all lobes

c)

Increased vocal fremitus on palpation

d)

Fine crackles in all lobes on auscultation

7.

What is the priority nursing intervention in helping a patient expectorate thick lung secretions?

a)

Humidify the oxygen as able.

b)

Administer cough suppressant q4hr.

c)

Teach patient to splint the affected area.

d)

Increase fluid intake to 3 L/day if tolerated.

8.

What nursing intervention is most appropriate to enhance oxygenation in a patient with unilateral malignant lung disease?

a)

Positioning patient on right side

b)

Maintaining adequate fluid intake

c)

Positioning patient with "good lung" down

d)

Performing postural drainage every 4 hours

9.

When admitting a 45-year-old female with a diagnosis of pulmonary embolism, the nurse will assess the patient for which risk factors (select all that apply)?

a)

Obesity

b)

Pneumonia

c)

Malignancy

d)

Cigarette smoking

e)

Prolonged air travel

10.

The nurse is caring for a 73-year-old patient who underwent a left total knee arthroplasty. On the third postoperative day, the patient complains of shortness of breath, slight chest pain, and that "something is wrong." Temperature is 98.4° F, blood pressure 130/88, respirations 36/minute, and oxygen saturation 91% on room air. What action should the nurse take first?

a)

Notify the physician.

b)

Administer a nitroglycerin tablet sublingually.

c)

Conduct a thorough assessment of the chest pain.

d)

Sit the patient up in bed as tolerated and apply oxygen.

11.

A patient diagnosed with pertussis (instead of acute bronchitis), the nurse knows that treatment will include which type of medication?

a)

Antibiotic

b)

Corticosteroid

c)

Bronchodilator

d)

Cough suppressant

12.

When caring for a patient with acute bronchitis, the nurse will prioritize

a)

auscultating lung sounds.

b)

encouraging fluid restriction.

c)

administering antibiotic therapy

d)

teaching the patient to avoid cough suppressants.

13.

For which patients with pneumonia would the nurse suspect aspiration as the likely cause of pneumonia (select all that apply)?

a)

Patient with seizures

b)

Patient with head injury

c)

Patient who had thoracic surgery

d)

Patient who had a myocardial infarction

e)

Patient who is receiving nasogastric tube feeding

14.

An appropriate nursing intervention for a patient with pneumonia with the nursing diagnosis of ineffective airway clearance related to thick secretions and fatigue would be to

a)

perform postural drainage every hour.

b)

provide analgesics as ordered to promote patient comfort.

c)

administer O2 as prescribed to maintain optimal oxygen levels.

d)

teach the patient how to cough effectively to bring secretions to the mouth.

15.

The emergency department nurse is caring for patients exposed to a chlorine leak from a local factory. The nurse would closely monitor these patients for

a)

pulmonary edema.

b)

anaphylactic shock.

c)

respiratory alkalosis.

d)

acute tubular necrosis.

16.

The nurse receives an order for a patient with lung cancer to receive influenza vaccine and pneumococcal vaccines. The nurse will

a)

call the health care provider to question the order.

b)

administer both vaccines at the same time in different arms.

c)

administer the flu shot and tell the patient to come back 1 week later to receive the pneumococcal vaccine.

d)

administer the pneumococcal vaccine and suggest FluMist (nasal vaccine) instead of the influenza injection.

17.

A patient is concerned that he may have asthma. Of the symptoms that he relates to the nurse, which ones suggest asthma or risk factors for asthma (select all that apply)?

a)

Allergic rhinitis

b)

Prolonged inhalation

c)

History of skin allergies

d)

Cough, especially at night

e)

Gastric reflux or heartburn

18.

Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to:

a)

Promote expectoration.

b)

Suppress the cough.

c)

Relax smooth muscles of the bronchial airway.

d)

Prevent infection.

19.

A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. The nurse monitors the client for which side effect of this medication?

a)

Constipation

b)

Diarrhea

c)

Bradycardia

d)

Tachycardia

20.

A nurse is caring for a patient with COPD. What would be an expected finding upon assessment of this patient?

a)

Dyspnea

b)

Hypotenstion

c)

Decreased respiratory

d)

Decreased pulse rate

21.

Infant pulse rate  (a)   ?

22.

School age child's pulse rate is (a)   ?

23.

An adult pulse rate is (a)   ?

24.

Normal respiration rate in infants (a)   ?

25.

Normal respiration rate in school age children (a)   ?

26.

Normal respiration rate in teens (a)   ?

27.

Normal respiration rate in adults (a)   ?

28.

What is primary hypertension?

a)

High blood pressure with no known cause.

b)

High blood pressure that's caused by another medical condition

c)

A systolic pressure from 120–139 mm Hg

d)

A normal blood pressure level that is less than 120/80 mmHg

29.

What is secondary hypertension?

a)

Hypertension that is less common and is caused by a disease.

b)

High blood pressure with no known cause.

c)

Blood pressure that is higher than normal

d)

Blood pressure that rises extremely quickly.

30.

What is Dyspnea?

a)

difficult or labored breathing

b)

rapid rate of breathing

c)

respiratory secretion expelled by coughing or clearing the throat

d)

slow rate of breathing

31.

What is Tachypnea?

a)

rapid rate of breathing

b)

difficult or labored breathing

c)

slow rate of breathing

d)

act of breathing out

32.

What is Bradypnea?

a)

normal sound of respirations heard on auscultation over peripheral lung areas

b)

movement of air into and out of the lungs

c)

an abnormal cardiac rhythm

d)

slow rate of breathing

33.

What is Apnea?

a)

the absence of respirations

b)

relating to the heart and the lungs

c)

difficulty breathing.

d)

slow rate of breathing

34.

Antihypertensive Drugs select all that apply.

a)

Beta Blockers

  

b)

Angiotensin Receptor Blocker

c)

´Ace Inhibitors 

d)

´Diuretics

e)

Calcium Channel Blocker

35.

What is Hypotension?

a)

High blood pressure that doesn't have a known secondary cause

b)

Low blood pressure

c)

High blood pressure

d)

Low blood pressure that doesn't have a known secondary cause

36.

The results of an adult patient’s blood pressure screening is 120/80 mmHg. How would the healthcare provider interpret this information?

a)

Normal blood pressure

b)

Hypertension Stage 2

c)

Hypertension Stage 1

d)

Prehypertension

37.

What rhythm is shown ?

a)

Normal Sinus Rhythm

b)

Sinus Bradycardia

c)

Ventricular Fibrillation ( V-Fib)

d)

Sinus Tachycardia

38.

What rhythm is shown?

a)

Sinus Tachycardia

b)

Bradycardia

c)

Normal sinus rhythm

d)

A Fib

39.

To drain the apical sections of the upper lobes of the lungs, the nurse should place the client in which position?

a)

Trendelenburg position

b)

side-lying position, half on the abdomen and half on the side

c)

left side with a pillow under the chest wall

d)

high-Fowler’s position

40.

A client 57 years of age is recovering in a hospital following a bilateral mastectomy and breast reconstruction 2 days earlier. Since her surgery, the client has been unwilling to mobilize despite the nurse's education on the benefits of early mobilization following surgery. The nurse would recognize that the client's prolonged immobility creates a risk for:

a)

atelectasis.

b)

pneumothorax.

c)

hemothorax.

d)

tachypnea.

41.

A nurse is assigned to care for a client admitted to the health care facility with the diagnosis of atelectasis. When interviewing the client, the nurse would anticipate a history of:

a)

croup.

b)

asthma.

c)

alcohol use.

d)

pneumonia.

42.

Which diagnostic procedure measures lung size and airway patency, producing graphic representations of lung volumes and flows?

a)

Chest x-ray

b)

Bronchoscopy

c)

Skin tests

d)

Pulmonary function tests

43.

The nurse is informed while receiving a nursing report that the client has been hypoxic during the evening shift. Which assessment finding is consistent with hypoxia?

a)

confusion

b)

decreased blood pressure

c)

decreased respiratory rate

d)

hyperactivity

44.

A nurse must deliver oxygen at a concentration of 85% to an infant. Which delivery device would be most appropriate for an infant?

a)

Simple mask

b)

Oxygen hood

c)

Nasal cannula

d)

Venturi mask

45.

The client demonstrates soft, high-pitched, discontinuous sounds in the left lower lobe of the lung. How will the nurse accurately document this finding?

a)

Crackles

b)

Vesicular

c)

Wheezes

d)

Rales

46.

A client is admitted to the hospital with shortness of breath, cyanosis and an oxygen saturation of 82% (0.82) on room air. Which action should the nurse implement first?

a)

Assist with intubation

b)

Apply oxygen as prescribed

c)

Educate client on incentive spirometry

d)

Raise the head of the bed

47.

A nurse is delivering 3 L/min oxygen to a client via nasal cannula. What percentage of delivered oxygen is the client receiving?

a)

23%

b)

28%

c)

32%

d)

47%

48.

What rhythm is shown in the image?

a)

Sinus Bradycardia

b)

Sinus Tachycardia

c)

Atrial Fibrillation

d)

Ventricular Fibrillation

49.

Respiratory Rate Variation. SATA

a)

Age

b)

Medications

c)

Stress

d)

Altitude

e)

Fever

50.

The right lung has (a)   lobes

51.

The left lung has (a)   lobes

52.

The arteries carry blood away from the heart. True or False? 

a)

True

b)

False

53.

The veins carries blood toward the heart. True or False?

a)

True

b)

False

54.

Gas exchange between CO2 AND O2 occurs in the (a)   ?

55.

The function of the respiratory system is to receive oxygen and remove (a)   .

56.

A rate at which gas enter or leaves the lungs.

a)

Ventilation

b)

Gas exchange

c)

Oxygen

d)

Lungs

57.

The ____ function of the cardiopulmonary system is to_____ adequate ____ to meet the tissue demands at the _____ level. ( No commas in answer)

(a)  

58.

What determines the % of Hgb saturated with O2

a)

Simple face mask

b)

Nasal cannula

c)

Pulse Oximeter

d)

Prefusion

59.

ADEQUATE VENTILATION + ADEQUATE PERFUSION is called (a)  

60.

A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition?

a)

Warm, dry skin

b)

Decreased wheezing

c)

Pulse rate of 90 beats/minute

d)

Respirations of 18 breaths/minute