front 1 A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60pack-year smoking history. Which action is most important for the nurse to take when interviewing this client? | back 1 Maintain a nonjudgmental attitude to avoid causing the client to feel guilty. |
front 2 A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct intervention? | back 2 Client has reduced breath sounds. Nurse calls physician immediately. |
front 3 A nurse assesses a clients respiratory status. Which information is of highest priority for the nurse to obtain? | back 3 Occupation and hobbies |
front 4 A nurse is caring for an older adult client who has a pulmonary infection. Which action should the nurse take first? | back 4 Assess the clients level of consciousness. |
front 5 A nurse is providing care after auscultating clients breath sounds. Which assessment finding is correctly matched to the nurses primary intervention? | back 5 Wheezes are heard in central areas. The nurse administers an inhaled bronchodilator. |
front 6 A nurse observes that a clients anteroposterior (AP) chest diameter is the same as the lateral chest diameter. Which question should the nurse ask the client in response to this finding? | back 6 Do you have any chronic breathing problems? |
front 7 A nurse is assessing a client who is recovering from a lung biopsy. Which assessment finding requires immediate action? | back 7 Absent breath sounds |
front 8 A nurse is caring for a client who is scheduled to undergo a thoracentesis. Which intervention should the nurse complete prior to the procedure? | back 8 Validate that informed consent has been given by the client. |
front 9 A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action? | back 9 The trachea is deviated toward the opposite side of the neck. |
front 10 A nurse cares for a client who had a bronchoscopy 2 hours ago. The client asks for a drink of water. Which action should the nurse take next? | back 10 Assess the clients gag reflex before giving any food or water. |
front 11 A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Which intervention should the nurse include in this clients plan of care? | back 11 Assistance with activities of daily living |
front 12 A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement should the nurse include in this clients teaching? | back 12 Smoking while taking this medication will increase your risk of a stroke. |
front 13 A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy. The client presents with continuous cyanosis even with oxygen therapy. Which action should the nurse take next? | back 13 Notify the Rapid Response Team. |
front 14 A nurse auscultates a harsh hollow sound over a clients trachea and larynx. Which action should the nurse take first? | back 14 Document the findings. |
front 15 A nurse assesses a client who is prescribed varenicline (Chantix) for smoking cessation. Which manifestations should the nurse identify as adverse effects of this medication? (Select all that apply.) | back 15 Visual hallucinations Impaired judgment |
front 16 A nurse plans care for a client who is at high risk for a pulmonary infection. Which interventions should the nurse include in this clients plan of care? (Select all that apply.) | back 16 Encourage deep breathing and coughing. Ambulate the client three times each day. Provide a diet high in protein and vitamins. |
front 17 While obtaining a clients health history, the client states, I am allergic to avocados. Which responses by the nurse are best? (Select all that apply.) | back 17 What response do you have when you eat avocados? I will document this in your record so all of your providers will know Have you ever been treated for this allergic reaction? |
front 18 A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply.) | back 18 I held the clients morning bronchodilator medication. I advised the client not to smoke for 6 hours prior to the test. The client is alert and can follow your commands. |
front 19 A nurse teaches a client who is interested in smoking cessation. Which statements should the nurse include in this clients teaching? (Select all that apply.) | back 19 Find an activity that you enjoy and will keep your hands busy. Drink at least eight glasses of water each day. Make a list of reasons you want to stop smoking. |