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WorksheetsRespiratory Conditions Quiz
Total questions: 100
Worksheet time: 50mins
A client with allergic rhinitis reports persistent nasal itching and sneezing. Which nursing intervention is most appropriate to reduce allergen exposure?
Encourage frequent nose blowing
Advise use of topical nasal decongestants daily
Teach avoidance of known allergens
Promote high-humidity environments
A child with viral rhinitis has clear nasal discharge and low-grade fever. Which finding indicates improvement?
Thick yellow nasal secretions
Decreased nasal congestion
Increased coughing
Facial pain
A client with acute rhinosinusitis reports unilateral facial pain that worsens when leaning forward. Which complication should the nurse monitor for?
Otitis media
Meningitis
Epistaxis
Laryngospasm
Which nursing assessment best differentiates viral rhinitis from bacterial sinusitis?
Presence of fever
Duration of symptoms
Nasal congestion
Sore throat
A patient with rhinitis uses topical decongestants for 10 days. The nurse suspects rebound congestion when the patient reports:
Dry nasal mucosa
Persistent congestion
Reduced sneezing
Headache
Which teaching is most important for a client with viral rhinitis?
Complete the full course of antibiotics
Increase fluid intake
Avoid antihistamines
Restrict physical activity
A client with sinusitis complains of tooth pain. The nurse understands this is due to:
Referred pain from maxillary sinuses
Gum inflammation
Nerve damage
Poor oral hygiene
Which intervention helps promote sinus drainage?
Supine positioning
Warm moist compresses
Cold packs
Fluid restriction
A nurse is assessing a client with suspected sinusitis. Which finding supports the diagnosis?
Clear rhinorrhea
Loss of smell
Facial tenderness
Hoarseness
Which medication is most appropriate for symptom relief in viral rhinitis?
Broad-spectrum antibiotics
Antihistamines
Corticosteroids long-term
Antifungals
A client with sinusitis is at greatest risk for which complication if untreated?
Bronchospasm
Orbital cellulitis
Tonsillitis
Nasal fracture
Which assessment finding suggests chronic rather than acute sinusitis?
Sudden facial pain
Fever
Symptoms lasting >12 weeks
Purulent drainage
A client with streptococcal pharyngitis should be monitored for which complication?
Glomerulonephritis
Otitis externa
Laryngitis
Sinus polyps
Which finding suggests bacterial rather than viral pharyngitis?
Cough
Hoarseness
White tonsillar exudates
Runny nose
A child with tonsillitis has difficulty swallowing. Which nursing action has the highest priority?
Encourage oral fluids
Maintain airway patency
Administer antibiotics
Obtain throat culture
Which symptom most strongly suggests a peritonsillar abscess?
Bilateral sore throat
Trismus and muffled voice
Clear nasal drainage
Hoarseness
The nurse notes uvular deviation in a client. This finding is associated with:
Laryngitis
Acute sinusitis
Peritonsillar abscess
Viral pharyngitis
A client with pharyngitis asks why antibiotics are not prescribed. The best response is:
"They cause resistance."
"Most cases are viral."
"They worsen symptoms."
"They delay recovery."
Which nursing intervention reduces throat discomfort in tonsillitis?
Cold fluids
Dry air
Voice rest avoidance
Supine positioning
After tonsillectomy, which assessment requires immediate action?
Mild throat pain
Frequent swallowing
Low-grade fever
White patches on throat
A client with suspected peritonsillar abscess is at risk for:
Airway obstruction
Nasal fracture
Epistaxis
Sleep apnea
Which finding differentiates peritonsillar abscess from tonsillitis?
Fever
Severe unilateral pain
Dysphagia
Erythema
The nurse anticipates which treatment for peritonsillar abscess?
Antihistamines
Surgical drainage
Observation only
Voice therapy
Which sign suggests dehydration in a client with severe pharyngitis?
Increased saliva
Dry mucous membranes
Productive cough
Hoarse voice
Teaching after tonsillectomy should include avoiding:
Cold fluids
Straws
Soft foods
Analgesics
A teacher with acute laryngitis should be instructed to:
Whisper frequently
Rest the voice
Use lozenges continuously
Speak loudly
Which finding in laryngitis suggests need for further evaluation?
Hoarseness lasting 2 days
Mild sore throat
Hoarseness >3 weeks
Dry cough
A client with laryngeal obstruction shows inspiratory stridor. What is the nurse's priority?
Assess pain
Maintain airway
Administer antibiotics
Provide fluids
Which early sign of laryngeal cancer should be reported immediately?
Persistent hoarseness
Sore throat
Dry cough
Nasal congestion
A patient with laryngeal cancer undergoes total laryngectomy. Which nursing diagnosis is priority post-op?
Disturbed body image
Impaired verbal communication
Risk for infection
Ineffective airway clearance
The nurse explains that smoking contributes to laryngeal cancer by:
Causing viral mutations
Increasing acid reflux
Irritating laryngeal mucosa
Reducing immunity
Which finding indicates worsening laryngeal obstruction?
Hoarseness
Aphonia
Stridor at rest
Dry throat
A client with partial laryngectomy is at risk for:
Aspiration
Epistaxis
Sinusitis
Rhinitis
Which communication method is most appropriate after total laryngectomy?
Whispering
Esophageal speech
Yelling
Lip reading only
A nurse caring for a laryngectomy patient notes increased mucus. This is due to:
Infection
Loss of nasal humidification
Dehydration
Aspiration
Which teaching reduces airway complications after laryngectomy?
Avoid humidification
Perform stoma care
Restrict fluids
Sleep supine
A client with suspected laryngeal cancer also reports dysphagia. This indicates:
Early disease
Tumor progression
Viral infection
Allergic reaction
The nurse identifies that chronic laryngitis increases risk for:
Sinusitis
Laryngeal cancer
Epistaxis
Sleep apnea
A client with obstructive sleep apnea is at highest risk for:
Hypotension
Pulmonary hypertension
Hypoglycemia
Dehydration
Which finding supports a diagnosis of obstructive sleep apnea?
Daytime somnolence
Productive cough
Hoarseness
Epistaxis
The most effective long-term treatment for moderate OSA is:
Antibiotics
CPAP therapy
Antihistamines
Oxygen therapy
A nurse teaching CPAP therapy should emphasize:
Use only when tired
Consistent nightly use
Use during naps only
Avoid humidification
A client presents with epistaxis. The first nursing action is to:
Apply ice to neck
Tilt head backward
Sit upright and lean forward
Pack the nose
Which condition increases risk for epistaxis?
Hypotension
Anticoagulant use
Diabetes mellitus
Asthma
A client with nasal obstruction complains of mouth breathing. Which complication may develop?
Laryngitis
Dry mucosa
Sinus polyps
Epistaxis
After nasal packing, the nurse monitors for:
Hypoglycemia
Toxic shock syndrome
Aspiration pneumonia
Laryngospasm
Which sign suggests septal hematoma after nasal fracture?
Clear drainage
Persistent nasal obstruction
Facial bruising
Epistaxis
asal trauma?
Thick yellow drainage
Bloody mucus
Clear watery drainage
Purulent discharge
A client with chronic nasal obstruction is most at risk for:
Sinusitis
Tonsillitis
Laryngitis
Epiglottitis
A nurse recognizes that obesity contributes to OSA primarily by:
Increasing nasal secretions
Narrowing airway during sleep
Causing sinus infection
Increasing lung volume
A patient with epistaxis has posterior bleeding. Which finding supports this?
Blood from one nostril
Blood in oropharynx
Mild bleeding
Pain at septum
Which teaching helps prevent recurrent epistaxis?
Frequent nose picking
Humidified air
Daily nasal sprays
Forceful sneezing
The nurse suspects nasal obstruction is caused by polyps when noting:
Unilateral pain
Pale, grape-like masses
Severe epistaxis
Fever
A client with untreated OSA is at risk for which cardiac condition?
Bradycardia
Atrial fibrillation
Endocarditis
Myocarditis
A post-operative client develops atelectasis. Which nursing intervention is most effective?
Bed rest
Incentive spirometry
Fluid restriction
Oxygen only
Which assessment finding indicates atelectasis?
Crackles
Decreased breath sounds
Wheezing
Productive cough
Acute tracheobronchitis is most commonly caused by:
Bacteria
Fungi
Viruses
Parasites
A client with tracheobronchitis has a dry cough. The nurse should recommend:
Smoking
Increased fluids
Antibiotics
Bed rest only
Which finding differentiates pneumonia from bronchitis?
Cough
Fever
Consolidation on x-ray
Dyspnea
A nurse suspects aspiration pneumonia in a client with:
Recent stroke
Allergic rhinitis
Asthma
Sinusitis
Which sign indicates worsening pneumonia?
Productive cough
Increasing oxygen needs
Mild fever
Fatigue
A client with community-acquired pneumonia should be positioned:
Supine
Prone
Semi-Fowler's
Trendelenburg
A patient with PTB presents with weight loss and night sweats. Which nursing action is priority?
Provide nutrition teaching
Initiate airborne precautions
Administer antipyretics
Encourage fluids
Which test confirms pulmonary tuberculosis?
Chest x-ray
Sputum culture
Tuberculin skin test
CBC
A nurse teaching PTB therapy emphasizes that medications must be taken:
Until symptoms resolve
For several months
Only when coughing
Once daily for a week
Which finding indicates medication non-adherence in PTB?
Persistent cough
Weight gain
Night sweats
Missed follow-ups
A client with HIV is most susceptible to infection when:
CD4 count is low
Viral load is undetectable
Hemoglobin is low
Platelets are low
Which infection is an opportunistic infection in HIV?
Influenza
Pneumocystis pneumonia
Sinusitis
Bronchitis
A nurse teaching HIV prevention should emphasize:
Antibiotic use
Safe sexual practices
Vaccination only
Isolation
A client with HIV reports oral white patches. The nurse suspects:
Leukoplakia
Oral candidiasis
Aphthous ulcers
Laryngitis
Which lab result best reflects HIV disease progression?
RBC count
CD4 count
ESR
Hematocrit
A client with Type 1 DM develops pneumonia. Which complication is increased risk?
Hypoglycemia
Diabetic ketoacidosis
Hypertension
Bradycardia
A nurse caring for a client with Type 1 DM and infection should expect:
Decreased insulin needs
Increased insulin needs
Stable glucose levels
Reduced monitoring
Which symptom of pneumonia may be blunted in HIV clients?
Cough
Fever
Dyspnea
Chest pain
A nurse recognizes that atelectasis increases risk for:
Pneumonia
Epistaxis
Rhinitis
Sleep apnea
A client with acute tracheobronchitis asks for antibiotics. Best response?
"They shorten illness."
"They prevent pneumonia."
"Most cases are viral."
"They reduce coughing."
Which sign suggests respiratory failure in pneumonia?
RR 18/min
Use of accessory muscles
Mild cough
Clear sputum
A client with PTB should cover mouth when coughing to:
Prevent reinfection
Reduce symptoms
Prevent transmission
Improve comfort
Which vaccine is especially important for HIV clients?
BCG
Pneumococcal
Live attenuated vaccines
Smallpox
A nurse notes fruity breath in a Type 1 DM client with infection. This indicates:
Hypoglycemia
Ketoacidosis
Dehydration
Infection control
Which intervention prevents atelectasis post-surgery?
Shallow breathing
Early ambulation
Fluid restriction
Supine position
A client with pneumonia has pleuritic chest pain. The nurse anticipates pain increases with:
Eating
Deep breathing
Rest
Sitting
Which symptom is most concerning in a client with acute tracheobronchitis?
Dry cough
Wheezing
Hemoptysis
Fatigue
A nurse evaluates TB treatment effectiveness by monitoring:
Weight loss
Sputum negativity
Fever spikes
Cough frequency
Which finding suggests immune suppression in HIV?
Recurrent infections
Weight gain
Hypertension
Bradycardia
A client with Type 1 DM should be taught sick-day rules to:
Stop insulin
Increase carbohydrate intake only
Monitor glucose frequently
Avoid fluids
Which nursing diagnosis is priority in pneumonia?
Imbalanced nutrition
Ineffective airway clearance
Disturbed sleep
Anxiety
A client with HIV and pneumonia is placed in isolation primarily to:
Protect the client
Protect visitors
Reduce workload
Prevent stigma
Which assessment finding suggests atelectasis resolution?
Persistent dyspnea
Improved breath sounds
Fever
Cyanosis
A nurse identifies that smoking worsens pneumonia by:
Increasing appetite
Impairing ciliary function
Raising immunity
Reducing inflammation
A client with PTB asks why treatment is long. Best response?
"To prevent relapse and resistance."
"To relieve symptoms."
"To avoid side effects."
"To shorten isolation."
A Type 1 DM client with infection should test urine for:
Protein
Ketones
Calcium
Sodium
Which sign indicates hypoxia in pneumonia?
Pink lips
Confusion
Warm skin
Bradycardia
A client with HIV is at greatest risk for pneumonia when CD4 is:
>500
300-400
<200
Normal
Which nursing action reduces aspiration risk in pneumonia?
Supine feeding
Upright positioning
Fluid restriction
Bed rest
A nurse caring for tracheobronchitis encourages coughing to:
Reduce fatigue
Clear secretions
Prevent fever
Improve appetite
Which condition is characterized by chronic obstruction of lung airflow?
Asthma
COPD
Bronchitis
Hypercarbia
What is the medical term for a bluish discoloration of the skin due to lack of oxygen?
Emphysema
Cyanosis
Asthma
Respiratory distress
Which term refers to the over-inflation of the lungs due to excessive breathing?
Hyperventilation
Hypoxia
Wheezing
Bronchitis
What is the term for the condition characterized by difficulty in breathing?
Cyanosis
Dyspnea
Hypercarbia
Emphysema
