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CCN Respi 1 - ARDS, PE, Chest Trauma

Total questions: 11

Worksheet time: 7mins

Name
Class
Date
1.

A nurse is caring for a client who is in respiratory distress because of ARDS. Which of the following conditions would most likely be present in this client?

a)

Lack of tissue perfusion

b)

Disturbed personal identity

c)

Problems with thermoregulation

d)

Anuria

2.

A client is ventilated with acute respiratory distress syndrome following infection of COVID-19. Which of the following are priority actions by the nurse? Select all that apply.

a)

Frequent oral care

b)

Elevating the HOB

c)

Flutter valve as needed

d)

Placing the client supine

e)

Clear liquid diet

3.

An 8 year old month infant was suspected of respiratory distress syndrome. The nurse note signs and symptoms except

a)

RR 65, rapid and shlow

b)

RR 35 deep and slow

c)

Widening of nostrils

d)

Grunting sounds

4.

Baby XYZ is diagnosed with RDS. The nurse should anticipate to give the following treatment except:

a)

Nasal Cannula

b)

NCPAP

c)

Ventilator

d)

Venturi Mask

5.

Nurse Marie is taking care baby XYZ admitted post cesarean immediately in the NICU. The patient was diagnosed with RDS. The nurse should be anticipating a medication to be given called

a)

Pulmonary Sulfactant

b)

Beractant

c)

Lucinactant

d)

Calfactant

e)

All of the Above

6.

The student nurse asks the nurse preceptor what can cause a pulmonary embolism. The nurse correctly responds by naming which of the following potential causes of a pulmonary embolism? Select all that apply.

a)

Blood clot

b)

Fat

c)

Tumor

d)

Air

e)

Plasma

7.

The nurse is caring for a client with a history of heparin use for a DVT, and a current pulmonary embolism. The nurse notes the following new order on the chart: “heparin, 80 units/kg IV bolus now, then continuous infusion of 18 units/kg/hr”. The nurse knows to check which of the following lab values prior to initiating the first dose? Select all that apply.

a)

Platelet

b)

Hct

c)

APTT

d)

Base excess

e)

Hgb

8.

A 45 year-old female presents to the emergency department with complaints of chest pain. The nurse immediately obtains a set of vital signs, gets an EKG (ECG), starts a 20 gauge peripheral IV, and places the client on oxygen, 2L NC. The EKG shows normal sinus rhythm, but the client appears anxious, is sweating, and clutching her chest with each breath. Upon assessment, the nurse notes redness and swelling of the right leg. This leads the nurse to suspect which of the following as the client’s primary complaint?

a)

NSTEMI

b)

Pulmonary Embolism

c)

Stroke

d)

Internal Hemorrhage

9.

A client is brought into the ED after suffering a pulmonary embolism. The nurse has been monitoring the client’s breathing and respiratory rate to assess for symptoms of pending respiratory failure. Which sign or symptom is most likely an indicator that the client is going into respiratory failure?

a)

Cyanosis of the lips and nail beds

b)

RR 20

c)

Consistent, productive cough

d)

Heart rate of 130 bpm

10.

The student nurse is reviewing the pathophysiology of a pulmonary embolism. The student correctly understands the pathway of a PE to be which of the following?

a)

Pulmonary vein - left heart - aorta - deep vein

b)

Pulmonary vein - left heart - carotid artery - brain

c)

Deep vein - right heart - pulmonary artery - pulmonary arterioles

d)

Deep vein - right heart - pulmonary artery - coronary artery

11.

The patient is noted with Pulmonary embolism. Pharmacologic therapy should included the following except

a)

rivaroxaban

b)

unfractionated heparin

c)

Enoxaparin

d)

Aspirin