Quiz
NURS 460 Respiratory Disorders
Questions in this quiz (48)
1A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take?
- APosition the client in an upright position, leaning over the bedside table.
- BExplain the procedure.
- CObtain ABGs.
- DAdminister benzocaine spray.
2A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results are pH 7.40, PaCO2 32 mm Hg, HCO3 22 mm Hg. The nurse should recognize that the client is experiencing which of the following acid‑base imbalances?
- ARespiratory acidosis
- BRespiratory alkalosis
- CMetabolic acidosis
- DMetabolic alkalosis
3A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse report to the provider?
- ABlood‑tinged sputum
- BDry, nonproductive cough
- CSore throat
- DBronchospasms
4A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should the nurse ensure are in the client’s room? (Select all that apply.)
- AOxygen equipment
- BIncentive spirometer
- CPulse oximeter
- DSterile dressing
- ESuture removal kit
5A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the nurse recognize as risks for complications? (Select all that apply.)
- ADyspnea
- BLocalized bloody drainage on the dressing
- CFever
- DHypotension
- EReport of pain at the puncture site
6A nurse is preparing to care for a client following chest tube placement. Which of the following items should be available in the client’s room? (Select all that apply.)
- AOxygen
- BSterile water
- CEnclosed hemostat clamps
- DIndwelling urinary catheter
- EOcclusive dressing
7A nurse is caring for a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. Which of the following actions should the nurse take first?
- AObtain a chest x‑ray.
- BApply sterile gauze to the insertion site.
- CPlace tape around the insertion site.
- DAssess respiratory status.
8A nurse is assessing a client who has a chest tube and drainage system in place. Which of the following are expected findings? (Select all that apply.)
- AContinuous bubbling in the water seal chamber
- BGentle constant bubbling in the suction control chamber
- CRise and fall in the level of water in the water seal chamber with inspiration and expiration
- DExposed sutures without dressing
- EDrainage system upright at chest level
9A nurse is assisting a provider with the removal of a chest tube. Which of the following should the nurse instruct the client to do?
- ALie on his left side.
- BUse the incentive spirometer.
- CCough at regular intervals.
- DPerform the Valsalva maneuver.
10A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following should be included in the plan of care? (Select all that apply.)
- AEncourage the client to cough every 2 hr.
- BCheck for continuous bubbling in the suction chamber.
- CStrip the drainage tubing every 4 hr.
- DClamp the tube once a day.
- EObtain a chest x‑ray.
11A nurse is orienting a newly licensed nurse who is caring for a client who is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode. Which of the following statements by the newly licensed nurse indicates an understanding of PSV?
- A“It keeps the alveoli open and prevents atelectasis.”
- B“It allows preset pressure delivered during spontaneous ventilation.”
- C“It guarantees minimal minute ventilator.”
- D“It delivers a preset ventilatory rate and tidal volume to the client.”
12A nurse is caring for a client who is experiencing respiratory distress. Which of the following early manifestations of hypoxemia should the nurse recognize? (Select all that apply.)
- AConfusion
- BPale skin
- CBradycardia
- DHypotension
- EElevated blood pressure
13A nurse is orienting a newly licensed nurse on performing routine assessment of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following information should the nurse include in the teaching?
- AApply a vest restraint if self‑extubation is attempted.
- BMonitor ventilator settings every 8 hr.
- CDocument tube placement in centimeters at the angle of jaw.
- DAssess breath sounds every 1 to 2 hr.
14A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which of the following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client?
- ANonrebreather mask
- BVenturi mask
- CNasal cannula
- DSimple face mask
15A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following modes of ventilation that increases the effort of the client’s respiratory muscles should the nurse include in the plan of care? (Select all that apply.)
- AAssist‑control
- BSynchronized intermittent mandatory ventilation
- CContinuous positive airway pressure
- DPressure support ventilation
- EIndependent lung ventilation
16A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? (Select all that apply.)
- AClient who has dysphagia
- BClient who has AIDS
- CClient who was vaccinated for pneumococcus and influenza 6 months ago
- DClient who is postoperative and has received local anesthesia
- EClient who has a closed head injury and is receiving ventilation
- FClient who has myasthenia gravis
17A nurse in a clinic is caring for a client whose partner states the client woke up this morning, did not recognize him, and did not know where she was. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority?
- AObtain baseline vital signs and oxygen saturation.
- BObtain a sputum culture.
- CObtain a complete history from the client.
- DProvide a pneumococcal vaccine.
18A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should the nurse use to identify manifestations of this disorder?
- APercussion of posterior lobes of lungs
- BAuscultation of the trachea
- CInspection of the conjunctiva
- DPalpation of the orbital areas
19A nurse is teaching a group of clients about influenza. Which of the following client statements indicates an understanding of the teaching?
- A“I should wash my hands after blowing my nose to prevent spreading the virus.”
- B“I need to avoid drinking fluids if I develop symptoms.”
- C“I need a flu shot every 2 years because of the different flu strains.”
- D“I should cover my mouth with my hand when I sneeze.”
20A nurse in the emergency department is caring for a client who is having an acute asthma attack. Which of the following assessments indicates that the respiratory status is declining? (Select all that apply.)
- ASaO2 95%
- BWheezing
- CRetraction of sternal muscles
- DPink mucous membranes
- EPremature ventricular complexes (PVCs)
21A nurse is caring for a client 2 hr after admission. The client has an SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes of medications should the nurse expect to administer?
- AAntibiotic
- BBeta‑blocker
- CAntiviral
- DBeta2 agonist
22A nurse is providing discharge teaching to a client who has a new prescription for prednisone for asthma. Which of the following client statements indicates an understanding of the teaching?
- A“I will decrease my fluid intake while taking this medication.”
- B“I will expect to have black, tarry stools.”
- C“I will take my medication with meals.”
- D“I will monitor for weight loss while on this medication.”
23A nurse is assessing a client who has a history of asthma. Which of the following factors should the nurse identify as a risk for asthma?
- AGender
- BEnvironmental allergies
- CAlcohol use
- DRace
24A nurse is reinforcing teaching with a client on the purpose of taking a bronchodilator. Which of the following client statements indicates an understanding of the teaching?
- A“This medication can decrease my immune response.”
- B“I take this medication to prevent asthma attacks.”
- C“I need to take this medication with food.”
- D“This medication has a slow onset to treat my symptoms.”
25A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates an understanding of the teaching?
- A“This medication can increase my blood sugar levels.”
- B“This medication can decrease my immune response.”
- C“I can have an increase in my heart rate while taking this medication.”
- D“I can have mouth sores while taking this medication.”
26A nurse is preparing to administer a dose of a new prescription of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication? (Select all that apply.)
- AHypokalemia
- BTachycardia
- CFluid retention
- DNausea
- EBlack, tarry stools
27A nurse is discharging a client who has COPD. Upon discharge, the client is concerned that he will never be able to leave his house now that he is on continuous oxygen. Which of the following is an appropriate response by the nurse?
- A“There are portable oxygen delivery systems that you can take with you.”
- B“When you go out, you can remove the oxygen and then reapply it when you get home.”
- C“you probably will not be able to go out as much as you used to.”
- D“Home health services will come to you so you will not need to get out.”
28A nurse is instructing a client on the use of an incentive spirometer. Which of the following statements by the client indicates an understanding of the teaching?
- A“I will place the adapter on my finger to read my blood oxygen saturation level.”
- B“I will lie on my back with my knees bent.”
- C“I will rest my hand over my abdomen to create resistance.”
- D“I will take in a deep breath and hold it before exhaling.”
29A nurse is planning to instruct a client on how to perform pursed‑lip breathing. Which of the following should the nurse include in the plan of care?
- ATake quick breaths upon inhalation.
- BPlace your hand over your stomach.
- CTake a deep breath in through your nose.
- DPuff your checks upon exhalation.
30A home health nurse is teaching a client who has active tuberculosis. The provider has prescribed the following medication regimen: isoniazid 250 mg PO daily, rifampin 500 mg PO daily, pyrazinamide 750 mg PO daily, and ethambutol 1 mg PO daily. Which of the following client statements indicate the client understands the teaching? (Select all that apply.)
- A“I can substitute one medication for another if I run out because they all fight infection.”
- B“I will wash my hands each time I cough.”
- C“I will wear a mask when I am in a public area.”
- D“I am glad I don’t have to have any more sputum specimens.”
- E“I don’t need to worry where I go once I start taking my medications.”
31A nurse is teaching a client who has tuberculosis. Which of the following statements should the nurse include in the teaching?
- A“You will need to continue to take the multimedication regimen for 4 months.”
- B“You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication.”
- C“You will need to remain hospitalized for treatment.”
- D“You will need to wear a mask at all times.”
32A nurse is caring for a client who has a new diagnosis of tuberculosis and has been placed on a multimedication regimen. Which of the following instructions should the nurse give the client related to ethambutol?
- A“your urine can turn a dark orange.”
- B“Watch for a change in the sclera of your eyes.”
- C“Watch for any changes in vision.”
- D“Take vitamin B6 daily.”
33A nurse is preparing to administer a new prescription for isoniazid (INH) to a client who has tuberculosis. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
- A“you might notice yellowing of your skin.”
- B“you might experience pain in your joints.”
- C“you might notice tingling of your hands.”
- D“you might experience a loss of appetite.”
34A nurse is providing information about tuberculosis to a group of clients at a local community center. Which of the following manifestations should the nurse include in the teaching? (Select all that apply.)
- APersistent cough
- BWeight gain
- CFatigue
- DNight sweats
- EPurulent sputum
35A nurse is caring for a group of clients. Which of the following clients are at risk for a pulmonary embolism? (Select all that apply.)
- AA client who has a BMI of 30
- BA female client who is postmenopausal
- CA client who has a fractured femur
- DA client who is a marathon runner
- EA client who has chronic atrial fibrillation
36A nurse is assessing a client who has a pulmonary embolism. Which of the following manifestations should the nurse expect to find? (Select all that apply.)
- ABradypnea
- BPleural friction rub
- CHypertension
- DPetechiae
- ETachycardia
37A nurse is reviewing prescriptions for a client who has acute dyspnea and diaphoresis. The client states she is anxious and is unable to get enough air. Vital signs are heart rate 117/min, respirations 38/min, temperature 38.4° C (101.2° F), and blood pressure 100/54 mm Hg. Which of the following nursing actions is the priority?
- ANotify the provider.
- BAdminister heparin via IV infusion.
- CAdminister oxygen therapy.
- DObtain a spiral CT scan.
38A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following statements by the client should indicate an immediate concern for the nurse?
- A“I am allergic to morphine.”
- B“I take antacids several times a day.”
- C“I had a blood clot in my leg several years ago.”
- D“It hurts to take a deep breath.”
39A nurse is caring for a client who is to receive thrombolytic therapy. Which of the following factors should the nurse recognize as a contraindication to the therapy?
- AHip arthroplasty 2 weeks ago
- BElevated sedimentation rate
- CIncident of exercise‑induced asthma 1 week ago
- DElevated platelet count
40A nurse is assessing a client following a gunshot wound to the chest. For which of the following findings should the nurse monitor to detect a pneumothorax? (Select all that apply.)
- ATachypnea
- BDeviation of the trachea
- CBradycardia
- DDecreased use of accessory muscles
- EPleuritic pain
41A nurse is reviewing the prescriptions for a client who has a pneumothorax. Which of the following actions should the nurse perform first?
- AAssess the client’s pain.
- BObtain a large‑bore IV needle for decompression.
- CAdminister lorazepam.
- DPrepare for chest tube insertion.
42A nurse is reviewing instructions for a client who experienced a pneumothorax. Which of the following statements should the nurse use when teaching the client?
- A“Notify your provider if you experience weakness.”
- B“You should be able to return to work in 1 week.”
- C“You need to wear a mask when in crowded areas.”
- D“Notify your provider if you experience a productive cough.”
43A nurse in the emergency department is assessing a client who has a suspected flail chest. Which of the following findings should the nurse expect? (Select all that apply.)
- ABradycardia
- BCyanosis
- CHypotension
- DDyspnea
- EParadoxic chest movement
44A nurse in the emergency department is assessing a client who was in a motor vehicle crash. Findings include absent breath sounds in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart rate 124/min, respirations 38/min, temperature 38.6° C (101.4° F), and SaO2 92% on room air. Which of the following actions should the nurse take first?
- AObtain a chest x‑ray.
- BPrepare for chest tube insertion.
- CAdminister oxygen via a high‑flow mask.
- DInitiate IV access.
45A nurse is orienting a newly licensed nurse on the purpose of administering vecuronium to a client who has acute respiratory distress syndrome (ARDS). Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
- A“This medication is given to treat infection.”
- B“This medication is given to facilitate ventilation.”
- C“This medication is given to decrease inflammation.”
- D“This medication is given to reduce anxiety.”
46A nurse is reviewing the health records of five clients. Which of the following clients are at risk for developing acute respiratory distress syndrome? (Select all that apply.)
- AA client who experienced a near‑drowning incident
- BA client following coronary artery bypass graft surgery
- CA client who has a hemoglobin of 15.1 mg/dL
- DA client who has dysphagia
- EA client who experienced a drug overdose
47A nurse is planning care for a client who has severe acute respiratory distress system (SARS). Which of the following actions should be included in the plan of care for this client? (Select all that apply.)
- AAdminister antibiotics.
- BProvide supplemental oxygen.
- CAdminister antiviral medications.
- DAdminister of bronchodilators.
- EMaintain ventilatory support.
48A nurse is caring for a client who is receiving vecuronium for acute respiratory distress syndrome. Which of the following medications should the nurse anticipate administering with this medication? (Select all that apply.)
- AFentanyl
- BFurosemide
- CMidazolam
- DFamotidine
- EDexamethasone
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- Nursing Quiz on NURS 460 Respiratory Disorders, created by Steven Cook on 08/04/2018.
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- Steven Cook
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- English
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