Respiratory Disorders (Part 2)

101 Questions | Total Attempts: 501

SettingsSettingsSettings
Respiratory Disorders (Part 2) - Quiz

As a medical practitioner, proper diagnosis of a respiratory disorder will lead to giving the correct care and medication to a patient. Are you studying to be or practicing as a medical practitioner? Take the quiz below and see how conversant you are with issues regarding the respiratory disorders. Good luck!


Questions and Answers
  • 1. 
    A client with chronic sinusitis comes to the outpatient department complaining of headache, malaise, and a nonproductive cough. When examining the client's paranasal sinuses, the nurse detects tenderness. To evaluate this finding further, the nurse should transilluminate the:
    • A. 

      Frontal sinuses only.

    • B. 

      Sphenoidal sinuses only.

    • C. 

      Frontal and maxillary sinuses.

    • D. 

      Sphenoidal and ethmoidal sinuses.

  • 2. 
    For a client with impaired gas exchange, which position is best?
    • A. 

      Lateral decubitus

    • B. 

      High Fowler's

    • C. 

      Supine

    • D. 

      Semi-Fowler's

  • 3. 
    A client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination. When percussing the client's chest wall, the nurse expects to elicit:
    • A. 

      Resonant sounds.

    • B. 

      Hyperresonant sounds.

    • C. 

      Dull sounds.

    • D. 

      Flat sounds.

  • 4. 
    A client with chronic obstructive pulmonary disease(COPD) is recovering from a myocardial infarction. Because the client is extremely weak and can't produce an effective cough, the nurse should monitor closely for:
    • A. 

      Pleural effusion.

    • B. 

      Pulmonary edema.

    • C. 

      Atelectasis.

    • D. 

      Oxygen toxicity.

  • 5. 
    A client with a pulmonary embolus has the following arterial blood gas (ABG) values: pH, 7.49; partial pressure of arterial oxygen (PaO2), 60 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 30 mm Hg; bicarbonate (HCO3–) 25 mEq/L. What should the nurse do first?
    • A. 

      Instruct the client to breathe into a paper bag.

    • B. 

      Administer oxygen by nasal cannula as ordered.

    • C. 

      Auscultate breath sounds bilaterally every 4 hours.

    • D. 

      Encourage the client to deep-breathe and cough every 2 hours.

  • 6. 
    A client is chronically short of breath and yet has normal lung ventilation, clear lungs, and an arterial oxygen saturation SaO2of 96% or better. The client most likely has:
    • A. 

      Poor peripheral perfusion.

    • B. 

      A possible hematologic problem.

    • C. 

      A psychosomatic disorder.

    • D. 

      Left-sided heart failure.

  • 7. 
    The nursing staff is divided over withdrawing care from a competent, chronically ill client. The nurse manager should take which step to meet the needs of her staff?
    • A. 

      Contact the institutional ethics committee.

    • B. 

      Arrange a meeting with the client's family.

    • C. 

      Ask the physician to meet with the staff.

    • D. 

      Reinforce to the staff that the decision is the client's to make.

  • 8. 
    A client undergoes a tracheostomyafter many failed attempts at weaning him from a mechanical ventilator. Two days after tracheostomy, while the client is being weaned, the nurse detects a mild air leak in the tracheostomy tube cuff. What should the nurse do first?
    • A. 

      Call the physician.

    • B. 

      Remove the malfunctioning cuff.

    • C. 

      Add more air to the cuff.

    • D. 

      Suction the client, withdraw residual air from the cuff, and reinflate it.

  • 9. 
    A client with asthmais receiving a theophylline (Uniphyl) preparation to promote bronchodilation. Because of the risk of drug toxicity, the nurse must monitor the client's serum theophylline level closely. The nurse knows that the therapeutic theophylline concentration falls within which range?
    • A. 

      2 to 5 mcg/ml

    • B. 

      5 to 10 mcg/ml

    • C. 

      10 to 20 mcg/ml

    • D. 

      21 to 25 mcg/ml

  • 10. 
    A physician orders a palliative care consult for a client with end-stage chronic obstructive pulmonary diseasewho wishes no further medical intervention. Which step should the nurse anticipate based on her knowledge of palliative care?
    • A. 

      Decreasing administration of pain medications

    • B. 

      Reducing oxygen requirements

    • C. 

      Increasing the need for antianxiety agents

    • D. 

      Decreasing the use of bronchodilators

  • 11. 
    A physician orders prednisone (Deltasone) to control inflammation in a client with interstitial lung disease. During client teaching, the nurse stresses the importance of taking prednisone exactly as ordered and cautions against discontinuing the drug abruptly. A client who discontinues prednisone abruptly may experience:
    • A. 

      Hyperglycemia and glycosuria.

    • B. 

      Acute adrenocortical insufficiency.

    • C. 

      GI bleeding.

    • D. 

      Restlessness and seizures.

  • 12. 
    A client with severe acute respiratory syndromeprivately informs a nurse that he doesn't want to be placed on a ventilator if his condition worsens. The client's wife and children have repeatedly expressed their desire that every measure be taken for the client. The most appropriate action by the nurse would be to:
    • A. 

      Inform the family of the client's wishes.

    • B. 

      Assure the family that all possible measures will be taken.

    • C. 

      Support the client's decision.

    • D. 

      Assure the client that all possible measures will be taken.

  • 13. 
    A client admitted to the facility for treatment for tuberculosisreceives instructions about the disease. Which statement made by the client indicates the need for further instruction?
    • A. 

      "I'll have to take the medication for up to a year."

    • B. 

      "This disease may come back later if I am under stress."

    • C. 

      "I'll stay in isolation for 6 weeks."

    • D. 

      "I'll always have a positive test for tuberculosis."

  • 14. 
    A nurse is caring for a client who has a history of sleep apnea. The client understands the disease process when he says:
    • A. 

      "I need to keep my inhaler at the bedside."

    • B. 

      "I should eat a high-protein diet."

    • C. 

      "I should become involved in a weight loss program."

    • D. 

      "I should sleep on my side all night long."

  • 15. 
    A client is experiencing dryness in the nares while receiving oxygen via nasal cannulaat 4 L/minute. Which medication should the nurse apply to help alleviate the dryness?
    • A. 

      Petroleum jelly

    • B. 

      Sterile water

    • C. 

      Lubricant jelly

    • D. 

      Antibiotic ointment

  • 16. 
    A client with chronic obstructive pulmonary disease(COPD) and cor pulmonale is being prepared for discharge. The nurse should provide which instruction?
    • A. 

      "Limit yourself to smoking only 2 cigarettes per day."

    • B. 

      "Eat a high-sodium diet."

    • C. 

      "Weigh yourself daily and report a gain of 2 lb in 1 day."

    • D. 

      "Maintain bed rest."

  • 17. 
    A client is being evaluated for possible lung cancer. Which client statement most likely indicates lung cancer?
    • A. 

      "My cough has changed from a dry cough to one with lots of sputum production."

    • B. 

      "I've had a low-grade fever for 2 weeks."

    • C. 

      "My voice is hoarser than it used to be."

    • D. 

      "I've lost 10 pounds in the last month."

  • 18. 
    A client is undergoing a complete physical examination as a requirement for college. When checking the client's respiratory status, the nurse observes respiratory excursion to help assess:
    • A. 

      Lung vibrations.

    • B. 

      Vocal sounds.

    • C. 

      Breath sounds.

    • D. 

      Chest movements.

  • 19. 
    Before weaning a client from a ventilator, which assessment parameter is the most important for the nurse to obtain?
    • A. 

      Fluid intake for the past 24 hours

    • B. 

      Baseline arterial blood gas (ABG) levels

    • C. 

      Prior outcomes of weaning

    • D. 

      Electrocardiogram (ECG) results

  • 20. 
    A home health nurse sees a client with end-stage chronic obstructive pulmonary disease. An outcome identified for this client is preventinginfection. Which finding indicates that this outcome has been met?
    • A. 

      Decreased oxygen requirements

    • B. 

      Increased sputum production

    • C. 

      Decreased activity tolerance

    • D. 

      Normothermia

  • 21. 
    A client with lung cancer has developed an intractable, nonproductive cough that is unrelieved by nonopioid antitussive agents. The physician orders codeine, 10 mg P.O. every 4 hours. Which statement accurately describes codeine?
    • A. 

      It's a centrally acting antitussive and doesn't cause dependence.

    • B. 

      It's a peripherally acting antitussive and doesn't cause dependence.

    • C. 

      It's a centrally acting antitussive and can cause dependence.

    • D. 

      It's a peripherally acting antitussive and can cause dependence.

  • 22. 
    Which client's care may a registered nurse (RN) safely delegate to the nursing assistant?
    • A. 

      The client who requires continuous pulse oximetry monitoring

    • B. 

      The client who requires assistance with eating

    • C. 

      The client who requires intermittent nasotracheal suctioning

    • D. 

      The client receiving patient-controlled analgesia

  • 23. 
    A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?
    • A. 

      Nausea or vomiting

    • B. 

      Abdominal pain or diarrhea

    • C. 

      Hallucinations or tinnitus

    • D. 

      Light-headedness or paresthesia

  • 24. 
    A client with Guillain-Barré syndromedevelopsrespiratory acidosisas a result of reduced alveolar ventilation. Which combination of arterial blood gas (ABG) values confirms respiratory acidosis?
    • A. 

      PH, 7.5; PaCO230 mm Hg

    • B. 

      PH, 7.40; PaCO235 mm Hg

    • C. 

      PH, 7.35; PaCO240 mm Hg

    • D. 

      PH, 7.25; PaCO250 mm Hg

  • 25. 
    A physician orders metaproterenol (Alupent) by metered-dose inhalation four times daily for a client with acute bronchitis. Which statement by the client indicates effective teaching about this medication?
    • A. 

      "I can stop using this drug when I begin to feel better."

    • B. 

      "I should use this inhaler whenever I get short of breath."

    • C. 

      "I need to hold my breath as long as possible after I take a deep inhalation."

    • D. 

      "I need to call the physician right away if I feel my heart beating fast after using the drug."

Back to Top Back to top
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.