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HESI B Practice 1 Exam Questions with Complete Solutions Graded A+

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  • NURS 254
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  • NURS 254

HESI B Practice 1 Exam Questions with Complete Solutions Graded A+

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  • August 2, 2024
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  • NURS 254
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NUR 423 Exam 2 Book_quiz
question practice with
Complete Solutions Graded A+

Denning Muriithi [Date] [Course title]

, NUR 423 Exam 2 Book/quiz question practice

1.1. The conducting airways serve which major functions? (Select all
that apply.) Correct Ans: Filtering. Humidifying. Warming.
2..During expiration, the intrapulmonary pressure causes air to flow out of
the lungs for which reason? Correct Ans: Because the intrapulmonary
pressure is higher than atmospheric pressure
3.What is the purpose of surfactant? Correct Ans: To decrease alveolar
surface tension
4.What is the primary function of type II alveolar cells? Correct Ans:
Surfactant production
5.Pressure gradient affects the diffusion of gases in which way? Correct
Ans: The greater the difference, the more rapid the gas flow
6.Which disease process would increase the thickness of the alveolar-
capil- lary membrane? Correct Ans: Pneumonia
7.Which statement is correct regarding the normal rela-tionship between
oxygen and hemoglobin? Correct Ans: Oxygen binds loosely and
reversibly to hemoglobin.
8.On the oxyhemoglobin dissociation curve, at a PaO2 less than 60
mmHg, any change in PaO2 yields how much of a change in SaO2?
Correct Ans: A large change
9.Which statement is true regarding the relationship of ventilation to
perfu- sion in an upright person? Correct Ans: It varies throughout the
lung.
10.A client has developed left lower lobe pneumonia; however, the
remaining lung fields are clear. It is time to reposition the client in bed. Of
the following posi-tions, which is most likely to optimize the ventilation-
perfusion relation- ship? Correct Ans: Lying on the right side
11.Normal blood flow past completely unventilated alve-oli is the definition
of which term? Correct Ans: Capillary shunt
12.Oxygen therapy is most effective in treating which condition? Correct
Ans: Shuntlike effect
13.Respiratory compensation involves the excretion or retention of which
gas or substance? Correct Ans: CO2
14. Metabolic compensation involves changes in the renal excretion or
resorp- tion of which combination of gases or substances? Correct Ans:
HCO3, H+
15.Client situations associated with respiratory alkalosis include which
con- dition? Correct Ans: Anxiety
16.Which condition may cause metabolic acidosis because of a decrease
in bicarbonate levels? Correct Ans: Diarrhea


, NUR 423 Exam 2 Book/quiz question practice

17.Normal values for arterial blood gases include which value? Correct
Ans: HCO3 26 mmHg
18.An increase in bicarbonate would have which effect
on the pH? Correct Ans: More alkaline
19.A client who typically has normal ABG values is found to have a PaO2
of 73 mmHg. Which classification of hypoxia exists? Correct Ans: Mild






, NUR 423 Exam 2 Book/quiz question practice

20.What factor must always be evaluated to place ABGs in the proper
con- text? Correct Ans: Client status
21.When a client is admitted in acute respiratory distress, the initial
history should focus on which priority? Correct Ans: Events leading to
current admission
22.What are the most common complaints associated with pulmonary dis-
ease? (Select all that apply.) Correct Ans: Cough. Sputum. Dyspnea E.
Chest pain
23.How is the chest pain typical of pleuritic pain best characterized? Correct
Ans: Sharp
24.What is the cause of crackles? Correct Ans: Fluid or secretions in
the small airways or alveoli
25.In the acutely ill client, pulmonary function testing helps monitor for
which condition? Correct Ans: Impending ventilatory failure
26.Minute ventilation VE is calculated using which formula? Correct Ans: VE
- VT x F
27.Clients who have obstructive pulmonary disease have which pattern
of FEVs? Correct Ans: Delayed FEVs
28.In the adult client, the nurse would become concerned that the client
is hypoventilating if the tidal volume falls to below which value? Correct
Ans: 4 mL/kg
29.What is pulse oximetry used to measure? Correct Ans: Arterial oxygen
capillary hemoglo- bin saturation
30.Which conditions impair the accuracy of pulse oxime-try? (Select all
that apply.) Correct Ans: Excessive movement .Hypothermia E. Improper
sensor placement
31.EtCO2 is an indicator of which alveolar factor? Correct Ans: Ventilation
32.Colorimetric capnography uses what measure to esti-mate EtCO2?
Correct Ans: pH
33.A client has developed a pulmonary problem that has resulted in de-
creased lung compliance. How will this affect the client's respiratory
system?-
Correct Ans: It will increase the client's work of breathing.
34.A client who has developed right middle-lobe pneumo-nia will
experience decreased ventilation in the affected lung areas for which
reasons? (Select all that apply.) Correct Ans: The pressure gradient is
abnormal. Gas follows the path of least resistance. 5. The consolidation
in the tissues will increase the pressure.
35.A client with pneumonia develops what is believed to be an absolute

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