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AACN ECCO Pulmonary Exam |Questions with 100% Correct Answers
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AACN ECCO Pulmonary Exam |Questions with100% Correct Answers
A patient in respiratory failure has a low expiratory airflow unresponsive to medication. The
nruse observes tachycardia and hypoxemia. What additional signs/symptoms should the nurse
anticipate? - ✔️✔️WRONG
Respiratory acidosis on ABG
A-fib
Declining PaO2
A patient with a hemothorax and a chest tube draining system is admitted. Which intervention
should the nurse anticipate? - ✔️✔️Attach chest tube to wall suction
Following a chest x-ray, for which report should the nurse notify the provider? - ✔️✔️ETT is
positioned in the right mainstem bronchus
A patient is admitted with COPD exacerbation. ABGs are: pH 7.28, PaO2 60, PaCO2 76, HCO3-
27 mEq/L, and SaO2 86% on fiO2 50% via air entrainment device. Which treatment would you
anticipate next? - ✔️✔️NIPPV
For which patients requiring oxygen therapy is NIPPV indicated? Patients with: - ✔️✔️Acute
cardiogenic...
Hypercapnic...
Worsening COPD
For which complication should the nurse observe in a patient following bronchoscopy? -
✔️✔️Dysrhythmias
Which ABG result indicates complete compensation? - ✔️✔️C - 7.35, 89, 47, 29, 93%
, A patient with pleural effusion develops empyema. Which is initially indicated? - ✔️✔️Antibiotics
In a patient with pulmonary embolism, which sequelae should the nurse anticipate? -
✔️✔️Ischemia
Right ventricular failure
Hypoxemia
A patient admitted 48 hours ago, temp 38.9, cough with purulent sputum, crackles that don't
clear, and ↓ right lower lobe breath sounds. What should you anticipate? - ✔️✔️Broad spectrum
ABX
Patient with Hx of COPD and pulmonary hypertension develops worsening symptoms. Cardiac
cath shows elevated pulmonary resistance and PA pressure does not respond to CCBs or PDE-5
inhibitors. Which should you anticipate? - ✔️✔️Epoprostenol
Why do a patient's PaO2 levels suggest acute respiratory failure earlier than the PaCO2 levels? -
✔️✔️Oxygen diffuses slower than CO2
By what signs or symptoms should a nurse recognize tension pneumothorax in a pt with
worsening respiratory distress? - ✔️✔️Progressive
Absence
Progressive
A nurse is monitoring patient undergoing bedside bronchoscopy notes a decline in patient's
oxygen saturation. What should you anticipate? - ✔️✔️Auscultate lungs bilaterally
Monitor EtCO2
Provide supplemental oxygen
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