NURS 301 Lower Respiratory Disease PREPU Questions

A nurse is reviewing a client's X-ray. The X-ray shows an endotracheal (ET) tube placed 3/4" (2 cm) above the carina and reveals nodular lesions and patchy infiltrates in the upper lobe. Which interpretation of the X-ray is accurate? 1) ET must be advanced 2) ET tube must be pulled back 3) a disease process is present 4) X-ray is inconclusive

3

Which is a key characteristic of pleurisy? 1) dyspnea 2) anxiety 3) pain 4) blood-tinged sputum

3

A nurse is caring for a patient diagnosed with empyema. Which of the following interventions does a nurse implement for patients with empyema? 1)Encourage breathing exercises. 2)Institute droplet precautions. 3) Place suspected patients together. 4) Do not allow visitors with respiratory infection

1

When interpreting the results of a Mantoux test, the nurse explains to the client that a reaction occurs when the intradermal injection site shows:

redness & induration

In a client with amyotrophic lateral sclerosis (ALS) and respiratory distress, which finding is the earliest sign of reduced oxygenation? 1) increased restlessness 2) increased blood pressure 3) decreased LOC 4) decreased HR

1

The most diagnostic clinical symptom of pleurisy is: 1) Dullness or flatness on percussion over areas of collected fluid. 2) Dyspnea and coughing. 3) Fever and chills. 4) Stabbing pain during respiratory movements.

4

A client has been hospitalized for treatment of acute bacterial pneumonia. Which outcome indicates an improvement in the client's condition? 1)The client has a partial pressure of arterial oxygen (PaO2) value of 90 mm Hg or higher. 2) The client has a partial pressure of arterial carbon dioxide (PaCO2) value of 65 mm Hg or higher. 3) The client exhibits restlessness and confusion. 4) The client exhibits bronchial breath sounds over the affected area.

1

For a client with pleural effusion, what does chest percussion over the involved area reveal? 1) Absent breath sounds 2) Dullness over the involved area 3) Friction rub 4) Fluid presence

2 *absent breath sounds & friction rub

Which technique does a nurse suggest to a patient with pleurisy for splinting the chest wall? 1) avoid using a pillow 2) use heat or cold application 3) turn into affected side 4) use a prescribed analgesic

3

A nurse is caring for a group of clients on a medical-surgical floor. Which client is at greatest risk for developing pneumonia? 1)A client with a history of smoking two packs of cigarettes per day until quitting 2 years ago 2) A client who ambulates in the hallway every 4 hours 3) A client with a nasogastric tube 4) A client who is receiving acetaminophen (Tylenol) for pain

3- ASPIRATION

A client asks a nurse a question about the Mantoux test for tuberculosis. The nurse should base her response on the fact that the: 1) area of redness is measured in 3 days and determines whether tuberculosis is present. 2) skin test doesn't differentiate between active and dormant tuberculosis infection. 3) presence of a wheal at the injection site in 2 days indicates active tuberculosis. 4)test stimulates a reddened response in some clients and requires a second test in 3 months.

2

A client who has started therapy for drug-resistant tuberculosis demonstrates understanding of tuberculosis transmission when he says: 1)"My tuberculosis isn't contagious after I take the medication for 24 hours." 2) "I'm clear when my chest X-ray is negative." 3) "I'm contagious as long as I have night sweats." 4) "I'll stop being contagious when I have a negative acid-fast bacilli test."

4

A nurse should include what instruction for the client during postural drainage? 1) Lie supine to rest the lungs. 2) Sit upright to promote ventilation. 3) Remain in each position for 30 to 45 minutes for best results. 4) Change positions frequently and cough up secretions.

4

The occupational nurse is completing routine assessments on the employees where you work. What might be revealed by a chest radiograph for a client with occupational lung diseases? 1) lung contusion 2) hemorrhage 3) damage to surrounding tissues 4) fibrotic changes in lungs

4