Oxygen and ventilatory support help stabilize while the care team treats the underlying cause.
6 Respiratory Failure Practice Questions Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Respiratory Failure, test your knowledge, and prepare for your next test or exam.
An improving oxygen saturation reading by itself confirms that ventilation and carbon dioxide levels are adequate. True or false?
- A
True
- B
False
A patient with pneumonia is short of breath and has low oxygen saturation. Which action best addresses an immediate nursing priority while further assessment and treatment are arranged?
- A
Position the patient upright, assess breathing and oxygenation, and provide oxygen as prescribed or under protocol.
- B
Place the patient flat and delay reassessment until after antibiotics.
- C
Give oral fluids before checking whether the patient can swallow safely.
- D
Focus only on temperature because pneumonia does not affect oxygenation.
Which clinical term names a warning sign of acute respiratory failure that refers to bluish discoloration?
A patient with pneumonia develops acute respiratory failure and is receiving respiratory support. What should the care team do in addition to supporting gas exchange?
- A
Continue respiratory support but do not treat the pneumonia once oxygenation improves.
- B
Treat the underlying cause as well as supporting gas exchange.
- C
Stop assessing the patient after starting oxygen.
- D
Use oxygen in place of evaluating the cause of respiratory failure.
In a severe asthma attack, drowsiness, weakening respiratory effort, and markedly reduced wheezing can indicate that the patient is tiring rather than improving. True or false?
- A
True
- B
False
A hospitalized patient suddenly develops unexplained shortness of breath, pleuritic chest pain, and a rapid heart rate. What is the most appropriate nursing action?
- A
Wait for the next scheduled round because these symptoms are expected.
- B
Notify the clinical team promptly and initiate urgent assessment for possible pulmonary embolism.
- C
Massage the patient's calves to improve circulation.
- D
Encourage the patient to walk before reassessing.
A patient with acute respiratory distress is receiving oxygen. Select all appropriate nursing actions.
- A
Reassess respiratory effort, mental status, oxygen saturation, and response to support.
- B
Check that the oxygen delivery device is correctly positioned and functioning.
- C
Titrate oxygen according to the prescribed target and local protocol.
- D
Assume an improving oxygen saturation means ventilation and carbon dioxide levels are also adequate.
- E
Escalate promptly if distress, altered consciousness, or hypoxemia persists or worsens.
A patient with asthma is becoming drowsy, their respiratory effort is weakening, and wheezing is now barely audible. What is the best interpretation and response?
- A
Airflow has improved, so continue routine observation.
- B
The patient may be tiring and deteriorating; call for emergency help and prepare for advanced respiratory support.
- C
The patient is anxious; ask them to breathe into a paper bag.
- D
Withhold prescribed oxygen until a blood gas result is available.
A patient with COPD has an arterial blood gas result of pH=7.28 and PaCO2=68 mmHg. What acid-base disturbance do these results indicate?
If noninvasive ventilation fails in acute COPD-related respiratory failure, urgent escalation may include .
A patient with COPD is alert, has severe work of breathing, and has pH=7.28 with PaCO2=68 mmHg. The patient can protect their airway. Select all appropriate considerations for respiratory support.
- A
Consider noninvasive ventilation if there is no contraindication and the patient can protect their airway.
- B
Monitor closely for response to support.
- C
Be ready to escalate care if the patient worsens or NIV fails.
- D
Give routine sedation to reduce the respiratory rate.
- E
Provide no respiratory support because the patient is awake.
Which new finding most strongly suggests worsening carbon dioxide retention in a patient with respiratory illness?
- A
New confusion and increasing drowsiness.
- B
A mild, unchanged cough.
- C
A stable appetite.
- D
Warm hands after a meal.
A patient with an acute respiratory illness remains hypoxemic despite supplemental oxygen and is becoming confused with increased work of breathing. Describe the immediate nursing priorities, what should be reassessed, and one limitation of relying on oxygen saturation alone.
A patient admitted with pneumonia becomes increasingly restless and confused. Their respiratory rate is 34/min, oxygen saturation is falling despite supplemental oxygen, and accessory muscles are in use. What is the nurse’s priority?
- A
Wait 30 minutes and reassess after the patient rests.
- B
Promptly escalate care, stay with the patient, and support breathing while help arrives.
- C
Offer oral fluids to loosen secretions.
- D
Encourage the patient to walk to improve ventilation.
A patient receiving oxygen remains distressed. Which equipment check is appropriate while the patient’s respiratory status is reassessed?
- A
Assume the device is working if it is attached to the oxygen source.
- B
Remove the device and wait to see whether the patient’s breathing changes.
- C
Check that the oxygen delivery device is correctly positioned and functioning.
- D
Increase the oxygen flow without checking the prescribed target or local protocol.
Which finding most strongly suggests worsening carbon dioxide retention in a patient with respiratory illness?
- A
New confusion and increasing drowsiness.
- B
A mild, unchanged cough.
- C
A stable appetite.
- D
Warm hands after a meal.
An improving oxygen saturation by itself confirms that a patient’s ventilation and carbon dioxide levels are adequate.
- A
True
- B
False
When titrating oxygen for a patient with acute respiratory distress, what should guide the target?
An alert patient with COPD has severe work of breathing, a pH of 7.28, and a PaCO2 of 68 mmHg. If there is no contraindication and the patient can protect their airway, what type of support should the team consider?
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