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CRITICAL CARE EXAM 1 PRACTICE QUESTIONS
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CRITICAL CARE EXAM 1 PRACTICE QUESTIONS
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CRITICAL CARE EXAM 1 PRACTICE QUESTIONSThe occupational health nurse is conducting yearly health screenings. A 50 year old
man states, "my father had colon cancer, but i really don't understand why that means i
need a colonoscopy. What could the nurse do to disseminate information about
screening to more individuals?
A. Plan a health fair for the employees that provides information about screening for
diseases that have an inheritance pattern
B. Refer each employee over the age of 50 to a gastroenterologist
C. Create a web site on diet and exercise as it relates to the prevention of colon cancer
in people over 50
D. Place brochures in the nurses' facility for the employees to access in answering their
questions
A. Plan a health fair for the employees that provides information about screening fro
diseases that have an inheritance pattern
In your role as the nurse at a genetics clinic, you are reviewing the health and genetic
history of a woman whose mother died of breast cancer. Which of the following is the
most important factor documented in the patient's genetic history?
A. Three generations of information about the family
B. Current medications taken
C. Health problems present in the woman's children
D. Immunizations received for the past three generations
A. Three generations of information about the family
A 46 year old man, estranged from his siblings, has begun showing signs of dementia
and has been diagnosed with alzheimer's disease. The nurse tells him how important it
is that he inform his siblings of his disease. He refuses stating, i don't want them to
know. Let them find out on their own. What should the nurse do?
A. Call the patient's brother and inform him of his risk for development of alzheimer's
disease
B. Notify the geneticist and have him instruct the patient on his siblings' and parents'
risk
C. Notify the siblings' physicians about the patient's risk for development of alzheimer's
disease
D. Instruct the patient on the importance of notifying the siblings and keep his
information confidential
D. Instruct the patient on the importance of notifying the siblings and keep his
information confidential
,A nurse is participating in genetic counseling for a couple who are considering trying to
conceive. After the couple receives the results of genetic testing, the nurse should
prioritize which of the following?
A. Secondary illness prevention
B. Psychosocial support
C. Gene therapy
D. Assessing adherence to treatment
B. Psychosocial support
Genetics-related health care is a component of holistic nursing practice. What action
should a nurse who practices in the area of genetics prioritize?
A. Teaching families about the different patterns of inheritance
B. Gathering relevant family and medical history information
C. Providing advice on termination of pregnancy
D. Discouraging females from conceiving after the age of 40 years
B. Gathering relevant family and medical history information
A patient with chronic lung disease is undergoing lung function testing. What test result
denotes the volume of air inspired and expired with a normal breath?
A. Total lung capacity
B. Forced vital capacity
C. Tidal volume
D. Residual volume
C. Tidal volume
In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse
needs to assess a patient's arterial oxygen saturation (sao2). What procedure will best
accomplish this?
A. Incentive spirometry
B. Abg measurement
C. Peak flow measurement
D. Pulse oximetry
D. Pulse oximetry
A patient with a decreased level of consciousness is in a recumbent position. How
should the nurse best assess the lung fields for a patient in this position?
,A. Inform that physician that the patient is in a recumbent position and anticipate an
order for a portable chest x-ray
B. Turn the patient to enable assessment of all the patient's lung fields
C. Avoid turning the patient, and assess the accessible breath sounds from the anterior
chest wall
D. Obtain a pulse oximetry reading, and, if the reading is low, reposition the patient and
auscultate breath sounds
B. Turn the patient to enable assessment of all of the patient's lung fields
A patient is undergoing testing to see if he has a pleural effusion. Which of the nurse's
respiratory assessment findings would be most consistent with this diagnosis?
A. Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest
wall
B. Decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion
of the chest wall
C. Lung fields dull to percussion, absent breath sounds, and a pleural friction rub
D. Normal tactile fremitus, decreased breath sounds, and a resonant sound upon
percussion of the chest wall
C. Lung fields dull to percussion, absent breath sounds, and a pleural friction rub
The medical nurse who works on a pulmonology unit is aware that several respiratory
conditions can affect lung tissue compliance. The presence of what condition would
lead to an increase in lung compliance?
A. Emphysema
B. Pulmonary fibrosis
C. Pleural effusion
D. Acute respiratory distress syndrome (ards)
A. Emphysema
A patient has a diagnosis of multiple sclerosis. The nurse is aware that neuromuscular
disorders such as multiple sclerosis may lead to a decreased vital capacity. What does
vital capacity measure?
A. The volume of air inhaled and exhaled with each breath
B. The volume of air in the lungs after a maximal inspiration
C. The maximal volume of air inhaled after normal expiration
D. The maximal volume of air exhaled from the point of maximal inspiration
D. The maximal volume of air exhaled from the point of maximal inspiration
, The clinic nurse is caring for a patient who has been diagnosed with emphysema and
who has just had a pulmonary function test (pft) ordered. The patient asks, what exactly
is this test for? What would be the nurse's best response?
A. A pft measures how much air moves in and out of your lungs when you breathe
B. A pft measures how much energy you get from the oxygen you breathe
C. A pft measures how elastic your lungs are
D. A pft measures whether oxygen and carbon dioxide move between your lungs and
your blood
A. A pft measures how much air moves in and out of your lungs when you breathe
We have an expert-written solution to this problem!
A patient is being treated for a pulmonary embolism and the medical nurse is aware that
the patient has suffered an acute disturbance in pulmonary perfusion. This involved an
alteration what aspect of normal physiology?
A. Maintenance of constant osmotic pressure in the alveoli
B. Maintenance of muscle tone in the diaphragm
C. Ph balance in the pulmonary veins and arteries
D. Adequate flow of blood through the pulmonary circulation
D. Adequate flow of blood through the pulmonary circulation
We have an expert-written solution to this problem!
A patient has been diagnosed with pulmonary hypertension, in which the capillaries in
the alveoli are squeezed excessively. The nurse should recognize a disturbance in what
aspect of normal respiratory function?
A. Acid-base balance
B. Perfusion
C. Diffusion
D. Ventilation
B. Perfusion
The nurse is caring for a patient with a lower respiratory tract infection. When planning a
focused respiratory assessment, the nurse should know that this type of infection most
often causes what?
A. Impaired gas exchange
B. Collapsed bronchial structures
C. Necrosis of the alveoli
D. Closed bronchial tree
A. Impaired gas exchange
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