Respiratory System | Asthma & COPD NCLEX Quiz 28

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Quizzes Created: 468 | Total Attempts: 2,477,083

Questions: 10 | Attempts: 4,547 | Updated: Aug 21, 2023

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Respiratory System | Asthma & COPD NCLEX Quiz 28 - Quiz

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.

An elderly client with pneumonia may appear with which of the following symptoms first?
- A.
  
  Altered mental status and dehydration
- B.
  
  Fever and chills
- C.
  
  Hemoptysis and dyspnea
- D.
  
  Pleuritic chest pain and cough
Correct Answer
A. Altered mental status and dehydration

Explanation
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.

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2.

Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows pneumonia to develop?
- A.
  
  Atelectasis
- B.
  
  Bronchiectasis
- C.
  
  Effusion
- D.
  
  Inflammation
Correct Answer
D. Inflammation

Explanation
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.

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3.

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?
- A.
  
  Acute asthma
- B.
  
  Bronchial pneumonia
- C.
  
  Chronic obstructive pulmonary disease (COPD)
- D.
  
  Emphysema
Correct Answer
A. Acute asthma

Explanation
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.

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4.

Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder?
- A.
  
  Circumoral cyanosis
- B.
  
  Increased forced expiratory volume
- C.
  
  Inspiratory and expiratory wheezing
- D.
  
  Normal breath sounds
Correct Answer
C. Inspiratory and expiratory wheezing

Explanation
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.

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5.

Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection?
- A.
  
  Emotional
- B.
  
  Extrinsic
- C.
  
  Intrinsic
- D.
  
  Mediated
Correct Answer
C. Intrinsic

Explanation
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.

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6.

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?
- A.
  
  Beta-adrenergic blockers
- B.
  
  Bronchodilators
- C.
  
  Inhaled steroids
- D.
  
  Oral steroids
Correct Answer
B. Bronchodilators

Explanation
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.

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7.

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?
- A.
  
  Take a full medication history
- B.
  
  Give a bronchodilator by nebulizer
- C.
  
  Apply a cardiac monitor to the client
- D.
  
  Provide emotional support to the client.
Correct Answer
B. Give a bronchodilator by nebulizer

Explanation
The client is having an acute asthma attack and needs to increase oxygen delivery to the lung and body. Nebulized bronchodilators open airways and increase the amount of oxygen delivered. First. resolve the acute phase of the attack ad how to prevent attacks in the future. It may not be necessary to place the client on a cardiac monitor because he’s only 19-years-old. unless he has a past medical history of cardiac problems.

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8.

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?
- A.
  
  Adult respiratory distress syndrome (ARDS)
- B.
  
  Asthma
- C.
  
  Chronic obstructive bronchitis
- D.
  
  Emphysema
Correct Answer
C. Chronic obstructive bronchitis

Explanation
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.

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9.

The term “blue bloater” refers to which of the following conditions?
- A.
  
  Adult respiratory distress syndrome (ARDS)
- B.
  
  Asthma
- C.
  
  Chronic obstructive bronchitis
- D.
  
  Emphysema
Correct Answer
C. Chronic obstructive bronchitis

Explanation
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).

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10.

The term “pink puffer” refers to the client with which of the following conditions?
- A.
  
  ARDS
- B.
  
  Asthma
- C.
  
  Chronic obstructive bronchitis
- D.
  
  Emphysema
Correct Answer
D. Emphysema

Explanation
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.

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Current Version
Aug 21, 2023

Quiz Edited by
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Sep 25, 2017

Quiz Created by
Santepro

Respiratory System | Asthma & COPD NCLEX Quiz 28

An elderly client with pneumonia may appear with which of the following symptoms first?

Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows pneumonia to develop?

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?

Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder?

Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection?

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?

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?

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?

The term “blue bloater” refers to which of the following conditions?

The term “pink puffer” refers to the client with which of the following conditions?