NSG 223 Respiratory Review - Practice Exam |
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Latest Update 2026
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Terms in this set (38)
On auscultation, which finding B. In pneumothorax, the alveoli are deflated and no
suggests a right pneumothorax? air exchange occurs in the lungs. Therefore, breath
A. Bilateral pleural friction rub sounds in the affected lung field are absent. None
B. Absence of breath sounds in the of the other options are associated with
right thorax pneumothorax. Bilateral crackles may result from
C. Bilateral inspiratory and expiratory pulmonary congestion, inspiratory wheezes may
crackles signal asthma, and a pleural friction rub may
D. Inspiratory wheezes in the right indicate pleural inflammation.
thorax
,A client is exhibiting signs of a A. Chest tubes and closed drainage systems are
pneumothorax following used to re-expand the lung involved and to
tracheostomy. The surgeon inserts a remove excess air, fluid, and blood. The primary
chest tube into the anterior chest purpose of a chest tube is not to drain sputum
wall. What should the nurse tell the secretions, monitor bleeding, or assist with
family is the primary purpose of this mechanical ventilation.
chest tube?
A. To remove air from the pleural
space
B. To drain copious sputum
secretions
C. To assist with mechanical
ventilation
D. To monitor bleeding around the
lungs
A client has a sucking stab wound to C. The nurse should immediately apply a dressing
the chest. Which action should the over the stab wound and tape it on three sides to
nurse take first? allow air to escape and to prevent tension
A. Prepare a chest tube insertion pneumothorax (which is more life-threatening than
tray. an open chest wound). Only after covering and
B. Draw blood for a hematocrit and taping the wound should the nurse draw blood for
hemoglobin level. laboratory tests, assist with chest tube insertion,
C. Apply a dressing over the wound and start an I.V. line.
and tape it on three sides.
D. Prepare to start an I.V. line.
, A client who has just had a triple- A. Pneumothorax (air in the pleural space) is a
lumen catheter placed in his right potential complication of all central venous access
subclavian vein complains of chest devices. Signs and symptoms include chest pain,
pain and shortness of breath. His dyspnea, shoulder or neck pain, irritability,
blood pressure is decreased from palpitations, lightheadedness, hypotension,
baseline and, on auscultation of his cyanosis, and unequal breath sounds. A chest X-ray
chest, the nurse notes unequal reveals the collapse of the affected lung that
breath sounds. A chest X-ray is results from pneumothorax. Triple-lumen catheter
immediately ordered by the insertion through the subclavian vein isn't
physician. What diagnosis should the associated with pulmonary embolism, MI, or heart
nurse suspect? failure.
A. Pneumothorax
B. Heart failure
C. Pulmonary embolism
D. Myocardial infarction (MI)
The patient with a chest tube is being C. Clamping can result in a tension pneumothorax.
transported to X-ray. Which The other options would not occur if the chest
complication may occur if the chest tube was clamped during transportation.
tube is clamped during
transportation?
A. Flail chest
B. Cardiac tamponade
C. Tension pneumothorax
D. Pulmonary contusion
Questions with 100% Correct Answers | Verified |
Latest Update 2026
Save
Terms in this set (38)
On auscultation, which finding B. In pneumothorax, the alveoli are deflated and no
suggests a right pneumothorax? air exchange occurs in the lungs. Therefore, breath
A. Bilateral pleural friction rub sounds in the affected lung field are absent. None
B. Absence of breath sounds in the of the other options are associated with
right thorax pneumothorax. Bilateral crackles may result from
C. Bilateral inspiratory and expiratory pulmonary congestion, inspiratory wheezes may
crackles signal asthma, and a pleural friction rub may
D. Inspiratory wheezes in the right indicate pleural inflammation.
thorax
,A client is exhibiting signs of a A. Chest tubes and closed drainage systems are
pneumothorax following used to re-expand the lung involved and to
tracheostomy. The surgeon inserts a remove excess air, fluid, and blood. The primary
chest tube into the anterior chest purpose of a chest tube is not to drain sputum
wall. What should the nurse tell the secretions, monitor bleeding, or assist with
family is the primary purpose of this mechanical ventilation.
chest tube?
A. To remove air from the pleural
space
B. To drain copious sputum
secretions
C. To assist with mechanical
ventilation
D. To monitor bleeding around the
lungs
A client has a sucking stab wound to C. The nurse should immediately apply a dressing
the chest. Which action should the over the stab wound and tape it on three sides to
nurse take first? allow air to escape and to prevent tension
A. Prepare a chest tube insertion pneumothorax (which is more life-threatening than
tray. an open chest wound). Only after covering and
B. Draw blood for a hematocrit and taping the wound should the nurse draw blood for
hemoglobin level. laboratory tests, assist with chest tube insertion,
C. Apply a dressing over the wound and start an I.V. line.
and tape it on three sides.
D. Prepare to start an I.V. line.
, A client who has just had a triple- A. Pneumothorax (air in the pleural space) is a
lumen catheter placed in his right potential complication of all central venous access
subclavian vein complains of chest devices. Signs and symptoms include chest pain,
pain and shortness of breath. His dyspnea, shoulder or neck pain, irritability,
blood pressure is decreased from palpitations, lightheadedness, hypotension,
baseline and, on auscultation of his cyanosis, and unequal breath sounds. A chest X-ray
chest, the nurse notes unequal reveals the collapse of the affected lung that
breath sounds. A chest X-ray is results from pneumothorax. Triple-lumen catheter
immediately ordered by the insertion through the subclavian vein isn't
physician. What diagnosis should the associated with pulmonary embolism, MI, or heart
nurse suspect? failure.
A. Pneumothorax
B. Heart failure
C. Pulmonary embolism
D. Myocardial infarction (MI)
The patient with a chest tube is being C. Clamping can result in a tension pneumothorax.
transported to X-ray. Which The other options would not occur if the chest
complication may occur if the chest tube was clamped during transportation.
tube is clamped during
transportation?
A. Flail chest
B. Cardiac tamponade
C. Tension pneumothorax
D. Pulmonary contusion