| Question | Answer |
| A client with a history of emphysema is experiencing hypoxemia after a taxing physical therapy
appointment. Which of the following physiologic phenomena will occur as a consequence of
hypoxemia? | Increased heart rate |
| An elderly client who has been restricted to bed by numerous comorbidities for several weeks
has been diagnosed with a large pleural effusion. Which of the following treatment modalities is
most likely to resolve the client's most recent health problem? | Thoracentesis |
| Pleuritic chest pain associated with respiratory movements is usually described as: | Localized |
| A man sustained a puncture injury to his chest that caused a tension pneumothorax to form. This
is a life-threatening condition because: | Trapped, inspired air collapses the lung. |
| mva critical injury the driver hit
the steering wheel with his chest and fractured his sternum and some ribs. Which of the
following manifestations would lead the staff to suspect the driver has developed a tension
pneumothorax? Select all that apply. | Mediastinal shift of the trachea toward one side
Subcutaneous emphysema palpated in the upper chest/neck region |
| A car accident client w/ a chest tube following pneumothorax.has an
blood alcohol level. nurse enters his room, client is dyspneic SOB and holding his chest tube nurse pulls the linens back,Finds a “sucking” chest wound. priority intervention would
be | Apply a Vaseline gauze (airtight) dressing over the insertion site |
| heart failure and COPD 60 pack/year smokER complaints: auscultation of breath sounds reveal absent/diminished
bS in the RLL. the health care provider to
suspect the client may have developed atelectasis? | Respiratory rate—32; pulse rate—122 beats/minute.
B) “Having a hard time catching my breath.”
Using accessory muscles to help him breathe. |
| A client has just been admitted to the postsurgical unit following a below-the-knee amputation.
Which of the following measures should her care team prioritize to prevent atelectasis during the
client's immediate recovery? | Deep-breathing exercises and early mobilization |
| Which of the following is most likely to precipitate an asthmatic attack in a child with a
diagnosis of extrinsic, or atopic, asthma? | Pet dander |
| Which of the following manifestations typically accompanies an asthmatic attack? | Hyperinflation of the lungs |
| Which of the following medications helps treat the inflammatory reaction of asthma clients
diagnosed with late-phase asthma response? | Systemic corticosteroids |
| A toddler a little “cold” and runny nose. At bedtime, he appears to be OK. A few
hours later, parents awaken hearing a “tight” coughing sound. child is not
breathing well, so they rush to ER nurses suspect
bronchial asthma based on | Audible wheezing
C) Respiratory rate—44 with prolonged exhalation
E) Sitting upright, leaning forward, and using accessory muscles to breathe |
| TALKING COPD, the instructor mentions emphysema. asks the students,
“If the client is a smoker, explain the physiology behind cellular changes occurring in the lung
which allow destruction of the alveoli.” Which students have an accurate response? | “Antiprotease production and release is not adequate to neutralize the excess protease production.” since they are blocked by fatty plaque.”
C) “There is a1-antitrypsin deficiency, so this enzyme can't protect the lung from damage.” |
| A 51-year-old man has been diagnosed with chronic bronchitis after a long history of recurrent
coughing. Which of the man's following statements demonstrates a sound understanding of his
new diagnosis? | “If I had quit smoking earlier than I did, I think I could have avoided getting bronchitis.” |
| When evaluating the pulmonary function test results for a COPD client, which one correlates to
the mismatch of ventilation and perfusion associated with this diagnosis? | Forced expiratory volume (FEV) is decreased. |
| A 25-year-old cystic fibrosis client presents to the clinic in obvious respiratory distress.
Following physical exam, the health care provider suspects bronchiectasis based on which of the
following findings? Select all that apply. | Copious amounts of foul-smelling purulent sputum
D) Blood-tinged sputum
E) Wheezing throughout the lung fields |
| CF client The (HCP) knows
that cystic fibrosis (CF) causes severe chronic respiratory disease in children. In addition, the
HCP should also focus his or her assessment on which of the other body systems affected by CF? | Pancreatic |
| Which of the following individuals is experiencing an immunologic lung disorder affecting
ventilation that has caused the formation of a granuloma on chest x-ray? | A 30-year-old African American man who has been diagnosed with sarcoidosis |
| Soon after delivery, the mother grabs the nurses arm and states, “Something's wrong...I can't get
my breath.” Which of the following assessments lead the nurse to suspect the client has had an
amniotic emboli travel to the lungs? Select all that apply. | BP 90/65; pulse 130, irregular; respiratory rate 35, shallow.
Productive cough with blood-streaked sputum. |
| Which of the following clients is at risk for developing a preventable disorder related to
prolonged immobility? | A postsurgical client who is refusing to get out of bed and walk and will not wear those
“uncomfortable elastic stocking” |
| As a result of hypoxemia and polycythemia, persons with chronic obstructive bronchitis are
prone to: | Pulmonary hypertension |
| child is born with severe resp failure. Over the course of months, the
parents note his body looks swollen. They ask, “Is our baby's kidneys not working right? Why is
he so swollen?” The nurse bases his or her reply on | “The right side of his heart (cor pulmonale) is not pumping effectively. Blood is
backlogging in his body, which is why he is so swollen.” |
| With acute respiratory distress syndrome (ARDS), a client progressively increases his work of
breathing. The physiological principle behind this respiratory distress is related to: | The stiffening of the lung, making it more difficult to inflate |
| Which of the following clients is at risk for developing acute respiratory failure? | A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS) who has
pneumonia with low O2
saturation |
| critical head injury PT IN neuro-ICU. PT is
unresponsive to painful stimuli, breathe on his own. As the shift progresses, the nurses note a decrease in the client's resp effort. PTcannot maintain O2 sat
>70%. anticipate assisting in beginning what type | PREPARE FOR MECHANICAL VENTILATION |
