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Nursing and Respiratory Care Quiz

Total questions: 28

Worksheet time: 14mins

Name
Class
Date
1.

A nurse is reviewing information with a client who is scheduled for pulmonary function tests. Which of the following statements should the nurse make?

a)

Do not use inhaler medications for 6 hr following the test.

b)

Do not smoke tobacco for 6 to 8 hr prior to the test.

c)

You will be asked to bear down and hold your breath during the test.

d)

The arterial blood flow to your hand will be evaluated as part of the test.

2.

A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse report to the provider?

a)

Blood-tinged sputum

b)

Dry, nonproductive cough

c)

Sore throat

d)

Bronchospasms

3.

A nurse is preparing to care for a client who is having a chest tube placed. Which of the following items should be available in the client’s room? Select all that apply.

a)

Oxygen

b)

Sterile water

c)

Enclosed hemostat clamps

d)

Indwelling urinary catheter

e)

Occlusive dressing

4.

A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which of the following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client?

a)

Non-rebreather mask

b)

Nasal cannula

c)

Venturi mask

d)

Tracheostomy collar

5.

A nurse is teaching a group of clients about influenza. Which of the following client statements indicates an understanding of the teaching?

a)

I should wash my hands after blowing my nose to prevent spreading the virus.

b)

I need to avoid drinking fluids if I develop symptoms.

c)

I need a flu shot every 2 years because of the different flu strains.

d)

I should cover my mouth with my hand when I sneeze.

6.

A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? Select all that apply.

a)

Client who has AIDS

b)

Client who has dysphagia

c)

Client who was vaccinated for pneumococcus and influenza 6 months ago

d)

Client who has a closed head injury and is receiving mechanical ventilation

e)

Client who has myasthenia gravis

7.

A nurse is assessing a client who, upon awakening, was disoriented to person, place, and time. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority?

a)

Obtain baseline vital signs and oxygen saturation.

b)

Obtain a sputum culture.

c)

Obtain a complete history from the client.

d)

Informed client about recommended pneumococcal vaccine.

8.

A nurse is caring for a client who has pneumonia. Assessment findings include temperature 37.8° C (100° F), respirations 30/min, blood pressure 130/76, heart rate 100/min, and SpO2 91% on room air. Prioritize the following nursing interventions.

a)

Administer oxygen therapy.

b)

Perform a sputum culture.

c)

Administer antibiotics.

d)

Instruct the client to obtain a yearly influenza vaccination.

9.

A nurse is assessing a client who has a history of asthma. Which of the following factors should the nurse identify as a risk for asthma?

a)

Males (sex assigned at birth)

b)

Environmental allergies

c)

Alcohol use

d)

History of diabetes

10.

A nurse in the emergency department is caring for a client who is experiencing an acute asthma attack. Which of the following findings indicates that the client’s respiratory status is declining? Select all that apply.

a)

SpO2 95%

b)

Wheezing

c)

Retraction of sternal muscles

d)

Pink mucous membranes

e)

Tachycardia

11.

A nurse is assessing a client who has an SpO2 of 91%, audible wheezes and is using accessory muscles when breathing. Which of the following classes of medications should the nurse anticipate a provider prescription?

a)

Third-generation cephalosporin

b)

Beta-blocker

c)

Nonsteroidal anti-inflammatory

d)

Short-acting beta 2 agonist

12.

A nurse is providing discharge teaching to a client who has asthma and received a new prescription for prednisone. Which of the following client statements indicates understanding?

a)

I will decrease my fluid intake while taking this medication.

b)

I will expect to have black, tarry stools.

c)

I will take my medication with meals.

d)

I will monitor for weight loss while on this medication.

13.

A nurse is providing teaching with a client who has asthma about the purpose of taking a long-acting bronchodilator. Which of the following client statements indicates understanding?

a)

This medication can decrease my immune response.

b)

I take this medication to prevent asthma attacks.

c)

I need to take this medication with food.

d)

This medication has a slow onset to treat my symptoms.

14.

A nurse is planning to instruct a client on how to perform pursed-lip breathing. Which of the following statements should the nurse include?

a)

Take quick breaths upon inhalation.

b)

Place your hand over your stomach.

c)

Take a deep breath in through your nose.

d)

Puff your cheeks upon exhalation.

15.

A nurse is instructing a client on the use of an incentive spirometer. Which of the following statements by the client indicates an understanding of the teaching?

a)

I will place the adapter on my finger to read my blood oxygen saturation level.

b)

I will lie on my back with my knees bent.

c)

I will rest my hand over my abdomen to create resistance.

d)

I will take in a deep breath and hold it before exhaling.

16.

A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates an understanding of the teaching?

a)

This medication can increase my blood sugar levels.

b)

This medication can decrease my immune response.

c)

I can have an increase in my heart rate while taking this medication.

d)

I can have mouth sores while taking this medication.

17.

A nurse is preparing to administer an initial dose of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication? Select all that apply.

a)

Hypokalemia

b)

Tachycardia

c)

Fluid retention

d)

Nausea

e)

Black, tarry stools

18.

A nurse is discharging a client who has COPD. The client is concerned about not being able to leave the house due to the need for staying on continuous oxygen. Which of the following responses should the nurse make?

a)

There are portable oxygen delivery systems that you can take with you.

b)

When you go out, you can remove the oxygen and then reapply it when you get home.

c)

You probably will not be able to go out as much as you used to.

d)

Home health services will come to you so you will not need to get out.

19.

A nurse is providing information about tuberculosis to a group of clients at a local community center. Which of the following manifestations should the nurse include? Select all that apply.

a)

Persistent cough

b)

Weight gain

c)

Fatigue

d)

Night sweats

e)

Purulent sputum

20.

A nurse is caring for a client who has a new diagnosis of tuberculosis and has been placed on a multi-medication regimen. Which of the following instructions should the nurse give the client related to ethambutol?

a)

Your urine can turn a dark orange.

b)

Watch for a change in the sclera of your eyes.

c)

Watch for any changes in vision.

d)

Take vitamin B6 daily.

21.

A nurse is caring for a client who has a new prescription for isoniazid (INH) and is providing education about the adverse effects. Which of the following statements should the nurse make? Select all that apply.

a)

You might notice yellowing of your skin.

b)

You might experience pain in your joints.

c)

You might develop ringing in your ears.

d)

You might notice tingling of your hands.

e)

You might experience a loss of appetite.

22.

A nurse is caring for a group of clients. Which of the following clients are at risk for a pulmonary embolism? Select all that apply.

a)

A client who has a BMI of 30

b)

A client who is postmenopausal

c)

A client who has a fractured femur

d)

A client who is a marathon runner

e)

A client who has chronic atrial fibrillation

23.

A nurse is assessing a client who has a pulmonary embolism. Which of the following manifestations should the nurse expect? Select all that apply.

a)

Bradypnea

b)

Pleural friction rub

c)

Hypertension

d)

Petechiae

e)

Tachycardia

24.

A nurse is reviewing prescriptions for a client who has acute dyspnea and diaphoresis. The client states, 'I am anxious and unable to get enough air.' Vital signs are heart rate 117/min, respirations 38/min, temperature 38.4° C (101.2° F), and blood pressure 100/54 mm Hg. Which of the following nursing actions is the priority?

a)

Notify the provider.

b)

Administer heparin via IV infusion.

c)

Administer oxygen therapy.

d)

Obtain a CT scan.

25.

A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following statements by the client should indicate an immediate concern for the nurse?

a)

I am allergic to morphine.

b)

I take antacids several times a day for my ulcer.

c)

I had a blood clot in my leg several years ago.

d)

It hurts to take a deep breath.

26.

A nurse is caring for a client who is to receive thrombolytic therapy. Which of the following factors should the nurse recognize as a contraindication to the therapy?

a)

Hip arthroplasty 2 weeks ago

b)

Elevated sedimentation rate

c)

Incident of exercise-induced asthma 1 week ago

d)

Elevated platelet count

27.

A nurse is reviewing the health records of five clients. Which of the following clients should the nurse identify as being at risk for developing acute respiratory distress syndrome? Select all that apply.

a)

A client who experienced a near-drowning incident

b)

A client following coronary artery bypass graft surgery

c)

A client who has a hemoglobin of 15.1 mg/dL

d)

A client who has dysphagia

e)

A client who experienced acute drug toxicity

28.

A nurse in the emergency department is assessing a client who was in a motor vehicle crash. Findings include absent breath sounds in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart rate 124/min, respirations 38/min, temperature 38.6° C (101.4° F), and SaO2 91% on room air. Which of the following actions should the nurse take first?

a)

Obtain a chest x-ray.

b)

Prepare for chest tube insertion

c)

Administer oxygen via a high-flow mask.

d)

Initiate IV access.