Respiratory System | Asthma & COPD NCLEX Quiz 28
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A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute. and he appears to be in acute respiratory distress. Which of the following actions should be taken first?
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Take a full medication history
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Give a bronchodilator by nebulizer
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Apply a cardiac monitor to the client
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Provide emotional support to the client.
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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.
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- 2.
Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder?
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Circumoral cyanosis
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Increased forced expiratory volume
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Inspiratory and expiratory wheezing
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Normal breath sounds
Correct Answer
A. Inspiratory and expiratory wheezingExplanation
Inspiratory and expiratory wheezes are typical findings in asthma. Circumoral cyanosis may be present in extreme cases of respiratory distress. The nurse would expect the client to have a decreased forced expiratory volume because asthma is an obstructive pulmonary disease. Breath sounds will be “tight” sounding or markedly decreased; they won’t be normal.Rate this question:
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- 3.
A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away?
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Beta-adrenergic blockers
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Bronchodilators
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Inhaled steroids
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Oral steroids
Correct Answer
A. BronchodilatorsExplanation
Bronchodilators are the first line of treatment for asthma because bronchoconstriction is the cause of reduced airflow. Beta-adrenergic blockers aren’t used to treat asthma and can cause bronchoconstriction. Inhaled or oral steroids may be given to reduce the inflammation but aren’t used for emergency relief.Rate this question:
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- 4.
The term “pink puffer” refers to the client with which of the following conditions?
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ARDS
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Asthma
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Chronic obstructive bronchitis
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Emphysema
Correct Answer
A. EmphysemaExplanation
Because of the large amount of energy it takes to breathe. clients with emphysema are usually cachectic. They’re pink and usually breathe through pursed lips. hence the term “puffer”. Clients with ARDS are usually acutely short of breath. Clients with asthma don’t have any particular characteristics. and clients with chronic obstructive bronchitis are bloated and cyanotic in appearance.Rate this question:
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- 5.
Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows pneumonia to develop?
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Atelectasis
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Bronchiectasis
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Effusion
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Inflammation
Correct Answer
A. InflammationExplanation
The most common feature of all types of pneumonia is an inflammatory pulmonary response to the offending organism or agent. Atelectasis and bronchiectasis indicate a collapse of a portion of the airway that doesn’t occur with pneumonia. An effusion is an accumulation of excess pleural fluid in the pleural space. which may be a secondary response to pneumonia.Rate this question:
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- 6.
A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum. peripheral edema. and cyanotic nail beds. Based on this information. he most likely has which of the following conditions?
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Adult respiratory distress syndrome (ARDS)
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Asthma
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Chronic obstructive bronchitis
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Emphysema
Correct Answer
A. Chronic obstructive bronchitisExplanation
Because of his extensive smoking history and symptoms. the client most likely has chronic obstructive bronchitis. Clients with ARDS have acute symptoms of and typically need large amounts of oxygen. Clients with asthma and emphysema tend not to have a chronic cough or peripheral edema.Rate this question:
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- 7.
A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold. From his history. the client may have which of the following?
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Acute asthma
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Bronchial pneumonia
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Chronic obstructive pulmonary disease (COPD)
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Emphysema
Correct Answer
A. Acute asthmaExplanation
Based on the client’s history and symptoms. acute asthma is the most likely diagnosis. He’s unlikely to have bronchial pneumonia without a productive cough and fever and he’s too young to have developed COPD or emphysema.Rate this question:
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- 8.
An elderly client with pneumonia may appear with which of the following symptoms first?
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Altered mental status and dehydration
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Fever and chills
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Hemoptysis and dyspnea
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Pleuritic chest pain and cough
Correct Answer
A. Altered mental status and dehydrationExplanation
Fever. chills. hemoptysis. dyspnea. cough. and pleuritic chest pain are the common symptoms of pneumonia. but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response.Rate this question:
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- 9.
The term “blue bloater” refers to which of the following conditions?
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Adult respiratory distress syndrome (ARDS)
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Asthma
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Chronic obstructive bronchitis
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Emphysema
Correct Answer
A. Chronic obstructive bronchitisExplanation
Clients with chronic obstructive bronchitis appear bloated; they have large barrel chests and peripheral edema. cyanotic nail beds and. at times. circumoral cyanosis. Clients with ARDS are acutely short of breath and frequently need intubation for mechanical ventilation and large amounts of oxygen. Clients with asthma don’t exhibit characteristics of chronic disease. and clients with emphysema appear pink and cachectic (a state of ill health. malnutrition. and wasting).Rate this question:
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- 10.
Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection?
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Emotional
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Extrinsic
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Intrinsic
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Mediated
Correct Answer
A. IntrinsicExplanation
Intrinsic asthma doesn’t have an easily identifiable allergen and can be triggered by the common cold. Asthma caused be emotional reasons is considered to be in the extrinsic category. Extrinsic asthma is caused by dust. molds. and pets; easily identifiable allergens. Mediated asthma doesn’t exist.Rate this question:
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Current Version
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Aug 21, 2023Quiz Edited by
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Sep 25, 2017Quiz Created by
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