Make your own quiz Manage my Quizzes Plans / Features Guides and Help Contact Privacy & Security

CARE OF CLIENTS WITH PROBLEM In OXYGENATION, FLUID & ELECTROLYTES

A nursing student examining a patient with a chest tube, surrounded by medical charts and equipment, in a hospital setting.

Oxygenation and Fluid Management Quiz

Test your knowledge on the care of clients with oxygenation, fluid, and electrolyte problems in this comprehensive quiz. Whether you're a nursing student or a healthcare professional, this quiz will challenge your understanding of critical concepts related to respiratory and cardiovascular health.

30 multiple-choice questions
Focused on real-world clinical scenarios
Great for review before exams!

80 Questions20 MinutesCreated by LearningNurse42

What is the first level of differentiation of platelets from the myeloid stem cells?

Megakaryoblast

Megakaryocyte

Reticulocyte

Proerythroblast

What is the rationale of frequent position changes of clients with chest tube drainage system? Select all that apply.

Promote drainage
Maintain the sub-atmospheric pressure of the lungs
Maintain the positive pressure inside the thoracic cavity
Prevent complications
Provide comfort

3,4,5

2,3,4

1,4,5

1,2,3

How is pneumonia diagnosed? Select all that apply.

History taking
CPT
CXR
Blood culture and gram staining
CBC
12 – standard ECG

2,3,4,5

1,3,4,5

1,4,5,6

1,2,3,4

What do you call the continuous formation and supply of mature blood cells throughout the body?

Erythropoiesis

Uropoiesis

Hematopoiesis

Autopoiesis

It is the hallmark of MI wherein the patient clutches hand on chest

Clutch hand sign

Elephant’s sign

Lewin’s sign

Levine’s sign

This waveform indicates that the area or site of injury becomes ischemic

ST segment elevation

T -wave inversion

Pathologic Q wave

Isoelectric QRS complex

The following are management for clients with severe flail chest injuries especially when clients are experiencing respiratory distress already. Select all that apply

ET tube intubation
Mechanical ventilation
To stabilize flail chest
MRI of chest
Correct abnormalities in gas exchange
CT scan of chest

1,2,3,5

1,3,5,6

3,4,5,6

1,2,4,6

A clinical manifestation of flail chest which can be observed as a reverse form of normal breathing movements wherein the chest wall moves in on inspiration and out on expiration

Dyspnea on exertion

Shortness of breath

Paradoxical breathing

Respiratory impairment

What do you call a cell formation that occurs in the liver and spleen?

Extramedullary hematopoiesis

Blood cell hematopoiesis

Active marrow hematopoiesis

Medullary hematopoiesis

The following are the purposes of CBC. Select all that apply.

As a routine medical examination
To determine the blood flow of the heart
To diagnose a medical condition
To relieve underlying conditions
To monitor the effectiveness of medical treatment

3,4,5

2,3,5

1,2,3

1,3,5

How much is the plasma volume of blood?

55%

45%

65%

75%

What are the symptoms of deep vein thrombosis? Select all that apply

Pain and tenderness below the area of the clot
Pitting edema
Swelling and tightness on both arms
Warm skin around the affected area
Hemoptysis

2,3,5

1,3,4

1,2,4

2,4,5

What is the first level of differentiation of erythrocytes from the myeloid stem cells?

Megakaryoblast

Proerythroblast

Reticulocytes

Megakaryocytes

The following are assessment findings on clients with disseminated intravascular coagulation. Select all that apply

Petechiae and ecchymoses
Shortened prothrombin time
Shortened partial thromboplastin time
Prolonged bleeding from breaks in the skin
Severe and uncontrollable hemorrhage if patient underwent surgical procedure

2,3,4

3,4,5

1,4,5

1,2,3

What is the range of the blood pressure if a patient will be categorized in stage 1 hypertension?

SBP of less than 120 mmHg and DBP of less than 80 mmHg

SBP of 140 mmHg or higher or DBP of 90 mmHg or higher

SBP of 130-139 mmHg or DBP of 80-89 mmHg

SBP of 120-129 mmHg and DBP of less than 80 mmHg

What is the cause of chest pain in myocardial ischemia?

When lactic acids irritate the nerve endings of the chest wall

When fluids are released in the abdomen

When myocyte cells ingest the lipids

When the preload is reduced

The chest pain of pericarditis may be aggravated by

Sitting position

Breathing with deep inspiration

Orthopneic position

Talking

Chest pain is described as pleuritic when it

occurs only during sleep.

resolves with sublingual nitroglycerin.

resolves with a deep breath.

increases with deep inspiration and decreases with expiration.

This is frequently a complication of blunt chest trauma from a steering wheel injury

Flail chest

Rib fracture

Vehicular accident

Car accident

What is the most common pharmacologic treatment for chest pain?

Thiazides

Nitroglycerine

Amlodipine

Omeprazole

What is the (–) chronotropic action of digoxin?

promotes contraction

changes heart rhythm

decreases the cardiac rate

prevent anorexia

What are the manifestations of morphine overdose? Select all that apply

Hypokalemia
Water retention
Dilated pupils
Shallow breathing
Severe respiratory depression

1,2,3

3,4,5

1,4,5

2,3,4

How much is the cellular component of blood?

35-40%

45-50%

40-45%

50-55%

What can be diagnosed by a 2D echocardiogram for clients with HF? Select all that apply.

Determine the ejection fraction
Determine the BNP level
Identify heart structures abnormalities and valve malfunction
Confirm the dx of HF
Determine the presence of BUN and Creatinine

1,2,3

2,3,4

3,4,5

1,3,4

What is the main problem to clients with left -sided heart failure?

Hepatomegaly

Pulmonary congestion

Dizziness

Jugular vein distention

What are the 3 cellular components of blood?

Erythrocytes
Electrolytes
Leukocytes
Thrombocytes
Lymphocytes

2,3,4

3,4,5

1,2,3

1,3,4

What do you call a cell formation that occurs in the red marrow?

Extramedullary hematopoiesis

Blood cell hematopoiesis

Medullary hematopoiesis

Active marrow hematopoiesis

These are small, painful nodules which may be present in the pads of fingers or toes of clients with infective endocarditis

Janeway lesions

Jane nodes

Janet’s lesions

Osler nodes

What is usual event to blame for coronary artery diseases?

Build-up of plaques

Lipid deposition

Build-up of cholesterol

All of the options

Which of the following is not included in the Beck’s triad?

Pulsus paradoxus

Wheezing

Muffled heart sounds

Distended neck veins

What is depolarization?

It is the relaxation of the heart

Ventricular filling

It is the contraction of the heart

The AV node is stimulated

What is the inherent rate of the ventricular pacemakers?

60-100

30-40

40-60

10-20

When assessing a patient for jugular vein distension, you should position him

lying on his back, with the head of his bed elevated 30 to 45 degrees

sitting upright

lying flat on his back

lying on his left side

On a polarized state of the heart, which of the following is the primary extracellular cation?

HCO3

It has the second-highest inherent rate of 40 to 60 electrical impulses per minute.

SA node

AV node

Purkinje fibers

AV bundle

What is the other term for unstable angina?

Stable angina

Prinzmetal’s angina

Preinfarction angina

Variant angina

Which of the following are modifiable risk factors in the development of coronary artery disease? Select all that apply

Age more than 40 years old
Eating fatty foods
Cigarette smoking
Alcohol intake
Family history of CAD
Diet

1,3,5,6

2,3,4,6

1,3,4,6

3,4,5,6

What is the cause of pulmonary edema if heart failure is suspected? Select all that apply.

Returning venous blood is decreased
Failure of the left ventricle to pump
Increased pressure inside the left ventricle
Peripheral edema with grade +4 indentation
Blood backs up into the pulmonary circulation

2,3,4

2,3,5

3,4,5

1,3,5

What is the position of choice to relieve dyspnea and shortness of breath?

Lie on the affected lungs

Splint the chest while taking a deep breath

Trendelenburg position

High fowler’s position

What is the position of choice for thoracentesis for client’s who cannot sit upright?

Sitting on the edge of the bed with feet supported and arms on a padded over-bed table

Sitting with arms on the side

Straddling a chair with arms and head resting on the back of the chair

Lying on the unaffected side with the head of the bed elevated 30-45O

This is a type of pneumonia occurring in a nonhospitalized patient and were believed to be at an increased risk for infection with multidrug-resistant (MDR) organisms

CAP

HCAP

HAP

VAP

This is an abnormal protuberance of the abdomen characterized by fluid accumulation and may suggest a biventricular right-side heart failure (RSHF)

Hepatomegaly

Hepatosplenomegaly

Ascites

Increased chamber pressures in the RA and RV

The test that's most specific for myocardial damage is

Myoglobin

Troponin

CK-MB

What is the (+) inotropic effect of digoxin?

promotes contraction

decreases the cardiac rate

changes heart rhythm

prevent nausea and vomiting

This is a vibratory sensation felt on the skin overlying an area of turbulence and indicates an incompetent heart valve

Murmurs

Thrill

Systolic clicks

Opening snaps

What is not expected to occur to clients with water retention?

Weight gain

Efficient UO

Peripheral edema

Ascites

This condition describes the abnormal distention of airspaces beyond the terminal bronchioles which results to the destruction of the alveolar walls

Emphysema

Chronic bronchitis

Bronchiectasis

Bronchial asthma

What is the correct sequence of chest physiotherapy?

Percussion, vibration, postural drainage

Postural drainage, percussion, vibration

Vibration, postural drainage, percussion

Vibration, percussion, postural drainage

The following are purposes of diagnostic bronchoscopy. Select all that apply

to examine tissues or collect secretions
to determine whether a tumor can be resected surgically
to diagnose bleeding sites
to treat postoperative atelectasis
to destroy and excise lesions

1,2,3

2,3,4

3,4,5

1,3,4

What is the reason why CPT is performed late in the afternoon?

Because client may have less activity

To avoid vomiting

So that we can provide comfort to the patient before they go to sleep

Secretions are easier to expectorate

As prescribed, the nurse instructs the client to nebulize with bronchodilators and take his mucolytic agent. How in particular these agents will improve drainage secretions? Select all that apply

dilate the bronchioles
reduce bronchospasm
decrease the viscosity of mucus and sputum
retains secretions in airways
fight edema of the bronchial walls
bronchoconstriction

2,3,4,5

3,4,5,6

1,2,5,6

1,2,3,5

Which of the following drugs are Calcium channel blockers? Select all that apply

Amlodipine
Losartan
Verapamil
Diltiazem
Terasozin

1,4,5

3,4,5

1,3,4

2,4,5

A type of anemia in which the marrow cannot produce adequate numbers of erythrocytes

Hypoproliferative anemia

Hemolytic anemia

Hemolysis

RBC destruction

This is a type of bilirubin which cannot be excreted by the body unless converted

Direct bilirubin

Indirect bilirubin

Urobilin

Stercobilin

What is the nursing consideration for clients who are taking an oral iron supplement?

Take an hour before meals

Take with polysaccharide iron complex

Take with folate

Take with Vit. B12

What do you call the condition wherein 3 blood disorders are present at the same time in aplastic anemia?

Thrombocytopenia

Leukopenia

Pancytopenia

Neutropenia

When caring for a patient with Aplastic Anemia, all should be included in the care: Select all that apply.

Avoiding crowded places

Giving aspirin in times of fever and aches

Increasing consumption of iron-rich foods

Replacement of the toothbrush with a hard-bristled one

Avoidance of contact sports and rough activities

Use of knee pads and helmet biking with a trainer

A 17-year-old hemophilia patient is being counselled in the clinic by the nurse, what should be included in the general teaching for the patient? Select all that apply

Do active range of motion exercises in events of bleeding joints

Avoid engaging in rough activities like combat sports

Use soft-bristled toothbrush and maintain good oral hygiene

Use sharp manual shavers

When assessing a patient with Iron deficiency anemia, you are expecting to note which of the following? Select all that apply.

Raised heart rate

Enlarged spleen

Palmar pallor

Yellow discoloration of the skin and sclera

Spoon-shaped nails

Inflamed tongue

Which of the following signs and symptoms will the nurse expect to note for a patient with Sickle Cell Anemia? Select all that apply.

Palmar and conjunctival pallor

Yellow discoloration of the skin and sclera

Enlarged spleen

Inflamed tongue

Thrombocytes arise from lymphoid stem cells.

True

False

After the Schilling's Test, the result noted that there is a radioactive vitamin B12 in the patient's urine, this will mean:

Negative result

Positive result

A patient with profuse diarrhea underwent blood testing and the hematocrit appears to be 58%. This means that the patient's blood is:

Concentrated

Unconcentrated

Nurse Lia is preparing patient Von for a Schilling's Test. Which specimen will the nurse anticipate to collect?

Blood

Fecalysis

Urine

Hepa B

Which among the choices correctly enumerates the vital components for erythropoiesis to ensue? SELECT ALL APPLY:

Iron

Globin

Vitamin C

Vitamin B12

Folate

Erythropoieitin

You are preparing a young child for possible Bone Marrow Aspiration; you will prepare which site as the most preferred site for this procedure in this population's age group?

Proximal Tibia

Patella

Sacral

Majora Labia

When asked about the duration of monthly Vitamin B12 injection for patients with pernicious anemia, you will correctly respond by saying:

For Death

For Life

When evaluating the CBC result of a patient with Iron deficiency anemia, you are expecting to note what characteristics of RBCs?

Lymphoma

Leukemia

Microcytic and Hypochromic

Lupus

While reviewing the blood works result of a patient with fever, you have seen an elevation in the levels of monocytes. You can safely assume that the cause of fever of the patient is:

Infection

Virus

Na nuno :P

What findings will you anticipate for the result of Bone Marrow Aspiration of a patient with Aplastic Anemia?

Proliferation of fatty cells in the bone marrow sample

Proliferation of bad cholesterol in the bone marrow sample

Proliferation of Good cholesterol in the bone marrow sample

All are TRUE about nitroglycerine in treatment of Angina except:

Common side effect is headache and dizziness

It should be given at a maximum of 3 tablets

It should be given at 15 minutes interval

It should be placed in a dark-colored, tightly-sealed container

Nurse is infusing nitroglycerine drip to a patient with unstable angina, which of the following parameters should be closely monitored by the nurse?

Oxygen

Blood pressure

Which of the following is an expected outcome for a client on the second day of hospitalization after an MI?

Can self Diagnose

Can administer own medicine

Can perform personal self-care activities without pain

Which of the following arteries primarily feeds the anterior wall of the heart?

Left anterior descending artery

Right anterior descending artery

Which of the following reflects the principle on which a client’s diet will most likely be based during the acute phase of MI?

Small, easily digested meals

Big, easily digested meals

A client comes into the E.R. With acute shortness of breath and a cough that produces pink, frothy sputum. Admission assessment reveals crackles and wheezes, a BP of 85/46, a HR of 122 BPM, and a respiratory rate of 38 breaths/minute. The client’s medical history included DM, HTN, and heart failure. Which of the following disorders should the nurse suspect?

Lung Cancer

Asthma

Heart Failure

Pulmonary Edema

After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs?

Right-sided heart failure

Left-sided heart failure

Which of the following interventions should be the first priority when treating a client experiencing chest pain while walking?

Tell the patient to excercise

Sit the client down

Drink Water

Position the patient into supine

Which of the following conditions is most commonly responsible for myocardial infarction?

Coronary artery thrombosis

Thrombosis

Which of the following conditions is the predominant cause of angina?

Blood carries oxygen and lower blood pressure

Blood clots that block an artery partially

Inadequate oxygen supply to the myocardium

{"name":"CARE OF CLIENTS WITH PROBLEM In OXYGENATION, FLUID & ELECTROLYTES", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Test your knowledge on the care of clients with oxygenation, fluid, and electrolyte problems in this comprehensive quiz. Whether you're a nursing student or a healthcare professional, this quiz will challenge your understanding of critical concepts related to respiratory and cardiovascular health.30 multiple-choice questionsFocused on real-world clinical scenariosGreat for review before exams!","img":"https:/images/course6.png"}