Arkansas State University, Newport - NURSING 213 Respiratory part 2 test. / all answers corrected, 100% score.

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Respiratory Part 2 Instructions LATEST Attempt 1 (corrected 100%) Question 1 The nurse is caring for a patient with pneumonia. Which set of laboratory tests will be most helpful to the nurse to monito... r the condition of this patient? Electrolytes and serum creatinine Complete blood count (CBC) and urinalysis White blood cell (WBC) count and arterial blood gases (ABGs) Partial thromboplastin time (PTT) and serum potassium Question 2 2 / 2 pts A patient is admitted to a respiratory unit with a diagnosis of pneumonia. Assessment data reveal the patient to be febrile and experiencing a weak, congested-sounding cough, with moist crackles throughout the lung fields. Based on the data provided, the nurse will focus care on which issue? Inability to clear the airway Difficulty with breathing Confusion from fever Inadequate oxygen level Question 3 2 / 2 pts The nurse is reviewing data collected on a patient with a respiratory disorder. Which factors does the nurse identify as placing the patient at risk for lung cancer? Smoking and exposure to radon gas Living in crowded conditions and a lack of sunlight Living in a cold climate and having pets Eating foods high in beta carotene and fiber Question 4 A patient with lung cancer develops pleural effusion. Which explanation by the nurse would help the patient understand this problem? “Fluid has collected in the space between your lungs and the sac surrounding your lungs.” “Pus has developed in your alveoli that must be removed to improve your breathing.” “Fluid in your pericardial sac places pressure on your lungs, making it difficult to breathe.” “You have large amounts of fluid collecting in your airways because of your diagnosis.” Question 5 A patient diagnosed with a pleural effusion is experiencing severe dyspnea. With which procedure does the nurse anticipate assisting? Bronchoscopy Pericardiocentesis Tracheostomy Thoracentesis Question 6 2 / 2 pts A summer camp worker reports shortness of breath and audible wheezing to the camp nurse. Which inhaled medication will the nurse provide? Cromolyn sodium Nedocromil sodium Albuterol Triamcinolone Question 7 A patient with chronic obstructive pulmonary disease (COPD) is prescribed methylprednisolone. For what reason should the nurse realize that corticosteroids are used in the treatment of this health problem? To reduce airway inflammation To dry up respiratory secretions To improve the blood capacity to carry oxygen To treat infection from secretion stasis Question 8 While reinforcing discharge teaching for a patient with emphysema, which patient statement indicates that teaching was effective? “Air gets trapped when damage to the air sacs makes it hard for air to move in and out.” “My disease is caused by spasm of the smooth muscles in my breathing pipes.” “There are bacteria in my lungs so my body is trying to wall off the infection.” “Emphysema causes swelling in the airways and an increase in mucus production.” Question 9 2 / 2 pts A patient with chronic obstructive pulmonary disease is prescribed methylprednisolone (Solu-Medrol). For what reason should the nurse realize that corticosteroids are used in the treatment of this health problem? Improve the oxygen-carrying capacity of hemoglobin Dry secretions Treat infection Reduce airway inflammation Question 10 A patient is diagnosed with a pulmonary embolism. Which medication should the nurse anticipate administering to this patient? Theophylline Spiriva Heparin Methylprednisolone Question 11 2 / 2 pts A young adult is admitted with manifestations associated with cystic fibrosis. What should the nurse expect to find when collecting data from this patient? (Select all that apply.)  Distended abdomen  Thick sputum production  Complaints of frequent foul-smelling stool Extreme thirst  Finger clubbing Question 12 The nurse is reviewing medication orders for a patient with TB. Which drugs should the nurse expect to have prescribed for this patient? Alupent and theophylline Aspirin and guaifenesin Isoniazid and rifampin Claforan and penicillin Question 13 2 / 2 pts A patient with TB who is in respiratory isolation must go to the x ray department. Which action should the nurse take? Call the x-ray department to make sure the waiting room is empty. Notify the x-ray department that the test must be cancelled. Place a gown and gloves on the patient. Place a mask over the patient’s nose and mouth. Question 14 The nurse teaches a patient with TB about drug therapy. Which patient statement indicates that teaching has been effective? “I will have to take the antibiotics for 10 days.” “I will get a prescription for 2 weeks of antibiotics.” “I will have to take antibiotics for the rest of my life.” “I will probably need to be on antibiotic therapy for 6 months to 2 years.” Question 15 A patient with cystic fibrosis has ineffective airway clearance. What intervention would worsen this problem? Mucolytics Fluids Bedrest Percussion and postural drainage Question 16 The nurse is caring for a patient with end-stage chronic obstructive pulmonary disease. Which medication can help reduce acute dyspnea associated with this disease? IM meperidine (Demerol) IV morphine IV propranolol (Inderal) PO cortisone Question 17 A nurse is providing home care for a patient with chronic obstructive pulmonary disease (COPD). Which order should the nurse question? Oxygen 4 L/min per nasal cannula Low-sodium diet Tiotropium (Spiriva) inhalation once daily Increase activity as tolerated Question 18 A patient with a lung infection has blood-tinged sputum. What term should the nurse use to document this finding? Hemoptysis Hypercarbia Hypoxemia Hematemesis Question 19 2 / 2 pts The nurse is reviewing the health histories for an assigned group of patients. Which patient should the nurse identify as being the most at risk for TB? The patient with lung cancer The patient with acquired immunodeficiency syndrome The patient with a history of alcohol abuse The patient with chronic airflow limitation Question 20 The nurse is providing care for a patient admitted with an acute lower respiratory infection. The nurse notices that the patient is stifling the cough reflex and exhibiting shallow respirations due to pain. The nurse will focus nursing care on the prevention of which condition? Respiratory failure Chronic airway obstruction Atelectasis Pulmonary emboli Question 21 2 / 2 pts The nurse works in a clinic and is performing tuberculosis (TB) screening with the purified protein derivative (PPD). Which option about PPD screening is correct? If a person is anergic, a larger area of induration will appear. The test is positive if reddened area occurs within 48 to 72 hours. A reddened area without induration is considered negative. A positive reaction to the test indicates active disease process. Question 22 2 / 2 pts The nurse auscultates the lung sounds of a patient with a pneumothorax every 4 hours. Which finding indicates to the nurse that the patient’s condition is improving? Crackles or wheezes are heard. Bilateral lung sounds are present. Patient anxiety is decreased. Symmetry of the chest is noted. Question 23 The nurse works primarily with patients diagnosed with lung cancer. Which patient with lung cancer does the nurse recognize as having the best prognosis? Adenocarcinoma Small cell lung cancer Large cell carcinoma Squamous cell carcinoma Question 24 With lung cancer some tumors have been shown to produce what type of hormones? Gonadatropic Exogenous Homogenous Ectopic Question 25 On auscultation, which finding suggests a right pneumothorax? Absence of breaths sound in the right thorax Bilateral inspiratory and expiratory crackles Bilateral pleural friction rub Inspiratory wheezes in the right thorax Question 26 During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change? Laryngospasm Overdistention of the alveoli Pulmonary edema Narrowing of the airway Question 27 The nurse is assigned to care for a patient who has anxiety and an exacerbation of asthma. What is the primary reason for the nurse to carefully inspect the chest wall of this patient? Monitor the patient for bilateral chest expansion. Observe for signs of diaphoresis. Allow time to calm the patient. Evaluate the use of intercostal muscles Question 28 2 / 2 pts While assessing a client who is unconscious following major trauma, the nurse notes that a portion of the client's chest pulls inward on inspiration. On expiration, the same portion expands outward. The nurse documents the presence of which of the following? Flail chest Symmetrical chest movement Cheyne-stokes respirations Intercostal retractions Question 29 What pulmonary disease is characterized by a dilation of the bronchial airways, sputum is copious and purulent. The accompanying cough can produce as much as 200 mL of thick, foul-smelling sputum in a single episode of coughing? Cystic Fibrosis Tuberculosis Bronchiectasis Empyema Original Score: 1.2 / 2 pts Regraded Score: 2 / 2 pts Question 30  This question has been regraded. Which of the following are symptoms of Superior Vena Cava Syndrome? (Select All That Apply)  Distended neck veins  Swelling in the face  Interrupted blood flow due to tumor compression  Edema to chest  Hyperventilation Question 31 What is the name of the devices that have special one-way seal to allow air to escape but not re-enter the chest? These may be used for some patients who are treated at home for a pneumothorax. Thoracic Catheter  Heimlich valve  Chest drainage system Water seal chamber Question 32 What disease process most commonly occurs in postsurgical patients who do not cough and deep breathe effectively? It involves collapse of alveoli. Pneumonia  ARDS Atelectasis  Bronchiectasis Question 33 What type of fungal pneumonia is commonly seen in immunocompromised patients, especially patients with AIDS? Klebsiella pneumoniae Pneumocystis jiroveci pneumonia Streptococcus pneumoniae Chlamydia trachomatis pneumoniae Question 34 2 / 2 pts Within what time frame must a TB skin test be read after the intradermal injection is made? 48-72 hours 18-36 hours 72-94 hours 24-36 hours Question 35 1.5 / 2 pts Which of the following are signs and symptoms of TB? (Select All That Apply)  Absence of a cough  Night Sweats  Malaise  Anorexia  Hemoptysis Question 36 2 / 2 pts What is the proper process to ensure a patient is clear from having active TB? Sputum cultures must be collected on 3 separate occasions on the same day and all test negative for TB Sputum cultures must be collected on 3 separate days and two of the three test cultures are negative for TB Sputum cultures must be collected on 3 separate days and all test negative for TB Sputum cultures must be collected on 3 separate consecutive hours and one of the three must test negative for TB Question 37 Which of the following diseases in a patient's health history would concern the nurse about the patient developing pulmonary fibrosis? CHF Pneumonia Obesity Lupus Question 38 A patient has recurrent pleural effusions. What procedure would the nurse anticipate being ordered by the physician to prevent further development of pleural effusions? Pleurodesis VATS Thoracotomy Thoracentesis Question 39 2 / 2 pts What disease process is characterized by inflammation of the lining of the lungs that leads to chest pain (usually sharp) when you take a breath or cough? Knife-like pain on inspiration may be reported. Restrictive Airway Disease Bronchiectasis Pneumonia Pleurisy Question 40 2 / 2 pts What nursing care action can significantly reduce the chances of a patient acquiring VAP (ventilator acquired pneumonia)? Changing ventilator tubing once a shift Frequent suctioning of the ET tube at least once every hour Requesting prophylactic antibiotics from the attending physician Frequent oral care at least every 2 hours with approved antiseptic mouth care kits Question 41 With cystic fibrosis patients have thick tenacious airway secretions that are very difficult to clear. What physiological abnormality causes the patient to develop these secretions? Abnormal sodium and chloride transport across cell membranes, which keeps the body from reabsorbing electrolytes properly Alveoli become thick and scarred, and gas exchange becomes difficult Chronic inflammation of the airways and hyperresponsiveness of the bronchial smooth muscles (bronchospasm) Airways are narrowed or blocked by inflammation and mucus, and there is loss of elasticity in the alveoli Question 42 2 / 2 pts This disease is characterized by chronic productive cough for 3 months in 2 consecutive years. Some S/S include cough, purulent sputum, recurrent infections, mild dyspnea, rhonchi, wheezes, and cyanosis. Chronic bronchitis (blue bloaters) COPD Pulmonary Fibrosis Emphysema (pink puffers) Question 43 2 / 2 pts Which of the following are potential triggers for an asthma attack? (select all that apply) Bronchodilators  Cigarette smoke Moisture  Dust  Perfumes Question 44 2 / 2 pts The physician has ordered a patient receive 250 mg of Levaquin ( Levofloxacin) IV. According to the drug label and instructions, at what rate would you infuse the medication? (how many mL's per hour) 50 Correct Answers Correct Answers 50 Question 45 2 / 2 pts A patient is receiving chest physiotherapy due to thick secretions in the lungs. What intervention in the plan of care would the nurse implement to maximize effectiveness of treatment? Request physical therapy to not ambulate patient due to difficulty with clearing airway Request a PRN opioid order for the patient to help them relax prior to physiotherapy Schedule meals 30 minutes prior to physiotherapy Request that nebulizer treatments be scheduled prior to physiotherapy to maximize clearance of pulmonary secretions Question 46 Which of the following patients would be at the greatest risk for aspiration pneumonia? 42 year old male who is hospitalized for seizures and alcohol (ETOH) poisoning 27 year old female with history of Crohn's disease and URI 56 year old male with a history of asthma and diabetes 85 year old female with a hip fracture and UTI Question 47 2 / 2 pts What is one of the biggest concerns related to possible complications from a rib fracture? Intractable pain Decreased activity level Pneumothorax Disturbed body image Question 48 2 / 2 pts Which of the following PPE items would the nurse don prior to performing any care involving a body secretion on a patient with active TB? (select all that apply) Surgical mask  Protective gown No precautions if not within 5 feet of the patient actively coughing  N95 Mask  Goggles or face shield Question 49 2 / 2 pts A patient asks the nurse why his doctor is doing a bronchoscopy with "washings." Which of the following responses would be appropriate by the nurse to explain to the patient the reason for the exam? The doctor will wash out all secretions in your airway when he does the procedure The doctor will wash away any trapped particles in the upper airway when the procedure is done This is to clean the cilia in your lungs The doctor will "wash" a thin layer of cells from your bronchi to have analyzed for any abnormal cells or pathogens Question 50 2 / 2 pts The nurse received the following order for a patient she is caring for in long term care. Augmentin 500 mg, per PEG tube, every 8 hours for 7 days. The nurse receives the medication from the pharmacy and has to reconstitute the medication for administration. She also needs to give the patient the first dose of the medication. How many mL's of this medication will the nurse administer to provide the 500mg as ordered in the medication order? 20 Correct Answers Correct Answers 20 Quiz Score: 47.5 out of 100 (corrected 100% score) [Show More]

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