Question 1

The patient with asthma is prescribed a leukotriene modifier drug,montelukast (Singulair).Which statement describes an advantage of this medication?

Accepted Answer

A)   Limited gastrointestinal (GI)  side effects
B)   Bronchodilation and anti-inflammatory effects
C)   Stringent control of acute episodes of asthma
D)   Ability to replace all other asthma remedies B

Question 2

The nurse is assessing the patient with influenza.The patient reports having general malaise and aching muscles over the past 2 weeks.The nurse suspects that the patient may have developed which complication of influenza?

Accepted Answer

A)   Bronchitis
B)   Bacterial pneumonia
C)   Urinary infection
D)   Encephalitis B

Question 3

The nurse is caring for a patient with advanced emphysema.Which signs are manifestations of this disorder?

Accepted Answer

A)   Productive cough
B)   Dyspnea
C)   Barrel chest
D)   Wheezing
E)   Cyanotic skin tone A,B,C,E

Question 4

The 79-year-old patient with bacterial pneumonia becomes increasingly restless,confused,and agitated.The patient's temperature is 100° F,and his pulse,blood pressure,and respirations are elevated since the last assessment 6 hours ago.What action should the nurse take first?

Accepted Answer

A)   Auscultate the patient's lungs.
B)   Assess the patient's oxygen saturation.
C)   Administer the mild sedative as ordered.
D)   Administer an ordered analgesic for discomfort.

Question 5

The home health nurse is educating a 60-year-old patient with emphysema with a nutritional deficit.Which instructions should the nurse include in the teaching plan to address this problem?

Accepted Answer

A)   Rest before eating.
B)   Avoiding gas-producing foods.
C)   Eat four to six small meals instead of three large meals.
D)   Lie down after eating.
E)   Take small bites and chew slowly.

Question 6

Through which method(s)can influenza spread?

Accepted Answer

A)   Direct contact
B)   Indirect contact
C)   Vector
D)   Blood-borne method
E)   Droplets

Question 7

The 75-year-old patient presents to the emergency department with shortness of breath,fatigue,and a dry cough.When information leads the nurse to suspect that this patient should undergo workup for histoplasmosis?

Accepted Answer

A)   The patient reports drinking pond water.
B)   The patient lives on a farm and raises chickens.
C)   The patient recently went hunting in a wooded area.
D)   The patient owns a landscaping company.

Question 8

The patient with acute bronchitis asks if antibiotics will be ordered for the condition.Which response is best for the nurse to make?

Accepted Answer

A)   "Antibiotics are the best treatment option."
B)   "Antibiotics will not help a viral condition."
C)   "Antibiotics will be given if the sputum culture indicates your bronchitis is caused by bacteria."
D)   "Antibiotics will inhibit the inflammatory response of your body to the invasion of this infection."

Question 9

The nurse is caring for a patient with suspected bacterial pneumonia.Which finding supports the potential diagnosis?

Accepted Answer

A)   Elevated white blood cell (WB
C)   count
B)   Consolidation of lung tissue
C)   Interstitial inflammation
D)   Copious exudate

Question 10

The nurse is caring for a 30-year-old American Indian female who is taking Rifater,a drug containing rifampin,isoniazid,and pyrazinamide.The patient asks how long she will have to take the medication.Which response explains when the patient may discontinue the medication?

Accepted Answer

A)   When the sputum culture comes back negative
B)   When the medication has been taken for 9 months
C)   When three consecutive sputum cultures are negative
D)   When the tuberculin skin test (TST)  is no longer positive

Question 11

Place the events of an asthma attack in proper sequence.

-Step 2

Accepted Answer

A)  Mast cell-mediated inflammatory response in bronchi
B)  Mucus production
C)  Plugging of small airways
D)  Contact with precipitator
E)  Mucosal edema

Question 12

Place the events of an asthma attack in proper sequence.

-Step 5

Accepted Answer

A)  Mast cell-mediated inflammatory response in bronchi
B)  Mucus production
C)  Plugging of small airways
D)  Contact with precipitator
E)  Mucosal edema

Question 13

The nurse is educating a patient who requires daily postural drainage treatments.Which statement indicates that the patient understands when and why treatments will be scheduled?

Accepted Answer

A)   "I will have treatments first thing in the morning to get rid of fluids that have built up over night."
B)   "I will have my treatments after an hour after breakfast to make sure that I am fully alert."
C)   "I will have treatments after lunch to prevent an unsafe drop in my blood sugar."
D)   "I will have treatments right before bed to ensure that I breathe more easily at night."

Question 14

The nurse is caring for a patient on a mechanical ventilator that it is set on assist-control mode.Which statement(s)accurately describe this function?

Accepted Answer

A)   The ventilator delivers a set tidal volume.
B)   The ventilator delivers a set number of breaths if the patient's rate falls.
C)   The ventilator automatically cuts off if the patient is breathing independently.
D)   The ventilator delivers more oxygen at the end of an inspiration.
E)   The ventilator helps correct respiratory acidosis.

Question 15

The home health nurse is making an initial call on a newly diagnosed tuberculosis (TB)patient.The patient lives with his wife and child.Which infection control instructions should the nurse include in the teaching plan?

Accepted Answer

A)   Place contaminated tissues in sealable plastic bag.
B)   Take medications exactly as directed.
C)   Implement airborne precautions.
D)   Wash hands frequently.
E)   Wear a mask when in crowds.

Question 16

The nurse is caring for a patient immediately postoperative after a left pneumonectomy.How should the nurse position the patient?

Accepted Answer

A)   In high Fowler position
B)   In semi-Fowler position
C)   In a right side-lying position
D)   In a left side-lying position

Question 17

When caring for a patient with acquired immune deficiency syndrome (AIDS),the nurse is aware that this patient is most at risk for developing which type of pneumonia?

Accepted Answer

A)   Hypostatic
B)   Streptococcus pneumoniae
C)   Atypical
D)   Pneumocystis jiroveci

Question 18

Place the events of an asthma attack in proper sequence.

-Step 3

Accepted Answer

A)  Mast cell-mediated inflammatory response in bronchi
B)  Mucus production
C)  Plugging of small airways
D)  Contact with precipitator
E)  Mucosal edema

Question 19

The nurse is caring for a patient with a closed-chest drainage system with chest tubes.Which observation confirms that the system is intact and working?

Accepted Answer

A)   The water level in the water-seal chamber fluctuates.
B)   The level of fluid in the collection chamber rises.
C)   There are constant bubbles in the water-seal chamber.
D)   The suction has been attached.

Question 20

Place the events of an asthma attack in proper sequence.

-Step 4

Accepted Answer

A)  Mast cell-mediated inflammatory response in bronchi
B)  Mucus production
C)  Plugging of small airways
D)  Contact with precipitator
E)  Mucosal edema

Exam 14: Care of Patients with Disorders of the Lower Respiratory System

The patient with asthma is prescribed a leukotriene modifier drug,montelukast (Singulair) .Which statement describes an advantage of this medication?

The nurse is assessing the patient with influenza.The patient reports having general malaise and aching muscles over the past 2 weeks.The nurse suspects that the patient may have developed which complication of influenza?

The nurse is caring for a patient with advanced emphysema.Which signs are manifestations of this disorder?

The 79-year-old patient with bacterial pneumonia becomes increasingly restless,confused,and agitated.The patient's temperature is 100° F,and his pulse,blood pressure,and respirations are elevated since the last assessment 6 hours ago.What action should the nurse take first?

The home health nurse is educating a 60-year-old patient with emphysema with a nutritional deficit.Which instructions should the nurse include in the teaching plan to address this problem?

Through which method(s) can influenza spread?

The 75-year-old patient presents to the emergency department with shortness of breath,fatigue,and a dry cough.When information leads the nurse to suspect that this patient should undergo workup for histoplasmosis?

The patient with acute bronchitis asks if antibiotics will be ordered for the condition.Which response is best for the nurse to make?

The nurse is caring for a patient with suspected bacterial pneumonia.Which finding supports the potential diagnosis?

The nurse is caring for a 30-year-old American Indian female who is taking Rifater,a drug containing rifampin,isoniazid,and pyrazinamide.The patient asks how long she will have to take the medication.Which response explains when the patient may discontinue the medication?

Place the events of an asthma attack in proper sequence. -Step 2

Place the events of an asthma attack in proper sequence. -Step 5

The nurse is educating a patient who requires daily postural drainage treatments.Which statement indicates that the patient understands when and why treatments will be scheduled?

The nurse is caring for a patient on a mechanical ventilator that it is set on assist-control mode.Which statement(s) accurately describe this function?

The home health nurse is making an initial call on a newly diagnosed tuberculosis (TB) patient.The patient lives with his wife and child.Which infection control instructions should the nurse include in the teaching plan?

The nurse is caring for a patient immediately postoperative after a left pneumonectomy.How should the nurse position the patient?

When caring for a patient with acquired immune deficiency syndrome (AIDS) ,the nurse is aware that this patient is most at risk for developing which type of pneumonia?

Place the events of an asthma attack in proper sequence. -Step 3

The nurse is caring for a patient with a closed-chest drainage system with chest tubes.Which observation confirms that the system is intact and working?

Place the events of an asthma attack in proper sequence. -Step 4