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Upper Respiratory Quiz

Total questions: 23

Worksheet time: 12mins

Name
Class
Date
1.

A nurse positions a client with an active nosebleed. Which position is correct?

a)

Supine with head turned

b)

High-Fowler’s leaning forward

c)

Flat with legs elevated

d)

Side-lying

2.

Which medication may contribute to recurrent epistaxis?

a)

Acetaminophen

b)

Ibuprofen

c)

Cetirizine

d)

Fluticasone

3.

When providing home teaching for epistaxis prevention, which statement requires correction?

a)

I’ll use a humidifier.

b)

I’ll blow my nose gently after bleeding stops.

c)

I’ll avoid aspirin.

d)

I’ll keep my head higher when resting.

4.

The nurse evaluates teaching for a client using oxymetazoline nasal spray. Which client statement shows understanding?

a)

I’ll use it every 4 hours as needed.

b)

I’ll limit use to 3 days.

c)

It’s safe with my blood-pressure pills.

d)

I can share the bottle with my spouse.

5.

A client with hypertension asks which OTC cold medication is safest.

a)

Pseudoephedrine

b)

Loratadine

c)

Oxymetazoline

d)

Phenylephrine

6.

Which instruction should be included when teaching about intranasal corticosteroids?

a)

Aim spray toward nasal septum.

b)

Stop if you notice mild burning.

c)

Use daily even if you feel better.

d)

Use for immediate relief.

7.

The nurse cares for a client with sinusitis. Which finding best indicates bacterial rather than viral infection?

a)

Watery discharge

b)

Symptoms < 7 days

c)

Fever > 101 °F with purulent drainage > 10 days

d)

Mild pressure only

8.

Which nursing action has highest priority for sinusitis with severe congestion?

a)

Encourage increased fluids

b)

Apply cold compresses

c)

Offer throat lozenges

d)

Provide extra blanket

9.

A client has influenza A for 3 days. Which medication should the nurse question?

a)

Oseltamivir

b)

Acetaminophen

c)

Guaifenesin

d)

Dextromethorphan

10.

What teaching should accompany oseltamivir therapy?

a)

It replaces the vaccine.

b)

It shortens symptoms if started early.

c)

It cures the infection completely.

d)

I can stop once I feel better.

11.

Which instruction about the influenza vaccine is correct?

a)

It gives lifetime protection.

b)

Antibodies develop in 2 weeks.

c)

Egg allergy means I can’t get it.

d)

It prevents all viral infections.

12.

Which nursing action prevents spread of influenza in hospitalized patients?

a)

Standard precautions only

b)

Airborne isolation

c)

Droplet precautions with mask and gown

d)

Negative-pressure room

13.

The nurse identifies which client as highest risk for flu complications?

a)

24-year-old athlete

b)

48-year-old smoker with DM2

c)

8-year-old vaccinated child

d)

16-year-old with mild asthma on inhaler

14.

For pharyngitis caused by Group A strep, which order should the nurse question?

a)

Amoxicillin PO × 10 days

b)

Throat culture

c)

Aspirin for fever in child

d)

Salt-water gargles

15.

After tonsillectomy, which assessment requires immediate action?

a)

Low-grade fever 99.8°F

b)

Frequent swallowing

c)

Mild sore throat

d)

Drowsiness after anesthesia

16.

Which liquid should be avoided after tonsillectomy?

a)

Apple juice

b)

Red gelatin

c)

Water

d)

Ice chips

17.

Which medication should be given first for a post-tonsillectomy patient reporting pain level 8/10?

a)

Ibuprofen

b)

Aspirin

c)

Acetaminophen

d)

Morphine

18.

A nurse teaches a client with allergic rhinitis about montelukast. Which statement shows understanding?

a)

It will help my nasal swelling immediately.

b)

I should take it once daily at night.

c)

I’ll use it only when my nose is stuffy.

d)

It may make me sleepy, so I’ll drive carefully.

19.

A client with sinusitis reports facial pain and thick drainage. Which order should the nurse implement first?

a)

Administer amoxicillin

b)

Obtain nasal specimen for culture

c)

Apply warm compress

d)

Encourage rest

20.

Which symptom requires immediate reassessment after antihistamine administration?

a)

Mild drowsiness

b)

Dry mouth

c)

Confusion or urinary retention

d)

Nasal dryness

21.

Which holistic action complements pharmacologic therapy for sinusitis?

a)

Cold compress

b)

Steam inhalation and fluids

22.

Which client should avoid pseudoephedrine?

a)

Seasonal allergies only

b)

Hypertension and CAD

c)

Mild sinus headache

d)

Nasal congestion from cold

23.
  1. A PCT is measuring a patient's oxygen saturation, but the patient has artificial nails on. Which of the following is an alternative location for the technician to use to obtain the measurement?

a)

finger

b)

thumb

c)

earlobe

d)

nose