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Worksheetsrxam 3
Total questions: 103
Worksheet time: 52mins
A nurse notices a patient leaning forward and using accessory muscles to breathe. What is the priority nursing action?
During a respiratory assessment, the nurse observes bluish lips and fingertips. What does this finding indicate?
The nurse hears high-pitched wheezing on auscultation in a patient with asthma. What does this indicate?
A COPD patient’s O₂ saturation is 95% on nasal cannula. What should the nurse do next?
A nurse hears crackles at the lung bases in a patient with pneumonia. What is the most appropriate intervention?
Which finding requires immediate provider notification in a patient recovering from tonsillectomy?
A patient reports “a tickle in my throat” and hoarseness. What upper airway condition does the nurse suspect?
A nurse caring for a patient with pulmonary edema observes pink frothy sputum. What is the first action?
Which sputum characteristic should alert the nurse to a possible bacterial infection?
What is the correct use of an incentive spirometer after surgery?
A patient’s ABG results show pH 7.30, PaCO₂ 55 mmHg, HCO₃⁻ 24 mEq/L. What condition does this represent?
The nurse identifies “barrel chest” and “clubbing” in a client. What condition does this suggest?
A nurse auscultates stridor in a patient with throat swelling. What is the priority action?
A patient with sinusitis reports facial pain that worsens when bending forward. What should the nurse do?
A nurse caring for a patient with influenza should implement which infection-control precaution?
What is the nurse’s first action when a patient with asthma suddenly stops wheezing and becomes drowsy?
A patient on an ACE inhibitor presents with tongue swelling and difficulty breathing. What should the nurse do first?
What diagnostic test confirms tuberculosis infection?
A patient with strep pharyngitis asks why antibiotics are necessary. What is the correct response?
What should a nurse teach a patient using a corticosteroid inhaler?
What finding in a pneumonia patient suggests effective treatment?
A patient with COPD eats only half of their meals due to dyspnea. What should the nurse recommend?
The nurse notes a D-Dimer test ordered for a patient with shortness of breath. What condition is being ruled out?
Which intervention helps prevent pneumonia in postoperative patients?
The nurse observes the patient’s trachea is deviated to the left after trauma. What does this indicate?
What is the first sign of hypoxia a nurse may observe?
A patient with TB is being discharged. What is the most important teaching point?
What nursing intervention is essential for patients receiving warfarin for PE?
What nursing action supports airway clearance in bronchitis?
A nurse is caring for a patient with pneumonia who is confused and disoriented. What is the likely cause?
Which assessment finding requires immediate intervention in a respiratory patient?
A patient with rhinitis asks for antibiotics. What should the nurse explain?
The nurse hears low-pitched snoring sounds in a COPD patient. What are these called?
What is the priority action for a patient with suspected epiglottitis?
A patient with pneumonia has a temperature of 102°F and thick sputum. What is the best nursing intervention?
Why should a nurse avoid using nasal spray decongestants for more than three days?
What finding is characteristic of chronic bronchitis?
A nurse caring for a TB patient should use which isolation precaution?
Which vaccine should an older adult with COPD receive to prevent respiratory complications?
A nurse teaching smoking cessation uses the “Ask–Assess–Assist–Arrange” model. What is the first step?
The nurse notes rust-colored sputum in a patient with fever and cough. What does this suggest?
What is the correct nursing action for a patient showing signs of pulmonary embolism?
Why must a nurse avoid giving high-flow oxygen to a COPD patient?
A patient reports facial tenderness and congestion after a dental infection. What condition is suspected?
Which assessment finding is a classic sign of pulmonary edema?
A nurse notes prolonged expiration in a patient with emphysema. What does this indicate?
What is the best nursing action when caring for a patient with a productive cough and green sputum?
A nurse observes a patient sitting forward, resting elbows on knees, and breathing rapidly. What position is this?
What is the nurse’s next action if a patient with asthma reports increased shortness of breath despite using their rescue inhaler?
The nurse hears a “death rattle” pattern of breathing in a hospice patient. What is this called?
Which condition is associated with sudden shortness of breath after long travel or immobility?
A patient with pneumonia reports chest pain that worsens with deep breathing. What is the cause?
Which statement indicates understanding of flu prevention teaching?
What is the main function of the respiratory system?
Why should nurses perform oral care daily for respiratory patients?
A nurse notes a patient with COPD using pursed-lip breathing. What is the purpose?
What complication can result if pharyngitis caused by strep is untreated?
What intervention helps reduce fatigue in patients with chronic respiratory disorders?
The nurse is caring for a patient with lung cancer. What symptom most strongly suggests disease progression?
A nurse notes a patient coughing up thick, sticky mucus. What nursing intervention is most appropriate?
A patient’s ABG results are:
pH 7.50, PaCO₂ 30 mmHg, HCO₃⁻ 24 mEq/L.
What condition does this indicate?
A patient’s ABG results are:
pH 7.28, PaCO₂ 40 mmHg, HCO₃⁻ 18 mEq/L.
What condition does this show?
ABG results show:
pH 7.48, PaCO₂ 44 mmHg, HCO₃⁻ 30 mEq/L.
What is the interpretation?
A patient’s ABG shows:
pH 7.36, PaCO₂ 50 mmHg, HCO₃⁻ 29 mEq/L.
What does this result suggest?
A nurse reviews ABG results:
pH 7.31, PaCO₂ 55 mmHg, HCO₃⁻ 26 mEq/L.
What disorder is present?
A COPD patient has ABG results:
pH 7.38, PaCO₂ 50 mmHg, HCO₃⁻ 31 mEq/L.
How should this be interpreted?
During a respiratory assessment, the nurse evaluates a patient’s breathing pattern, lung sounds, and chest symmetry. What is the main goal of this assessment?
A nurse performs a respiratory assessment and notes increased work of breathing and use of accessory muscles. What does this finding indicate?
Why is it important for a nurse to perform a thorough respiratory assessment during each patient encounter?
During a respiratory assessment, the nurse observes the patient’s breathing pattern, skin color, and effort. Which assessment technique is being used?
The nurse palpates a patient’s chest and notices the trachea is deviated to one side. What might this finding indicate?
A nurse places a stethoscope on a patient’s chest to listen to lung sounds. What assessment technique is this?
Why should an LPN focus on “look, feel, and listen” when assessing the lungs rather than percussion?
During inspection, the nurse notes that a patient becomes short of breath while speaking and has bluish lips. What should the nurse conclude?
What is the primary function of the larynx in the respiratory system?
The nurse explains to a student that one respiration consists of which components?
Which two vital signs are most critical indicators of respiratory system function?
A nurse is monitoring a client’s oxygen saturation using a pulse oximeter. Which of the following best describes the function of this device?
Continuously monitors oxygen saturation of hemoglobin in the blood
A nurse is teaching a client about chronic obstructive pulmonary disease (COPD). Which of the following statements is accurate regarding this condition?
A nurse is reviewing a client’s history and physical assessment. The client has been diagnosed with chronic obstructive pulmonary disease (COPD). Which of the following findings would the nurse expect in a client with emphysema compared to chronic bronchitis?
A nurse is auscultating a client’s lungs. Which of the following correctly matches the normal lung sound with its characteristics?
A nurse is auscultating a client’s lungs. Which of the following best describes adventitious lung sounds?
A nurse is auscultating a client’s lungs. Which of the following best describes adventitious lung sounds?
A nurse is auscultating a client’s lungs and hears high-pitched, brief popping or crackling sounds in the small airways, similar to the sound of Rice Krispies. Which adventitious lung sound is the nurse hearing?
A nurse is assessing a client and notes a pattern of breathing with gradual increases and decreases in the depth and rate of respirations, followed by periods of apnea. Which of the following best describes this type of breathing pattern?
A nurse is reviewing lung anatomy with a nursing student. Which of the following statements is accurate regarding the lobes of the lungs?
A nurse is assessing a client who reports shortness of breath. Which of the following is an appropriate method to evaluate the severity of dyspnea?
A nurse is reviewing arterial blood gas (ABG) results. Which of the following best describes hypercapnia and hypocapnia?
A nurse is teaching a client about the body’s response to low oxygen levels. Which of the following best describes respiratory stimulation?
A nurse is assessing a client with suspected hypoxemia. Which of the following are common clinical manifestations?
A nurse is teaching a client about infection prevention. Which of the following statements about oral hygiene is accurate?
A nurse is caring for a client with severe respiratory distress who is unable to eat or speak, has neck muscle tension, and visible retractions. What is the priority intervention?
A nurse is assessing a client’s fingernails and notes nail clubbing. Which of the following is the most likely explanation for this finding?
A nurse is caring for a client who is experiencing respiratory distress. What is the first action the nurse should take?
A nurse is caring for a client with suspected streptococcal pharyngitis. Which of the following statements correctly distinguishes bacterial strep from viral strep?
A nurse is preparing to administer a tuberculosis (TB) skin test. Which of the following is another name for this test?
A nurse is teaching a client about diagnostic tests for lung function. Which of the following best describes a pulmonary function test (PFT)?
A nurse is teaching a client with asthma about home monitoring of lung function. Which of the following devices measures the client’s ability to push air out of the lungs?
A nurse is caring for a client with hemoptysis and suspected lung cancer. Which of the following statements is accurate regarding lung biopsy?
A nurse is preparing a client for a lung biopsy via bronchoscopy. Which of the following best describes this procedure?
A nurse is preparing a client for a lung biopsy via bronchoscopy. Which of the following best describes this procedure?
A nurse is caring for a client after a lung biopsy. Which of the following complications should the nurse monitor for due to pain-related hypoventilation?
A nurse is teaching a client to use an incentive spirometer. Which of the following statements is accurate regarding its use?
