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Med/Surg Respiratory B & S Test Bank questions with correct answers respectively.
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Med/Surg Respiratory B & S Test Bankquestions with correct answers
respectively.
4. The ED nurse is assessing a client who is reporting dyspnea. The nurse auscultates the
client's chest and hears wheezing throughout the lung fields. What might this indicate
about the client?
A. Bronchoconstriction
B. Pneumonia
C. Hemoptysis
D. Hemothorax ANS - A. Bronchoconstriction
5. The nurse is caring for a client admitted with an acute exacerbation of chronic
obstructive pulmonary disease. During assessment, the nurse finds that the client is
experiencing increased dyspnea. What is the most accurate measurement of the
concentration of oxygen in the client's blood?
A. A capillary blood sample
B. Pulse oximetry
C. An arterial blood gas (ABG) study
D. A complete blood count (CBC) ANS - C. An arterial blood gas (ABG) study
7. A client with chronic lung disease is undergoing lung function testing. What test result
denotes the volume of air inspired and expired with a normal breath?
A. Total lung capacity
B. Forced vital capacity
C. Tidal volume
D. Residual volume ANS - C. Tidal volume
,8. In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse
needs to assess a client's arterial oxygen saturation (SaO2). What procedure will best
accomplish this?
A. Incentive spirometry
B. Arterial blood gas (ABG) measurement
C. Peak flow measurement
D. Pulse oximetry ANS - D. Pulse oximetry
10. A client with a decreased level of consciousness is in a recumbent position. How
should the nurse best assess the lung fields for a client in this position?
A. Review images from the client's portable chest x-ray.
B. Turn the client to enable assessment of all lung fields.
C. Assess the breath sounds accessible from the anterior chest wall.
D. Assess oxygen saturation and, if low, reposition the client and auscultate breath
sounds. ANS - B. Turn the client to enable assessment of all lung fields.
14. The medical nurse who works on a pulmonology unit is aware that several respiratory
conditions can affect lung tissue compliance. The presence of what condition would lead
to an increase in lung compliance?
A. Emphysema
B. Pulmonary fibrosis
C. Pleural effusion
D. Acute respiratory distress syndrome (ARDS) ANS - A. Emphysema
15. A medical nurse has admitted a client to the unit with a diagnosis of failure to thrive.
The client has developed a fever and cough, so a sputum specimen has been obtained.
The nurse notes that the sputum is greenish and that there is a large quantity of it. The
nurse notifies the client's health care provider because these symptoms are suggestive of
, what issue?
A. Pneumothorax
B. Lung tumors
C. Infection
D. Pulmonary edema ANS - C. Infection
16. A client has been diagnosed with heart failure that has not yet responded to
treatment. What breath sound should the nurse expect to assess on auscultation?
A. Expiratory wheezes
B. Inspiratory wheezes
C. Rhonchi
D. Crackles ANS - D. Crackles
22. A client is being treated for a pulmonary embolism, and the medical nurse is aware
that the client experienced an acute disturbance in pulmonary perfusion. This involved an
alteration in which aspect of normal physiology?
A. Maintenance of constant osmotic pressure in the alveoli
B. Maintenance of muscle tone in the diaphragm
C. pH balance in the pulmonary veins and arteries
D. Adequate flow of blood through the pulmonary circulation. ANS - D. Adequate flow of blood through
the pulmonary circulation.
26. The nurse is caring for a client with a lower respiratory tract infection. When planning
a focused respiratory assessment, the nurse should know that this type of infection most
often causes which type of impairment?
A. Impaired gas exchange
B. Collapsed bronchial structures
C. Necrosis of the alveoli
D. Closed bronchial tree ANS - A. Impaired gas exchange
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