CARE OF CLIENTS WITH PROBLEM In OXYGENATION, FLUID & ELECTROLYTES
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!
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 malfun
ction - 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?
Na
K
HCO3
Mg
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
CK
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
PR
RR
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"}