NUR 1215 Respiratory Study Questions

A patient diagnosed with diabetic ketoacidosis would be expected to have which type of respiratory pattern? 1. Kussmaul respirations 2. Cheyne-Stokes 3. Biot's respirations 4. Apnea

1. Kussmaul respirations

You are caring for a client with chronic respiratory failure. What are the signs and symptoms of chronic respiratory failure? 1. Progressive loss of lung function associated with chronic disease 2. Sudden loss of lung function associated with chronic disease 3. Progressive loss of lung function with history of normal lung function 4. Sudden loss of lung function with history of normal lung function

1. Progressive loss of lung function associated with chronic disease

The nurse is working on a busy respiratory unit. In caring for a variety of clients, the nurse must be knowledgeable of diagnostic studies. With which diagnostic studies would the nurse screen the client for an allergy to iodine? Select all that apply. 1. Lung scan 2. Chest x-ray 3. Fluoroscopy 4. Pulmonary angiography 5. Bronchoscopy 6. Pulmonary functions test

1. Lung scan 3. Fluoroscopy 4. Pulmonary angiography

The nurse receives an order to obtain a sputum sample from a client with hemoptysis. When advising the client of the physician's order, the client states not being able to produce sputum. Which suggestion, offered by the nurse, is helpful in producing the sputum sample? 1. Tickle the back of the throat to produce the gag reflex. 2. Drink 8 oz of water to thin the secretions for expectoration. 3. Use the secretions present in the oral cavity. 4. Take deep breaths and cough forcefully.

4. Take deep breaths and cough forcefully.

The nurse is assessing a patient who has been admitted with possible ARDS. Which finding would be evidence for a diagnosis of cardiogenic pulmonary edema rather than ARDS? 1. Elevated white blood count 2. Elevated troponin levels 3. Elevated myoglobin levels 4. Elevated B-type natriuretic peptide (BNP) levels

4. Elevated B-type natriuretic peptide (BNP) levels

A client seeks care for hoarseness that has lasted for 1 month. To elicit the most appropriate information about this problem, the nurse should ask which question? 1. "Do you smoke cigarettes, cigars, or a pipe?" 2. "Have you strained your voice recently?" 3. "Do you eat a lot of red meat?" 4. "Do you eat spicy foods?"

1. "Do you smoke cigarettes, cigars, or a pipe?"

You are doing preoperative teaching with a client scheduled for laryngeal surgery. What should you teach this client to help prevent atelectasis? 1. Monitor for signs of dysphagia. 2. Provide meticulous mouth care every 4 hours. 3. Caution against frequent coughing. 4. Encourage deep breathing every 2 hours.

4. Encourage deep breathing every 2 hours.

When caring for a client with acute respiratory failure, the nurse should expect to focus on resolving which set of problems? 1. Hypotension, hyperoxemia, and hypercapnia 2. Hyperventilation, hypertension, and hypocapnia 3. Hyperoxemia, hypocapnia, and hyperventilation 4. Hypercapnia, hypoventilation, and hypoxemia

4. Hypercapnia, hypoventilation, and hypoxemia

A client has just undergone bronchoscopy. Which nursing assessment is most important at this time? 1. Level of consciousness 2. Anxiety 3. Swallowing reflex 4. Voice quality

1. Level of consciousness

The herpes simplex virus type 1 (HSV-1), which produces a cold sore (fever blister), has an incubation period of 1. 2 to 12 days. 2. 20 to 30 days. 3. 1 to 3 months. 4. 3 to 6 months.

1. 2 to 12 days.

The nurse is caring for a client who is in respiratory distress. The physician orders arterial blood gases (ABGs) to determine various factors related to blood oxygenation. What site can ABGs be obtained from? 1. A puncture at the radial artery 2. The trachea and bronchi 3. The pleural surfaces 4. A catheter in the arm vein

1. A puncture at the radial artery

Which of the following is accurate regarding status asthmaticus? 1. A severe asthma episode that is refractory to initial therapy 2. Patients have a productive cough. 3. Usually occurs with warning 4. Usually does not progress to severe obstruction

1. A severe asthma episode that is refractory to initial therapy

The nurse is an occupational health nurse who is presenting a workshop on laryngeal cancer. What risk factors would the nurse be sure to include in the workshop? Select all that apply. 1. Alcohol 2. Age 3. Tobacco 4. Industrial pollutants 5. Region of country lived in

1. Alcohol 2. Age 3. Tobacco 4. Industrial pollutants

Which is the antibiotic of choice used to treat acute bacterial rhinosinusitis (ABRS)? 1. Amoxicillin 2. Levofloxacin 3. Keflex 4. Ceftin

1. Amoxicillin

A home health nurse sees a client with end-stage chronic obstructive pulmonary disease. An outcome identified for this client is preventing infection. Which finding indicates that this outcome has been met? 1. Decreased oxygen requirements 2. Increased sputum production 3. Decreased activity tolerance 4. Hyperthermia

1. Decreased oxygen requirements

Which intervention does a nurse implement for clients with empyema? 1. Encourage breathing exercises 2. Place suspected clients together 3. Institute droplet precautions 4. Do not allow visitors with respiratory infections

1. Encourage breathing exercises

A nurse takes the initial history of a patient who is being examined for cancer of the larynx. Select the sign that is considered an early clinical indicator. 1. Hoarseness of more than 2 week's duration 2. Dysphasia 3. Persistent ulceration 4. Cervical lymph adenopathy

1. Hoarseness of more than 2 week's duration

Select the nursing diagnosis that would warrant immediate health care provider notification. 1. Ineffective airway clearance related to excessive mucus production secondary to retained secretions and inflammation 2. Acute pain related to upper airway irritation secondary to an infection 3. Deficient fluid volume related to decreased fluid intake and increased fluid loss secondary to diaphoresis associated with a fever 4. Deficient knowledge regarding prevention of upper airway infections, treatment regimens, the surgical procedure, or postoperative care

1. Ineffective airway clearance related to excessive mucus production secondary to retained secretions and inflammation

A patient has had a laryngectomy and was able to retain his airway, with no difficulty swallowing. There is no split of thyroid cartilage. The nurse would record this type of laryngectomy as which of the following? 1. Partial laryngectomy 2. Supraglottic laryngectomy 3. Hemilaryngectomy 4. Total laryngectomy

1. Partial laryngectomy In a partial laryngectomy, a portion of the larynx is removed, along with one vocal cord and the tumor; all other structures remain. The airway remains intact, and the patient is expected to have no difficulty swallowing. During a supraglottic laryngectomy, a tracheostomy is left in place until the glottic airway is established. Hemilaryngectomy is done by splitting the thyroid cartilage of the larynx in the midline of the neck, and the portion of the vocal cord is removed with the tumor. During a total laryngectomy, a complete removal of the larynx is performed, including the hyoid bone, epiglottis, cricoids cartilage, and two or three rings of the trachea.

A client is being discharged following pelvic surgery. What would be included in the patient care instructions to prevent the development of a pulmonary embolus? 1. Tense and relax muscles in the lower extremities. 2. Wear tight-fitting clothing. 3. Consume the majority of daily fluid intake prior to bed. 4. Begin estrogen replacement.

1. Tense and relax muscles in the lower extremities.

A client experiences a head injury in a motor vehicle accident. The client's level of consciousness is declining, and respirations have become slow and shallow. When monitoring a client's respiratory status, which area of the brain would the nurse realize is responsible for the rate and depth? 1. The pons 2. The frontal lobe 3. Central sulcus 4. Wernicke's area

1. The pons

Which vitamin is usually administered with isoniazid (INH) to prevent INH-associated peripheral neuropathy? 1. Vitamin B6 2. Vitamin C 3. Vitamin D 4. Vitamin E

1. Vitamin B6

A client is being assessed for acute laryngitis. The nurse knows that clinical manifestations of acute laryngitis include 1. hoarseness. 2. a moist cough. 3. a sore throat that feels worse in the evening. 4. a nonedematous uvula.

1. hoarseness.

A client is being seen by the physician because of an unrelenting headache, facial tenderness, low-grade fever, and dark yellow nasal discharge. The client reports seeming to develop sinus infections "all the time." Which factor may predispose the client to sinusitis? 1. interference with sinus drainage 2. excessive protein intake 3. more than 8 hours of sleep per night 4. increased exposure to the health care environment

1. interference with sinus drainage

A nurse is giving a speech addressing "Communicable Diseases of Winter" to a large group of volunteer women, most of whom are older than 60 years. What preventive measures should the nurse recommend to these women, who are at the risk of pneumococcal and influenza infections? Select all that apply. 1. vaccinations 2. hand antisepsis 3. incentive spirometry 4. prescribed opioids

1. vaccinations 2. hand antisepsis

A client undergoes a total laryngectomy and tracheostomy formation. On discharge, the nurse should give which instruction to the client and family? 1. "Clean the tracheostomy tube with alcohol and water." 2. "Family members should continue to talk to the client." 3. "Oral intake of fluids should be limited for 1 week only." 4. "Limit the amount of protein in the diet."

2. "Family members should continue to talk to the client."

The nurse is caring for a respiratory client who uses a noninvasive positive pressure device. Which medical equipment does the nurse anticipate to find in the client's room? 1. A ventilator 2. A face mask 3. A rigid shell 4. A nasal cannula

2. A face mask

The nurse is in the radiology unit of the hospital. The nurse is caring for a client who is scheduled for a lung scan. The nurse knows that lung scans need the use of radioisotopes and a scanning machine. Before the perfusion scan, what must the client be assessed for? 1. Bleeding 2. Iodine allergy 3. Dysrhythmias 4. Inflammation

2. Iodine allergy

The clinical finding of pink, frothy sputum may be an indication of which condition? 1. Lung abscess 2. Pulmonary edema 3. Infection 4. Bronchiectasis

2. Pulmonary edema

The nurse is caring for a client who is to undergo a thoracentesis. In preparation for the procedure, the nurse places the client in which position? 1. Prone 2. Sitting on the edge of the bed 3. Supine 4. Lateral recumbent

2. Sitting on the edge of the bed

A patient comes to the clinic for the third time in 2 months with chronic bronchitis. What clinical symptoms does the nurse anticipate assessing for this patient? 1. Chest pain during respiration 2. Sputum and a productive cough 3. Fever, chills, and diaphoresis 4. Tachypnea and tachycardia

2. Sputum and a productive cough

The nurse is admitting a client who just had a bronchoscopy. Which assessment should be the nurse's priority? 1. Medication allergies 2. Swallow reflex 3. Presence of carotid pulse 4. Ability to deep breathe

2. Swallow reflex

A nurse is discussing squamous epithelial cells lining each alveolus, which consist of different types of cells. Which type of alveolar cells produce surfactant? 1. Type I cells 2. Type II cells 3. Type III cells 4. Type IV cells

2. Type II cells

During discharge teaching, a nurse is instructing a client about pneumonia. The client demonstrates his understanding of relapse when he states that he must: 1. follow up with the physician in 2 weeks. 2. continue to take antibiotics for the entire 10 days. 3. turn and reposition himself every 2 hours. 4. maintain fluid intake of 40 oz (1,200 ml) per day.

2. continue to take antibiotics for the entire 10 days.

A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale is being prepared for discharge. The nurse should provide which instruction? 1. "Limit yourself to smoking only 2 cigarettes per day." 2. "Eat a high-sodium diet." 3. "Weigh yourself daily and report a gain of 2 lb in 1 day." 4. "Maintain bed rest."

3. "Weigh yourself daily and report a gain of 2 lb in 1 day."

A client has undergone a left hemicolectomy for bowel cancer. Which activities prevent the occurrence of postoperative pneumonia in this client? 1. Administering oxygen, coughing, breathing deeply, and maintaining bed rest 2. Coughing, breathing deeply, maintaining bed rest, and using an incentive spirometer 3. Coughing, breathing deeply, frequent repositioning, and using an incentive spirometer 4. Administering pain medications, frequent repositioning, and limiting fluid intake

3. Coughing, breathing deeply, frequent repositioning, and using an incentive spirometer

A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on continuous mechanical ventilation. Which equipment is most important for the nurse to keep at this client's bedside? 1. Tracheostomy cleaning kit 2. Water-seal chest drainage set-up 3. Manual resuscitation bag 4. Oxygen analyzer

3. Manual resuscitation bag

A nurse practitioner diagnosed a patient with an infection in the maxillary sinuses. Select the area that the nurse palpated to make that diagnosis. 1. Above the eyebrows 2. Between the eyes and behind the nose 3. On the cheeks below the eyes 4. Behind the ethmoid sinuses

3. On the cheeks below the eyes

The nurse is assigned the care of a 30-year-old client diagnosed with cystic fibrosis (CF). Which nursing intervention will be included in the client's care plan? 1. Restricting oral intake to 1,000 mL/day 2. Providing the client a low-sodium diet 3. Performing chest physiotherapy as ordered 4. Discussing palliative care and end-of-life issues with the client

3. Performing chest physiotherapy as ordered

A client with chronic bronchitis is admitted to the health facility. Auscultation of the lungs reveals low-pitched, rumbling sounds. What breath sound should the nurse document? 1. Rales 2. Venous hum 3. Rhonchi 4. Bronchovesicular

3. Rhonchi

A nurse caring for a patient with a pulmonary embolism understands that a high ventilation-perfusion ratio may exist. What does this mean for the patient? 1. Perfusion exceeds ventilation. 2. There is an absence of perfusion and ventilation. 3. Ventilation exceeds perfusion. 4. Ventilation matches perfusion.

3. Ventilation exceeds perfusion.

A client with bronchiectasis is admitted to the nursing unit. The primary focus of nursing care for this client includes 1. teaching the family how to perform postural drainage. 2. instructing the client on the signs of respiratory infection. 3. implementing measures to clear pulmonary secretions. 4. providing the client a low-calorie, high-fiber diet.

3. implementing measures to clear pulmonary secretions.

You are caring for a client admitted with chronic bronchitis. The client is having difficulty breathing, and the family asks you what causes this difficulty. What would be your best response? 1. "Anytime there is a chronic disease process it is hard for the person to breathe." 2. "Having a chronic respiratory disease scars the lung and affects the effort it takes to breathe." 3. "In this particular case your family member is just overly tired and having problems breathing." 4. "Conditions such as chronic bronchitis cause thickening of the bronchial mucosa so it makes it harder to breathe."

4. "Conditions such as chronic bronchitis cause thickening of the bronchial mucosa so it makes it harder to breathe."

After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive isoniazid (INH [Laniazid]) as prophylaxis against tuberculosis. The client's daughter asks the nurse how long the drug must be taken. What is the usual duration of prophylactic isoniazid therapy? 1. 3 to 5 days 2. 1 to 3 weeks 3. 2 to 4 months 4. 6 to 12 months

4. 6 to 12 months

The nurse auscultated a patient's middle lobe of the lungs for abnormal breath sounds. To do this, the nurse placed the stethoscope on the: 1. Posterior surface of the left side of the chest, near the sixth rib. 2. Anterior surface of the right side of the chest, between the fourth and fifth rib. 3. Posterior surface of the right side of the chest, near T3. 4. Anterior surface of the left side of the chest, near the sixth rib.

4. Anterior surface of the left side of the chest, near the sixth rib.

The nurse assessed a 28-year-old woman who was experiencing dyspnea severe enough to make her seek medical attention. The history revealed no prior cardiac problems and the presence of symptoms for 6 months' duration. On assessment, the nurse noted the presence of both inspiratory and expiratory wheezing. Based on this data, which of the following diagnoses is likely? 1. Acute respiratory obstruction 2. Adult respiratory distress syndrome 3. Pneumothorax 4. Asthma

4. Asthma

You are caring for a client status post lung resection. When assessing your client you find that the bubbling in the water-seal chamber for the chest tubes is more than you expected. What should you check when bubbling in the water-seal chamber is excessive? 1. See if the chest tube is clogged. 2. See if the wall suction unit has malfunctioned. 3. See if a kink has developed in the tubing. 4. See if there are leaks in the system.

4. See if there are leaks in the system.