Respiratory

Disease
Manifestation

Lab
Interpretation

Nursing
Management

Risk Factors

?Mystery
Box?

$100

$100

$100

$100

$100

$200

$200

$200

$200

$200

$300

$300

$300

$300

$300

$400

$400

$400

$400

$400

$500

$500

$500

$500

$500

Disease Manifestation:

$100 Question

You suspect the patient may have a

pulmonary embolism when the patient
complains of _________
a. Upper back pain radiating to front
b. Coughing up thick yellow sputum
c. Chest pain worse with inspiration
d. Fever and diffuse abdominal pain

ANSWER
BACK TO GAME

Disease Manifestation:

$100 Answer

You suspect the patient may have a

pulmonary embolism when the patient
complains of _________
a. Upper back pain radiating to front
b. Coughing up thick yellow sputum
c. Chest pain worse with inspiration
d. Fever and diffuse abdominal pain
BACK TO GAME

Disease Manifestation:

$200 Question
A healthy 44 y/o presents to the ED with SOB,
fever, chills, and productive cough for 3 days,
worsening over time. Vital signs- BP: 131/89, Pulse:
101, RR: 24, O2 sat: 89% RA, Temp: 102.1 oral.
What assessment finding might the nurse expect?
a. Crackles in bilateral lung fields
b. Altered mental status
c. mild clubbing of the fingers
d. Diffuse red raised rash

ANSWER
BACK TO GAME

Disease Manifestation:

$200 Answer
A healthy 44 y/o female presents to the ED with
SOB, fever, chills, and productive cough for 3 days
worsening over time. Vital signs- BP: 131/89, Pulse:
101, RR: 24, O2 sat: 89% RA, Temp: 102.1 oral.
What assessment finding might the nurse
expect?
a. Crackles in bilateral lung fields
b. Altered mental status
c. mild clubbing of the fingers
d. Diffuse red raised rash

BACK TO GAME

Disease Manifestation:

$300 Question

What is a common complication of

pneumonia?
a. Cor Pulmonale
b. Pleurisy
c. Permanent narrowing of bronchioles
d. Aspiration

ANSWER
BACK TO GAME

Disease Manifestation:

$300 Answer

What is a common complication of

pneumonia?
a. Cor Pulmonale
b. Pleurisy
c. Permanent narrowing of bronchioles
d. Aspiration
BACK TO GAME

Disease Manifestation:

$400 Question
The nurse is assessing a patient who is suffering from
an acute asthma attack that started 5 hours ago and
has worsened despite using albuterol inhaler several
times. What adventitious lung sound might the nurse
expect to find?

a. Clear lung fields

b. Wheezes
c. Diminished air movement
d. Both B and C

ANSWER
BACK TO GAME

Disease Manifestation:

$400 Answer
The nurse is assessing a patient who is suffering from
an acute asthma attack that started 5 hours ago and
has worsened despite using albuterol inhaler several
times. What adventitious lung sound might the nurse
expect to find?

a. Clear lung fields

b. Wheezes
c. Diminished air movement
d. Both B and C
BACK TO GAME

Disease Manifestation:

$500 Question
A 56 y/o male is being admitted to an inpatient drug rehabilitation
center for methamphetamine addiction. Upon initial assessment
and interview the nurse finds the patient to have the following
symptoms: Pain all over, chills, cough, lack of appetite and
weight loss, tremors, night sweats, nausea, and vomiting.
The nurse is aware that these symptoms and patient history indicate
the possibility of what infectious lung disease?

a. Pneumonia
b. Lung Cancer
c. Tuberculosis

ANSWER

d. Pneumoconiosis
BACK TO GAME

Disease Manifestation:

$500 Answer
A 56 y/o male is being admitted to an inpatient drug rehabilitation
center for methamphetamine addiction. Upon initial assessment
and interview the nurse finds the patient to have the following
symptoms: Pain all over, chills, cough, lack of appetite and
weight loss, tremors, night sweats, nausea, and vomiting.
The nurse is aware that these symptoms and patient history indicate
the possibility of what infectious lung disease?

a. Pneumonia
b. Lung Cancer
c. Tuberculosis
d. Pneumoconiosis
BACK TO GAME

Lab Interpretation:

$100 Question

What is hypercarbia?

ANSWER
BACK TO GAME

Lab Interpretation:

$100 Answer

Elevated CO2 blood levels

BACK TO GAME

Lab Interpretation:

$200 Question

Which of the following is an abnormal

PaCO2?
a. 45 mmHg
b. 36 mmHg
c. 42 mmHg
d. 30 mmHg
ANSWER
BACK TO GAME

Lab Interpretation:

$200 Answer

Which of the following is an abnormal

PaCO2?
a. 45 mmHg
b. 36 mmHg
c. 42 mmHg
d. 30 mmHg
BACK TO GAME

Lab Interpretation:

$300 Question

What lab test is indicated prior to

administration of antibiotics in severely ill
patients with pneumonia?
a. CBC
b. Blood Cultures
c. BUN and Creatinine
d. CMP
ANSWER
BACK TO GAME

Lab Interpretation:

$300 Answer

What lab test is indicated prior to

administration of antibiotics in severely ill
patients with pneumonia?
a. CBC
b. Blood Cultures
c. BUN and Creatinine
d. CMP
BACK TO GAME

Lab Interpretation:

$400 Question

What abnormal lab value would indicate a

need for further evaluation for pulmonary
embolism?
a. Hyponatremia
b. Elevated D-dimer
c. Hypercalcemia
d. Leukopenia
ANSWER
BACK TO GAME

Lab Interpretation:

$400 Answer

What abnormal lab value would indicate a

need for further evaluation for pulmonary
embolism?
a. Hyponatremia
b. Elevated D-dimer
c. Hypercalcemia
d. Leukopenia
BACK TO GAME

Lab Interpretation:

$500 Question

. In a prolonged asthma attack or status

asthmaticus what ABG lab value could
the nurse expect?
a. Low pH
b. Normal pH
c. Low PaCO2
d. Normal PaCO2
ANSWER
BACK TO GAME

Lab Interpretation:

$500 Answer

. In a prolonged asthma attack or status

asthmaticus what ABG lab value could
the nurse expect?
a. Low pH
b. Normal pH
c. Low PaCO2
d. Normal PaCO2
BACK TO GAME

Nursing Management:

$100 Question

When managing a patient with bronchiectasis,

the nurses primary aim is to:
a. Stimulate surfactant production with chest
physiotherapy
b. Promote thinning and expectoration of mucus
c. Obtain chest x-ray daily
d. Keep patient NPO until symptoms resolve
ANSWER
BACK TO GAME

Nursing Management:

$100 Answer

When managing a patient with bronchiectasis,

the nurses primary aim is to:
a. Stimulate surfactant production with chest
physiotherapy
b. Promote thinning and expectoration of mucus
c. Obtain chest x-ray daily
d. Keep patient NPO until symptoms resolve
BACK TO GAME

Nursing Management:

$200 Question
A patient admitted for pneumonia directly from their primary
physicians office complains of chest pain, productive cough, and
chills with vital signs of: BP 131/76 Pulse 104 RR 19 O2 sat
93% 3 liter NC Temp 102.4 oral Pain 8/10 with cough. The
nurses first action is to:
a. Administer PRN dose of acetaminophen 1 gram and reassess
pain in 30 minutes
b. Call for stat EKG due to tachycardia, call the physician with the
results
c. Titrate the oxygen to 4/lpm and administer albuterol nebulizer as
ordered PRN
d. Obtain blood culture specimen and administer first dose of
scheduled antibiotics

ANSWER
BACK TO GAME

Nursing Management:

$200 Answer
A patient admitted for pneumonia directly from their primary
physicians office complains of chest pain, productive cough, and
chills with vital signs of: BP 131/76 Pulse 104 RR 19 O2 sat
93% 3 liter NC Temp 102.4 oral Pain 8/10 with cough. The
nurses first action is to:
a. Administer PRN dose of acetaminophen 1 gram and reassess
pain in 30 minutes
b. Call for stat EKG due to tachycardia, call the physician with the
results
c. Titrate the oxygen to 4/lpm and administer albuterol nebulizer as
ordered PRN
d. Obtain blood culture specimen and administer first dose of
scheduled antibiotics

BACK TO GAME

Nursing Management:

$300 Question

A PACU nurse has just received report on a post

total laryngectomy patient. Upon receiving the
patient the nurse knows to _________
a. Cover the stoma with a loose dressing
b. Elevate the head of the bed
c. Warn the patient of the risks of coughing
d. Administer oxygen at 2/lpm via nasal cannula
ANSWER
BACK TO GAME

Nursing Management:

$300 Answer

A PACU nurse has just received report on a post

total laryngectomy patient. Upon receiving the
patient the nurse knows to _________
a. Cover the stoma with a loose dressing
b. Elevate the head of the bed
c. Warn the patient of the risks of coughing
d. Administer oxygen at 2/lpm via nasal cannula
BACK TO GAME

Nursing Management:

$400 Question

An elderly patient with a history of COPD presents to

the ED with dyspnea, JVD, and 3+ pitting edema to
bilateral lower extremities. The nurse recognizes
that the history and symptoms indicate that the
patient could be experiencing ___________.
a. Heart failure related to cor pulmonale
b. Symptoms of pleural effusion
c. New onset symptoms of emphysema
d. Acute COPD exacerbation

ANSWER
BACK TO GAME

Nursing Management:

$400 Answer

An elderly patient with a history of COPD presents to

the ED with dyspnea, JVD, and 3+ pitting edema to
bilateral lower extremities. The nurse recognizes
that the history and symptoms indicate that the
patient could be experiencing ___________.
a. Heart failure related to cor pulmonale
b. Symptoms of pleural effusion
c. New onset symptoms of emphysema
d. Acute COPD exacerbation
BACK TO GAME

Nursing Management:

$500 Question

An occupational health nurse is conducting annual

screenings for TB. The nurse measures a 15mm
induration. The nurse informs the employee that this is
a:
a. Positive result meaning the employee has active TB
b. Negative result but must be confirmed by CXR
c. Negative result and will need to be repeated in 1 week
d. Positive result indicating an infection with TB

ANSWER
BACK TO GAME

Nursing Management:

$500 Answer

An occupational health nurse is conducting annual

screenings for TB. The nurse measures a 15mm
induration. The nurse informs the employee that this is
a:
a. Positive result meaning the employee has active TB
b. Negative result but must be confirmed by CXR
c. Negative result and will need to be repeated in 1 week
d. Positive result indicating an infection with TB
BACK TO GAME

Risk Factors:

$100 Question
Which of the following patients are at most risk for
developing laryngeal cancer?
a. 28 y/o female with family history of stomach cancer
b. Elderly male with COPD exposed to second hand
smoke regularly
c. 45 y/o male that has smoked 2 packs of cigarettes
daily for 25 years
d. 48 y/o alcoholic who smokes pack cigarettes daily
ANSWER
BACK TO GAME

Risk Factors:

$100 Answer
Which of the following patients are at most risk for
developing laryngeal cancer?

a. 28 y/o female with family history of stomach cancer

b. Elderly male with COPD exposed to second hand
smoke regularly
c. 45 y/o male that has smoked 2 packs of cigarettes
daily for 25 years
d. 48 y/o alcoholic who smokes pack cigarettes daily
BACK TO GAME

Risk Factors:

$200 Question

. Cigarette smoking is correlated to all of

following lung cancers except:
a. Squamous cell carcinoma
b. Adenocarcinoma
c. Large cell carcinoma
d. small cell carcinoma
ANSWER
BACK TO GAME

Risk Factors:

$200 Answer

. Cigarette smoking is correlated to all of

following lung cancers except:
a. Squamous cell carcinoma
b. Adenocarcinoma
c. Large cell carcinoma
d. small cell carcinoma
BACK TO GAME

Risk Factors:

$300 Question

. All of the following are risk factors for

developing a pneumothorax except:
a. Broken ribs from ground level fall
b. Sedation and mechanical ventilation for 4
days
c. Placement of a subclavian central venous
catheter
d. Over-use of incentive spirometer

ANSWER
BACK TO GAME

Risk Factors:

$300 Answer

All of the following are risk factors for

developing a pneumothorax except:
a. Broken ribs from ground level fall
b. Sedation and mechanical ventilation for 4
days
c. Placement of a subclavian central venous
catheter
d. Over-use of incentive spirometer
BACK TO GAME

Risk Factors:

$400 Question

A COPD patient on home oxygen and a daily

corticosteroid is at increased risk of
developing infections because ________
a. The patient is unable to exercise properly
b. Frequent antibiotic use has lead to resistant
bacteria
c. COPD commonly leads to oxygen toxicity
d. The patient is on an immunosuppressive drug

ANSWER

BACK TO GAME

Risk Factors:

$400 Answer

A COPD patient on home oxygen and a daily

corticosteroid is at increased risk of
developing infections because ________
a. The patient is unable to exercise properly
b. Frequent antibiotic use has lead to resistant
bacteria
c. COPD commonly leads to oxygen toxicity
d. The patient is on an immunosuppressive drug
BACK TO GAME

Risk Factors:

$500 Question

Which of the following are modifiable risk

factors of sleep apnea? (Choose all that
apply)
a. Obesity
b. Sleep sedatives
c. Gender
d. Age

ANSWER
BACK TO GAME

Risk Factors:

$500 Answer

Which of the following are modifiable risk

factors of sleep apnea? (Choose all that
apply)
a. Obesity
b. Sleep sedatives
c. Gender
d. Age

BACK TO GAME

?Mystery?:

$100 Question

What is the most stressful thing about

nursing school?

BACK TO GAME

?Mystery?:

$200 Question

What clinical skills are you most

worried about performing?

BACK TO GAME

?Mystery?:

$300 Question

Where do you want to work when

you graduate?

BACK TO GAME

?Mystery?:

$400 Question

What is one thing you learned

today that you did not know
yesterday?

BACK TO GAME

?Mystery?:

$500 Question

Do you have a life outside of

nursing school??
What does it involve?
BACK TO GAME