Respiratory quiz

A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client tells the nurse she has been having difficulty breathing. Which of the following nursing actions is the priority at this time? a. evaluate the client's respiratory status b. have the client cough and expectorate secretions c. increase the oxygen flow to 3 L/min d. call emergency services for the client

a. evaluate the client's respiratory status

Which of the following pairs correctly expresses the relationship to the loves of the lungs and their anatomic position? a. lower lobes - posterior chest b. lower lobes - anterior chest c. upper lobes - lateral chest d. upper lobes - posterior chest

a. lower lobes - posterior chest

Stridor is a high-pitched, inspiratory crowing sound commonly associated with a. upper airway obstruction b. congestive heart failure c. atelectasis d.pneumothorax

a. upper airway obstruction

You are auscultating breath sounds on a patient. Which of the following best describes how to proceed? a. Listen from the apices to the bases of each lung field using the bell of the stethoscope. b. Hold the diaphragm of the stethoscope against the chest wall;listen to one full respiration in each location, being sure to do side to side comparisons. c. Select the bell or diaphragm depending on the quality of sounds heard; listen for one respiration in each location, moving from side to side. d.Hold the bell of the stethoscope against the chest wall; listen to the entire right field and then the entire left field.

b. Hold the diaphragm of the stethoscope against the chest wall;listen to one full respiration in each location, being sure to do side to side comparisons.

Which of the following assessments best confirms symmetric chest expansion? a. Placing the palmar surface of the fingers of one hand against the chest and having the person repeat the words "ninety-nine" b. Placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10 and then sliding the hands up to pinch a small fold of sking between the thumbs. c. Percussion of the posterior chest d. Inspection of the shape and configuration of the chest wall.

b. Placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10 and then sliding the hands up to pinch a small fold of sking between the thumbs.

A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes? a. funnel b. barrel c. pigeon d. kyphotic

b. barrel

A nurse is assessing a client who has a respiratory disorder. If the client has hypoxia, the nurse should expect which of the following findings? a. pallor b. cyanosis c. bradycardia d. bradypnea

b. cyanosis

A nurse is assessing a client who has asthma and signs of central cyanosis. Which of the following is a reliable indicator of cyanosis? a. ear lobes b. oral mucosa c. finger tips d. eye lids

b. oral mucosa

On auscultating a patient, you note a coarse, low-pitched sound during both inspiration and expiration. This patient reports pain with breathing. These findings are consistent with: a. wheezes b. pleural friction rub c. atelectatic crackles d. fine crackles

b. pleural friction rub

A patient has a barrel-shaped chest, characterized by: a. Anteroposterior transverse diameter of 2:1 and ribs being elevated. b. Anteroposterior transverse diameter of 3:7 and ribs sloping back c. Equal anteroposterior transverse diameter and ribs being horizontal. d.Anteroposterior transverse diameter of 1:2 and an elliptic shape.

c. Equal anteroposterior transverse diameter and ribs being horizontal.

On examining a patient's nails, you note that the angle of the nail base is > 160 degrees and that the nail base feels spongy to palpation. These findings are consistent with: a. acute respiratory distress syndrome b. normal findings for the nails c. congenital heart disease and COPD d. atelectasis

c. congenital heart disease and COPD

An increase in the transverse diameter of the chest cage in a pregnant woman is due to a(n) a. increase in surfactant b. increase in tidal volume c. increase in estrogen d. compensatory increase in respiratory parenchyma

c. increase in estrogen

After examining a patient, you make the following notation: increased respiratory rate, chest expansion decreased on the left side, dull to percussion over left lobe, breath sounds louder with fine crackles over left lower lobe. These findings are consistent with: a. bronchitis b. pleural effusion c. lobar pneumonia d. asthma

c. lobar pneumonia

A nurse is assessing a client who has respiratory insufficiency. Which of the following findings should the nurse recognize as an early sign of inadequate oxygenation? a. oliguria b. combativeness c. restlessness d. diaphoresis

c. restlessness

A nurse is assessing a newborn 1 hr after delivery. Which of the following respiratory rates is within the expected reference range for a newborn? a. 22/ minute b. 110/ minute c. 100/ minute d. 36/ minute

d. 36/ minute

Select the correct description of the left lung. a. Narrower than the right lung and has three lobes. b. Wider than the right lung and has two lobes c. Shorter than the right lung and has three lobes. d. Narrower than the right lung and has two lobes

d. Narrower than the right lung and has two lobes

A nurse is assessing a client who shows signs of hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect? a. nausea b. hypotension c. dysphagia d. apprehension

d. apprehension

You assess a patient who reports a cough. The characteristic timing of the cough of chronic bronchitis is described as: a. continuous throughout the day b. occurring in the early morning c. occurring in the afternoon or evening because of exposure to irritants at work d. productive cough for at least 3 months of the year for 2 consecutive years

d. productive cough for at least 3 months of the year for 2 consecutive years

A common clinical manifestation in a patient with chronic obstructive pulmonary disease (COPD) is: a. hyperventilation b. unequal chest expansion c. periodic breathing patterns d. pursed-lip breathing

d. pursed-lip breathing

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following? a. stridor b. rhonci c. crackles d. wheezes

d. wheezes