front 1 1. Friends of a patient hospitalized with asthma would like to bring the patient a gift. Which gift would the nurse recommend for this patient? 1.A basket of flowers | back 1 4.A book |
front 2 2. The nurse develops the nursing diagnosis "Ineffective Airway Clearance related to intermittent, reversible airway obstruction secondary to bronchoconstriction and airway inflammation." For which disorder is this nursing diagnosis most relevant? 1.Asthma | back 2 1.Asthma |
front 3 3. Which statements by a patient with asthma indicates effective teaching? 1."We'll use the fireplace to keep the house warm in the
winter." | back 3 2."We will replace the carpet in our bedroom with tile." |
front 4 4. The nurse monitors for which therapeutic effect when administering leukotriene receptor antagonists to patients diagnosed with asthma? 1.Cause bronchodilation of the airways | back 4 4.Inhibit the inflammatory process |
front 5 5. In administering bronchodilator therapy to a patient with asthma, the nurse correlates the effectiveness of this classification of medication to which mechanism of action? 1.Bronchodilators widen the airways because they act on the
parasympathetic nervous system. | back 5 2.Bronchodilators widen the airways because they stimulate the sympathetic nervous system. |
front 6 6. In providing care to a patient admitted with an acute asthma exacerbation, the nurse prepares which "rescue" medication for administration first? 1.Inhaled anti-inflammatories | back 6 4.Short-acting beta2-adrenergic agonists |
front 7 7. The nurse finds a patient admitted with asthma and pneumonia restless, anxious, complaining of increasing difficulty breathing, and stridor. Because of suspected status asthmaticus, an arterial blood gas is ordered. Which result requires an immediate intervention? 1.pH 7.30 | back 7 3.PaO2 50 mm Hg |
front 8 8. The nurse is providing care to a patient admitted after experiencing an acute asthma attack. Which assessment findings indicate the need for an immediate intervention? 1.Retractions and fatigue | back 8 3.Inaudible breath sounds |
front 9 9. The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicate the need for an immediate intervention? 1.Diminished breath sounds | back 9 1.Diminished breath sounds |
front 10 10. Patients with asthma initially develop respiratory alkalosis. Which arterial blood gas value is consistent with this acid-base disorder? 1.pH 7.32 | back 10 2.PaCO2 30 mm Hg |
front 11 11. The nurse provides education to a patient who is prescribed an aerochamber for the treatment of asthma. Which patient statement indicates the need for additional teaching? 1."I will place the mouthpiece over my nose and
mouth." | back 11 2."I should hear a whistling sound as I inhale the medication." |
front 12 12. The nurse develops the nursing diagnosis "Ineffective Airway Clearance related to increased mucus production secondary to chronic inflammation of small airways." For which disorder is this nursing diagnosis most relevant? 1.Asthma | back 12 2.Chronic bronchitis |
front 13 13. The nurse develops the nursing diagnosis "Impaired Gas Exchange related to decreased lung elasticity and hyperinflation of the alveoli secondary to exposure to inhaled pollutants." For which disorder is the nursing diagnosis most relevant? 1.Asthma | back 13 4.Emphysema |
front 14 14. Which clinical manifestation in the patient with chronic obstructive pulmonary disease (COPD) is more indicative of emphysema? 1.Cyanosis | back 14 3.Reddish complexion |
front 15 15. The nurse is providing care to a patient diagnosed with emphysema. Which clinical manifestation does the nurse correlate with this diagnosis? 1.Tachycardia | back 15 3.Barrel chest |
front 16 16. The nurse correlates which data from a patient's history to a diagnosis of bronchitis? 1.A history of rhinitis | back 16 4.A history of progressive dyspnea |
front 17 17. The nurse teaches a patient how to implement pursed-lip breathing. Which patient statement indicates a need for additional instruction? 1."I will sit up with my shoulders
relaxed." | back 17 3."I will inhale through my mouth while slowly counting." |
front 18 18. A patient diagnosed with chronic obstructive pulmonary disease (COPD) has a pulse oximetry reading of 93%, increased red blood and white blood cell count, temperature of 101°F, pulse 100 bpm, respirations 35 bpm, and a chest x-ray examination that showed a flattened diaphragm with infiltrates. Based on this data, which prescription does the nurse question for this patient? 1.Antibiotic therapy | back 18 3.Oxygen by nasal cannula at 3 to 4 L/minute |
front 19 19. The nurse correlates which diagnostic result as consistent with the diagnosis of cystic fibrosis? 1.Elevated serum chloride | back 19 2.Elevated sodium levels in sweat |
front 20 20. The nurse monitors for which gastrointestinal clinical manifestations in the patient diagnosed with cystic fibrosis? 1.Diarrhea | back 20 4.Steatorrhea |
front 21 21. Which statement by the patient regarding the treatment for cystic fibrosis indicates the need for further teaching? 1."Taking CFTR modulators will cure my cystic
fibrosis." | back 21 1."Taking CFTR modulators will cure my cystic fibrosis." |
front 22 22. Although all of these patients do not currently smoke cigarettes, the nurse recognizes that which patient is at greatest risk factor for the development of lung cancer? 1.60-year-old black male with a history of smoking in his teens 2.64-year-old white female who went to an elementary school that had asbestos 3.68-year-old black male with a 40 pack-year history of smoking 4.72-year-old white male with a 10 pack-year history of smoking | back 22 3.68-year-old black male with a 40 pack-year history of smoking |
front 23 23. The nurse is caring for a patient in a community clinic who wishes to quit smoking. The patient asks the nurse, "If I quit smoking, will my risk of lung cancer be the same as a nonsmoker?" Which is the best response by the nurse? 1."No one knows for sure what the risk is for someone who
quits smoking." | back 23 3."Your risk of lung cancer will decline if you quit, but it will remain higher than a nonsmoker's." |
front 24 24. The nurse is caring for an older adult patient who is very thin and emaciated. The patient reports new onset of shortness of breath. A chest x-ray examination reveals a spot on the lungs that the physician believes is an inoperable lung cancer. Because of the patient's poor nutritional status, chemotherapy is not an option. The healthcare provider also believes that the location of the cancer would make radiation therapy unsuccessful. In advocating for this patient, what approach does the nurse collaborate with the healthcare team to offer the patient? 1.Provide palliative care to keep the patient comfortable without
diagnostic testing | back 24 4.Determine the patient's and family's wishes regarding diagnostic testing |
front 25 26. In reviewing teaching about use of the peak flow meter in a patient with asthma, which statements by the patient indicate understanding of correct use? Select all that apply. 1."I will lie flat in the bed." | back 25 2."I take a deep breath before placing the mouthpiece in my mouth." 4."I should repeat three times and the numbers should be
close." |
front 26 27. The nurse is providing care to a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which factors in the patient's history support the current diagnosis? Select all that apply. 1.Working in an industrial environment | back 26 1.Working in an industrial environment 3.History of asthma |
front 27 27. The nurse is providing care to a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which factors in the patient's history support the current diagnosis? Select all that apply. 1.Working in an industrial environment | back 27 1.Working in an industrial environment 3.History of asthma |
front 28 28. The community health nurse is preparing an educational program for local residents. Which information does the nurse include about chronic obstructive pulmonary disease (COPD)? Select all that apply. 1.Cigarette smoking is the leading cause of
COPD. | back 28 1.Cigarette smoking is the leading cause of
COPD. 4.Less than 5% of all COPD cases are caused by deficiency in alpha-1 antitrypsin. |
front 29 29. Which systems should the nurse anticipate will be affected when planning care for a patient diagnosed with cystic fibrosis? Select all that apply. 1.Respiratory | back 29 1.Respiratory 3.Reproductive 5.Gastrointestinal |
front 30 30. Which statements about lung cancer indicate that teaching was effective? Select all that apply. 1."A reclining position allows full lung
expansion." | back 30 2."Controlled breathing reduces shortness of
breath." 5."Pain medication administered around the clock will improve my comfort." |