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WorksheetsFNP F SUCTIONING
Total questions: 60
Worksheet time: 15hrs 0mins
Name
Class
Date
1.
process of moving gases in and out of the
lungs (oxygen and carbon dioxide)
a)
ventilation
b)
diffusion
c)
perfusion
d)
respiration
e)
fusion
2.
exchange of respiratory gases in the alveoli
and capillaries
a)
ventilation
b)
diffusion
c)
perfusion
d)
respiration
e)
fusion
3.
ability of the cardiovascular system to pump
oxygenated blood to the tissues and return
deoxygenated blood to the lungs
a)
ventilation
b)
diffusion
c)
perfusion
d)
respiration
e)
fusion
4.
the exchange
of oxygen and carbon dioxide
during cellular metabolism
a)
ventilation
b)
diffusion
c)
perfusion
d)
respiration
e)
fusion
5.
alveolar ventilation is inadequate to meet
oxygen demand of the body or eliminate
sufficient carbon dioxide
a)
hypoventilation
b)
hyperventilation
c)
hypoxia
d)
hypovolemia
e)
orthostatic hypertension
6.
lungs remove carbon dioxide faster than its
produced cellular metabolism
a)
hypoventilation
b)
hyperventilation
c)
hypoxia
d)
hypovolemia
e)
orthostatic hypertension
7.
inadequate tissue oxygenation at cellular level
a)
hypoventilation
b)
hyperventilation
c)
hypoxia
d)
hypovolemia
e)
orthostatic hypertension
8.
1-6 L/min:
24%-44%
a)
Nasal cannula
(prongs)
b)
Simple face mask
c)
Partial and non
rebreather masks
d)
Venturi mask
e)
Tracheostomy collar
9.
6-12 L/min:
35%-50%
a)
Nasal cannula
(prongs)
b)
Simple face mask
c)
Partial and non
rebreather masks
d)
Venturi mask
e)
Tracheostomy collar
10.
10-15
L/min:
60%-90%
a)
Nasal cannula
(prongs)
b)
Simple face mask
c)
Partial and non
rebreather masks
d)
Venturi mask
e)
Tracheostomy collar
11.
24%-50%
a)
Nasal cannula
(prongs)
b)
Simple face mask
c)
Partial and non
rebreather masks
d)
Venturi mask
e)
Tracheostomy collar
12.
collar attaches to neck with elastic strap and can
deliver high humidity and O2
a)
Nasal cannula
(prongs)
b)
Simple face mask
c)
Partial and non
rebreather masks
d)
Venturi mask
e)
Tracheostomy collar
13.
stimulates a natural cough reflex
o effective for clearing central airways
a)
huff cough
b)
quad cough technique
c)
deep cough
d)
shallow cough
e)
ehm ehm
14.
for patients without abdominal muscle
control such as those with spinal cord injuries
a)
huff cough
b)
quad cough technique
c)
deep cough
d)
shallow cough
e)
ehm ehm
15.
In the maintenance and promotion of lung expansion, the position the px may be in is what position?
a)
Supine
b)
orthopneic position
c)
high fowlers position
d)
dorsal recumbent position
e)
sa tabi ko hehe
16.
– sustained maximal inspiration device (SMI)
o measure the flow of air inhaled through the mouthpiece are
used to:
▪ improve pulmonary ventilation
▪ counteract the effects of anesthesia or hypoventilation
▪ loosen respiratory secretions
▪ facilitate respiratory gaseous exchange
▪ expand collapsed alveoli
a)
incentive spirometry
b)
invasive-mechanical ventilation
c)
noninvasive ventilation
d)
CPAP
e)
BiPAP
17.
(positive pressure ventilation)
o ventilator associated pneumonia can be acquired
a)
incentive spirometry
b)
invasive-mechanical ventilation
c)
noninvasive ventilation
d)
CPAP
e)
BiPAP
18.
(noninvasive positive-pressure
ventilation or NPPV)
o prevents or treats atelectasis
by inflating the alveoli,
reducing pulmonary edema
by forcing fluid out of the
lungs back into circulation, and improving oxygenation in
those with sleep apnea
a)
incentive spirometry
b)
invasive-mechanical ventilation
c)
noninvasive ventilation
d)
CPAP
e)
BiPAP
19.
fixed pressure
during ventilation
a)
incentive spirometry
b)
invasive-mechanical ventilation
c)
noninvasive ventilation
d)
CPAP
e)
BiPAP
20.
used to facilitate
breathing, one level of air pressure during inhalation and
exhalation, delivers higher pressure during breathing
a)
incentive spirometry
b)
invasive-mechanical ventilation
c)
noninvasive ventilation
d)
CPAP
e)
BiPAP
21.
air collects in the pleural space
a)
pneumothorax
b)
hemothorax
c)
pleural effusion
22.
accumulation of blood in the pleural space
a)
pneumothorax
b)
hemothorax
c)
pleural effusion
23.
excessive fluid in the pleural space
a)
pneumothorax
b)
hemothorax
c)
pleural effusion
24.
– catheter inserted though the thorax to remove air
and fluids from the pleural space, prevent air or fluid from reentering the pleural space, or re-establish normal intrapleural and
intra pulmonic pressures
a)
chest tubes
b)
PLEUR-EVAC –
c)
tracheostomy
d)
hemothorax
e)
pleural effusion
25.
drainage systems
a)
chest tubes
b)
PLEUR-EVAC –
c)
tracheostomy
d)
hemothorax
e)
pleural effusion
26.
respiratory rate is only observed after any activity or procedure
a)
.TRUE
b)
.FALSE
27.
• Sterile normal saline or water is used to
lubricate the outside of the catheter
minimizing irritation of mucosa during
introduction and used to clear the catheter
between suction attempts. What will be the
best statement on the action of water soluble
lubricant?
a)
Lubricant facilitates passage of the catheter and reduces trauma to mucous membrane
b)
Lubricant will avoid bleeding
c)
Lubricant is always used in inserting any type of catheters
d)
All of the above
28.
Adrianne, a 2 month-old baby boy was
admitted in the ward due to Pneumonia. Her
mother asked the nurse to suction the baby's
secretion because she heard a gurgling
sound. The doctor's order was to suction
secretions as needed (PRN). As the nurse on
duty, what will be the best response to her
question?
a)
"The gurgling sound is normal and there is no need to do suctioning*
b)
The gurgling sound will fade away when he fell asleep*
c)
"Keep calm and I will assess your baby immediately and suction if necessary"
d)
"Keep calm and I will call the doctor for orders"
29.
A nurse student knows that suction procedure should last?
a)
40 seconds
b)
30 seconds
c)
15 seconds
d)
5 seconds
30.
Which of the following are possible indications for performing suction?
a)
Normal air entry on auscultation
b)
the px has an effective cough
c)
reduced o2 sat levels
d)
normal respi rate
31.
When suctioning an unconcious px, which way should you pos the px
a)
lateral pos facing you yiee
b)
semi-fowlers meron ka bang lemon?
c)
prone, to love u yiee
d)
supine, wala aq maisip
32.
it is necessary to clear air passage when client have difficulty handling their secretions or an artifical airway is in place
a)
NGT insertion
b)
o2 therapy
c)
suctioning
d)
IV therapy
33.
which of the ff is true?
a)
the dominant hand will remain sterile throughout the entire suctioning procedure
b)
the non-dominant hand will need to remain sterile throughout the suctioning procedure
c)
do not hyperoxygenate the px prior to suctioning
d)
apply suction when inserting the catheter
34.
Applying intermittent suctioning by covering
the suction control hole with thumb and
gently rotating the catheter while withdrawing
the catheter and limiting continuous suction
to no more than 5 seconds to patient jekjek.
What is the best rationale for this practice?
a)
Minimize trauma to mucosa, avoids hypoxemia
and effective way of clearing all secretions
b)
Minimize trauma to mucosa, avoids hypoxemia and
less work for nurses
c)
Maximize trauma to mucosa, avoids hypoxemia and
efficient steps in suctioning
d)
Minimize trauma to mucosa, avoids hypoxemia and
not life threatening
35.
Upon assessment of patient baby Adrianne
was noted to have nasal flaring, RR of 40
cpm(+) crackles on auscultation and Sp02 of
92% and retractions. When suctioning the
patient, what technique/s should be observed
throughout the procedure?
a)
Clean technique
b)
sterile technique
c)
clean and sterile technique
d)
aseptic technique
e)
kong fu technique
36.
Occurs when alveolar ventilation is
inadequate to meet oxygen demand of the
body or eliminate sufficient carbon dioxide.
a)
hypoventilation
b)
hyperventilation
c)
tachycardia
37.
The ff are complications of suctioning EXCEPT?????????
a)
Hypoxemia
b)
trauma to airway
c)
nasocomial infection
d)
feeling nausea
38.
Ano ibibigay mong catheter sa isang 4 yrs old na baba-aye na nangangalang Jaimeh batumbakal?
a)
Fr 5-10
b)
Ft 12-18
c)
Fr 14-16
d)
Lahat ibibigay mo
39.
Which of the following techniques that
Increases the oxygen flow (usually to 100%)
before suctioning and between suction
attempts?
a)
Hyperoxygenation
b)
hyperventilation
c)
hyperflexion
d)
hyper na hyper wooh!
40.
when during the suction procedure should suction be applied
a)
only when withdrawing the suction catheter
b)
only when inserting the suction catheter
c)
either during insertion or withdrawal, depende sa trip mo
d)
only when the patient is ehm ehm (coughs)
41.
What is the recommended pressure setting for the sucking unit
a)
130 mmHg
b)
140 mmHg
c)
120 mmHg
d)
150 mmHg
42.
after suctioning baby babalu, what should be the next nursing interventionism
a)
repeat the procedure several times
b)
repeat assessment of the respi status
c)
repeat immediately to the attending physician
d)
return baby to mother and provide health teaching, love, care, comfort, lahat naman binigay ko eh :<
43.
What is the appropriate amt of time to sction the px in a single interval
a)
no more than 10-15 sec
b)
no more than 5-10 sec
c)
no more than 10-20 sec
d)
no more than 24 hrs
e)
pag trip mo go suction
44.
A nurse is evaluating a nursing student's
understanding the purpose of suctioning.
Which of the following statements indicates
a need for further teaching?
a)
To remove secretions that obstruct the airway and
may lead to disorientation
b)
To facilitate ventilation
c)
To obtain secretions for diagnostic purposes
d)
To prevent infection that may result from
accumulated secretions
45.
How can you prevent hypoxemia during suctioning?
a)
Pre-oxygenate the patient with 100% oxygen for 1-2 minutes before applying suction.
b)
Suction intermittently
c)
Instruct the patient to breathe deeply
d)
Position the patient in high fowler's position
46.
How far should you insert the catheter during oropharyngeal suctioning?
a)
The catheter should be inserted approximately 8-10 inches or untl the patient
b)
Advance the catheter about 10 to 15 cm along on side of the mouth into oropharynx
c)
Advance catheter about 10 - 15 inches
d)
Advance catheter about 3 inches only
47.
normal suction pressure for neonates?
a)
50-95 mmHg
b)
80-100 mmHg
c)
95-110 mmHg
d)
80-90 mmHg
48.
how do u perform assessment of the need for suctioning
a)
Auscultate and the px cough effectiveness
b)
ask the px
c)
observe the px
d)
percuss the abdomen
e)
makipag staring contest
49.
What are the best px outcomes of suctioning
a)
improve breath sounds and remove secretions
b)
px is able to sleep
c)
px bp is normal
d)
px is anxious
50.
what is the best pos during suctioning
a)
semi-fowler
b)
supine
c)
prone
d)
flat on bed
51.
what is the purpose of suctioning
a)
to relax the px
b)
to arouse the px
c)
to improve vs
d)
to maintain a patent airway by removing secretions
52.
how long should u suction a px
a)
the application of vaccume should no longer than 15 sec
b)
no longer than 20 sec
c)
no longer than 5 minutes
d)
as long as you want baby
e)
wag na mag suction
53.
what is the normal suctioning pressure for adults?
a)
100-120 mmHg
b)
95-110 mmHg
c)
80-90 mmHg
d)
60-70 mmHg
54.
what is the normal suctioning pressure for peds?
a)
100-120 mmHg
b)
95-110 mmHg
c)
80-90 mmHg
d)
60-70 mmHg
55.
Is this correct? Assesses for signs and symptoms of upper and lower airway obstruction requiring suctioning: abnormal respiratory rate, adventitious lung sounds, nasal secretions, gurgling drooling, restlessness, gastric secretions, or vomitus in mouth and coughing without clearing airway secretions.
a)
.TRUE
b)
.FALSE
56.
• Auscultate lung sounds, assess V/S and oxygen saturation levels for signs and symptoms of respiratory distress or ____ and _____.
a)
Hypoxia and Hypercapnia
b)
Hypovolemia and Hypercapnia
c)
Hematoma and Bruits
d)
orthostatic hyper tension and hyperoxygenation
57.
Temporary coughing, sneezing, gagging or shortness of breath is abnormal during suctioning
a)
.TRUE
b)
.FALSE
58.
Using sterile technique opens suction catheter package. Suction catheter not to touch any non sterile surfaces.
a)
.TRUE
b)
.FALSE
59.
•Applies sterile gloves to each hand or clean glove to dominant hand and sterile glove to nondominant hand.
a)
.TRUE
b)
.FALSE
60.
In tracheostomy/Endotracheal tube, Hyper oxygenates patient with 100% oxygen or hyperinflate using the bag-valve-mask device and administers 5 to 6 breaths over 30 seconds for at least 30-60 seconds before suctioning.
a)
.TRUE
b)
.FALSE
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