Question 1

How should a nurse position a patient who had a left pneumonectomy in the morning in an effort to enhance gas exchange?

Accepted Answer

A)  On the right side 
B)  On the left side 
C)  In a semi-Fowler position 
D)  In a flat position with a small pillow 
A)  On the right side 
B)  On the left side 
C)  In a semi-Fowler position 
D)  In a flat position with a small pillow C

Question 2

What should the nurse exclude when documenting the findings in the functional assessment portion of the nursing assessment for a patient with a respiratory disorder?

Accepted Answer

A)  Occupation 
B)  Usual diet 
C)  Smoking history 
D)  Previous respiratory disorders 
A)  Occupation 
B)  Usual diet 
C)  Smoking history 
D)  Previous respiratory disorders D

Question 3

What should the postoperative care of a patient who has had nasal surgery include? (Select all that apply.)

Accepted Answer

A)  Changing the nasal packing when saturated 
B)  Placing the patient in a semi-Fowler position without a pillow 
C)  Giving frequent oral hygiene 
D)  Providing humidification for dry mucous membranes 
E)  Assessing the back of the throat for bleeding 
A)  Changing the nasal packing when saturated 
B)  Placing the patient in a semi-Fowler position without a pillow 
C)  Giving frequent oral hygiene 
D)  Providing humidification for dry mucous membranes 
E)  Assessing the back of the throat for bleeding B, C, D, E

Question 4

Which nursing intervention is inappropriate in the immediate post-procedure care of a patient who has had a fiberoptic bronchoscopy?

Accepted Answer

A)  Place the patient in a semi-Fowler position. 
B)  Offer fluids to assess swallowing ability. 
C)  Assess for diminished breath sounds. 
D)  Assess for stridor. 
A)  Place the patient in a semi-Fowler position. 
B)  Offer fluids to assess swallowing ability. 
C)  Assess for diminished breath sounds. 
D)  Assess for stridor.

Question 5

Which position is the most appropriate for a patient returning from surgery with a nasal pack and mustache dressing?

Accepted Answer

A)  Side-lying position to prevent aspiration of drainage 
B)  Semi-Fowler position and apply a warm compress to reduce pain 
C)  High Fowler position and apply a cold dressing to reduce swelling 
D)  Sims position and apply a cold dressing to facilitate drainage and reduce swelling 
A)  Side-lying position to prevent aspiration of drainage 
B)  Semi-Fowler position and apply a warm compress to reduce pain 
C)  High Fowler position and apply a cold dressing to reduce swelling 
D)  Sims position and apply a cold dressing to facilitate drainage and reduce swelling

Question 6

Which assessment by the nurse at the bedside of a patient with a chest tube attached to a water seal drainage device should require intervention?

Accepted Answer

A)  Dependent loops in the chest tube 
B)  Patient in a semi-Fowler position 
C)  Changing level of water in the water seal chamber 
D)  Increased level of drainage to 20 mL in 8 hours 
A)  Dependent loops in the chest tube 
B)  Patient in a semi-Fowler position 
C)  Changing level of water in the water seal chamber 
D)  Increased level of drainage to 20 mL in 8 hours

Question 7

What should the nurse suspect regarding the bronchus when auscultating coarse crackles in the lower right lobe?

Accepted Answer

A)  Partially filled with fluid 
B)  Narrowed by spasm 
C)  Partially filled with thick mucus 
D)  Completely obstructed 
A)  Partially filled with fluid 
B)  Narrowed by spasm 
C)  Partially filled with thick mucus 
D)  Completely obstructed

Question 8

A patient who is severely dyspneic and cyanotic enters the emergency department.What rate should a nurse administer oxygen to the patient?

Accepted Answer

A)  2 L to preserve the hypoxic drive 
B)  6 L to relieve the dyspnea 
C)  8 L, humidified, to liquefy secretions 
D)  10 L, humidified aerosol, to dilate the bronchi 
A)  2 L to preserve the hypoxic drive 
B)  6 L to relieve the dyspnea 
C)  8 L, humidified, to liquefy secretions 
D)  10 L, humidified aerosol, to dilate the bronchi

Question 9

A nurse computes the number of "pack-years" of a 24-year-old man who has smoked packs of cigarettes every day since he was 15 years old.This patient has _____ pack-years.(Use only numeric characters.If the answer is not a whole number, use decimals instead of fractions.)

Accepted Answer

The answer of A nurse computes the number of "pack-years"...

Question 10

What should a nurse do when taking a specimen for a throat culture? _____ (Place the appropriate actions in the correct sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A) Depress the tongue with a tongue blade. 
B) Place the applicator in a culture tube. 
C) Ask the patient to tilt the head back. 
D) Swab the back of the throat and tonsils. 
A) Depress the tongue with a tongue blade. 
B) Place the applicator in a culture tube. 
C) Ask the patient to tilt the head back. 
D) Swab the back of the throat and tonsils.

Question 11

What instructions should a nurse give to a patient when teaching deep breathing and coughing techniques? _____ (Place the options in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A) Place the hand on the abdomen to check the rise and fall. 
B) Inhale through the nose, pause 1 to 3 seconds, and then exhale through the mouth. 
C) Assume a semi-Fowler position. 
D) Take 4 to 6 deep breaths. 
E) Cough deeply. 
A) Place the hand on the abdomen to check the rise and fall. 
B) Inhale through the nose, pause 1 to 3 seconds, and then exhale through the mouth. 
C) Assume a semi-Fowler position. 
D) Take 4 to 6 deep breaths. 
E) Cough deeply.

Question 12

To auscultate breath sounds in the right middle lobe from the anterior aspect, the nurse should place the diaphragm of the stethoscope at which intercostal space?

Accepted Answer

A)  Second 
B)  Third 
C)  Fourth 
D)  Fifth 
A)  Second 
B)  Third 
C)  Fourth 
D)  Fifth

Question 13

What intervention should a nurse implement when providing tracheostomy care?

Accepted Answer

A)  Wash and rinse the inner cannula in tap water and then dry it. 
B)  Use a sterile solution of normal saline or other solution to wash the inner cannula and then rinse with sterile water. 
C)  Clean the area around the stoma with tap water and a gentle soap. 
D)  Remove the inner cannula, wash both hands with a bactericidal soap, and then don sterile gloves to clean the inner cannula. 
A)  Wash and rinse the inner cannula in tap water and then dry it. 
B)  Use a sterile solution of normal saline or other solution to wash the inner cannula and then rinse with sterile water. 
C)  Clean the area around the stoma with tap water and a gentle soap. 
D)  Remove the inner cannula, wash both hands with a bactericidal soap, and then don sterile gloves to clean the inner cannula.

Question 14

A home health nurse who is caring for an 88-year-old patient with severe hypertension in addition to a respiratory problem notices several drugs on the bedside table.Which medication should the nurse suggest the patient avoid?

Accepted Answer

A)  Aspirin 
B)  Colace 
C)  Expectorant 
D)  Decongestant 
A)  Aspirin 
B)  Colace 
C)  Expectorant 
D)  Decongestant

Question 15

How should a nurse position a patient during a thoracentesis?

Accepted Answer

A)  Side-lying with bed in a Trendelenburg position 
B)  High Fowler position with feet elevated 
C)  Sitting on the side of the bed bent over bedside table 
D)  Prone with the bed elevated 
A)  Side-lying with bed in a Trendelenburg position 
B)  High Fowler position with feet elevated 
C)  Sitting on the side of the bed bent over bedside table 
D)  Prone with the bed elevated

Question 16

What should patient education for a patient being given nose drops for the first time include?

Accepted Answer

A)  Asking the patient to sit down and tip her head to the side to allow for a better angle for the instillation of the drops 
B)  Holding the dropper against the side of the nose so that all the medication flows into the nares 
C)  Asking the patient to return any unused medication to the bottle 
D)  Tipping the head back and holding the dropper over the nostril and then telling the patient to keep her head back for a few minutes 
A)  Asking the patient to sit down and tip her head to the side to allow for a better angle for the instillation of the drops 
B)  Holding the dropper against the side of the nose so that all the medication flows into the nares 
C)  Asking the patient to return any unused medication to the bottle 
D)  Tipping the head back and holding the dropper over the nostril and then telling the patient to keep her head back for a few minutes

Question 17

What does age-related relaxation of the esophageal sphincter in a 70-year-old patient cause?

Accepted Answer

A)  Excessive belching 
B)  Dumping syndrome 
C)  Tickling sensation, requiring frequent coughing 
D)  Burning in the throat when lying down 
A)  Excessive belching 
B)  Dumping syndrome 
C)  Tickling sensation, requiring frequent coughing 
D)  Burning in the throat when lying down

Question 18

A nurse performs an Allen test before performing the arterial stick for an arterial blood gas.What does this test assess?

Accepted Answer

A)  Respiratory function 
B)  Tidal volume 
C)  Concentration of oxygen 
D)  Perfusion of the hand 
A)  Respiratory function 
B)  Tidal volume 
C)  Concentration of oxygen 
D)  Perfusion of the hand

Question 19

A nurse charts that a patient has had periods of tachypnea during the night.What does this means in regard to the respiration rate?

Accepted Answer

A)  Below 12 breaths/min 
B)  Uneven, with periods of apnea 
C)  Gradually deepening, then shallow, and then periods of apnea 
D)  Above 20 breaths/min 
A)  Below 12 breaths/min 
B)  Uneven, with periods of apnea 
C)  Gradually deepening, then shallow, and then periods of apnea 
D)  Above 20 breaths/min

Question 20

The patient has had anterior nasal packing placed for severe epistaxis.The nurse notes that he is swallowing frequently.What should a nurse suspect?

Accepted Answer

A)  The patient's throat is dry. 
B)  Posterior packing is uncomfortable. 
C)  The patient is bleeding. 
D)  The patient's saliva production is excessive. 
A)  The patient's throat is dry. 
B)  Posterior packing is uncomfortable. 
C)  The patient is bleeding. 
D)  The patient's saliva production is excessive.

Exam 25: Respiratory System Introduction

How should a nurse position a patient who had a left pneumonectomy in the morning in an effort to enhance gas exchange?

What should the nurse exclude when documenting the findings in the functional assessment portion of the nursing assessment for a patient with a respiratory disorder?

What should the postoperative care of a patient who has had nasal surgery include? (Select all that apply.)

Which nursing intervention is inappropriate in the immediate post-procedure care of a patient who has had a fiberoptic bronchoscopy?

Which position is the most appropriate for a patient returning from surgery with a nasal pack and mustache dressing?

Which assessment by the nurse at the bedside of a patient with a chest tube attached to a water seal drainage device should require intervention?

What should the nurse suspect regarding the bronchus when auscultating coarse crackles in the lower right lobe?

A patient who is severely dyspneic and cyanotic enters the emergency department.What rate should a nurse administer oxygen to the patient?

A nurse computes the number of "pack-years" of a 24-year-old man who has smoked packs of cigarettes every day since he was 15 years old.This patient has _____ pack-years.(Use only numeric characters.If the answer is not a whole number, use decimals instead of fractions.)

What should a nurse do when taking a specimen for a throat culture? _____ (Place the appropriate actions in the correct sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

What instructions should a nurse give to a patient when teaching deep breathing and coughing techniques? _____ (Place the options in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

To auscultate breath sounds in the right middle lobe from the anterior aspect, the nurse should place the diaphragm of the stethoscope at which intercostal space?

What intervention should a nurse implement when providing tracheostomy care?

A home health nurse who is caring for an 88-year-old patient with severe hypertension in addition to a respiratory problem notices several drugs on the bedside table.Which medication should the nurse suggest the patient avoid?

How should a nurse position a patient during a thoracentesis?

What should patient education for a patient being given nose drops for the first time include?

What does age-related relaxation of the esophageal sphincter in a 70-year-old patient cause?

A nurse performs an Allen test before performing the arterial stick for an arterial blood gas.What does this test assess?

A nurse charts that a patient has had periods of tachypnea during the night.What does this means in regard to the respiration rate?

The patient has had anterior nasal packing placed for severe epistaxis.The nurse notes that he is swallowing frequently.What should a nurse suspect?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders