Assessment Of The Respiratory System

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Question 1
Free
Multiple Choice

A client says to the nurse, "It's hard for me to breathe; I feel winded all the time." The nurse would record this subjective feeling on the chart as

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A

apnea.

B

dyspnea.

C

respiratory fatigue

D

tachypnea.

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Question 2
Free
Multiple Choice

A client with pulmonary disease appears more comfortable after respiratory therapy but still feels short of breath. To measure the client's respiratory improvement, the nurse would use a

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A

Candle Scale.

B

pulmonary function test.

C

Treadmill test.

D

Visual Analogue Scale.

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Question 3
Free
Multiple Choice

Evaluating the respiratory status of a 59-year-old man with vague complaints of respiratory problems, the nurse would know the assessment that is normal is

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A

an inspiratory wheeze heard only with a stethoscope.

B

dyspnea with mild exertion.

C

reports of loud snoring by the client's spouse.

D

the absence of sputum production after coughing.

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Question 4
Free
Multiple Choice

A 44-year-old man with active pulmonary tuberculosis is experiencing hemoptysis, which the nurse understands describes

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A

bloody sputum.

B

chest pain.

C

constant cough.

D

dyspnea.

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Question 5
Free
Multiple Choice

The nurse would explain to a client with complaints of wheezing and chest tightness that wheezing occurs when

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A

air is passing through a narrowed airway.

B

air is trapped in the alveoli.

C

an allergic reaction is taking place.

D

sputum production is increased.

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Question 6
Multiple Choice

An older adult client says, "I need to get a shot so that I'll never get pneumonia again." The most helpful response by the nurse would be

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A
"Immunization for pneumonia must be repeated every year."
B
"Most older people get flu shots, but they don't protect you from pneumonia."
C
"Pneumovax vaccine can protect you against one type of pneumonia."
D
"You cannot get a shot, or immunization, for pneumonia."
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Question 7
Multiple Choice

When a 49-year-old client tells the nurse he has smoked half a pack of unfiltered cigarettes a day since he was 19 years old, the nurse would record the pack-years as

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A
15.
B
20.
C
25.
D
30
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Question 8
Multiple Choice

A client has just returned from China and is concerned about possible respiratory disorders. The nurse would advise the client to have a screening to assess for exposure to

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A
adult respiratory distress syndrome (ARDS).
B
histoplasmosis.
C
tuberculosis.
D
Valley fever.
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Question 9
Multiple Choice

A client being treated for emphysema has a chronic productive cough. The nurse would assess a characteristic feature of clients with long-term emphysema, which is

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A
barrel chest.
B
broken vessels in the nose.
C
erythematous ear lobes.
D
pectus excavatum.
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Question 10
Multiple Choice

The nurse preparing to assess a client for the presence of clubbing would instruct the client to

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A
place both hands on a flat surface and splay the fingers.
B
place the nails of the ring fingers together.
C
sit upright and lean over the bedside table.
D
walk 50 feet up the hall as quickly as possible.
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Question 11
Multiple Choice

The nurse clinician performing percussion of the chest on a client assesses a low-pitched, hollow sound over the middle lobe. The nurse would record this finding as

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A
dull, and refer the client to an allergist.
B
hyperresonant, and refer to a physician for work-up.
C
resonant and document the finding, taking no other action.
D
tympany, and refer the client to radiology for a chest x-ray.
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Question 12
Multiple Choice

When the nurse hears a high, hollow, drum-like sound while percussing the right chest of a young man with a right pneumothorax, the nurse would record this finding as

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A
dullness.
B
flatness.
C
resonance.
D
tympany.
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Question 13
Multiple Choice

The nurse auscultating the chest of a client with chronic bronchitis would expect to hear the characteristic adventitious breath sound of

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A
bronchovesicular sounds in the bases.
B
crackles throughout the lung fields.
C
rhonchi on expiration.
D
wheezes on inspiration.
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Question 14
Multiple Choice

Before drawing blood for an arterial blood gas (ABG), the nurse would perform a/an

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A
Allen's test.
B
incentive spirometer assessment.
C
Schilling's test.
D
test for peripheral perfusion.
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Question 15
Multiple Choice

The nurse reviews the results of the arterial carbon dioxide tension (PaCO?) of a client with asthma to obtain information relative to the

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A
contribution of gas exchange.
B
effectiveness of alveolar ventilation.
C
evidence of atelectasis.
D
presence of respiratory alkalosis.
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Question 16
Multiple Choice

The nurse would explain to a client that the most helpful test in the evaluation of a possible pulmonary embolus is

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A
alveolar lavage.
B
bronchoscopy.
C
gallium scan.
D
ventilation-perfusion scan.
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Question 17
Multiple Choice

The nurse preparing a client for a bronchoscopy would include information about its (Select all that apply)

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A
ability to visualize gas exchange at the alveolar level.
B
limitation of not being able to take tissue biopsies.
C
therapeutic use to remove retained secretions.
D
usefulness in diagnosing tumors, inflammation, and strictures.
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