Exam (elaborations)

Test Bank NSG 210 Introduction to the Respiratory System Questions & Answers & Rationale,100% CORRECT

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Module
NSG 210

Institution
NSG 210

Test Bank NSG 210 Introduction to the Respiratory System Questions & Answers & Rationale 1. You are caring for a client who is in respiratory distress. The physician orders arterial blood gases (ABGs) to determine various factors related to blood oxygenation. What site can ABGs be obtained from? ...

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Test Bank NSG 210 Introduction to the Respiratory System
Questions & Answers & Rationale
You are caring for a client who is in respiratory distress. The physician
1.
orders arterial blood gases (ABGs) to determine various factors related to
blood oxygenation. What site can ABGs be obtained from?
A) A puncture at the radial artery
B) The trachea and bronchi
C) The pleural surfaces
D) A catheter in the arm vein
Ans: A
Feedback:
ABGs determine the blood's pH; oxygen-carrying capacity; and levels of
oxygen, CO2, and bicarbonate ion. Blood gas samples are obtained through
an arterial puncture at the radial, brachial, or femoral artery. A client also
may have an indwelling arterial catheter from which arterial samples are
obtained. Blood gas samples are not obtained from the pleural surfaces or
trachea and bronchi.

The nurse working in the radiology clinic is assisting with a pulmonary
2.
angiography. The nurse knows that when monitoring clients after a
pulmonary angiography, what should the physician be notified about?
A) Raised temperature in the affected limb
B) Excessive capillary refill
C) Absent distal pulses
D) Flushed feeling in the client
Ans: C
Feedback:
When monitoring clients after a pulmonary angiography, nurses must notify
the physician about diminished or absent distal pulses, cool skin temperature
in the affected limb, and poor capillary refill. Absent distal pulses may
indicate damage to the artery or a clot.
When the contrast medium is infused, the client will sense a warm, flushed
feeling.

3. You are a nurse in the radiology unit of your hospital. You are caring for a
client who is scheduled for a lung scan. You know that lung scans need the
use of radioisotopes and a scanning machine. Before the perfusion scan,
what must the client be assessed for?

Page 1

,A) Bleeding
B) Iodine allergy
C) Dysrhythmias
D) Inflammation
Ans: B
Feedback:
During lung scans, a radioactive contrast medium is administered
intravenously for the perfusion scan. Before the perfusion scan, nurses must
assess the client to check for allergies to iodine. Laryngoscopy determines
inflammation. Dysrhythmias and bleeding are possible complications of
mediastinoscopy.

Page 2

, The nursing instructor is talking with senior nursing students about
4.
diagnostic procedures used in respiratory diseases. The instructor discusses
thoracentesis, defining it as a procedure performed for diagnostic purposes
or to aspirate accumulated excess fluid or air from the pleural space. What
would the instructor tell the students purulent fluid indicates?
A) Cancer
B) Infection
C) Inflammation
D) Heart failure
Ans: B
Feedback:
Purulent fluid is the recommended diagnosis for infection. Serous fluid may
be associated with cancer, inflammatory conditions, or heart failure.

Your client has just had an invasive procedure to assess the respiratory
5.
system. What do you know should be assessed on this client?
A) Watery sputum
B) Loss of consciousness
C) Respiratory distress
D) Masses in pleural space
Ans: C
Feedback:
After invasive procedures, the nurse must carefully check for signs of
respiratory distress and blood-streaked sputum. Masses in the pleural space
affect fremitus. General examination of overall health and condition
includes assessing the consciousness of a client.

An 18-month-old child is brought to the emergency department by his
6.
parents who explain that their child swallowed a watch battery.
Radiologic studies show that the battery is in the lungs. Which area of
lung is the battery most likely to be in?
A) Right upper lung
B) Left upper lung
C) Right lower lung
D) Left lower lung
Ans: A
Feedback:
Aspiration of foreign objects is more likely in the right main stem
bronchus and right upper lung. The right mainstem bronchus is slightly
Page 3

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Test Bank NSG 210 Introduction to the Respiratory System Questions & Answers & Rationale,100% CORRECT

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