01. The client has been diagnosed with chronic sinusitis. Which signs and symptoms would alert the nurse to a potentially life-threatening complication?
a. Muscle weakness.
b. Purulent sputum.
c. Nuchal rigidity.
d. Intermittent loss of muscle control.
02. The nurse is caring for a client diagnosed with a cold. Which is an example of an alternative therapy?
a. Vitamin C, 2000 mg daily.
b. Strict bed rest.
c. Humidification of the air.
d. Decongestant therapy.
03. The client diagnosed with a community-acquired pneumonia is being admitted to the medical unit. Which nursing intervention has the highest priority?
a. Administer the oral antibiotic stat.
b. Order the meal tray to be delivered as soon as possible.
c. Obtain a sputum specimen for culture and sensitivity.
d. Have the unlicensed nursing assistant weigh the client.
04. While feeding the client diagnosed with aspiration pneumonia, the client becomes dyspneic, begins to cough, and is turning blue. Which nursing intervention would the nurse implement first?
a. Suction the client’s nares.
b. Turn the client to the side.
c. Place the client in the Trendelenburg position.
d. Notify the health-care provider.
05. When assessing the client with the diagnosis of COPD, which data would require the nurse to take immediate action?
a. Large amounts of thick white sputum.
b. Oxygen flow meter set on eight (8) liters.
c. Use of accessory muscles during inspiration.
d. Presence of a barrel chest and dyspnea.
06. When assessing the client recently diagnosed with COPD, which sign and symptom should the nurse expect?
a. Clubbing of the client’s fingers.
b. Infrequent respiratory infections.
c. Chronic sputum production.
d. Nonproductive hacking cough.
07. The client is diagnosed with mild intermittent asthma. Which medication should the nurse discuss with the client?
a. Daily inhaled corticosteroids.
b. Use of a “rescue inhaler.”
c. Use of systemic steroids.
d. Leukotriene agonists.
08. Which assessment data would support that the client has experienced a pulmonary embolus?
a. Calf pain with dorsiflexion of the foot.
b. Sudden onset of chest pain and dyspnea.
c. Left-sided chest pain and diaphoresis.
d. Bilateral crackles and low-grade fever.
09. The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first?
a. Confirm that the ventilator settings are correct.
b. Verify that the ventilator alarms are functioning properly.
c. Assess the respiratory status and pulse oximeter reading.
d. Monitor the client’s arterial blood gas results.
10. Which assessment data would indicate the client diagnosed with ARDS has experienced a complication secondary to the ventilator?
a. The client’s urine output is 100 mL in two (2) hours.
b. The pulse oximeter reading is greater than 95%.
c. The client has asymmetrical chest expansion.
d. The telemetry reading shows sinus tachycardia.
11. The client diagnosed with ARDS is on a ventilator and the high alarm indicates that there is an increase in the peak airway pressure. Which intervention should the nurse implement first?
a. Check the tubing for any kinks.
b. Suction the airway for secretions.
c. Assess the lip line of the ET tube.
d. Sedate the client with a muscle relaxant.
12.The nurse has administered aminophylline to a client with emphysema. The medication is effective when there is:
a)Relief from spasms of the diaphragm.
b)Relaxation of smooth muscles in the bronchioles.
c)Efficient pulmonary circulation.
d)Stimulation of the medullary respiratory center.
13.A nurse is conducting an initial assessment on a client with possible tuberculosis. Which assessment finding indicates a risk factor for tuberculosis?
a)The client sees his physician for a check-up yearly.
b)The client has never traveled outside of the country.
c)The client had a liver transplant 2 years ago.
d)The client works in a health care insurance office.
14. A client with deep vein thrombosis suddenly develops dyspnea, tachypnea, and chest discomfort.What should the nurse do first?
a. Elevate the head of the bed 30 to 45 degrees.
b. Encourage the client to cough and deep breathe.
c. Auscultate the lungs to detect abnormal breath sounds.
d. Contact the physician.
15. The nurse should teach clients that the most common route of transmitting tubercle bacilli from person to person is through contaminated:
a. Dust particles.
b. Droplet nuclei.
c. Water.
d. Eating utensils.
Answer & Rational
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