NURS 7110 - Quiz (Module 1, 2, 3)

What doest the pH Measure?
A. Amount of Hydrogen ions in the blood.
B. Amount of Bicarbonate Ions in the blood.
C. Amount of CO2 ions in the blood.
D. All of the Above

A. Amount of Hydrogen Ions in the blood

Which additional vital sign would be useful to assess for hypovolemia?
A. Oxygen Saturation
B. Postural Vitals
C. Weight
D. All of the Above.

B. Postural Vitals?

Over-sedation would cause this change in the blood gas results.
A) a decrease in bicarbonate level
B) an increase in carbon dioxide level
C) an increase in pH level
D) an increase in PaO2 level

B) an increase in carbon dioxide level

What is an intervention for chest pain in "D"?
A) full set of vitals
B) analgesic
C) ECG
D) oxygen

B) analgesic

Which test is least likely to be used for further investigation of a respiratory problem?
A) blood gas analysis
B) chest x-ray
C) ECG
D) urinalysis

D) Urinalysis

Why would a patient in the early stages of pneumonia present with acute respiratory alkalosis?
A) The kidneys are compensating for the acidosis caused by the infection.
B) The patient may be tachypnic in order to increase oxygenation.
C) Patients with pne

B) The patient may be tachypnic in order to increase oxygenation.

A 7-year-old female presents to the Emergency Department with a 2-day history of right lower quadrant pain, fever, and vomiting. All of the following are differential diagnoses except:
A) appendicitis
B) Urinary tract infection (UTI)
C) Upper respiratory

C) Upper respiratory tract infection (URTI)

Hyperventilation may cause all of the following except:
A) numbness in hands.
B) decreased respiration rate.
C) increased anxiety.
D) alteration in blood gas concentrations.

B) decreased respiration rate.

Which is not a change in the shape of the anterior chest?
A) barrel shaped
B) pectus excavatum
C) pigeon
D) kyphosis

D) kyphosis

Which of the following are normal levels for their corresponding lab value?
1. HCO3 18- 24mmHg
2. CO2 35-45mmHg
3. pH 7.35-7.45
4. PaO2 80-100mmHg
A. 2,3,4
B. None of the Above
C. 1 & 4
D. All of the Above

A. 2,3,4

Which ailment should not use the Emergency Department for medical care?
A) a newborn with a fever
B) an adolescent with chest pain after drinking caffeine
C) an elderly patient needing a prescription for pain killers
D) none of the above

D) none of the above

Which of the following is a subjective finding?
A) chest pain
B) indrawing
C) bruising
D) drooling

A) chest pain

The following clinical findings may be noted with a patient who has bilateral pneumonia except:
A) quiet percussion.
B) tactile fremitus.
C) adventitious lung sounds.
D) deviated trachea.

D) deviated trachea.

What percentage of oxygen is delivered by a non-rebreather?
A) less than 21%
B) 40-60%
C) 60-100%
D) greater than 95%

C) 60-100%

Which principle is true about oxygen in the body?
A) Hemoglobin will have a decreased affinity for oxygen in the bloodstream in the presence of acidosis
B) A patient with less hemoglobin may have a normal SpO2 reading.
C) Hemoglobin has an increased affin

D) All of the above

Which of the following is not a hollow organ?
A) heart
B) lung
C) spleen
D) bladder

C. Spleen

What ABGs are the most likely findings for a patient with a COPD exacerbation?
A) pH 7.52, PaCO2 31, PaO2 78, HCO3 19
B) pH 7.36, PaCO2 29, PaO2 108, HCO3 20
C) pH 7.37, PaCO2 58, PaO2 65, HCO3 29
D) pH 7.48, pCO2 38, PaO2 90, HCO3 30

C) pH 7.37, PaCO2 58, PaO2 65, HCO3 29

What is the best position for the patient to be in when doing a respiratory assessment?
A) supine
B) sitting position
C) semi-Fowler's
D) Trendelenburg

B) sitting position

Why is tracheal deviation significant?
A) It may indicate a mediastinal shift and may be towards a collapsed lung or direct away from a pneumothorax.
B) It may indicate a mediastinal shift and may be directed away from a fibrosed lung or towards a pneumot

A) It may indicate a mediastinal shift and may be towards a collapsed lung or direct away from a pneumothorax.

Which statement is false?
A) Most crackles are inspiratory and may indicate fluid accumulation.
B) Wheezes indicate a narrowing of bronchioles and are common with asthma
C) Vesicular breath sounds are heard near the larynx and trachea.
D) A pleural rub ma

C) Vesicular breath sounds are heard near the larynx and trachea.

In what cases may cyanosis be most obvious?
A) hypoventilation
B) anemia
C) choking
D) hypovolemia

C) Choking

Which is NOT an area of focus when collecting a respiratory history?
A) past medical history
B) allergies
C) travel history
D) current address

D. Current Address

Which of the following is not an objective finding?
A) headache
B) increased respiration rate
C) hypoglycemia
D) fever

D. Headache

What are "red flags" in reference to clinical assessment?
A) Subjective and objective findings
B) Points in the primary assessment when the doctor should be notified to see the patient right away.
C) Factors which rule out a clinical diagnosis.
D) Assessm

D) Assessment findings which raise the level of urgency

Which of the following statements is true?
A) A patient who has a high CO2 value will compensate with an decreased RR.
B) A patient in an uncompensated state will have an irregular respiration rate and abnormal kidney functions.
C) A fully-compensated pat

C) A fully-compensated patient will have a pH within normal limits.

Which would be an example of moral distress?
A) when a patient with chest pain must wait in the waiting room because no beds are available
B) wait times exceed that of CTAS guidelines to see a doctor
C) unable to care for a patient according to license st

D. All of the above

What is the difference between a CTAS score and LOU?
A) CTAS scores are assigned at triage and stay the same, whereas LOU is reassessed and redetermined as the patient changes over time.
B) CTAS scores are determined at triage but can change if the patien

A) CTAS scores are assigned at triage and stay the same, whereas LOU is reassessed and redetermined as the patient changes over time.

Which pathophysiological relationship is not accurate when assessing a patient's hands in relation to the respiratory assessment?
A) fine tremors noted post-bronchodilator administration
B) warm, sweaty hands and flapping tremor due to COPD
C) yellow stai

D) thickened nails due to decreased circulation

Acidosis causes all but which one of the following problems?
A) diminished cardiac contractions
B) decreases the body's ability to respond to stress
C) affects drug metabolism
D) improves tissue oxygenation

D) improves tissue oxygenation

These professionals respond to medical and traumatic emergencies in the pre-hospital setting.
A) LPNs
B) EHS
C) RTs
D) EPs

EHS

What constitutes a full set of vitals?
A) HR, BP, RR, O2 sat, temp
B) HR, heart rhythm, BP, O2 sat, RR, temp
C) HR, postural BP, O2 sat, RR, temp, body weight
D) HR, BP, RR, O2 sat, ED handshake

A) HR, BP, RR, O2 sat, temp

Which condition would warrant a capillary blood glucose check during "D" in the primary assessment?
A) history of diabetes
B) decreased level of consciousness
C) alcohol use
D) all of the above

D) all of the above

Which of the following is the least likely differential diagnosis for a 40-year-old female patient with right upper chest pain radiating into the shoulders?
A) cholecystitis
B) migraine
C) myocardial infarction
D) pleural effusion

B) migraine

A patient who comes to the ED after a history of three days of vomiting may present with which of the following ABGs:
A) pH 7.48, pCO2 38, PaO2 90, HCO3 30
B) pH 7.52, PaCO2 31, PaO2 78, HCO3 19
C) pH 7.36, PaCO2 29, PaO2 108, HCO3 20
D) pH 7.37, PaCO2 58

A) pH 7.48, pCO2 38, PaO2 90, HCO3 30