Tiêu đề COMPRE - POST TEST - RESPI HEMA (Mr. Mediarito) SC ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | COMPREHENSIVE PHASE POST TEST RESPIRATORY AND HEMATOLOGY Prepared By: Mr. Jeffrey Mediarito, MAN, PHRN, HAAD-RN, UK-RN November 2025 Philippine Nurse Licensure Examination Review 1. The nurse reviews the arterial blood gas results of a client and notes the following: pH of 7.30 (7.30), Paco2 of 50 mm Hg (50 mm Hg),and bicarbonate (HCO3) of 22 mEq/L (22 mmol/L). The nurse analyzes these results as indicating which condition? A. Metabolic acidosis, compensated B. Respiratory alkalosis, compensated C. Metabolic alkalosis, uncompensated D. Respiratory acidosis, uncompensated 2. Which arterial blood gas (ABG) values would the nurse anticipate in the client with a bowel obstruction who has a nasogastric tube attached to continuous suction? A. pH 7.25, Paco2 55, HCO3 24 B. pH 7.30, Paco2 38, HCO3 20 C. pH 7.48, Paco2 30, HCO3 23 D. pH 7.49, Paco2 38, HCO3 30 3. The nurse provides care for a client who presents to the emergency department (ED) with blunt chest trauma. The client’s vital signs are as follows: blood pressure is 72/52 mm Hg; heart rate is 124 beats/minute; respirations are 9 breaths/minute; and current oxygen saturation is 86% on 4 L/min oxygen via nasal cannula. Which diagnostic test should the nurse anticipate will be prescribed by the health care provider (HCP) as the best way to evaluate the efficiency of the client’s gas exchange? A. ABG analysis B. CBC C. CT Scan of the chest D. PET Scan 4. Nurse Smith is caring for Mr. Rodriguez, a patient diagnosed with Guillain-Barré syndrome. He starts showing signs of respiratory acidosis due to reduced alveolar ventilation. Which set of arterial blood gas (ABG) values would confirm respiratory acidosis? A. pH 7.25; PaCO2 50 mm Hg B. pH 5.0; PaCO2 30 mm Hg C. pH 7.35; PaCO2 40 mm Hg D. pH 7.40; PaCO2 35 mm Hg 5. pH : 7.20, PCo2: 35, HCo3: 20 Please interpret this finding: A. Metabolic Acidosis Compensated B. Metabolic Acidosis Uncompensated C. Metabolic Alklosus Compensated D. Metabolic Alkalosis Uncompensated 6. The client is scheduled for bronchoscopy. Which of the following is NOT necessary to be done by the nurse when preparing the clienty fo the procedure ? A. Ask for allergy to sea foods or iodine B. Atropine sulfate pre-procedure as prescribed C. Instruct client to remove denture D. NPO for 6-8 hours. 7. The nursre is suctioning the client with tracheostomy , which of the following is inappropriate nursing action ? A. Apply suction for 5-10 seconds at a time ‘ B. Appply suction while withdrawing in a circular motion C. Cleanses the catheter in sterile water , resuse catheter for no longer than 8 hours D. Use sterile gloves 8. The nurse is assessing a client with multiple trauma who is at risk for developing acute respiratory distress syndrome. The nurse would assess for which earliest sign of acute respiratory distress syndrome? A. Bilateral wheezing B. Inspiratory crackles C. Intercostal retractions D. Increased respiratory rate 9. Which of the following assessment findings would the nurse expect to find in a client with COPD A. Barrel-chest shaped B. Lymphnoid on the neck C. Non-productive cough ‘ D. Respiratory alkalosis 10. The nurse is performing a respiratory assessment on a client being treated for an asthma attack. The nurse determines that the client's respiratory status is worsening based upon which finding? A. Loud wheezing B. Wheezing on expiration C. Noticeably diminished breath sounds D. Increased displays of emotional apprehension 11. In a client is chronic bronchitis, which sign should lead the nurse to suspect right heart failure (cor pulmonale) A. Circumoral cyanosis B. Bilateral crackels C. Productive cough D. Leg edema 12. A 60 year old client with COPD who has trouble raising respiratory secretions, which of the following nursing measures would help reduce the tenacity of secretions? A. Ensuring that the client’s diet is low in Potasium B. Ensuring that the client’s oxygen therapy is continous at 4Lpm C. Helping the client maintain a high fluid intake D. Keeping the client in sitting position as much as possible 13. Nurse Marry Grace is discussing clinical terms with his team during a shift change. She brings up the term "blue bloater" and asks his colleagues which condition it typically describes, What does this term refer to? A. Adult respiratory distress syndrome (ARDS) B. Pneumonia C. Emphysema D. Chronic obstructive bronchitis 14. The bronchodilator typically employed during a reversibility test is: A. Montelukast B. Salbutamol C. Theophylline anhydrous D. Atropine 15. Out of the provided list of drugs, which one belongs to the class of compounds known as xanthines derivatives ? A. Leukotrine inhibitor B. Epinephrine Hydrochloride C. Glimepiride D. Theophylline 16. In patient with COPD , which of the following is the primary reason to teach purse-lip breathing to clients with emphysema? A. To strengthen intercostals muslce B. To promote increase oxygenation C. To promote carbon dioxide elimination D. To promote carbon dioxide retention * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH