1.\tThe client reports having thick and sticky sputum. What is the best action the nurse can take to help the clients secretions ?
\nA. ambulate more often
\nB. use the incentive spirometer
\nC. cough and deep breaths
\nD. drink more fluids<\/p>\n
2.\tWhen managing the care of clients with conditions such as emphysema, the nurse should recognize which one of the following facts as being more important ?
\nA.\tThe drive to breathe may be dependent on low levels of oxygen in the blood
\nB.\tLung stretch receptors may fail to monitor the patterns of breathing
\nC.\tRespiratory rate may increased a significant but fail to relax during expiration
\nD.\tIntercostal muscles contract during inspiration cause of COPD
\n3.\tWhich of the following is the most common cause of COPD ?
\nA.\t Repeated respiratory infections
\nB.\t Alcohol abuse
\nC.\t Genetic
\nD.\t Smoking<\/p>\n
4. The nurse places their stethoscope over the anterior third of the chest near the sternum and hears breath sounds that have inspiration and expiration of equal duration. What type of breath sounds is the nurse hearing ?
\nA.\t Bronchial
\nB.\t Vesicular
\nC.\t Bronchovesicular
\nD.\t Tracheovesicular<\/p>\n
5. A client needs IV fluids. The order reads. \u201cInfuse 0.9% NS 1000 ml over 4 hours.\u201d How may mL\u2019s\/hout should be given ? ( round the answer to the nearest whole number. Do not use a trailing zero. Do not label your answer. )<\/p>\n
__________<\/p>\n
6. On entering the clients room, the nurse notes the client’s oxygen saturation is 85%. Which actions should the nurse take first ?
\nA.\t Initiate humidification therapy
\nB.\t Raise the head of the bed
\nC.\t Encourage the client to cough and deep breathe
\nD.\t Increase the client’s fluid intake<\/p>\n
7. Which of the following mechanisms are involved in the protection of the respiratory system ?
\nA.\t Snoring helps to protect the airway while sleeping
\nB.\t Sneezing helps to expel foreign particles
\nC.\t Surfactant reduces surface tension and helps to keep alveoli open
\nD.\t Mucus produced by goblet cells helps to trap foreign particles
\nE.\t Coughing is a respiratory defense mechanism used to keep the airway open<\/p>\n
8. The nurse is performing a respiratory assessment on her client and hears an abnormal sound in the lower, posterior lobe of the right lung on inspiration that sounds like a fine snap and popping sound. She recognizes the adventitious breath should be which of the following ?
\nA.\t Rhonchi
\nB.\t Crackles
\nC.\t Wheezing
\nD.\t Apnea<\/p>\n
9. A client with a known DVT reports a sudden onset of dyspnea. What is the priority action in this situation ?
\nA.\t Conduct a full head to toe assessment
\nB.\t Contact the provider
\nC.\t Administer oxygen
\nD.\t Reposition the client<\/p>\n
10. The nurse receives a lab report on a resident in long term care. Which positive result requires immediate intervention ?
\nA.\t Candida albicans
\nB.\t Pseudomonas
\nC.\t staphylococcus
\nD.\t Acid-fast bacillus<\/p>\n
11. Which of the following are signs and symptoms of sinusitis ?
\nA.\t Purulent nasal drainage, epistaxis
\nB.\tClear nasal drainage, tenderness over the sinuses
\nC.\t Epistaxes, nasal stuffiness
\nD.\t Tenderness over the sinus, tooth pain<\/p>\n
12. A client diagnosed with the flu asks the nurse why he was not given an antibiotic. What is the best response by the nurse ?
\nA.\t \u201cT will speak to the provider about this.\u201d
\nB.\t \u201c Antibiotics are only given for flu A.\u201d
\nC.\t \u201c Antibiotics are only helpful if started within 48 hours of the onset of symptoms.\u201d
\nD.\t \u201c Flu is a viral illness, so antibiotics will not help.\u201d<\/p>\n
13. Which of the following conditions is most likely to result in a barrel-shaped chest ?
\nA.\t Influenza
\nB.\tTuberculosis
\nC.\t Pneumonia
\nD.\t COPD<\/p>\n
14. What is the best way to avoid the cold virus ?
\nA.\tWear a surgical mask
\nB.\t Do not touch any surfaces
\nC.\tTake high doses of vitamin c
\nD.\tFrequent hand washing<\/p>\n
15. 1 cup = ____ ounces<\/p>\n
16. If medication for primary pulmonary hypertensions fails, what is the best option for the client?
\nA.\tHeart transplantation
\nB.\tThere is no further treatment
\nC.\tLung reduction surgery
\nD.\tLung transplantation<\/p>\n
17. The nurse is preparing to instruct the client with pneumonia on managing the disease after discharge from the hospital. Which of the following is consistent with appropriate discharge planning for this client ?
\nA.\tTake all prescribed antibiotics until they are finished
\nB.\tMaintain a supine position when sleeping.
\nC.\tContinue to eat three main meals a day and do not worry about fluid intake
\nD.\t Avoid contact with all family members for one week<\/p>\n
18.<\/p>\n
19. A client with tuberculosis tells the nurse that he has not been taking his prescribed medication. What is the next most appropriate action of the nurse ?
\nA.\tNotify the clients provider immediately
\nB.\t Notify the department of health
\nC.\tExplore the clients reasons for nothing the medication
\nD.\t Place the client in contact isolation<\/p>\n
20. The LPN is performing data collection on a client. The pulse oximeter reads 79% on room air. The client is speaking normally with no complaints of shortness of breath. What is the priority intervention by the nurse ?
\nA.\tRepostions the sensor
\nB.\tConsult the charge nurse
\nC.\tApply oxygen
\nD.\tCall a rapid response<\/p>\n
21. A client presents to the urgent care clinic with a nose bleed (epistaxis). The nurse is aware that this condition could be minor or could lead to hypovolemic shock if significant blood loss has occurred. Select the correct answer below that is the main goal of treatment for nosebleeds.
\nA.\tDo not be concerned with aspiration at this point
\nB.\tStop the bleeding
\nC.\tType and cross two units of blood
\nD.\tPinch the nose with two finger for one minute<\/p>\n
22. The nurse is performing a focused respiratory assessment on a client with an asthma exacerbation. What sound would the nurse expect to hear ?
\nA.\tRhonchi
\nB.\tStridor
\nC.\tCrackles
\nD.\twheezes<\/p>\n
23. \u201cBarrel chest\u201d in emphysema clients occurs as the result of which of the following ?
\nA.\tChronic overdistension of the lungs
\nB.\tChronically high hematocrit
\nC.\tChronic use of oxygen
\nD.\tChronic rapid respirations<\/p>\n
24. A client comes to urgent care with a family member who reports that the client is having an asthma attack. On auscultation, the nurse hears absent sounds. Which of the following actions should the nurse do next ?
\nA.\tStart CPR
\nB.\tAlert the provider immediately
\nC.\tLie the client down and keep calm
\nD.\tTell the client to puff his inhaler<\/p>\n
25. Which of the following disorders is more common in clients with COPD than the general population ?
\nA.
\nB.
\nC.\tGastroesophageal reflux disease
\nD.\tPeptic ulcer disorder<\/p>\n
26. The major risk factor for cancer of the larynx is which of the following ?
\nA.\tTonsillectomy
\nB.\tRecurrent strep infection
\nC.\tSmoking
\nD.\tHot liquids<\/p>\n
27. When the nurse is collecting subjective data while caring for a client with asthma, which of the following is the most important history term to know ?
\nA.\tDairy products are safe to eat\/drink at any time
\nB.\tWhat stimulus triggers the asthma response ?
\nC.\tFluids are not as important with asthma clients.
\nD.\tDoes the client remove all possible triggers ?<\/p>\n
28. The nurse is aware that coarse crackles, sonorous and sibilant wheezes, pleural friction rub, and stridor are examples of which type of breath sounds ?
\nA.\tBronchial
\nB.\tAdventitious
\nC.\tBronchial vesicular
\nD.\t Vesicular<\/p>\n
29. Which statement is true about the purified protein derivative (PPD) test for tuberculosis (TB)?
\nA.\tIt helps distinguish between active and latent disease
\nB.\tIt is used to screen health care workers
\nC.\tIt is administered via the intramuscular route
\nD.\tIt is not useful in screening clients who have been exposed to TB.<\/p>\n
30. A client has nail polish on their fingernails and toenails. Which of the following locations would be the best place to apply the pulse oximeter probe ?
\nA.\tEarlobe
\nB.\tToe
\nC.\tFinger
\nD.\tForehead<\/p>\n
31. Which of the following should be removed from the food tray of a client who had a tonsillectomy ?
\nA.\tIce
\nB.\tIce cream
\nC.\tPlastic straw
\nD.\tApple juice<\/p>\n
32. The highest priority for the client with epiglottis is which of the following ?
\nA.\tHydration
\nB.\tAntibiotic therapy
\nC.\tPain control
\nD.\tAirway protection<\/p>\n
33. Which adventitious breath sound indicates an airway obstruction ?
\nA.\tCrackles
\nB.\tFriction rub
\nC.\tWheezing
\nD.\tStridor
\n34. Which client below should receive the pneumococcal vaccine ?
\nA.\t60-year old recovering from the flu
\nB.\t55-year old healthy female
\nC.\t25-year old with cystic fibrosis
\nD.\t48-year old to be admitted for a cardiac catheterization<\/p>\n
35. A client with primary pulmonary hypertension tells the nurse, \u201cit is so unfair that I got his disease. I am so depressed.\u201d What is the most appropriate response by the nurse ?
\nA.\t\u201c Sometimes life is unfair.\u201d
\nB.\t\u201c Tell me more about your feelings.\u201d
\nC.\t\u201cAt least you don’t have cancer.\u201d
\nD.\t\u201c I will speak to your doctor about ordering you something for depression.\u201d<\/p>\n
36. Which client below is at risk for atelectasis ?
\nA.\tA client with asthma exacerbation
\nB.\tA client with a hip replacement who is ambulating
\nC.\tA client with tonsillectomy who reports ai with swallowing
\nD.\tA client who had chest surgery and reports pain of 8\/10<\/p>\n
37. A client weighs 109 lbs. What is the client’s weight in kg ? ( Record answer to the nearest tenth. Do not use a trailing zero. Do not label your answer )<\/p>\n
_______<\/p>\n
38. A client with COPD tried to quit smoking but failed. What is the most appropriate next action by the nurse ?
\nA.\tEncourage the client to try again
\nB.\tDo nothing the client already has significant lung damage
\nC.\tExplain to the client that they are risk of death
\nD.\tSuggest the client use vaping products instead<\/p>\n
39. A client on the medical -surgical unit begins having difficulty breathing the after admission. A chest X-ray is ordered, and the client is diagnosed with pneumonia. Which of the following correctly identifies this type of pneumonia ?
\nA.\tHealthcare-associated pneumonia
\nB.\tHospital-acquired pneumonia
\nC.\tVentilator-associated pneumonia
\nD.\tcommunity – acquired pneumonia<\/p>\n
40. A medication order states, administer furosemide oral solution 20 mg PO stat. Available is furosemide 40mg\/5 mL oral solution. How many mL should the nurse administer ? ( record the answer to the nearest tenth 25. Use a leading zero if it applies. Do not use a trailing zero. Do not label your answer. )<\/p>\n
_________<\/p>\n
41. The nurse has received reports from the off- going shift. Which of the following clients would have the highest priority ?
\nA.\tA client who is short of breath
\nB.\tA client whose IV antibiotic dose is due
\nC.\tA client with temperature of 101.4 F
\nD.\tA client who is requesting pain medication<\/p>\n
42. Which of the following is a known cause of asthma ?
\nA.\tGenetics
\nB.\tVitamin deficiency
\nC.\tcol d weather
\nD.\tAllergens<\/p>\n
43. Which factors below make elderly clients more susceptible to respiratory complications ? (select all that apply.)
\nA.\tIncreased lung elastic recoil
\nB.\tDecreased ciliary action
\nC.\tSenile pneumothorax
\nD.\tMuscle atrophy
\nE.\tDecreased cough reflex<\/p>\n
44. A client in the medical – surgical unit asks the nurse why he must get enoxaparin injections. What is the most appropriate response by the nurse ?
\nA.\t\u201cEnoxaparin is given to prevent blood clots until you are more active.\u201d
\nB.\t\u201cEnoxaparin can be given as needed, so you can stop taking if you want.\u201d
\nC.\t\u201cEnoxaparin is used to increase your red blood cells while healing.\u201d
\nD.\t\u201cEnoxaparin is given to prevent hospital-acquired pneumonia.\u201d<\/p>\n
45. Which of the following is a common side effect of albuterol ?
\nA.\tNausea
\nB.\tHeartburn
\nC.\tItching
\nD.\tRapid heartbeat<\/p>\n
46. What is the cause of cystic fibrosis ?
\nA.\tAsbestos
\nB.\tBreathing fumes
\nC.\tSmoking
\nD.\tGenetic<\/p>\n
47. Which of the following actions is not associated with transmission of influenza ?
\nA.\tSharing a beverage with an infected person
\nB.\tContact with an infected person
\nC.\tContact with the virus on inanimate objects
\nD.\tGoing out in the cold with no hat<\/p>\n
48. A client has been diagnosed with strep pharyngitis and given antibiotics by the provider. The client asks when she will no longer be contagious. What is the best response by the nurse ?
\nA.\t\u201c You will no longer be contagious after 48 hours on antibiotics.\u201d
\nB.\t\u201c You will no longer be contagious after 24 hours on antibiotics.\u201d
\nC.\t\u201cYou will no longer be contagious when your symptoms are gone .\u201d
\nD.\t\u201cYou will no longer be contagious when you have finished the antibiotics .\u201d<\/p>\n
49. The nurse is getting a client ready for a chest computerized axial tomography (CAT) scan with contrast. WHat is the priority data to collect for this client ?
\nA.\tHas the client had a CAT scan in the past ?
\nB.\tIs the client claustrophobic ?
\nC.\tIs the client allergic to shellfish ?
\nD.\tIs the client able to sit up straight ?<\/p>\n
50. 1 teaspoon = ____ ML<\/p>\n
51. Which of the following statements is not true about healthcare – associated pneumonia ?
\nA.\tIt is relatively easy to treat
\nB.\tIt increases the cost of health care
\nC.\tIt lengthens the hospital stay for the client
\nD.\t It can be prevented by vigilant nursing and respiratory care<\/p>\n
52. Which of the following is not a treatment for epistaxis ?
\nA.\tIce packs
\nB.\tDirect pressure
\nC.\tTilting the head back
\nD.\tResting quietly<\/p>\n
53. A medication order states, administer digoxin 0.5 mg PO stat. Available is digoxin 0.25 mg\/tablet. How many tablet(s) should the nurse administer ? (record answer as a whole number, do not use a trailing zero. Do not label your answer.)<\/p>\n
________<\/p>\n
54. Which of the following should not be given to a client with s recent tonsillectomy ? (select all that apply.)
\nA.\tPudding
\nB.\tJello – O
\nC.\tOrange juice
\nD.\t Hot tea
\nE.\tToast<\/p>\n
55. A medication order states, administer prednisone 30 mg for acute asthma. Available is prednisone 10 mg tablets. How many tablet(s) should the nurse administer ? ( Round answer to the nearest whole number. Do not use a trailing zero. Do not label your answer)<\/p>\n
___________________<\/p>\n
56. The client has an oxygen saturation level of 82%. Which of the following findings would be most concerning ?
\nA.\tDry skin
\nB.\tConfusion
\nC.\tNausea
\nD.\tTemp of 100.2 F<\/p>\n
57. Which of the following is not a symptom of throat cancer ?
\nA.\tSore throat for more than 2 weeks
\nB.\tEnlarged cervical lymph nodes
\nC.\tNasal pain
\nD.\tDifficulty swallowing<\/p>\n
58. Which of the following clients are at risk for acute respiratory distress syndrome (ARDS) (select all that apply.)
\nA.\tA client who sustained multiple trauma in a motor vehicle crash
\nB.\tA client with sepsis who is mechanically ventilated
\nC.\t A client who has been recently diagnosed with tuberculosis
\nD.\tA client with pneumonia being treated as an outpatient
\nE.\t A client with an asthma exacerbation<\/p>\n
59. The LPN is changing the ties around a tracheostomy tube. What is the priority action of the nurse ?
\nA.\tPlace a nasal cannula on the client while changing the tube
\nB.\tHave the client hold his\/her breathe until the procedure is done
\nC.\tPre-treat the client with 100% oxygen
\nD.\tHold the tracheostomy tube in place at all times<\/p>\n
60. Untreated strep pharyngitis can lead to which of the following ?
\nA.\tThroat cancer
\nB.\tAirway obstruction
\nC.\tPneumonia
\nD.\tGlomerulonephritis<\/p>\n
61. The nurse is caring for a client who just came to the floor after having a tonsillectomy. Which symptom below requires immediate intervention ?
\nA.\tPain with swallowing
\nB.\tFrequent swallowing
\nC.\tFatigue
\nD.\tSore throat<\/p>\n
62. Which of the following devices can help clients with asthma monitor their symptoms at home?
\nA.\tPeak flow meter
\nB.\tNasal cannula
\nC.\tIncentive spirometer
\nD.\tPulse oximeter<\/p>\n
63. A client is recovering from laryngoscopy. The client asks when he can have something to eat. What is the best response by the nurse ?
\nA.\t\u201c You can eat when your gag reflex returns .\u201d
\nB.\t\u201c You can eat when your cough reflex returns.\u201d
\nC.\t\u201c You can eat in 2 hours .\u201d
\nD.\t\u201c You can eat when you are discharged .\u201d<\/p>\n
64. A client comes to the clinic, stating that he is having an \u201casthma attack.\u201d Which adventitious breath sound should the nurse expect to hear ?
\nA.\t Friction rub
\nB.\t Crackles
\nC.\tStridor
\nD.\tPulse oximeter<\/p>\n
65. Which of the following measures should the nurse take when caring for a client with TB in an acute care facility ?
\nA.\tWear an N95 mask
\nB.\tPlace in room closest to nurse station
\nC.\tInstruct the lenient to always wear a surgical mask
\nD.\tFollow contact precautions with the client<\/p>\n
66. A 72-year old female client is about to be discharged home after being in the hospital for 3 days with bronchitis. Which of the following should be included in her discharge teaching ?
\nA.\tOnly rest once or twice per day for short naps
\nB.\tLimit fluid intake
\nC.\tAvoid respiratory irritants, large crowds, and people who are coughing
\nD.\tTake all your medication until you feel better<\/p>\n
67. 1 gram = _____mg<\/p>\n
68. A client with active tuberculosis will be admitted to a medical surgical floor. What should the nurse do before the client arrives ?
\nA.\tPlace surgical masks outside the room
\nB.\tCall maintenance to check the negative-pressure room
\nC.\tPlace gown and gloves outside the room
\nD.\tAlert security that no one can visit the client<\/p>\n
69. Acute bronchitis is usually caused by which of the following ?
\nA.\tFungi
\nB.\tViruses
\nC.\tBacteria
\nD.\tSmoking<\/p>\n
70. A newly admitted client has an audible expiratory wheeze. Which of the following is most liek;y the cause of the wheeze ?
\nA.\tPneumonia
\nB.\tCongestive heart failure
\nC.\tAsthma
\nD.\tsinusitis<\/p>\n
71. The LPN is performing data collection on a client who has limited mobility because of bilateral femur fractures. The client reports sudden onset of painful respiration and shortness of breath. Which of the following is the priority action for the nurse to take ?
\nA.\tIncrease the IV fluids
\nB.\tLie the client flat and keep calm
\nC.\tPlace the client on a 100% non-rebreather mask and call for help
\nD.\tPage the clients provider<\/p>\n
72. A client tells the nurse, \u201c I don’t want to get the flu shot because I heard it can give you the flu.\u201d which below is the best response by the nurse ?
\nA.\t\u201cThere a no side- effects associated with the flu vaccine.\u201d
\nB.\t\u201cThe flu vaccine is 100% effective at preventing the flu, so if I were you, I would get it.\u201d
\nC.\t\u201cIt is rare but possible to get the flu from the flu vaccine.\u201d
\nD.\t\u201cYou may get mild aches and pains , but you will not get the flu from the flu vaccine.\u201d<\/p>\n
73. Why is early detection of tuberculosis important ? (select all that apply)
\nA.\tThe spread to others will be minimized
\nB.\tThe client will experience less side-effects from the medication
\nC.\tEarly detection makes treatment more effective
\nD.\tThe client will have fewer complications
\nE.\tThe period of disability will be shorter for the client<\/p>\n
74. A nurse is discussing diagnostic tests with the parents of a child who is suspected of having cystic fibrosis. Which diagnostic text can the nurse anticipate the child will need ?
\nA.\tSweat chloride test
\nB.\tPulmonary function test
\nC.\tSputum culture
\nD.\tStoo; fat content analysis<\/p>\n
75. Which of the following is a common cause of pulmonary edema ?
\nA.\tChronic bronchitis
\nB.\tLeft ventricular failure
\nC.\tPneumonia
\nD.\tAsthma<\/p>\n","protected":false},"excerpt":{"rendered":"
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