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COPD Test Exam Questions and Correct Answers
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COPD Test Exam Questions and Correct Answers
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COPD TestWhen a client's ventilation is impaired, the body retains which substance? - Question
and answersCarbon dioxide (CO2)
For a client with chronic obstructive pulmonary disease, which nursing intervention
helps maintain a patent airway? - Question and answersTeaching the client how to
perform controlled coughing
A nurse is caring for a client who has end-stage chronic obstructive pulmonary disease
receiving IV push morphine for pain management. During rounds, the nurse discusses
with the physician the need to begin the client on a continuous morphine infusion. The
nurse bases this request on - Question and answersservicing as a client advocate is an
important role.
A client suffering from chronic obstructive pulmonary disease complains that it is hard to
cough up secretions and they are thick and sticky. The nurse should instruct the client
to - Question and answersIncrease her fluid intake to thin secretions
The nurse is prioritizing the client's nursing diagnoses. Which nursing diagnosis has the
highest priority?
a) Self-care Deficit: Bathing related to joint inflammation
b) Ineffective Airway Clearance related to retention of secretions
c) Constipation related to decreased fluid intake and decreased mobility
d) Disturbed Sleep Pattern related to abdominal incisional pain - Question and
answersIneffective Airway Clearance related to retention of secretions
A nurse is preparing a prescribed dosage of an inhalant medication for a client with
asthma. Which of the following explains why inhalation is a good route for medication
administration? - Question and answersIt allows the lungs to quickly absorb the
medication.
The nurse is caring for a patient with COPD. In COPD, the body attempts to improve
oxygen-carrying capacity by increasing the amounts of red blood cells. Which of the
following is the term for this process? - Question and answersPolycythemia
A nurse is caring for an asthmatic client who requires a low concentration of oxygen.
Which of the following delivery devices should the nurse use in order to administer
oxygen to the client? - Question and answersNasal cannula
A patient with chronic obstructive pulmonary disease has been prescribed an inhaled
bronchodilator. Which of the following techniques should the nurse implement in order
to ensure safe and complete delivery of the prescribed medication? - Question and
answersUse a spacer or extender with the metered-dose inhaler.
,A client recovering from an acute asthma attack experiences respiratory alkalosis. The
nurse measures a respiratory rate of 46 breaths/minute, a heart rate of 110
beats/minute, a blood pressure of 162/90 mm Hg, and a temperature of 98.6° F (37° C).
To help correct respiratory alkalosis, the nurse should: - Question and answersinstruct
the client to breathe into a paper bag.
Which set of arterial blood gas (ABG) results requires further investigation?
a) pH 7.44, PaCO2 43 mm Hg, PaO2 99 mm Hg, and HCO3- 26 mEq/L
b) pH 7.49, PaCO2 30 mm Hg, PaO2 89 mm Hg, and HCO3- 18 mEq/L
c) pH 7.35, PaCO2 40 mm Hg, PaO2 91 mm Hg, and HCO3- 22 mEq/L
d) pH 7.38, partial pressure of arterial carbon dioxide (PaCO2) 36 mm Hg, partial
pressure of arterial oxygen (PaO2) 95 mm Hg, bicarbonate (HCO3-) 24 mEq/L -
Question and answerspH 7.49, PaCO2 30 mm Hg, PaO2 89 mm Hg, and HCO3- 18
mEq/L
A client tells the nurse he is experiencing dyspnea. Which action by the nurse is most
appropriate? - Question and answersPlacing the client in high Fowler's position
An 11-year-old is admitted for treatment of an asthma attack. Which finding indicates
immediate intervention is needed? - Question and answersintercostal retractions
A client is admitted to a health care facility for treatment of chronic obstructive
pulmonary disease. Which nursing diagnosis is most important for this client?
a) Activity intolerance related to shortness of breath
b) Impaired gas exchange related to airflow obstruction
c) Anxiety related to difficulty breathing
d) Risk for infection related to retained secretions - Question and answersImpaired gas
exchange related to airflow obstruction
A nurse is caring for a client experiencing an acute asthma attack. The client stops
wheezing and breath sounds aren't audible. This change occurred because: - Question
and answersthe airways are so swollen that no air can get through.
A client being seen in the emergency department has labored respirations. Auscultation
reveals inspiratory and expiratory wheezes. Oxygen saturation is 86%. The client was
nonresponsive to an albuterol (Ventolin) inhaler and intravenous methylprednisolone
(Solu-Medrol). The nurse administers the following prescribed treatment first: - Question
and answersOxygen therapy through a non-rebreather mask
Which of the following would not be considered a primary symptom of COPD?
a) Cough
b) Sputum production
, c) Weight gain
d) Dyspnea on exertion - Question and answersWeight gain
A physician orders a beta2 adrenergic-agonist agent (bronchodilator) that is short-acting
and administered only by inhaler. The nurse knows this would probably be
a) Foradil
b) Isuprel
c) Albuterol
d) Atrovent - Question and answersAlbuterol
You are caring for a 65-year-old client who has been newly diagnosed with
emphysema. The client is confused by the new terms and wants to know what
ventilation means. Which of the following can instruct this client? - Question and
answersVentilation is breathing air in and out of the lungs.
A 4-year-old child is being treated for status asthmaticus. His arterial blood gas analysis
reveals a pH of 7.28, PaCO2 of 55 mm Hg, and HCO3− of 26 mEq/L. What condition do
these findings indicate? - Question and answersRespiratory acidosis
he nurse understands that a client with acute respiratory distress related to asthma may
experience - Question and answersdyspnea, wheezing, and polycythemia
At 11 p.m., a client is admitted to the emergency department. He has a respiratory rate
of 44 breaths/minute. He's anxious, and wheezes are audible. The client is immediately
given oxygen by face mask and methylprednisolone I.V. At 11:30 p.m., the client's
arterial blood oxygen saturation is 86%, and he's still wheezing. The nurse should plan
to administer:
a) albuterol.
b) morphine.
c) propranolol.
d) alprazolam. - Question and answersalbuterol.
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) to
assess for signs and symptoms of right-sided heart failure. Which sign or symptom
should be included in the teaching plan? - Question and answersperipheral edema
When assessing a client with asthma, which findings would most likely indicate the
presence of a respiratory infection? - Question and answerscough productive of yellow
sputum
To help prevent infections in clients with COPD, the nurse should recommend
vaccinations against two bacterial organisms. Which of the following are the two
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