Question 1

The nurse is preparing to assess an elderly client with emphysema.Which of the following anatomical changes would the nurse expect to find in this client?

Accepted Answer

A) Funnel chest 
B) Barrel chest 
C) Pigeon chest 
D) Scoliosis

Question 2

The nurse documents that the client's respirations are shallow and rapid.The client's respiratory rate is 30 per minute.From this finding,the nurse is concerned the client is:

Accepted Answer

A) Fatigued. 
B) Anxious. 
C) Normal. 
D) Bored.

Question 3

The nurse is preparing an educational program regarding Healthy People 2020.Which of the following pieces of information is important to include for caregivers of infants and young children?

Accepted Answer

A) "Infants should always be placed to sleep on their backs." 
B) "Children should be taught to wash their hands." 
C) "Caregivers should ensure that the children's toys are age-appropriate." 
D) "Parents should be educated about the importance of immunizations." 
E) "Caregivers should inspect the children's toys for small possibly inhalable parts."
F) None of the above

Question 4

The nurse is examining an African American client.When compared to Caucasians,which of the following conditions is this client at a higher risk for developing?

Accepted Answer

A) Asthma 
B) Sarcoidosis 
C) Tuberculosis 
D) Obstructive sleep apnea 
E) Chronic bronchitis

Question 5

A 4-year-old child's respiratory rate is 30 per minute.The mother states,"That seems like a really high number.My healthcare provider told me my respiratory rate is only 16 per minute." Which of the following is the nurse's best response?

Accepted Answer

A) "This is a normal finding for your child's age." 
B) "Your child is exhibiting a sign of a respiratory infection." 
C) "Your child requires further assessment." 
D) "Your child may simply be anxious."

Question 6

The nurse is assessing the client's respiratory pattern and notes periods of deep breathing alternating with periods of apnea.Which of the following terms would the nurse use to document this finding?

Accepted Answer

A) Tachypnea 
B) Obstructive breathing 
C) Hypoventilation 
D) Cheyne-Stokes

Question 7

The nurse is assessing the client.The nurse hears low-pitched,continuous respiratory sounds that have a snoring quality while auscultating the client's lungs.The nurse would correctly document these findings as which of the following?

Accepted Answer

A) Rales 
B) Crackles 
C) Rhonchi 
D) Wheezes

Question 8

The nurse is assessing the client's respiratory system.Which of the following methods will result in the most accurate assessment of the client's respiratory rate?

Accepted Answer

A) The nurse should place a hand on the client's chest to count respirations accurately. 
B) The nurse should inform the client that the nurse is counting the client's respirations. 
C) The nurse should count only the respirations that are audible. 
D) The nurse should count the respirations in an unobtrusive manner without informing the client.

Question 9

As the nurse assesses the pregnant client she states that she sometimes feels like she has difficulty breathing.The client has reached the 36th week of her pregnancy.The nurse realizes that the client's difficulty is related to:

Accepted Answer

A) The fetus pushing the diaphragm upwards. 
B) Fatigue due to the pregnancy. 
C) Anxiety about her impending delivery. 
D) Contractions.

Question 10

The client was brought to the Emergency Department.The nurse administered a breathing treatment for the client earlier.The nurse is preparing the client for a procedure.The nurse notes that the client is breathing in a shallow manner and the client's hands are trembling.Which of the following actions will help decrease the client's level of anxiety?

Accepted Answer

A) The nurse should explain all procedures in a calm and reassuring voice. 
B) Request the immediate presence of the healthcare provider. 
C) Provide oxygen for the client. 
D) Postpone the procedure.

Question 11

While assessing the client,the nurse notes that the client has a moist cough.The nurse would include which of the following questions in the focused interview?

Accepted Answer

A) "Have you been losing weight?" 
B) "How long have you been sick?" 
C) "Are you wheezing?" 
D) "Are you coughing up any mucus or phlegm?"

Exam 15: Respiratory System