And unless a catheter is in place this action is the

and unless a catheter is in place, this action is the least important approach to managing cardiac and pulmonary
status from possible emboli.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 27-3
Question 26
Type: MCSA
During pulmonary function tests, a patient with asthma is found to have approximately 500 mL of air moving in
and out of the lungs during normal, quiet breathing. How would the nurse document this result?
1. Tidal volume
2. Expiratory reserve volume
3. Residual volume
4. Vital capacity
Correct Answer:
Rationale 1 : Tidal volume (TV) is the amount of air (approximately 500 mL) that is moved in and out of the
lungs with each normal, quiet breath.
Rationale 2 : Expiratory reserve volume (ERV) is the approximately 1,000 mL of air that can be forced out over
the tidal volume.
Rationale 3 : The residual volume is the volume of air (approximately 1,100 mL) that remains in the lungs after a
forced expiration.
Rationale 4 : Vital capacity (VC) is the sum of TV + IRV + ERV and is approximately 4,500 mL in the healthy
patient.
1
Global Rationale:
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 27-3

Question 27
Type: MCSA
When preparing a patient for a pulmonary function test, which instruction should the nurse provide?
3
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 27-3
Question 28
Type: FIB
The nurse would anticipate alpha-1 antitrypsin (ATT) levels to be drawn on all patients ______ years of age or
younger who demonstrate assessment findings of chronic obstructive pulmonary disease.
Standard Text:
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 27-3