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WorksheetsPre-Lecture Quiz (Chapters 17–20)
Total questions: 40
Worksheet time: 13mins
A nurse palpates for tactile fremitus and notes asymmetry on the right side. This finding most likely indicates:
Pleural effusion
Bronchitis
Asthma
Chronic bronchitis
The normal range for arterial blood gas (ABG) pH is:
7.25–7.30
7.35–7.45
7.45–7.55
7.50–7.60
During a respiratory assessment, the nurse observes use of accessory muscles during breathing. The most appropriate immediate nursing action is to:
Administer a bronchodilator
Elevate the head of the bed
Encourage deep breathing
Document the finding only
While performing pulse oximetry, the nurse notes a reading of 88% on room air. The nurse should:
Recheck using another finger
Apply supplemental oxygen as ordered
Lower the patient’s head
Encourage coughing exercises only
Auscultation reveals fine crackles in both lung bases. This suggests:
Fluid accumulation in alveoli
Airway obstruction
Lung consolidation
A patient reports dyspnea after mild activity. The nurse correlates this with which possible finding?
Hypoventilation and hypoxemia
Hyperventilation and hypocapnia
Normal ventilation pattern
Metabolic alkalosis
The nurse observes cyanosis in the lips and nail beds. What principle of nursing assessment is most reflected in this observation?
Patient-centered care
Objective data collection
Subjective validation
Ethical responsibility
A student nurse correctly demonstrates respiratory assessment when:
A. Auscultation is performed after palpation and percussion
B. Inspection is done after auscultation
C. Percussion follows auscultation
D. Palpation is performed last
A nurse educating a COPD patient on breathing techniques emphasizes pursed-lip breathing primarily to:
Reduce airway collapse and improve oxygen exchange
Increase oxygen saturation quickly
Promote hyperventilation
Stimulate coughing
In the spirit of contemplation and community, the nurse reflects on a patient’s shortness of breath during prayer time and decides to reposition the patient to ease breathing. This demonstrates:
Clinical empathy and spiritual care integration
Poor timing of interventions
Overinvolvement with the patient
Neglect of professional boundaries
The most common site of epistaxis in adults is:
Kiesselbach's plexus (Little's area)
Inferior turbinate
Posterior ethmoidal artery
Sphenopalatine artery
A hallmark sign of laryngeal cancer is:
Hoarseness lasting more than 2 weeks
Purulent nasal discharge
Stridor on inspiration
Postnasal drip
A patient with a nosebleed is instructed to lean forward and apply pressure on the nostrils for 10 minutes. This technique helps by:
Reducing venous pressure in the nasal vessels
Promoting clot dislodgement
Increasing airway clearance
Enhancing posterior drainage
The nurse prepares a postoperative laryngectomy patient for communication using:
An electric larynx or writing board
Oral reading aloud
Nasal speech
Esophageal suction
A patient diagnosed with tonsillitis complains of sore throat and dysphagia. The most appropriate comfort measure is:
Encourage warm saline gargle
Apply ice collar to neck
Offer dry toast and warm soup
Give lemon juice with honey
A patient with rhinitis medicamentosa reports persistent nasal congestion after frequent decongestant spray use. The nurse recognizes this as:
Rebound congestion from medication overuse
Seasonal allergic rhinitis
Fungal sinus infection
Acute viral coryza
A nursing student educates a patient on humidifying inspired air after a tracheostomy. This is important because:
Dry air irritates and thickens secretions
It enhances oxygen diffusion
It prevents oxygen toxicity
A 70-year-old with nasal fracture expresses anxiety about appearance. The nurse’s best response reflecting charity and compassion is:
Let’s focus on your healing process first; reconstruction can follow.
You shouldn’t worry about appearance now.
You can cover your nose with a mask temporarily.
Cosmetic repair is usually unnecessary.
During health teaching, the nurse stresses preventive measures for sinusitis. The most effective strategy is:
Frequent handwashing and managing allergies
Using antibiotics for any cold symptoms
Taking decongestants daily
Avoiding outdoor air
In the spirit of commitment to healing, the nurse encourages a patient recovering from laryngitis to avoid whispering because it:
Strains the vocal cords and delays recovery
Increases airflow to lungs
Improves speech clarity
Reduces pain
The initial clinical manifestation of atelectasis is usually:
Increasing dyspnea
Productive cough
Wheezing
Fever
The most common causative agent of community-acquired pneumonia is:
Streptococcus pneumoniae
Staphylococcus aureus
Mycoplasma pneumoniae
Pseudomonas aeruginosa
The nurse assists a patient to use an incentive spirometer correctly by instructing the patient to:
Inhale slowly and deeply, holding the breath for a few seconds
Exhale forcefully to expand the lungs
Chest tube drainage shows continuous bubbling in the water seal chamber. The nurse suspects:
Air leak in the drainage system
Normal lung re-expansion
Clogged tubing
Overfilled drainage chamber
The nurse encourages ambulation post-thoracic surgery primarily to:
Prevent atelectasis and improve ventilation
Increase cardiac workload
Decrease lung compliance
Enhance pleural irritation
A patient with pneumonia reports fatigue and decreased appetite. The nurse understands that:
These symptoms reflect systemic inflammatory response
They are unrelated to lung infection
Appetite loss indicates fluid overload
The patient requires bronchodilator therapy
A patient on mechanical ventilation exhibits restlessness and low oxygen saturation. The nurse’s first action should be to:
Check for disconnection or displacement of the tube
Call the physician immediately
Increase ventilator rate
Administer sedative
When caring for a patient with tuberculosis, the nurse demonstrates commitment and community by:
Teaching family infection control measures
Avoiding contact with the patient
Prioritizing other patients first
Limiting patient education to discharge time
A patient with ARDS is being weaned from the ventilator. The nurse ensures readiness by assessing:
Stable vital signs and adequate spontaneous effort
Increased use of accessory muscles
Anxiety and restlessness
High oxygen demand
While discussing care goals, a student nurse states, “I want to help patients breathe easier and feel safe.” This statement reflects:
Integration of technical skill and compassion
Incomplete understanding of the nursing process
Lack of objectivity
Overemphasis on emotion
Instruction: Choose the answer that balances clinical competence, reflective understanding, and compassion for long-term care. The primary pathological process in emphysema involves:
Destruction of alveolar walls
Fibrosis of bronchioles
Thickened pleura
Loss of ciliary function
Chronic bronchitis is characterized by:
A. Cough and sputum production for at least 3 months in 2 consecutive years
B. Sudden onset of wheezing
C. Night sweats and fever
D. Recurrent aspiration
Instruction: Choose the answer that balances clinical competence, reflective understanding, and compassion for long-term care. A COPD patient is prescribed pursed-lip breathing. The correct technique is to:
Inhale through the nose and exhale slowly through pursed lips
Inhale deeply through the mouth
Exhale quickly through the nose
Breathe in through both mouth and nose
During oxygen therapy, the nurse ensures safety by:
Keeping oxygen away from open flames and oils
Using alcohol-based lotion on nasal area
Allowing smoking 10 feet away
Disconnecting humidifier frequently
Instruction: Choose the answer that balances clinical competence, reflective understanding, and compassion for long-term care. The nurse evaluates the effectiveness of chest physiotherapy when:
The patient expectorates thick sputum easily
The patient’s oxygen saturation decreases
There is increased coughing without secretion clearance
The patient complains of fatigue only
A COPD patient expresses frustration with dependence on oxygen therapy. The nurse best responds by:
Acknowledging the patient’s feelings and promoting coping strategies
Redirecting the topic to medication use
Ignoring emotional concerns
Encouraging the patient to stop oxygen therapy
When teaching a patient about smoking cessation, the nurse integrates contemplation by:
Helping the patient reflect on personal reasons to quit
Listing statistics on lung disease only
Threatening the patient with health consequences
Ignoring the patient’s readiness to change
A student nurse caring for a palliative COPD patient advocates for oxygen comfort care, showing:
Understanding of holistic and compassionate practice
Neglect of medical boundaries
Focus on only physical symptoms
Rejection of standard treatment
The most realistic expected outcome for a patient with advanced COPD is:
Maintain functional independence and quality of life
Complete reversal of lung damage
Elimination of oxygen dependence
Full restoration of alveolar elasticity
After community rehabilitation, COPD clients participate in a parish-based wellness walk to promote lung health and solidarity. This activity demonstrates:
Integration of health promotion and community spirituality
Clinical research intervention
Recreational non-nursing activity
Individual patient-centered care only
