COPD (Chronic Obstructive Pulmonary Disease) MCQ Quiz With Answers
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Why is monitoring respiratory status a nursing priority when a client with COPD is receiving oxygen?
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Hyperventilation leading to respiratory alkalosis and loss of consciousness is a risk.
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A sudden increase in arterial oxygen can precipitate diaphragmatic spasms.
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Decreased arterial oxygen is the stimulus for breathing in a client with COPD.
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Oxygen administration can trigger reflex bronchospasm.
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Boost your knowledge with this COPD quiz that gives you a better understanding of chronic obstructive pulmonary disease. Here are some questions that will test your knowledge on the subject, and by attempting every question, your knowledge and understanding will also increase. So, are you ready for it? What are you waiting for then? We wish the best of luck See moreto you, and have fun! Let us go for it now!
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- 2.
Which laboratory results are consistent with long-term COPD? Mark all that apply.
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Erythrocytosis
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Hypoxemia
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Hypercapnia
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Leukopenia
Correct Answer(s)
A. Erythrocytosis
A. Hypoxemia
A. HypercapniaExplanation
Long-term COPD is characterized by the progressive damage to the lungs, leading to impaired gas exchange. Erythrocytosis, an increase in red blood cell count, is consistent with COPD as the body compensates for chronic hypoxemia by producing more red blood cells to carry oxygen. Hypoxemia, a low level of oxygen in the blood, is a common finding in COPD due to impaired lung function. Hypercapnia, an elevated level of carbon dioxide in the blood, occurs in COPD as the lungs are unable to effectively remove carbon dioxide. Leukopenia, a decrease in white blood cell count, is not typically associated with long-term COPD.Rate this question:
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- 3.
A client with COPD complains of headaches and a “racing” heart; he is also restless and somewhat confused. Which problem would the nurse suspect?
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Respiratory acidosis
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Respiratory alkalosis
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Metabolic acidosis
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Metabolic alkalosis
Correct Answer
A. Respiratory acidosisExplanation
The client with COPD is experiencing symptoms of respiratory acidosis. This occurs when there is an excess of carbon dioxide in the blood, leading to an increase in acidity. The headaches and racing heart are likely due to the body compensating for the increased carbon dioxide levels by increasing the heart rate. The restlessness and confusion may be a result of the acidosis affecting the central nervous system.Rate this question:
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- 4.
A client with a history of COPD complains of increased shortness of breath and has wheezing noted upon auscultation. The client is administered a nebulizer treatment of Albuterol and Atrovent. Which evaluation would indicate a therapeutic response to this treatment?
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Increase in wheezing upon auscultation
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Pink frothy sputum
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Decrease in shortness of breath
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Decrease in heart rate.
Correct Answer
A. Decrease in shortness of breathExplanation
A decrease in shortness of breath would indicate a therapeutic response to the nebulizer treatment of Albuterol and Atrovent in a client with a history of COPD. This is because these medications are bronchodilators that help to relax and open up the airways, reducing the feeling of breathlessness. If the client's shortness of breath decreases after the treatment, it suggests that the medications are effectively improving their breathing.Rate this question:
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- 5.
A client has been prescribed theophylline (Theo-24) for COPD. Discharge instructions should include the interaction of which of the following:
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Nicotine transdermal patches
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Fosinopril (Monopril)
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Advair Diskus 250/50
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Clopidogrel (Plavix)
Correct Answer
A. Nicotine transdermal patchesExplanation
Discharge instructions for a client prescribed theophylline (Theo-24) for COPD should include the interaction of nicotine transdermal patches. Theophylline is metabolized by the same enzyme system in the liver as nicotine, which can lead to increased theophylline levels in the body when used together. This can result in toxic effects of theophylline, such as nausea, vomiting, tremors, and seizures. Therefore, it is important to educate the client about this interaction and advise them to avoid using nicotine patches while taking theophylline.Rate this question:
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- 6.
A client with a diagnosis of chronic obstructive pulmonary disease (COPD) is being discharged from the hospital. Which of the following is appropriate patient teaching before discharge?
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“Make sure to use a humidifier in your room while you sleep.”
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“Apply powder to all crevices to prevent yeast while taking oral steroids.”
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“Turn the oxygen up to no more than 6 L if you are short of breath.”
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“Use your inhalers every day as directed even if symptoms are not present.”
Correct Answer
A. “Use your inhalers every day as directed even if symptoms are not present.”Explanation
Using inhalers every day as directed, even if symptoms are not present, is appropriate patient teaching for a client with COPD before discharge. This is because inhalers help to manage and control the symptoms of COPD by opening up the airways and reducing inflammation. Consistent use of inhalers can prevent exacerbations and improve overall lung function. It is important for the client to understand the importance of using inhalers as prescribed, even when they do not feel any symptoms, to effectively manage their condition and prevent further complications.Rate this question:
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- 7.
An elderly postoperative client has a history of chronic obstructive pulmonary disease. Based on this history, the nurse is especially concerned with monitoring the client for which problem?
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Aspiration
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Delirium
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Decreased gas exchange
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Positioning difficulty
Correct Answer
A. Decreased gas exchangeExplanation
The nurse is especially concerned with monitoring the client for decreased gas exchange because of the client's history of chronic obstructive pulmonary disease. This condition causes obstruction in the airways, leading to difficulty in breathing and impaired oxygenation. Monitoring for decreased gas exchange is important to ensure that the client is receiving adequate oxygen and to detect any worsening of respiratory function.Rate this question:
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- 8.
A client has COPD and a barrel chest. Which finding would the nurse expect when assessing the chest?
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Paradoxical chest movement
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Presence of a friction rub
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Decreased respiratory excursion
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Absent breath sounds
Correct Answer
A. Decreased respiratory excursionExplanation
In a client with COPD and a barrel chest, the nurse would expect to find decreased respiratory excursion when assessing the chest. This is because COPD causes airway obstruction and reduced lung elasticity, leading to difficulty in fully expanding and contracting the lungs during breathing. As a result, the movement of the chest during respiration is restricted, resulting in decreased respiratory excursion.Rate this question:
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- 9.
Which statement made by a client with COPD after being taught about the use of pursed-lip breathing indicates the need for additional instruction?
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“I will make sure to puff my cheeks out when I breathe out through my mouth.”
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“I will set my lips for breathing out like I am going to whistle.”
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“Breathing out should take me twice as long as breathing in.”
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“I will never hold my breath when trying to lift something heavy.”
Correct Answer
A. “I will make sure to puff my cheeks out when I breathe out through my mouth.”Explanation
The correct answer is "I will make sure to puff my cheeks out when I breathe out through my mouth." This statement indicates the need for additional instruction because puffing the cheeks out during pursed-lip breathing is not recommended. Pursed-lip breathing involves inhaling through the nose and exhaling slowly through pursed lips, as if blowing out a candle. Puffing the cheeks out can actually increase air trapping and make breathing more difficult for someone with COPD.Rate this question:
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- 10.
Which would be an expected effect of resistive breathing training in a client with COPD?
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Energy conservation
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Increased oxygen saturation
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Decreased hypercarbia
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Increased respiratory muscle strength
Correct Answer
A. Increased respiratory muscle strengthExplanation
Resistive breathing training involves exercises that make the respiratory muscles work harder. In a client with COPD, these exercises can help strengthen the weakened respiratory muscles, which may have been affected by the disease. By increasing respiratory muscle strength, the client may experience improved breathing efficiency and a reduced feeling of breathlessness. This can contribute to better overall respiratory function and potentially enhance the client's ability to perform daily activities with less effort.Rate this question:
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- 11.
A client with pneumonia is receiving supplemental oxygen, 2 L/min via nasal cannula. The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these findings, the nurse closely monitors the oxygen flow and the client’s respiratory status. Which complication may arise if the client receives a high oxygen concentration?
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Apnea
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Anginal pain
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Respiratory alkalosis
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Metabolic acidosis
Correct Answer
A. ApneaExplanation
A client with chronic obstructive pulmonary disease (COPD) and coronary artery disease is at risk for retaining carbon dioxide due to impaired lung function. Giving the client a high oxygen concentration can suppress their respiratory drive and cause apnea, leading to a lack of oxygenation. This is a potential complication that the nurse should closely monitor for in this client.Rate this question:
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- 12.
An elderly client is on an anticholinergic metered-dose inhaler (MDI) for chronic obstructive pulmonary disease. The nurse would suggest a spacer to
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Enhance the administration of the medication
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Increase client compliance
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Improve aerosol delivery in clients who are not able to coordinate the MDI
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Prevent exacerbation of COPD
Correct Answer
A. Improve aerosol delivery in clients who are not able to coordinate the MDIExplanation
A spacer is a device that is attached to the MDI to improve aerosol delivery. It helps to ensure that the medication is properly delivered to the lungs by slowing down the speed of the medication and reducing the amount of medication that is deposited in the mouth and throat. This is particularly beneficial for clients who have difficulty coordinating their inhalation with the activation of the MDI. By using a spacer, the client is able to receive a more effective dose of the medication, leading to improved outcomes in managing their COPD.Rate this question:
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- 13.
The nurse enters the room of a client diagnosed with COPD. The client’s skin is pink, and respirations are 8 per minute. The client’s oxygen is running at 6 liters per minute. What should be the nurse’s first action?
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Call the health care provider.
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Put the client in Fowler’s position.
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Lower the oxygen rate.
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Take the vital signs.
Correct Answer
A. Lower the oxygen rate.Explanation
The client's skin being pink and having a respiratory rate of 8 per minute indicate that the client may be experiencing carbon dioxide retention, which can be dangerous for someone with COPD. The high oxygen rate of 6 liters per minute may be contributing to this. Lowering the oxygen rate would help prevent further carbon dioxide retention and ensure the client's safety. Therefore, the nurse's first action should be to lower the oxygen rate.Rate this question:
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- 14.
A client with chronic obstructive pulmonary disease (COPD) and a history of coronary artery disease is receiving aminophylline, 25mg/hour. Which one of the following findings by the nurse would require immediate intervention?
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Decreased blood pressure and respiration
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Flushing and headache
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Restlessness and palpitations
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Increased heart rate and blood pressure
Correct Answer
A. Restlessness and palpitationsExplanation
Restlessness and palpitations in a client with COPD and a history of coronary artery disease who is receiving aminophylline could indicate a potential adverse reaction to the medication. Aminophylline is a bronchodilator that can cause stimulation of the central nervous system and cardiovascular system. Restlessness and palpitations may be signs of increased sympathetic activity, which can lead to tachycardia and potentially worsen coronary artery disease. Immediate intervention is necessary to assess the client's condition, provide appropriate treatment, and prevent further complications.Rate this question:
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- 15.
In restrictive disease (e.g. pulmonary fibrosis), ____. In obstructive disease (e.g.asthma or COPD), ____.
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RV is increased; TLC is decreased.
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RV is decreased; TLC is increased.
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TLC is increased; RV is decreased.
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TLC is decreased; RV is increased.
Correct Answer
A. TLC is decreased; RV is increased.Explanation
In restrictive lung diseases such as pulmonary fibrosis, the lungs become stiff and lose their ability to expand fully. This leads to a decrease in total lung capacity (TLC), as the lungs cannot hold as much air. On the other hand, the residual volume (RV), which is the amount of air left in the lungs after a forced exhalation, increases in restrictive diseases because the lungs have difficulty emptying completely. This is why the correct answer is "TLC is decreased; RV is increased."Rate this question:
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- 16.
In patients with chronic obstructive pulmonary disease (COPD), the equal pressure point can be found closer to the alveolus at any lung volume.
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Yes
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Not really
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Very rarely
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Not at all
Correct Answer
A. YesExplanation
In patients with chronic obstructive pulmonary disease (COPD), the equal pressure point can be found closer to the alveolus at any lung volume. This means that the pressure within the airways is equal to the pressure within the alveoli, indicating that there is a decreased pressure gradient for airflow. This can contribute to the airflow limitation seen in COPD patients.Rate this question:
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- 17.
Slowly adapting pulmonary stretch fibers are useful in patients with COPD or airway obstruction because they:
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Allow for a longer inspiratory phase.
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Allow for a longer expiratory phase.
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Cause a shorter inspiratory phase
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Cause a shorter expiratory phase
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Increase the anterior-posterior chest wall dimension
Correct Answer
A. Allow for a longer expiratory phase.Explanation
Slowly adapting pulmonary stretch fibers are sensory receptors located in the airways that respond to changes in lung volume. These fibers are particularly important in patients with COPD or airway obstruction because they help regulate the duration of the expiratory phase. By allowing for a longer expiratory phase, these fibers help to prevent air trapping and hyperinflation of the lungs, which are common in these conditions. This allows for more effective emptying of the lungs and helps improve respiratory function.Rate this question:
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- 18.
A patient presents with acute exacerbation of chronic bronchitis associated with COPD. If there is evidence of bacterial infection (e.g., purulent sputum), which of the following antibiotics would NOT be recommended for treatment?
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Clindamycin (Cleocin)
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TMP-SMX (Bactrim)
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Levofloxacin (Levaquin)
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Doxycycline (Vibramycin)
Correct Answer
A. Levofloxacin (Levaquin)Explanation
Levofloxacin (Levaquin) would not be recommended for treatment in a patient with acute exacerbation of chronic bronchitis associated with COPD if there is evidence of bacterial infection. This is because Levofloxacin is a broad-spectrum antibiotic that primarily targets Gram-negative bacteria, whereas chronic bronchitis exacerbations are commonly caused by Gram-positive bacteria such as Streptococcus pneumoniae or Haemophilus influenzae. Therefore, other antibiotics such as Clindamycin, TMP-SMX, or Doxycycline would be more appropriate for treating bacterial infections associated with chronic bronchitis and COPD.Rate this question:
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- 19.
What is the most common cause of the chronic obstructive pulmonary disease (COPD)?
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Bronchiectasis
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Chronic bronchitis
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Cigarette smoking
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Emphysema
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Asthma
Correct Answer
A. Cigarette smokingExplanation
Cigarette smoking is the most common cause of chronic obstructive pulmonary disease (COPD). Smoking damages the airways and lung tissue, causing inflammation and narrowing of the air passages. Over time, this leads to the development of COPD, which includes conditions such as chronic bronchitis and emphysema. Smoking also accelerates the natural aging process of the lungs and reduces their ability to function properly. Quitting smoking is essential in preventing and managing COPD.Rate this question:
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- 20.
A COPD patient presents with asterixis. Severe hypercarbia is suspected. What other symptoms might the patient have?
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Retinitis pigmentosa
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Conjunctival suffusion
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Temporal arteritis
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Retinal detachment
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Strabismus
Correct Answer
A. Conjunctival suffusionExplanation
If a COPD patient presents with asterixis, which is a flapping tremor of the hands, it suggests severe hypercarbia, or high levels of carbon dioxide in the blood. Conjunctival suffusion, which is redness and swelling of the conjunctiva, the clear membrane that covers the white part of the eye, is a possible symptom of severe hypercarbia. Retinitis pigmentosa, temporal arteritis, retinal detachment, and strabismus are not typically associated with hypercarbia in COPD patients.Rate this question:
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Current Version
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Jul 03, 2023Quiz Edited by
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Jun 19, 2010Quiz Created by
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