Week 4

Question 1

Which blood vessel returns oxygenated blood to the heart?

Answer 1

Pulmonary vein

Question 2

Venous blood returning from the body enters which chamber of the heart first?

Answer 2

Right atrium

Question 3

Which term reflects the process of oxygen diffusing across alveolar walls into pulmonary capillaries?

Answer 3

External respiration

Question 4

Which description represents the process of exhalation?

Answer 4

Intraalveolar pressure rising above atmospheric pressure

Question 5

Which response would the nurse give to a patient with weak right ventricular systole who asks “What is wrong with my heart?”

Answer 5

“The right side of your heart is not pumping with enough force to propel an adequate amount of blood to the lungs.”

Question 6

Which heart wall changes would the nurse expect in a patient with damage to the epicardium?

Answer 6

Impaired secretion of serous fluid
Increased friction during heart contractions

Question 7

Which information would the nurse include when teaching about the heart?

Answer 7

The heart has two atrial chambers and two ventricular chambers.
The heart pumps oxygenated blood to all parts of the body.
The heart plays a role in tissue oxygenation.

Question 8

Which trigger of inspiration would the nurse include when teaching a patient with a chronic respiratory disease about the breathing process?

Answer 8

Impulses in the respiratory center of the brain

Question 9

Which statement describes the role of the phrenic nerve during the inspiratory phase of respiration?

Answer 9

Stimulates the diaphragm to move downward

Question 10

Which factors influence the binding of oxygen to hemoglobin?

Answer 10

pH
2,3 BPG
Temperature
Carbon dioxide

Question 11

Which acute respiratory disorder may decrease oxygenation?

Answer 11

Pneumonia

Question 12

Which factors that control blood vessel diameter would the nurse include when teaching about factors affecting oxygenation and perfusion?

Answer 12

Oxygen
Hormones
Nitrous oxide
Prostaglandins

Question 13

Which adventitious lung sounds would the nurse hear upon auscultation of a patient with severe left-sided heart failure?

Answer 13

Inspiratory crackles in the lung bases

Question 14

Which diagnostic test is used in the daily measurement for early detection of asthma exacerbations?

Answer 14

Peak expiratory flow rate

Question 15

When caring for a patient postoperatively, which nursing intervention prevents atelectasis?

Answer 15

Incentive spirometry

Question 16

In which condition do the lungs remove carbon dioxide faster than it is produced by cellular metabolism?

Answer 16

Hyperventilation

Question 17

In which condition do the lungs remove carbon dioxide faster than it is produced by cellular metabolism?

Answer 17

Hyperventilation

Question 18

When addressing orthopnea with a patient, which topic would the nurse discuss?

Answer 18

The need to sleep in a recliner chair to breathe easier

Question 19

Which laboratory value does the nurse assess to determine adequate oxygenation in a patient who is hospitalized with respiratory failure?

Answer 19

Arterial blood gases (ABGs)

Question 20

Which assessment finding would indicate that a patient needs airway suctioning?

Answer 20

Decreased independent ability to cough

Question 21

Which statement by the nurse that works in a postsurgical ward, indicates a common misconception about pain?

Answer 21

Psychogenic pain is not real
Administering analgesics regularly leads to drug addiction
Patients who abuse substances overreact to discomfort

Question 22

A patient is in the first postoperative day after a nephrectomy. The patient is receiving morphine through a patient-controlled analgesia
(PCA) device for management of pain. The nurse decides to use the ABCDE approach while assessing and managing pain for this patient.
Which component of the ABCDE approach is correct?

Answer 22

A: Ask about the pain regularly.
B: Believe the patient about the pain.
C: Choose pain control options appropriate for the patient

Question 23

A registered nurse is teaching a nursing student about various nonpharmacological pain management interventions. Which statement
by the student indicates a need for further teaching?

Answer 23

“Guided imagery provides effective pain relief for a patient who has acute appendicitis.”

Question 24

Which pain management method is considered a nonpharmacological complementary and alternative intervention?

Answer 24

Therapeutic touch

Question 25

Which chemical do nonsteroidal anti-inflammatory drugs (NSAIDs) react with?

Answer 25

Prostaglandin

Question 26

Which type of pain-management therapy is preferred for relieving chronic cancer pain?

Answer 26

Epidural analgesia

Question 27

The nurse has conducted an informative session on discouraging pseudoaddiction to a group of people in a community. Which group of patients would be the main target for the nurse’s teachings?

Answer 27

Patients who repeatedly seek multiple medical opinions for chronic pain relief

Question 28

The nursing instructor asks the student nurse to differentiate between A-delta and C peripheral nerve fibers. Which statement by the student nurse indicates effective learning?

Answer 28

"The A-delta fibers are myelinated, and the C fibers are unmyelinated."

Question 29

Which inhibitory neurotransmitter of pain is in the brain?

Answer 29

Serotonin Norepinephrine Gamma-aminobutyric acid (GABA)

Question 30

The nurse administers 250 mg of acetaminophen along with 5 mg of hydrocodone to a patient in pain. Which reason explains why acetaminophen is part of this protocol?

Answer 30

To decrease the dose of opioid required for pain control

Question 31

Which nursing intervention is necessary after the health care provider administers epidural anesthesia to a patient in the terminal stages of cancer for pain relief?

Answer 31

Notifying the health care provider if the patient develops pain at the epidural insertion site

Question 32

A health care provider put a postoperative patient on a patientcontrolled opioid analgesic pump to be used around the clock for a week. Which assessment would the nurse make at regular intervals?

Answer 32

Respiratory rate

Question 33

Which adjuvant drug relieves pain caused by inflammation and bone metastasis?

Answer 33

Corticosteroids

Question 34

Which statement is true regarding enteral syringes?

Answer 34

Enteral syringes are a different color than parenteral syringes.

Question 35

Which anesthetic drug is contraindicated in patients with an allergy to soy products?

Answer 35

Propofol

Question 36

Which type of prescription order would the nurse carry out until the health care provider cancels the order?

Answer 36

Standing order

Question 36

Which type of prescription order would the nurse carry out until the health care provider cancels the order?

Answer 36

Standing order

Question 37

Where would the nurse place a rectal suppository in an adult patient?

Answer 37

Rectal wall 10 cm into the rectum

Question 37

Where would the nurse place a rectal suppository in an adult patient?

Answer 37

Rectal wall 10 cm into the rectum

Question 38

Which route of administration involves inserting a needle at a 5- to 15-degree angle from the surface of the skin without puncturing the patient’s subcutaneous tissue?

Answer 38

Intradermal

Question 39

When would the nurse administer a medication scheduled "on call" for a surgery?

Answer 39

When the surgical staff is coming to get the patient

Question 40

After reading the prescription order of a patient, the nurse prepares to administer the medication in the patient’s right ear. Which abbreviation in the prescription reflects the nurse’s action?

Answer 40

AD

Question 41

Which nursing intervention avoids aspiration in children?

Answer 41

Administering medications in liquid form

Question 42

Which describes a "now order" prescription for vancomycin?

Answer 42

The patient needs medication to be administered within 90 minutes but not right away