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Question 1
Free
Multiple Choice

A nurse is drawing a blood sample from a client's central line and the client suddenly becomes dyspneic and complains of chest pain. The priority action by the nurse is to

Choose correct answer/s
A

obtain blood pressure readings in both arms.

B

notify the physician immediately.

C

put the client in a left lateral Trendelenburg position.

D

terminate the procedure and clamp the central line.

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Question 2
Free
Multiple Choice

A nurse is auscultating the lungs of a client who presented to the emergency department complaining of an asthma attack. The nurse hears no wheezing. The nurse should conclude that the client

Choose correct answer/s
A

does not really have asthma.

B

is not having a bad attack.

C

may have severe airway constriction.

D

needs increased IV fluids.

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Question 3
Free
Multiple Choice

The nurse performing a brief physical assessment of an anxious client with asthma would carefully inspect the chest wall primarily to

Choose correct answer/s
A

evaluate the use of intercostal muscles.

B

gain time to calm the client.

C

observe the client for diaphoresis.

D

verify bilateral chest expansion.

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Question 4
Free
Multiple Choice

A client receives a beta-adrenergic bronchodilator and supplemental oxygen when entering the ED for treatment of asthma, but the client's condition remains unchanged. The nurse would anticipate that the client will

Choose correct answer/s
A

be coached immediately in pursed-lip breathing.

B

receive increased intravenous fluids.

C

receive intravenous (IV) steroids.

D

undergo "stat" pulmonary function tests.

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Question 5
Free
Multiple Choice

The nurse caring for a client with asthma would place the client in the

Choose correct answer/s
A

Fowler position.

B

lithotomy position.

C

side-lying position.

D

supine position.

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Question 6
Multiple Choice

A nurse is conducting community wellness seminars and teaches that a primary prevention activity for chronic obstructive pulmonary disease (COPD) is

Choose correct answer/s
A
avoiding alcohol.
B
genetic testing.
C
not smoking.
D
regular exercise.
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Question 7
Multiple Choice

A client tells the nurse that he read something about "dead space" in an article about emphysema and asks the nurse to explain it to him. The nurse's most accurate answer would be the following:

Choose correct answer/s
A
"Any part of your lungs that contains mucous secretions is called dead space."
B
"Dead space is an area of your lung that does not participate in air exchange."
C
"Parts of the lower airway that serve as a conduit for fresh air."
D
"This is a small area of necrotic tissue that can cause infection."
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Question 8
Multiple Choice

In assessing a client for emphysema, the nurse would know that a physical finding commonly associated with this condition is

Choose correct answer/s
A
barrel chest.
B
bulbous nose.
C
spider angiomas.
D
varicose veins.
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Question 9
Multiple Choice

A client has chronic obstructive pulmonary disease (COPD). In reviewing this client's laboratory values, the nurse would not be surprised to see a/an

Choose correct answer/s
A
decreased sedimentation rate.
B
elevated RBC count.
C
normochromic anemia.
D
therapeutic INR.
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Question 10
Multiple Choice

Important health promotion measures the nurse should encourage the client with COPD to consider are

Choose correct answer/s
A
getting influenza and pneumonia vaccinations.
B
increasing ambient humidity in the house or apartment.
C
installing a UV filter in the heating and air conditioning system.
D
moving to an area of the country with a dry climate.
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Question 11
Multiple Choice

The nurse would prepare a client with emphysema who has a ruptured emphysematous bleb for

Choose correct answer/s
A
chest percussion.
B
chest tube insertion.
C
incentive spirometry.
D
intubation.
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Question 12
Multiple Choice

A client with COPD has severe shortness of breath at rest and arterial oxygen tension (PaO?) of 35 mm Hg. When oxygen via nasal cannula is prescribed, the nurse would assess the client cautiously because

Choose correct answer/s
A
regulating oxygen settings can be done by unlicensed staff.
B
some clients with COPD have CO2 narcosis.
C
skin damage under the nasal cannula is common.
D
the client may try to sneak a cigarette and get burned.
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Question 13
Multiple Choice

A client is being worked up for possible pulmonary hypertension. The nurse prepares the client for the definitive diagnostic test for this condition, which is

Choose correct answer/s
A
arterial blood gas measurements.
B
pulmonary function studies.
C
right heart catheterization.
D
spiral computed tomography.
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Question 14
Multiple Choice

A nurse evaluates that goals for self-care teaching have been met when the client with asthma states

Choose correct answer/s
A
"Coughing at night is an expected side effect of bronchodilators."
B
"Follow up visits with the doctor every year are important for monitoring."
C
"I won't change the dosages of my medications without talking to the doctor."
D
"If my peak flow measurements drop I will increase my medications."
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Question 15
Multiple Choice

A client has a history of recurring respiratory tract infections and presents today with cough and purulent sputum. The client also complains of longstanding fatigue and weakness. The nurse would assess the client further for

Choose correct answer/s
A
a viral infection.
B
asthma.
C
bronchiectasis.
D
tracheobronchitis.
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Question 16
Multiple Choice

The nurse is caring for a client with a pulmonary embolism who is receiving heparin and must have an arterial blood gas (ABG) sample drawn. The nurse would arrange to remain in the room to be available to hold pressure on the puncture site for at least

Choose correct answer/s
A
1 minute.
B
2 minutes.
C
5 minutes.
D
10 minutes.
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Question 17
Multiple Choice

A client experiencing severe chest pain from a pulmonary embolism has been medicated for pain but appears anxious and restless. The additional nursing measure that most likely would assist the client in dealing with fear is

Choose correct answer/s
A
asking the client not to focus on the pain.
B
explaining the monitoring devices to the client.
C
reassuring the client the pain medication will work soon.
D
remaining at the bedside with the client.
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Question 18
Multiple Choice

A client experiencing a pulmonary embolus has pleuritic pain and hemoptysis. The nurse would assesses the presence of hemoptysis as an indication of

Choose correct answer/s
A
alveolar damage.
B
hemorrhage in the sinuses.
C
hemothorax.
D
ruptured vessels in the trachea.
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Question 19
Multiple Choice

A client who experienced a pulmonary embolus is receiving heparin therapy. The client will now also start receiving sodium warfarin (Coumadin). When the client asks the nurse why both medications are being given, the best response by the nurse is

Choose correct answer/s
A
"It takes several days for the warfarin to become therapeutic."
B
"Most clients go home on both drugs for maximal treatment."
C
"The heparin is not working to dissolve the blood clot, so we are adding warfarin."
D
"You are right to ask. You are at increased risk of bleeding with both drugs."
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Question 20
Multiple Choice

The nurse is assessing the lab work of a client with a pulmonary embolism. The client's INR is 5.8. The most appropriate action by the nurse is to

Choose correct answer/s
A
call the physician and ask to increase the Coumadin.
B
document the findings as normal and continue care.
C
encourage the client to order green leafy vegetables for dinner.
D
institute safety precautions for the client.
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