Respiratory System | Asthma & COPD NCLEX Quiz 35

10 Questions | Total Attempts: 1565

SettingsSettingsSettings
Please wait...
Respiratory System | Asthma & COPD NCLEX Quiz 35

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
     A client’s arterial blood gas levels are as follows: pH 7.31; PaO2 80 mm Hg. PaCO2 65 mm Hg; HCO3- 36 mEq/L. Which of the following signs or symptoms would the nurse expect?
    • A. 

      Cyanosis

    • B. 

      Flushed skin

    • C. 

      Irritability

    • D. 

      Anxiety

  • 2. 
    When teaching a client with COPD to conserve energy. the nurse should teach the client to lift objects:
    • A. 

      While inhaling through an open mouth.

    • B. 

      While exhaling through pursed lips

    • C. 

      After exhaling but before inhaling.

    • D. 

      While taking a deep breath and holding it.

  • 3. 
    The nurse teaches a client with COPD to assess for s/s of right-sided heart failure. Which of the following s/s would be included in the teaching plan?
    • A. 

      Clubbing of nail beds

    • B. 

      Hypertension

    • C. 

      Peripheral edema

    • D. 

      Increased appetite

  • 4. 
    The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. Which of the following findings would be expected?
    • A. 

      Normal breath sounds

    • B. 

      Prolonged inspiration

    • C. 

      Normal chest movement

    • D. 

      Coarse crackles and rhonchi

  • 5. 
    Which of the following ABG abnormalities should the nurse anticipate in a client with advanced COPD?
    • A. 

      Increased PaCO2

    • B. 

      Increased PaO2

    • C. 

      Increased pH.

    • D. 

      Increased oxygen saturation

  • 6. 
    Which of the following diets would be most appropriate for a client with COPD?
    • A. 

      Low fat. low cholesterol

    • B. 

      Bland. soft diet

    • C. 

      Low-Sodium diet

    • D. 

      High calorie. high-protein diet

  • 7. 
    The nurse is planning to teach a client with COPD how to cough effectively. Which of the following instructions should be included?
    • A. 

      Take a deep abdominal breath. bend forward. and cough 3 to 4 times on exhalation.

    • B. 

      Lie flat on back. splint the thorax. take two deep breaths and cough.

    • C. 

      Take several rapid. shallow breaths and then cough forcefully.

    • D. 

      Assume a side-lying position. extend the arm over the head. and alternate deep breathing with coughing.

  • 8. 
    A 34-year-old woman with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic. with a respiratory rate of 35 breaths/minute. nasal flaring. and use of accessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds. Based on these findings. what action should the nurse take to initiate care of the client?
    • A. 

      Initiate oxygen therapy and reassess the client in 10 minutes.

    • B. 

      Draw blood for an ABG analysis and send the client for a chest x-ray.

    • C. 

      Encourage the client to relax and breathe slowly through the mouth

    • D. 

      Administer bronchodilators

  • 9. 
    The nurse would anticipate which of the following ABG results in a client experiencing a prolonged. severe asthma attack?
    • A. 

      Decreased PaCO2. increased PaO2. and decreased pH.

    • B. 

      Increased PaCO2. decreased PaO2. and decreased pH.

    • C. 

      Increased PaCO2. increased PaO2. and increased pH.

    • D. 

      Decreased PaCO2. decreased PaO2. and increased pH.

  • 10. 
    A client with acute asthma is prescribed short-term corticosteroid therapy. What is the rationale for the use of steroids in clients with asthma?
    • A. 

      Corticosteroids promote bronchodilation

    • B. 

      Corticosteroids act as an expectorant

    • C. 

      Corticosteroids have an anti-inflammatory effect

    • D. 

      Corticosteroids prevent development of respiratory infections.