Description
1: A client with chronic bronchitis often shows signs of hypoxia. Which of the following is the
priority to monitor for this client?
A: Oxygen saturation levels
B: Barrel chest- in asthma patients
C: Nutritional status
D: Clubbing of fingers
2: Which of the following positions offer NO benefits to relieve dyspnea in a client with
chronic airflow limitation?
A: Sitting at the edge of the chair, leaning forward with arms folded and resting on table
B: A low semi-reclining position with shoulders back and knees apart
C: Leaning forward in a chair with feet spread apart and elbow placed on knees
D: Upright with head slightly flexed with feet spread apart and shoulder relaxed
3: The nurse knows which of the following tests is not used to identify potential tuberculosis
(TB)?
A: Sputum culture
B: Chest x-ray
C: Mantoux skin test
D: Saliva swab
4: The nurse has identified a nursing diagnosis of ineffective airway clearance with
bronchospasms for a client with pneumonia. What nursing interventions will help to correct
ineffective airway clearance for a client with pneumonia?
A: Increased liters of humidified oxygen per face mask
B: Scheduled and PRN aerosol nebulizer bronchodilator treatments
C: Handled bronchodilator inhaler as needed
D: Predosode via inhaler or IV to reduce the inflammation
5: The nurse is teaching a client about post-rhinoplasty care. Which statement by the client
indicates an understanding of the instructions?
A: I will have a very large dressing on my nose.
B: I may have a very dry mouth and throat
C: There will be swelling hay will cause a loss of sense of smell
D: My nose will be three times its normal size for three weeks
6: A 27-year-old male present to the emergency depart with difficulty breathing. His
respiration of rate is 36 breaths/min, and pulse oximetry reading is 85 on room air. He
appears – on assessment, his breaths sounds are diminished bilateral. Which of the following
is a nursing intervention priority?
A: Complete patient history’
B: Secure airways
C: Draw labs
D: Start IV
7: The nurse is teaching a client with COPD about energy conservation. What does the nurse
advise the patient to avoid?
A: Perform actives at relaxed pace the throughout the day with rest periods
B: Working on actives that require using the arms at the chest level or lower
C: Eating 3 large meals per day
D: Talking and performing activities separately
8: Which statement by the client indicates understanding about radiation therapy for neck
cancer?
A: I will need to wear sunscreen or protect my skin with clothing at all times
B: There a no side effects other than a hoarse voice
C: Radiation does not cause a dry mouth
D: My throat is not directly affected by radiation
9: Which interventions promote comfort in dyspnea management for patients with lung
cancer?
A: Administer morphine on a routine schedule baskis
B: Place the patient in supine position with a pillow under knee and legs
C: Encourage coughing and deep breathing and independent ambulation
D: Provide nitroglycerin as prescribed
10: A 47-year-old male client presented to the emergency room with complaints of nasal and
facial pain and bloody discharge. He states the symptoms started approximately 5 months
ago and have gotten progressively worse. He states that it feels like his nose is plugged up all
time. Based on these symptoms, which of the following diagnostic tests should the nurse
expect the provider to order?
A: CT scan of the face
B: Liver function test
C: Complete blood count
D: Tumor mapping
11: The client with cystic fibrosis (CF) is admitted to the medical surgical unit for elective
surgery. Which infection control measures are best for this patient?
A: It is best to put two clients with CF in the same room
B: Standard precaution, including hand washing are sufficient
C: The client is to be placed on contact isolation
D: Measures that limit close contact between two people with CF are needed
12: A nurse is caring for a client with end-stage emphysema. All of the following are expected
findings except.
A: Increased CO2
B: Decreased PO2
C: Decreased PH
D: Increased PH
13: The nurse is caring for a client who has recently been diagnosed with asthma and is
providing education on causes and triggers of asthma. Which of the following factors are
triggers of the disease process?
A: Dusts or air pollutants
B: Frequent sinus infection
C: Cigarette smoking
D: Animals dander
14: The nurse is helping a client learn about managing their asthma. What does the nurse
instruct the client to do?
A: Keep a symptom diary to identify what triggers the asthma attack
B: Make an appointment with an allergist for allergies
C: Take a low dose of aspirin every day for the anti-inflationary action
D: Drink large amount of the clear liquids to keep mucus thin and watery
15: A nurse is caring for a client who has been diagnosed with chronic obstructive pulmonary
disease. Which of the following would be a treatment protery for the client?
A: improve gas exchange
B: Increased activity level
C: Blood pressure control
D: Prevention of infection
16: The nurse is providing discharge instructions for a client diagnosed with pneumonia.
Which information is the nurse sure to include?
A: Complete antibiotics as prescribed, rest, drink fluids, and minimize contact with crowds
B: Take all antibiotics as ordered, renew diet and all activities as before hospitalization
C: No restrictions regarding activities, diet, and rest because the client is fully recovered when
discharge
D: Continue antibiotics only until no further signs of pneumonia ae present, avoid exposing
immunocompromised individuals
17: A nurse is caring for a client who recently underwent a laryngectomy for neck cancer.
Which of the following interprofessional nursing strategy…….(SELECT ALL THAT APPLY):
A: Alternative means of communication
B: Diet modification
C: Oral cares
D: Pain management
E: aerobic exercises
18: A patient with a recent diagnosis of sinus cancer stages that he wants another course of
antibiotics because he believes he has severe sinus infection……
A: I will call the physician to request an order for the antibiotic
B: Why are you doubting your doctor’s diagnostic
C: Let me bring you a brochure about sinus cancer
D: What education did the doctor provide to you about your condition
19: A patient presented to the emergency room with difficulty breathing. Upon examination,
the patient has pus behind the tonsils and ……? Which of the following is a treatment priority
for this patient?
A: Maintain a patient airway
B: Oxygen therapy
C: Analgesic
D: Antibiotics
20: A nurse is providing education to a client recently diagnosed with pulmonary
hypertension. What is the goal of the drug therapy for this client?
A: Dilated pulmonary vessels and prevent clot formation
B: Decrease pain and make the client comfortable
C: Improve or maintain gas exchange
D: Maintain and manage pulmonary exacerbation
21: A nurse is caring for a client with chronic obstructive pulmonary disease. The client asked
the nurse what the treatment options are. All of the following are utilized to treat the disease
except?
AL Chest physiotherapy
B: Corticosteroids
C: Noninvasive ventilation
D: Leukotriene modifier
22: The Nurse is caring for a 32-year-old female who presented to the emergency department
with complaints of shortness of breath, fatigue, and chest pain. The client is …….the hospital
after giving birth to a baby girl. Upon assessment, her repository rate is 32 breaths/min and
labored heart rate is 130breath/min, blood pressure is 140/50. An electrocardium was
performed. Cardiac catheterization relieved elevated pulmonary artery pressure. The Client
was diagnosed with pulmonary hypertension. Which of the following is causes of pumlay
hypertension?
A: Hypotension
B: Hypertension
C: Fenfluramine/phentermine
D: Pregnancy
23: The nurse knows that a high liter flow of oxygen is contraindicated with a client with
COPD related to which of the following?
A: The client depends on high CO2 levels to breathe
B: The client depends on hypoxic drive to breathe
C: Receiving too much oxygen per a short time can result in headache
D: Tolerance to the oxygen develops and higher dose needed later will be ineffective
24: The nurse teaches a client with asthma to monitor for which problem whale exercising?
A: Increased peak expiratory flow rates
B: Wheezing from bronchospasms
C: Slowing in feet and ankles
D: Respiratory muscles
25: A client arrives in the energy department with epistaxis. What is the nurse’s priority
intervention?
A: Position the client upright with head forward
B: Apply an ice pack to the nose
C: Monitor the color and amount of blood
D: Place nasal packing
26: Which statement is true regarding asthma and COPD as chronic diseases of the lower
respiratory system?
A: COPD causes episodes of respiratory distress with n permanent alveoli damage
B: In asthma, the lungs lose elasticity and become hyperinflated
C: Asthma manifests as acute episode of reversible airways distress
D: In COPD, a twitchy airway can cause airway obstruction
27: A client is experiencing a sudden asthma attack. Which assessment finds findings does the
nurse expect for this patient?
A: A slow, deep, pursed lip respirations
B: Breathlessness and difficulty completing sentences
C: Clubbing of the fingers
D: Bradycardia and irregular pulse
28: The nurse is assessing a client who reports being struck in the face and head several
times. During the assessment, the nurse observes prolonged drainage from the client’s nose.
Which nursing action provides relevant assessment data?
A: Have the ancient gently blow their nose and observe for bloody mucus
B: Test the drainage with a reagent to check the ph]
C: Ask the client to describe the appearance of the face before injury
D: Place a drop of the drainage on filter paper and look for a yellow ring
29: What should the nurse instruct the client to do when using an incentive spirometer
device?
A: Inhale deeply and exhale forcefully through the device
B: Put lips on devise and slowly inhale as long as possible
C: use pursed lip breathing before and after usage
D: Exhale slowly through the nose and the inhale by sniffing
30: The nurse plans for all of the following nursing care interventions that should be included
for a client who is diagnosed with nasal fracture except?
A: Prepare the patient for surgery
B: Pack nasal cavity
C: Provide emotional support
D: Manage pain
31: A 32-year-old male presented to the emergency department status post-motor vehicle
accident. He was the unrestrained driver who hit a ….. He has lacerations on his face and
blood coming from his nose. Based on the events and assessment findings, which of the
following disorders is the client exhibiting?
A: Head cancer
B: Sinus cancer
C: Nasal fracture
D: Epistaxis
32: You are caring for a client who was recently diagnosed with cystic fibrosis. Which of the
following is a treatment option for the disorder?
A: Tracheostomy
B: Weight reduction
C: Neplasizer treatment ( chest physiotherapy)
D: Pain management
33: A nurse is caring for a client with cystitis fibrosis. Which of the following are common
assessment findings for a client with this disorder? (SELECT ALL THAT APPLY)
A: Headache
B: Foul smelling, pale stool with high fat content
C: Hyperglycemia
D: Weight gain
34: In playing care for a client with COPD with chronic difficulty in breathing, the nurse
acknowledges what condition is present in the client?
A: Decreased levels of calories and protein since dyspnea causes activity intolerance
B: COPD has no effect of calories and protein needs, meal tolerance, appetite and weight
C: Increased metabolism and the need for additional calories and protein supplements
D: Anabolic state, which creates conditions for building body straight and muscle emass
35: You are providing discharge education to a client with chronic obervesticve pulmonary
disease. Which of the following should not be …….
A: Prevention of respiratory infections
B: Energy conservation
C: Weight loss
D: Yearly
36: The client with chronic asthma asks the nurse what it means that my doctor said I have a
barrel chest. What is the best repose by the nurse?
A: Your chest has become barrel shaped because you breathe hard and your muscles have
increased the ……
B: When a person has chronic asthma, air gets trapped in the lungs and disgradually changes
the front to back shape of your chest
C: It’s nothing to worry about. It just means you have COPD, your chest looks like a barrel
D: I will ask the doctor to come back and explain it to you. It is scary when strange terms are
used
37: ?
38: A nurse is caring for a 56-year-old male client recently diagnosed with neck cancer. All of
the following assessments findings are consistent with the diagnosis except
A: Hoarseness
B: Sore throat
C: Ear pain
D: pedal pulse diminishes
39: For a client admitted with asthma, which assessment findings are most likely to indicate
that the client’s condition is deteriorating toward respiratory failure?
A: Rales, rhonchi, and productive cough with yellow sputum
B: Technophobia with thick sputum and hemoptysis
C: In audible breath suns, wheezing, and use of accessory muscles
D: Respiratory alkalosis and slow, shallow respirations
40: A patient with suspected tuberculosis (TB), is admitted to the hospital. A long with a
private room, which intervention is approximately related to …..
A: Contact isolation
B: Airborne isolation
C: Enteric isolation
D: No isolation necessary until diagnosis is confirmed
41: Which of the following should be included in the education for a client who has been
diagnosed with obstructive sleep apnea (SELECT ALL THAT APPLY)?
A: Avoid the use of sleep aids and sedative agents
B: Proper use of controlled positive airways pressure (CPAP) devise
C: Weight reduction
D: Reduce or eliminate alcohol consumption
E: Sleeping supine is ideal
42: Anxiety common among clients who are diagnosed with chronic obstructive pulmonary
disease. Which of the following interventions can assist in reducing the client’s anxiety?
(SELECT ALL THAT APPLY)
A: Increasing meals seizes
B: Professional counseling
C: Relaxation techniques
D: Increased activity
E: Written plan for dealing with anxiety
43: You are caring for a 60-year old female client who presented to the emergency rooms
status-post-motor vehicle accident. She was an unrestrained passenger and hit the….
She has multiple lacerations. Which of the following is property nursing intervention for this
client?
A: maintain a patent airway
B: Pain management
C: Prepare the patient for testing
D: Draw labs
44: A client presents with signs and symptoms that are often associated with lung cancer.
Which clinical manifestations does the nurse expect to find in this client?
A: Hemoptysis, hoarseness, cough, and shortness of breath
B: Abdominal distension, steatorrhea, and dyspnea
C: Wheezing, clubbing of the nails, cyanosis, and dyspnea
D: Fever, fatigue, dyspnea, and peripheral edema
45: Which of the following are common problems associated with cryptic fibrosis in adults?
A: Obesity
B: Impaired glucose control
C: Hypertension
D: Asthma
46: A nurse is performing medication teaching for a client with chronic airflow limitation.
What is the correct sequence for administering inhaled medications?
A: Bronchodilators should be taken 5 to 10 minutes after the steroid
B: Bronchodilators should be taken at least 5 minutes before other inhaled drugs
C: Bronchodilators should be taken immediately after the steroid
D: Bronchodilators and steroid are two different classes of drugs, so sequence is irrelevant
47: The nurse knows that which of the following medications are used to treat a client
experiencing an asthma attack? (SELECT ALL THAT APPLY)?
A: Antibiotics
B: Beta blockers
C: Bronchodilators
D: Long acting beta agonist
E: Steroids
48: The nurse knows which of the following is the purpose of fluticasone inhaler for a clients
with asthma?
A: release smooth muscles of the airway
B: Acts as a Bronchodilators in sever episodes
C: Reduces obstruction of airways by decreasing inflammation
D: Reduces the histamine effect of triggering agent
49: A client has a positive skin test result for TB. What explanation does the nurse give to the
client?
A: There’s active disease but you are not infectious to others
B: There is active disease, and you need immediate treatment
C: You have had contact with the bacteria in the past, either thought infection or vaccinations
D: A repeat skin test is necessary because the test could give a false positive continuous positive
result
50: Which of the following is a major diagnosis test for cystic fibrosis?
A: Sweat chloride test
B: Arterial blood gas
C: Chest x ray
D: CT scan of chest
Additions
51 Which of the following statements indicates a client’s understanding of managing
their obstructive sleep apnea?
a. “I should wait to take my sleep aid until I am ready for bedâ€Â
b. “I will stop using my continuous positive airway pressure machine if it takes me too
much noiseâ€Â
c. “It is possible that my sleep apnea warm not be corrected if I exercise and watch my
dietâ€Â
d. “Using Mondafinil (Provigil) can cure my obstructive sleep apneaâ€Â
52 A client has been taking isoniazid (NH) for tuberculosis for 3 weeks. What
information gathered by the public health nurse need to be reported to the
healthcare provider immediately?
a. Client has been taking isoniazid daily as prescribed
b. Client was recently started on Chantix to quit smoking
c. Client is drinking 4-6 alcoholic beverage per day
d. Client smokes 1.5 packs of cigarettes per day
53 An 84-year-old client is diagnosed with rhinosinusitis. The nurse question which
medication that she sees on the client’s PRN medication list?
a. Analgesic
b. Antipyretic
c. Antihistamine
d. Nasal spray
54 Which of the following positions offers no benefits to relieve dyspnea in a client with
chronic airflow limitation?
a. Upright with head slightly flexed, with feet spread apart and shoulders relaxed
b. A low semi reclining position with the shoulders back and knees apart
c. Leaning forward in a chair with feet spread apart and elbows placed on knees
d. Sitting at the edge of the chair, leaning forward with arms folded and resting on a
table.
PART 2
Quest
#1
A
B
C
D
Which of the following nursing care interventions should not be included for a client
who is diagnosed with a nasal fracture (Select One)
Prepare the patient for surgery
Manage pain
Oxygen delivered vias nasal cannula
Provide emotional support
Quest
#2
A
B
Which of the following assessment findings are expected for a client with asthma? (Select
all that apply)
Dyspnea
Wheezing
C
D
Warm pink skin
Decreased respiratory rate
Quest Logan, a 27-year-old male presents to the emergency department with difficulty
#3
breathing. His respiratory rate is 36 per minute and pulse oximeter in 85% on room air.
He appears anxious. Upon assessment, his breathing diminished bilaterally. Which of the
following is a nursing intervention priority? (Select One)
A
Secure the airway
B
Draw labs
C
Start an IV
D
Complete client history
Quest Status asthmaticus is a severe life-threatening condition that requires prompt
#5
intervention.
A
True
B
False
Quest A nursing priority for a patient with Epistaxis is to control the bleeding.
#6
A
True
B
False
Quest
#7
A
B
C
D
A nurse is caring for a client with end-stage emphysema. All of the following arterial
blood gas results are consistent with this disorder, except? (Select one)
pH 7.32
PaCO2 48
PaO2 72
PaCO2 30
Quest
#8
A
B
C
D
A client has a positive skin test result for TB. What explanation does the nurse give to the
client? (Select One)
“You have been exposed or infected, but this does not mean active disease is present.â€Â
“ There is active disease, and you need immediate treatment.â€Â
“There is active disease, but you are not infectious to others.â€Â
“A repeat skin test is necessary because the test could give a false-positive result.â€Â
Quest Anxiety is a common amongst clients are diagnosed with chronic obstructive pulmonary
#9
disease. All of the following interventions can assist in reducing the client’s anxiety,
except? (Select One)
A
Relaxation techniques
B
Written plan for dealing with anxiety
C
Increase activity
D
Professional counseling
Quest You are caring for a client who recently underwent a tracheostomy. Which of the
# 10 following is a nursing intervention priority for post-operative care? (Select One)
A
Pain management
B
C
D
Oxygen administration
Turn and reposition
Maintain client airway
Quest
# 11
A
B
C
D
A nurse is caring for a client recently diagnosed with a lung cancer. Which of the
following are treatment options for this client? (Select all that apply)
Pneumonectomy
Chemotherapy
Thoracotomy
Radiation
Quest Emphysema is classified as panlobular, centrilobular, and paraseptal.
# 12
A
True
B
False
Quest Jim is a 47-year-old man who presented to the doctor’s office with complaints os nasal
# 13 and facial pain and bloody discharge. He states approximately three months ago have
gotten progressively worse. He states that it feels like nose is blocked up all the time.
Based on these symptoms, Which of the following diagnostic test would be ordered?
(Select One)
A
Tumor mapping
B
X-Ray of the face
C
Liver function test
D
Complete blood count
Quest
# 14
A
B
C
D
Which of the following is the treatment option for a client with facial fractures? (Select
One)
Suture lacerations
Internal fixation
Pain Management
Blood transfusion
Quest
# 16
A
B
C
D
A nurse is caring for a client diagnosed with pneumonia. All of the following are
anticipated interventions, except? (Select One)
Pain management
Oxygen therapy
Coughing and deep breathing
Antibiotics
Quest You are caring for a 60-year-old female client who presented to the emergency room
# 17 status post motor vehicle accident. She was an unstrained passenger and his the
windshield. She has multiple facial lacerations. Which of the following is a priority
nursing intervention for this client? (Select One)
A
Prepare the patient for testing
B
Draw labs
C
Pain management
D
Assess respiratory rate
Quest Nasal and sinus cancer are caused by smoking
# 18
A
True
B
False
Quest
# 19
A
B
C
D
A nurse caring for a 56-year-old male client recently diagnosed with neck cancer. Which
of the following assessment findings is not consistent with this diagnosis? (Select One)
Dry cough
Sore throat
Hoarseness
Ear pain
Quest A 68-year-old male presents to the emergency department with fatigue. His respiratory
# 20 rate is 36 per minute and labored, and pulse oximeter is 88% on room air. The patient
has a history of hypertension, diabetes, and smoking. Based on his current condition.
Which of the following tests would you not anticipate the physician will order? (Select
one)
A
Chest x-ray
B
Electrocardiogram
C
Arterial blood gas
D
Sputum culture
Quest
# 21
A
B
C
D
Which of the following should not be included in the education for a client who has been
diagnosed with obstructive sleep acne? (Select One)
“You may require surgical intervention.â€Â
Use sleep aids
Weight reduction
Use of CPAP machine
Quest
# 22
A
B
C
D
Which of the following are treatment options for a client who is diagnosed with a nasal
fracture? (Select One)
Tracheotomy
Silver nitrate
Nasal packing
Rhinoplasty
Quest
# 23
A
B
C
D
A nurse is caring for a client who recently underwent a lung transplant due to cystic
fibrosis. Which of the following
Transplant rejection
Infection
Inability to void
Bleeding
Quest A nurse is caring for a client recently diagnosed with emphysema. Which of the following
# 24 nursing interventions would be best?
A
Psychosocial assessment to address needs
B
C
D
Pain management
Nutritional assessment
Administer medications as prescribed
Quest
# 25
A
B
C
D
A nurse is caring for a client with cystic fibrosis. All of the following are common
assessment findings for a client with this disorder except (Select all that apply)
Foul-smelling, pale stool with high-fat content
Distended abdomen
Cubbing fingers and toes
Weight gain
Quest Mara, a 57-year-old homeless female, presented to the emergency department with fever
# 26 nausea, vomiting, weight loss, and fatigue. She states she has not felt well for th…
respiratory rate 24 per minute heart rate 115 BMP and blood pressure 132/85 mm Hg.
The physician orders an arterial blood gas chest x-ray and complete blood count. The
following tests will confirm the diagnosis of tuberculosis? (Select One)
A
CT of chest
B
Blood culture
C
Sputum culture
D
Mantoux
Quest The nurse is assessing a client who reports being struck in the face and head several
# 27 times. During this assessment, the nurse observes pink-tinged drainage from the client’s
nares. What nursing.. data? (Select One)
A
Test the drainage with a regent to check the pH
B
Place a drop of drainage on filter paper and look for a yellow ring
C
Ask the client to describe the appearance of the face before the injury
D
Have the client gently blow their nose and observe for bloody mucus
Quest
# 28
A
B
C
D
A nurse is caring for a client with asthma. Which of the following interventions is
incorrect and should not be included in education? (Select One)
Keep track of triggers and allergens
Avoid exercise
Proper sequence for meter dose inhaler use
Carry your inhaler with you at all times
Quest
# 29
A
B
C
D
Which of the following tests is gold standard for diagnosis of cystic fibrosis? (Select One)
Chest x-ray
CT scan of the chest
Arterial blood gas
Sweat chloride test pg. 582.
Quest
# 30
A
B
C
D
A client is experiencing status asthmaticus. Which assessment findings does the nurse
expect for this patient? (Select One)
Clubbing of the fingers and cyanosis of nail beds
Bradycardia and irregular pulse
Slow, deep,pursed-lip respirations
Increases respiratory rate and expiratory wheezes
Quest Cystic Fibrosis is a genetic disorder with no cure
# 31
A
True
B
False
Quest Tamar was recently diagnosed with asthma. You are providing education on causes and
# 32 triggers of asthma. Which of the following should be included in the education? (Select
all that apply)
A
Dust
B
Diet
C
Smoking
D
Obesity
Quest A patient presented to the emergency room with difficulty breathing. Upon examination,
# 33 the patient has pus behind the tonsils and swelling on the right side of her neck. She is
diagnosed with a pe… is a treatment priority for this patient? (Select One)
A
Maintain a client airway
B
Antibiotics
C
Analgesic
D
Oxygen therapy
Quest The nurse is providing discharge instructions for a client with pneumonia. Which
# 34 information is the nurse sure to include? (Select One)
A
Continue antibiotics only until no further signs of pneumonia are present; avoid exposing
immunosuppressed individuals.
B
No restrictions regarding activities, diet and rest because the client is fully recovered
when discharged
C
Complete antibiotics as prescribed rest drink fluids and minimize contact with crowds
D
Take all antibiotics as ordered, resume diet and all activities as before hospitalization
Quest
# 35
A
B
C
D
The nurse knows which of the following is the purpose of a fluticasone inhaler for a client
with asthma? (Select One)
Reduces obstruction of airways by decreasing inflammation
Acts as a bronchodilator in severe episodes
Relaxes smooth muscles of the airway
Reduces the histamine effect of the triggering agent
Quest Which of the following is not a possible treatment options for a client diagnosed with
# 36 neck cancer? (Select One)
A
B
C
D
Capillary cauterization
Laryngectomy
Biotherapy
Chemotherapy
Quest Sue is a 32-year-old female who presented to the emergency department with
# 37 complaints of shortness of breath, fatigue, and chest pain. Sue was recently discharged
from the hospital after giving birth. Her respiratory rate is 32 per min and labored, Heart
rate is 130 BPM, and blood pressure is 140/90 mm Hg. A 12-lead electrocardiogram was
performed. Sue was taken for cardiac catheterization… Artery pressures. Sue was
diagnosed with pulmonary hypertension. Which of the following are causes of pulmonary
hypertension? (Select One)
A
Oral contraception use
B
Hypertension
C
Alcohol abuse
D
Fenfluramine/phentermine (POndimin or “Fen-Phen) or dastinib (Sprycel)
Quest
# 38
A
B
C
D
The nurse is caring for a client who was recently diagnosed with asthma. Which of the
following interventions will be included in the care of this client? (Select all that apply)
Instruct the patient on pursed lipped breathing
Monitor arterial blood gas
Keep head of bed flat
Monitor vital signs
Quest
# 39
A
B
C
D
Which of the following is a common problem associated with cystic fibrosis in adults?
(Select all that apply)
Asthma
Hypertension
Obesity
Diabetes
Quest A nurse is caring for a client who has been diagnosed with chronic obstructive
# 40 pulmonary disease. Which of the following would be a treatment priority for this client?
(Select One)
A
Blood pressure control
B
Increase activity level
C
Improve gas exchange
D
Prevenion of infection
Quest
# 41
A
B
C
D
All of the following are nursing car interventions for a client with chronic obstructive
pulmonary disease, except? (Select One)
Suctioning
Oxygen therapy
Breathing exercises
Low-calorie diet
Quest
# 42
A
B
C
D
A nurse is providing education to a client recently diagnosed with pulmonary
hypertension. What is the goal of drug therapy for this client? (Select One)
Dilate pulmonary vessels and prevent clot formation
Decrease pain and make the client comfortable
Improve or maintain gas exchange
Maintain and manage pulmonary exacerbation
Quest
# 43
A
B
Bronchitis is an inflammation of the bronchi and bronchioles caused b exposure to
irritants especially cigarette smoke
True
False
Quest A nurse is caring for a client who recently underwent a laryngectomy for neck cancer.
# 44 Which of the following multidimensional nursing strategies would be appropriate for the
care of this client before surgery?
A
Alternative means of communication
B
Stress reduction and education
C
Pain management
D
Tracheotomy suction
Quest Which of the following tests is utilized to diagnose pulmonary fibrosis? (Select One)
# 45
A
Complete blood count
B
C
D
Chest x-ray
Sweat chloride test
High-resolution computed tomography
Quest
# 46
A
B
C
D
Which of the following is a treatment option for tuberculosis? (Select One)
Thoracotomy
Droplet Isolation precautions
Chest physiotherapy
Antimicrobial therapy
Quest A nurse is caring for a patient with chronic obstructive pulmonary disease. The client
# 47 asked the nurse what the treatment options are. All of the following are utilized to treat
this disorder, except? (Select One)
A
Chest physiotherapy
B
Noninvasive ventilation
C
Tracheotomy
D
Corticosteroids
Quest
# 48
A
B
Which of the following are common assessment findings for a client with neck cancer?
(Select One)
Hoarseness
Blood streaked sputum
C
D
Respiratory rate of 24
Diminished breath sounds
Quest Joe, a 64-year-old male, has been admitted to your unit with a difficulty breathing. Joe has
# 49 a history of chronic obstructive pulmonary disease. Upon arrival to your unit, joe appears
short of 4L/min via nasal cannula. All of the following should be priority to closely
monitored for this client, except? (Select One)
A
Blood pressure
B
Cardiac rhythm
C
Pulse oximetry
D
Respiratory rate
Quest
# 50
A
B
C
D
Which of the following medications are not used to treat a client experiencing an acute
asthma attack? (Select all that apply)
Bronchodilators
Antibiotics
Steroids
Beta-blockers
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