Medical Surgical Nursing: Respiratory Care

20 Questions  I  By Frostanity
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Medical Surgical Nursing Quizzes & Trivia
Test your cognitive nursing skills in med-surg respiratory care for the adult patient. Please note that this quiz does not cover respiratory disorders.

  
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Questions and Answers

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  • 1. 
    Which of the following is a normal finding in the aging adult?
    • A. 

      Anteroposterior diameter increases

    • B. 

      Residual volume decreases

    • C. 

      Airways close late

    • D. 

      Ability to cough increases


  • 2. 
    Which clinical manifestation is the main sign of lung disease?
    • A. 

      Dyspnea

    • B. 

      Hemoptysis

    • C. 

      Cough

    • D. 

      Hoarseness


  • 3. 
    While the nurse interviews a patient, he verbalizes that he has difficulty breathing during sleep and uses three pillows for relief. The nurse notes that he may be experiencing :
    • A. 

      Paroxysmal nocturnal dyspnea

    • B. 

      Orthopnea

    • C. 

      Hyperventilation

    • D. 

      Claudication


  • 4. 
    A 37-year-old patient is admitted to the ED with dyspnea, tachypnea and pink, frothy sputum. The nurse determines that the patient is experiencing:
    • A. 

      Lung abscess

    • B. 

      Neck trauma

    • C. 

      Cor pulmonale

    • D. 

      Pulmonary embolism


  • 5. 
    As the nurse auscultates the patient, she hears a popping, discontinuous sound over the lung fields. This type of adventitious sound is known as:
    • A. 

      Wheezes

    • B. 

      Crackles

    • C. 

      Resonance

    • D. 

      Pleural friction rub


  • 6. 
    A 53-year-old patient reports smoking two packs of cigarettes per day for the past 35 years. Calculate the pack-years for this patient.
    • A. 

      17.5

    • B. 

      35

    • C. 

      70

    • D. 

      106


  • 7. 
    The nurse comes into the patient's room and discovers that the patient's pulse oximetry reading is 91%. The nurse should first:
    • A. 

      Notify the Rapid Response Team

    • B. 

      Assess the patient's respiratory status

    • C. 

      Apply supplemental oxygen

    • D. 

      Place patient in high-Fowler's position


  • 8. 
    A postop patient who had a bronchoscopy two hours ago is NPO and states that he is hungry. What should the nurse do?
    • A. 

      Notify the physician

    • B. 

      Calmly tell the patient that he must remain NPO until another four hours

    • C. 

      Order food since the patient is A&O

    • D. 

      Check for a gag reflex return


  • 9. 
    The patient is scheduled to have a pulmonary function test. Further instruction is needed when she states:
    • A. 

      " I should use my atenolol right away before the test."

    • B. 

      "I shouldn't smoke 6 hours beforehand."

    • C. 

      "I should only breathe through my mouth."

    • D. 

      "This test will help identify the cause of my shortness of breath."


  • 10. 
    A nurse is caring for a patient who had a thoracentesis eight hours ago. While assessing the patient, the nurse observes that the patient has a rapid heart rate, rapid, shallow respirations, and has absent breath sounds to the left upper lobe of the lung. The nurse interprets this complication as:
    • A. 

      Pulmonary embolism

    • B. 

      Pneumothorax

    • C. 

      Respiratory distress

    • D. 

      Flail chest


  • 11. 
    A nurse is reviewing the ABG values and notes a pH of 7.42, a PCO2 of 55 mm Hg, and a HCO3 of 24 mEq/L. What does the nurse interpret these values as?
    • A. 

      Uncompensated respiratory alkalosis

    • B. 

      Compensated respiratory alkalosis

    • C. 

      Compensated respiratory acidosis

    • D. 

      Uncompensated respiratory acidosis


  • 12. 
    A nurse is administering oxygen to a patient who has hypoxemia and hypercarbia. Which oxygen delivery system is appropriate for this patient?
    • A. 

      Nonrebreather mask

    • B. 

      Nasal cannula at 2L/min

    • C. 

      Nasal cannula at 4L/min

    • D. 

      Simple facemask at 5L/min


  • 13. 
    A nurse is caring for a patient who had a surgical placement of a tracheostomy 48 hours ago. What should the nurse's initial action be if tube dislodgement occurs?
    • A. 

      Re-insert the tube and notify the physician

    • B. 

      Place a 4x4 sterile gauze over the stoma to prevent infection

    • C. 

      Obtain the patient's vital signs

    • D. 

      Ventilate the patient using a manual resuscitation bag as another nurse notifies for help from the resuscitation team


  • 14. 
    The nurse is suctioning a patient with an endotracheal tube. Which of the following is a correct technique for this procedure?
    • A. 

      Suction for 5 seconds

    • B. 

      Apply suction during insertion

    • C. 

      Suction the mouth before suctioning the airway

    • D. 

      Hyperoxygenate before and after suctioning


  • 15. 
    What aspiration precaution measures should the nurse implement to the 78-year-old patient with a tracheostomy? (Select all that apply.)
    • A. 

      Instruct patient to drink water, especially while chewing

    • B. 

      Keep patient at low-Fowler's position

    • C. 

      Do not rush patient

    • D. 

      Deflate cuff during meals

    • E. 

      Provide large meals


  • 16. 
    A nurse is providing discharge instructions for a tracheostomy patient. Which statement indicates that the patient understands tracheostomy care?
    • A. 

      "I will increase the humidity in my home."

    • B. 

      "I can no longer have showers anymore."

    • C. 

      "Before suctioning, I should wash my hands."

    • D. 

      "If I stick a large cottonball in the airway, I won't be able to breathe."


  • 17. 
    A nurse is monitoring a patient who has a chest tube drainage system and notices that there is gentle bubbling in the suction control chamber. What is the appropriate nursing action for this scenario?
    • A. 

      Document this finding.

    • B. 

      Check to see if the chest tube is blocked or kinked

    • C. 

      Check for an air leak

    • D. 

      Notify the physician immediately


  • 18. 
    While auscultating a 65-year-old patient, the nurse hears bronchovesicular breath sounds over the lung fields. How does this nurse interpret this finding?
    • A. 

      Pulmonary consolidation

    • B. 

      This is a normal finding

    • C. 

      Bronchitis

    • D. 

      Pleural effusion


  • 19. 
    A patient with a chronic lung disease arrives on the med-surg unit. Which delivery system would offer the most precise oxygen concentration for this patient?
    • A. 

      Nonrebreather

    • B. 

      Venturi facemask

    • C. 

      Nasal cannula

    • D. 

      Face tent


  • 20. 
    While assessing a trachostomy patient, the nurse notices that there is a crackling sensation around the neck. The nurse suspects this complication as:
    • A. 

      Pneumothorax

    • B. 

      Tracheomalacia

    • C. 

      Subcutaneous emphysema

    • D. 

      Trachea-innominate artery fistula


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