Question 2 Fundamentals

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The absence of breathing is referred to as:a. apneab. eupneac. bradypnead. tachypneaReference: Apnea is referred to as the absence of breathing. Breathing that is normal in rate and depth is called eupnea. Abnormally slow respirations are referred to as bradypnea. Abnormally fast respirations are called tachypnea.

If taking a patient's pulse for the first time, when obtaining baseline data, or if the pulse is irregular, count for:

a. a full minuteb. 30 secondsc. 15 seconds and multiply by 4d. 2 minutesReference: In assessing a peripheral pulse, count for 15 seconds and multiply by 4. If taking a patient's pulse for the first time, when obtaining baseline data, or if the pulse is irregular, count for a full minute.

Gurgling sounds heard as air passes through moist secretions in the respiratory tract:

a. bubblingb. stridorc. stertord. wheezeReference: Bubbling - gurgling sounds heard as air passes through moist secretions in the respiratory tract. Stridor - a shrill, harsh sound heard during inspiration with laryngeal obstruction. Stertor - snoring or sonorous respiration, usually due to a partial obstruction of the upper airway. Wheeze - continuous, high-pitched musical squeak or whistling sound occurring on expiration and sometimes on inspiration when air moves through a narrowed or partially obstructed airway.

A wave of blood created by contraction of the left ventricle of the heart:

a. pulseb. cardiac outputc. blood pressured. murmurReference: The pulse is a wave of blood created by contraction of the left ventricle of the heart. This wave represents the stroke volume output and the amount of blood that enters the arteries with each ventricular contraction.

Underexpansion of the lungs characterized by shallow respirations:

a. Hypoventilationb. Tachypneac. Bradypnead. HyperventilationReference: Hypoventilation is the underexpansion of the lungs characterized by shallow respirations.

Measured in degrees, this vital sign reflects the balance between the heat produced and the heat lost from the body:

a. Body temperatureb. Core temperaturec. Surface temperatured. Basal body temperatureReference: Body temperature reflects the balance between the heat produced and the heat lost from the body. Core and surface temperatures are two kinds of body temperature. Core temperature (relatively constant) is the temperature of the deep tissues of the body, such as the abdominal and pelvic cavities. Surface temperature (rises and falls in response to the environment) is the temperature of the skin, the subcutaneous tissue and fat. Basal body temperature is the lowest temperature attained by the body during rest (usually during sleep).

Overexpansion of the lungs characterized by rapid and deep breaths:

a. Hyperventilationb. Hypoventilationc. Tachypnead. BradypneaReference: Hyperventilation is overexpansion of the lungs characterized by rapid and deep breaths. Hypoventilation is the underexpansion of the lungs characterized by shallow respirations. Tachypnea - quick, shallow breaths. Bradypnea - abnormally slow breathing.

A shrill, harsh sound heard during inspiration with laryngeal obstruction:

a. stridorb. stertorc. wheezed. bubblingReference: Stridor - a shrill, harsh sound heard during inspiration with laryngeal obstruction. Stertor - snoring or sonorous respiration, usually due to a partial obstruction of the upper airway. Wheeze - continuous, high-pitched musical squeak or whistling sound occurring on expiration and sometimes on inspiration when air moves through a narrowed or partially obstructed airway. Bubbling - gurgling sounds heard as air passes through moist secretions in the respiratory tract.

A pulse with an irregular rhythm that may consist of random, irregular beats or a predictable pattern of irregular beats:

a. dysrhythmiab. tachycardiac. bradycardiad. fibrillationReference: Dysrhythmia (also known as arrhythmia) is a pulse with an irregular rhythm. An electrocardiogram is necessary to define the dysrhythmia further.

A blood pressure that is persistently above normal is called:

a. hypertensionb. hypotensionc. primary hypertensiond. secondary hypertensionReference: Hypertension is a blood pressure that is persistently above normal. Hypotension is a blood pressure below normal. An elevated blood pressure of unknown cause is called primary hypertension. An elevated blood pressure of known cause is called secondary hypertension.

The average blood pressure of a healthy adult is:

a. 120/80 mm Hgb. 130/70 mm Hgc. 110/60 mm Hgd. 140/90 mm HgReference: The average blood pressure of a healthy adult is 120/80 mm Hg.

If a patient's usual blood pressure is 170/100 mm Hg, and it drops to 120/80 mm Hg post surgery, it must be:

a. reported to the physician immediatelyb. monitored continually every hourc. plotted in the chart and assessed again in 15 minutesd. reported to the nurse on the next shiftReference: Blood pressure can vary among individuals and it is important for nurses to know the baseline blood pressure of patients. If a patient's usual blood pressure is 170/100 mm Hg, and it drops to 120/80 mm Hg post surgery, it must be reported to the physician immediately.

The body usually has a small amount of warm air adjacent to it that rises and is replaced by cooler air. The dispersion of heat by air currents is called:

a. Convectionb. Conductionc. Radiationd. VaporizationReference: Convection is the dispersion of heat by air currents. Conduction is the transfer of heat from one molecule when in comes in contact to a molecule of lower temperature. Radiation is the transfer of heat from the surface of one object to the surface of another without contact between the two objects. Vaporization is continuous evaporation of moisture from the respiratory tract and from the mucosa of the mouth and from the skin.

This pulse site is usually used to measure blood pressure:

a. brachialb. carotidc. apicald. poplitealReference: The brachial pulse site is used to measure blood pressure. The carotid is used in cases of cardiac arrest and to determine circulation to the brain. The apical pulse is routinely used for infants and children up to 3 years of age, to determine discrepancies with radial pulse and in conjunction with some medications. The popliteal pulse site is used to determine circulation to the lower leg.

The interchange of oxygen and carbon dioxide between the circulating blood and the cells of the body tissues (throughout the body):

a. internal respirationb. external respirationc. inhalationd. expirationReference: Internal respiration is the interchange of oxygen and carbon dioxide between the circulating blood and the cells of the body tissues. External respiration is the interchange of oxygen and carbon dioxide between the alveoli of the lungs and the pulmonary blood. Inhalation or inspiration refers to the intake of air into the lungs. Exhalation or expiration refers to breathing out or the movement of gases from the lungs to the atmosphere.

The pressure exerted by the blood as it flows through the arteries:

a. arterial blood pressureb. systolic pressurec. diastolic pressured. pulse pressure

Reference: Arterial blood pressure is a measure of the pressure exerted by the blood as it flows through the arteries. Systolic pressure is the pressure of the blood as a result of contraction of the ventricles. Diastolic pressure is the measure of the pressure when the ventricles are at rest. Pulse pressure is the difference the systolic and diastolic pressure.

Abnormally slow respirations are referred to as:

a. bradypneab. tachypneac. apnead. eupneaReference: Abnormally slow respirations are referred to as bradypnea. Abnormally fast respirations are called tachypnea. Apnea is referred to as the absence of breathing. Breathing that is normal in rate and depth is called eupnea.

During assessment of respiration, an inhalation and an exhalation count as how many respiration?

a. 1b. 2c. 3d. 4Reference: An inhalation and an exhalation count as one respiration.

Continuous, high-pitched musical squeak or whistling sound occurring on expiration and sometimes on inspiration when air moves through a narrowed or partially obstructed airway:

a. wheezeb. bubblingc. stridord. stertorReference: Wheeze - continuous, high-pitched musical squeak or whistling sound occurring on expiration and sometimes on inspiration when air moves through a narrowed or partially obstructed airway. Bubbling - gurgling sounds heard as air passes through moist secretions in the respiratory tract. Stridor - a shrill, harsh sound heard during inspiration with laryngeal obstruction. Stertor - snoring or sonorous respiration, usually due to a partial obstruction of the upper airway.

The ability to breathe only in upright sitting or standing positions is called:

a. Orthopneab. Dyspneac. Cheyne-Stokes breathingd. ApneaReference: Orthopnea is the ability to breathe only in upright sitting or standing positions. Dyspnea is difficult and labored breathing. Cheyne-Stokes breathing is the rhythmic waxing and waning of respirations, from very deep to very shallow breathing and temporary apnea. Apnea is the cessation of breathing.

Abnormally fast respirations are called:

a. tachypneab. apneac. eupnead. bradypneaReference: Abnormally fast respirations are called tachypnea. Apnea is referred to as the absence of breathing. Breathing that is normal in rate and depth is called eupnea. Abnormally slow respirations are referred to as bradypnea.

Heat loss from the body through continuous evaporation of moisture from the respiratory tract and from the mucosa of the mouth and from the skin:

a. Vaporizationb. Convectionc. Conductiond. RadiationReference: Vaporization is continuous evaporation of moisture from the respiratory tract and from the mucosa of the mouth and from the skin. Convection is the dispersion of heat by air currents. Conduction is the transfer of heat from one molecule when in comes in contact to a molecule of lower temperature. Radiation is the transfer of heat from the surface of one object to the surface of another without contact between the two objects.

Breathing that is normal in rate and depth:

a. eupneab. bradypneac. tachypnead. apneaReference: Breathing that is normal in rate and depth is called eupnea. Abnormally slow respirations are referred to as bradypnea. Abnormally fast respirations are called tachypnea and apnea is absence of breathing.

The interchange of oxygen and carbon dioxide between the alveoli of the lungs and the pulmonary blood:

a. external respirationb. internal respirationc. inhalationd. expirationReference: External respiration is the interchange of oxygen and carbon dioxide between the alveoli of the lungs and the pulmonary blood. Internal respiration is the interchange of oxygen and carbon dioxide between the circulating blood and the cells of the body tissues. Inhalation or inspiration refers to the intake of air into the lungs. Exhalation or expiration refers to breathing out or the movement of gases from the lungs to the atmosphere.

A pulse oximeter is a noninvasive device that measures a patient's arterial blood oxygen saturation (SaO2). What percent of SaO2 reading is considered life threatening?

a. 100%b. 95%c. 80%d. 60%

You answered "60%".This is the correct answer. Reference: Normal SaO2 is 95% to 100%. An SaO2 below 70% is life threatening.

Question 26Snoring or sonorous respiration, usually due to a partial obstruction of the upper airway:

a. stertorb. wheezec. bubblingd. stridor

You answered "stertor".This is the correct answer. Reference: Stertor - snoring or sonorous respiration, usually due to a partial obstruction of the upper airway. Wheeze - continuous, high-pitched musical squeak or whistling sound occurring on expiration and sometimes on inspiration when air moves through a narrowed or partially obstructed airway. Bubbling - gurgling sounds heard as air passes through moist secretions in the respiratory tract. Stridor - a shrill, harsh sound heard during inspiration with laryngeal obstruction.

Question 27The vital or cardinal signs are:

a. body temperature, pulse, respirations, blood pressureb. body temperature, pulse, blood pressure, basal metabolic ratec. core temperature, surface temperature, pulse, blood pressured. body temperature, pulse, blood pressure, ventilation

You answered "body temperature, pulse, respirations, blood pressure".This is the correct answer. Reference: The vital or cardinal signs are body temperature, pulse, respirations and blood pressure. Pulse oximetry is also commonly measured as a traditional vital sign.

Question 28The transfer of heat from one molecule when in comes in contact to a molecule of lower temperature is called:

a. Conductionb. Radiationc. Convectiond. Vaporization

You answered "Convection".This is not the correct answer.The correct answer is: "Conduction" Reference: Conduction is the transfer of heat from one molecule when in comes in contact to a molecule of lower temperature. Radiation is the transfer of heat from the surface of one object to the surface of another without contact between the two objects. Convection is the dispersion of heat by air currents. Vaporization is continuous evaporation of moisture from the respiratory tract and from the mucosa of the mouth and from the skin.

Question 29The following are the times to assess vital signs except for:

a. When a patient doesn't have a change in health status or doesn't report any symptomsb. On admission of patient to obtain baseline vital signs datac. Before and after the patient undergoes surgery or any invasive procedured. Before and after any nursing intervention that could affect the patient's vital signs

You answered "When a patient doesn't have a change in health status or doesn't report any symptoms".This is the correct answer. Reference: Vital signs are assessed when a patient has a change in health status or reports symptoms such as chest pain or feeling warm/hot.

Question 30The transfer of heat from the surface of one object to the surface of another without contact between the two objects is called:

a. Radiationb. Conductionc. Convectiond. Vaporization

You answered "Radiation".This is the correct answer. Reference: Radiation is the transfer of heat from the surface of one object to the surface of another without contact between the two objects. Conduction is the transfer of heat from one molecule when in comes in contact to a molecule of lower temperature. Convection is the dispersion of heat by air currents. Vaporization is continuous evaporation of moisture from the respiratory tract and from the mucosa of the mouth and from the skin.