Respiratory Exam Questions
Quiz by Brittany
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31 questions
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- Q1When caring for a patient with a lung abscess, what is the nurse’s priority interventions?Patient teaching regarding home careAntibiotic administrationPostural drainageObtaining a sputum specimen120s
- Q2Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?. Notify the health care provider immediately about any bloody or foul-smelling sputum.Teach the patient to avoid the use of over-the-counter expectorants.Assist the patient with chest physiotherapy and postural drainage.Teach about the need for prolonged antibiotic therapy after discharge from the hospital120s
- Q3Which information about prevention of lung disease should the nurse include for a patient with a 42 pack-year history of cigarette smoking?Computed tomography (CT) screening for cancer. Erlotinib (Tarceva) therapy to prevent tumor riskReasons for annual sputum cytology testingResources for support in smoking cessation120s
- Q4A patient who was admitted the previous day with pneumonia complains of a sharp pain of 7 (on 0 to 10 scale) “whenever I take a deep breath.” Which action will the nurse take next?Administer the PRN morphine.Notify the patient’s health care provider.Auscultate for breath sounds.Have the patient cough forcefully.120s
- Q5A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?Chest x-ray via stretcherBlood cultures from two sitesCiprofloxacin (Cipro) 400 mg IVAcetaminophen (Tylenol) rectal suppository120s
- Q6A patient with pneumonia has a fever of 101.4° F (38.6° C), a nonproductive cough, and an O2 saturation of 88%. The patient complains of weakness, fatigue, and needs assistance to get out of bed. Which nursing diagnosis should the nurse assign as the priority?Ineffective airway clearance related to thick secretionsHyperthermia related to infectious illnessImpaired transfer ability related to weaknessImpaired gas exchange related to respiratory congestion120s
- Q7A lobectomy is scheduled for a patient with stage I non–small cell lung cancer. The patient tells the nurse, “I would rather have chemotherapy than surgery.” Which response by the nurse is most appropriate?Tell me what you know about the treatments available.”Surgery is the treatment of choice for stage I lung cancer.”Did you have bad experiences with previous surgeries?”Are you afraid that the surgery will be very painful?”120s
- Q8A patient with newly diagnosed lung cancer tells the nurse, “I don’t think I’m going to live to see my next birthday.” Which is the best initial response by the nurse?“Would you like to talk to the hospital chaplain about your feelings?”Are you ready to talk with your family members about dying now?”Can you tell me what it is that makes you think you will die so soon?”“Do you think that taking an antidepressant medication would be helpful?”120s
- Q9The nurse is taking the social history from a client diagnosed with small cell carcinoma of the lung. Which information is significant for this disease?The client has numerous tattoos covering both upper and lower arms.The client has no family history for this type of lung cancer.The client has smoked two (2) packs of cigarettes a day for 20 years.. The client worked with asbestos for a short time many years ago120s
- Q10What is an instruction the nurse can give to help people prevent lung cancer?Instruct people about techniques for smoking cessation.Encourage people to install central air filters.Encourage cigarette smokers to have yearly chest radiographs.Recommend that people have their houses and apartments checked for asbestos leakage.120s
- Q11A nurse is assessing a client following a gunshot wound to the chest. For which of the following findings should the nurse monitor to detect a pneumothorax? (Select all that apply) a. Tachypnea b. Deviation of the trachea c. Bradycardia d. Decrease use of accessory muscle e. pleuritic painA,BA,B,C,EA,B,EB,E120s
- Q12The nurse monitors a patient in the emergency department after chest tube placement for a hemopneumothorax. The nurse is most concerned if which assessment finding is observed?Complaint of pain with each deep inspirationA large air leak in the water-seal chamber400 mL of blood in the collection chamberSubcutaneous emphysema at the insertion site120s
- Q13When assessing a patient who has just arrived after an automobile accident, the emergency department nurse notes tachycardia and absent breath sounds over the right lung. For which intervention will the nurse prepare the patient?Stabilization of the chest wallEmergency pericardiocentesisChest tube connected to suctionBronchodilator administration120s
- Q14A patient is admitted to the emergency department with an open stab wound to the left chest. What action should the nurse take?Keep the head of the patient’s bed positioned flat.Position the patient so that the left chest is dependent.Cover the wound tightly with an occlusive dressing.Tape a nonporous dressing on three sides over the wound.120s
- Q15The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse should expect to note which finding?Slow, deep respirationsParadoxical respirationsRapid, deep respirationsPain, especially with inspiration120s