Fundamentals of Nursing Theory Concepts and
Applications 4th Edition Wilkinson Test Bank
Chapter 36: Oxygenation
1. A patient has had a head injury affecting the brainstem. What is located in the
brainstem that may affect respiratory function?
A) chemoreceptors
B) stretch receptors
C) respiratory center
D) oxygen center
2. Which of the following diseases may result in decreased lung compliance?
A) emphysema
B) appendicitis
C) acne
D) chronic diarrhea
3. A nurse is caring for a patient with pneumonia. The patients oxygen saturation is
below normal. What abnormal respiratory process does this demonstrate?
A) changes in the alveolar-capillary membrane and diffusion
B) alterations in the structures of the ribs and diaphragm
C) rapid decreases in atmospheric and intrapulmonic pressures
D) lower-than-normal concentrations of environmental oxygen
4. While reading a physicians progress notes, a student notes that an assigned
patient is having hypoxia. What abnormal assessments would the student expect
to find?
A) abdominal pain, hyperthermia, dry skin
B) diarrhea, flatulence, decreased skin turgor
C) hypotension, reddened skin, edema
D) dyspnea, tachycardia, cyanosis
5. In what age group would a nurse expect to assess the most rapid respiratory
rate?
A) older adults
B) middle adults
C) adolescents
D) infants
6. A father of a preschool-aged child tells the nurse that his child has had a
constant cold since going to daycare. How would the nurse respond?
A) Your child must have a health problem that needs medical care.
B) Children in daycare have more exposure to colds.
C) Are you washing your hands before you touch the child?
D) Be sure and have your child wear a protective mask at school.
,7. A 90-year-old woman has been in an automobile crash and sustained four
fractured ribs on the left side of her thorax. Based on her age and the injury,
what complication is she at risk for?
A) pneumonia
B) altered thought processes
C) urinary incontinence
D) viral influenza
8. Which of the following individuals is at greater risk for respiratory illnesses
from environmental causes?
A) a farmer on a large farm
B) a factory worker in a large city
C) a woman living in a small town
D) a child living in a rural area
9. A nurse is beginning to conduct a health history for a patient with respiratory
problems. He notes that the patient is having respiratory distress. What would
the nurse do next?
A) Continue with the health history, but more slowly.
B) Ask questions of the family instead of the patient.
C) Conduct the interview later and let the patient rest.
D) Initiate interventions to help relieve the symptoms.
10. A nurse is percussing the thorax of a patient with chronic emphysema. What
percussion sound would most likely be assessed?
A) resonance
B) hyperresonance
C) flat
D) tympany
11. An emergency room nurse is auscultating the chest of a child who is having an
asthmatic attack. Auscultation reveals the presence of wheezes. During what
part of respirations do wheezes occur?
A) inspiration and expiration
B) only on inspiration
C) only on expiration
D) when coughing
12. A patient is experiencing hypoxia. Which of the following nursing diagnoses
would be appropriate?
A) Anxiety
B) Nausea
C) Pain
D) Hypothermia
13. A nurse is caring for a toddler who is having an acute asthmatic attack with
copious mucus and difficulty breathing. The childs skin is cyanotic, respirations
are labored and rapid, and pulse is rapid. What nursing diagnosis would have
priority for care of this child?
A) Anxiety
, B) Ineffective Airway Clearance
C) Excess Fluid Volume
D) Disturbed Sensory Perception
14. What information would a home care nurse provide to a patient who is
measuring peak expiratory flow rate at home?
A) Although the test is uncomfortable, it is not painful.
B) You will be asked to forcefully exhale into a mouthpiece.
C) The test is used to determine how much air you inhale.
D) You will do this each morning while still lying in bed.
15. What does pulse oximetry measure?
A) cardiac output
B) peripheral blood flow
C) arterial oxygen saturation
D) venous oxygen saturation
16. Of all factors, what is the most important risk factor in pulmonary disease?
A) air pollution from vehicles
B) dangerous chemicals in the workplace
C) active and passive cigarette smoke
D) loss of the ozone layer of the atmosphere
17. A nurse is caring for a patient who suddenly begins to have respiratory
difficulty. In what position would the nurse place the patient to facilitate
respirations?
A) supine
B) prone
C) high Fowlers
D) dorsal recumbent
18. A nurse is teaching a preoperative patient how to effectively deep breathe.
Which of the following would be included?
A) Make each breath deep enough to move the bottom ribs.
B) Breathe through the mouth when you inhale and exhale.
C) Breathe in through the mouth and out through the nose.
D) Practice deep breathing at least once each week.
19. A nurse is teaching a home care patient how to do pursed-lip breathing. What is
the therapeutic effect of this procedure?
A) using upper chest muscles more effectively
B) replacing the use of incentive spirometry
C) reducing the need for dmr.n. pain medications
D) prolonging expiration to reduce airway resistance
20. A nurse is explaining a chest tube to family members who do not understand
where it is placed. What would the nurse tell them?
A) It is inserted into the space between the lining of the lungs and the ribs.
B) I dont exactly know, but I will make sure the doctor comes to explain.
C) It is inserted directly into the lung itself, connecting to a lung airway.
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