Question 1

Which of these assessments made by the nurse indicates that respiratory arrest is imminent in a patient with asthma?

Accepted Answer

A)  Agitation 
B)  Tachycardia 
C)  Absence of wheezing 
D)  Flaring nares 
A)  Agitation 
B)  Tachycardia 
C)  Absence of wheezing 
D)  Flaring nares

Question 2

The discharge instruction given by the nurse that would be informative to a patient with TB,who asks how to protect his family members from his disease,is:

Accepted Answer

A)  "Your family will need to take treatments to prevent infection." 
B)  "You will need to wear a mask at home to protect your family members." 
C)  "You should always cover your mouth and nose if coughing or sneezing." 
D)  "You should avoid intimate contact with everyone." 
A)  "Your family will need to take treatments to prevent infection." 
B)  "You will need to wear a mask at home to protect your family members." 
C)  "You should always cover your mouth and nose if coughing or sneezing." 
D)  "You should avoid intimate contact with everyone."

Question 3

The nurse recognizes that a rising level of partial pressure of carbon dioxide (CO2)in arterial blood (PaCO2)in a patient with COPD means that:

Accepted Answer

A)  More arterial O2 is available than is needed. 
B)  The ventilation-perfusion ratio is becoming balanced. 
C)  Respiratory acidosis has begun. 
D)  The anticholinergic medications are effective. 
A)  More arterial O2 is available than is needed. 
B)  The ventilation-perfusion ratio is becoming balanced. 
C)  Respiratory acidosis has begun. 
D)  The anticholinergic medications are effective.

Question 4

The nurse uses a picture to demonstrate the bullae and blebs associated with emphysema.The nurse points out that the difference between the two is that blebs: (Select all that apply.)

Accepted Answer

A)  Are between the alveolar spaces in the lungs. 
B)  Are in the lung parenchyma. 
C)  Can rupture, causing the lungs to collapse. 
D)  Are responsible for diaphragm flattening. 
E)  Are precancerous. 
A)  Are between the alveolar spaces in the lungs. 
B)  Are in the lung parenchyma. 
C)  Can rupture, causing the lungs to collapse. 
D)  Are responsible for diaphragm flattening. 
E)  Are precancerous.

Question 5

The characteristic of chronic obstructive pulmonary disease (COPD)that places the patient at risk for the nursing diagnosis of "Imbalanced nutrition: Less than body requirements" is:

Accepted Answer

A)  Increased metabolism 
B)  Anxiety 
C)  Chronic constipation 
D)  Excessive respiratory effort 
A)  Increased metabolism 
B)  Anxiety 
C)  Chronic constipation 
D)  Excessive respiratory effort

Question 6

When asked by a patient with TB how long he will have to take his TB medications,the nurse's best response would be:

Accepted Answer

A)  "Generally about 2 weeks." 
B)  "Depending on the drug, it may be as long as 2 years." 
C)  "TB drugs are usually taken throughout the lifespan." 
D)  "People frequently ask that question. It depends on many things." 
A)  "Generally about 2 weeks." 
B)  "Depending on the drug, it may be as long as 2 years." 
C)  "TB drugs are usually taken throughout the lifespan." 
D)  "People frequently ask that question. It depends on many things."

Question 7

When the patient reports having had the BCG (Bacillus Calmette-Guérin)vaccine 2 years earlier,the nurse reminds the patient that,because of the inoculation,the patient can anticipate:

Accepted Answer

A)  False-positive result from TB skin tests 
B)  Being at risk for contracting TB 
C)  3-week prophylactic protocol of rifampin or izonaizid (isonicotinic acid hydrazide [INH]) 
D)  Needing a booster every 2 years 
A)  False-positive result from TB skin tests 
B)  Being at risk for contracting TB 
C)  3-week prophylactic protocol of rifampin or izonaizid (isonicotinic acid hydrazide [INH]) 
D)  Needing a booster every 2 years

Question 8

To help combat anorexia in a patient with COPD,the home health nurse should:

Accepted Answer

A)  Recommend a large meal in the middle of the day. 
B)  Suggest taking only cold liquid nutritional drinks. 
C)  Perform oral hygiene before meals. 
D)  Gently exercise for 10 minutes before a meal. 
A)  Recommend a large meal in the middle of the day. 
B)  Suggest taking only cold liquid nutritional drinks. 
C)  Perform oral hygiene before meals. 
D)  Gently exercise for 10 minutes before a meal.

Question 9

The patient with COPD asks the nurse if nicotine patches are effective for smoking cessation.The nurse's best response would be:

Accepted Answer

A)  "No. Only about 25% are successful." 
B)  "Yes. The success rate is between 50% and 60%." 
C)  "No. Prescriptions such as Wellbutrin are 90% effective." 
D)  "Yes. Individual success has been obtained with combination of patches and gum." 
A)  "No. Only about 25% are successful." 
B)  "Yes. The success rate is between 50% and 60%." 
C)  "No. Prescriptions such as Wellbutrin are 90% effective." 
D)  "Yes. Individual success has been obtained with combination of patches and gum."

Question 10

When the 25-year-old patient with cystic fibrosis (CF)tells the home health nurse that he wants to take a nice vacation,a safe suggestion by the nurse would be a week:

Accepted Answer

A)  In Greece in July. 
B)  In Colorado in May. 
C)  In New York in November. 
D)  On the Mexican coast in August. 
A)  In Greece in July. 
B)  In Colorado in May. 
C)  In New York in November. 
D)  On the Mexican coast in August.

Question 11

The nurse is caring for an asthmatic patient with a nursing diagnosis of "Impaired gas exchange,related to air trapping." The intervention that would be appropriate to add to the nursing care plan is to:

Accepted Answer

A)  Provide postural drainage. 
B)  Administer oxygen (O2) at 8 L/min. 
C)  Position the patient flat in bed with small pillow. 
D)  Increase fluid intake. 
A)  Provide postural drainage. 
B)  Administer oxygen (O2) at 8 L/min. 
C)  Position the patient flat in bed with small pillow. 
D)  Increase fluid intake.

Question 12

When the nurse reads the diagnosis of centrilobar emphysema,the nurse recognizes that this type of emphysema is characterized by:

Accepted Answer

A)  No significant smoking history in the patient 
B)  Enlarged and broken down bronchioles with intact alveoli 
C)  Hypoelastic bronchi and bronchioles 
D)  Deficiency of the enzyme inhibitor alpha1-antitrypsin. 
A)  No significant smoking history in the patient 
B)  Enlarged and broken down bronchioles with intact alveoli 
C)  Hypoelastic bronchi and bronchioles 
D)  Deficiency of the enzyme inhibitor alpha1-antitrypsin.

Exam 31: Chronic Respiratory Disorders

Which of these assessments made by the nurse indicates that respiratory arrest is imminent in a patient with asthma?

The discharge instruction given by the nurse that would be informative to a patient with TB,who asks how to protect his family members from his disease,is:

The nurse recognizes that a rising level of partial pressure of carbon dioxide (CO2)in arterial blood (PaCO2)in a patient with COPD means that:

The nurse uses a picture to demonstrate the bullae and blebs associated with emphysema.The nurse points out that the difference between the two is that blebs: (Select all that apply.)

The characteristic of chronic obstructive pulmonary disease (COPD)that places the patient at risk for the nursing diagnosis of "Imbalanced nutrition: Less than body requirements" is:

When asked by a patient with TB how long he will have to take his TB medications,the nurse's best response would be:

When the patient reports having had the BCG (Bacillus Calmette-Guérin)vaccine 2 years earlier,the nurse reminds the patient that,because of the inoculation,the patient can anticipate:

To help combat anorexia in a patient with COPD,the home health nurse should:

The patient with COPD asks the nurse if nicotine patches are effective for smoking cessation.The nurse's best response would be:

When the 25-year-old patient with cystic fibrosis (CF)tells the home health nurse that he wants to take a nice vacation,a safe suggestion by the nurse would be a week:

The nurse is caring for an asthmatic patient with a nursing diagnosis of "Impaired gas exchange,related to air trapping." The intervention that would be appropriate to add to the nursing care plan is to:

When the nurse reads the diagnosis of centrilobar emphysema,the nurse recognizes that this type of emphysema is characterized by:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, Infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, Emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss,Death,and End-of-Life Care

The Patient with Cancer

The Patient with an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, Gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, Sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

Filters

The nurse recognizes that a rising level of partial pressure of carbon dioxide (CO₂)in arterial blood (PaCO₂)in a patient with COPD means that: