UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
1
Chapter 31. Nursing
Care of Patients With
Lower Respiratory Tract
Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A patient is admitted to a respiratory unit with a diagnosis of left lower lobe pneumonia. The
nursing assessment reveals the patient to be febrile and experiencing a weak, congested-sounding cough.
The patient has moist crackles throughout the lung fields. Based on the data provided, which nursing
diagnosis is most appropriate?
a. Anxiety
b. Impaired Gas Exchange
c. Ineffective Breathing Pattern
d. Ineffective Airway Clearance
2. The nurse is caring for a patient with pneumonia. Which laboratory test would best help the nurse
to monitor the condition of this patient?
a. Electrolytes, serum creatinine
b. Complete blood count (CBC), urinalysis
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2
c. Partial thromboplastin time (PTT), serum potassium
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d. White blood cell (WBC) count, arterial blood gases (ABGs)
3. A patient is unable to maintain a clear airway effectively with coughing and has a respiratory rate
of 22/min with coarse crackles bilaterally. Which intervention should the nurse provide first?
a. Encourage fluids.
b. Encourage bedrest.
c. Perform tracheal suctioning.
d. Assess the patients coughing
technique.
4. The nurse is reviewing data collected on a patient with a respiratory disorder. Which factor should
the nurse identify that places the patient at risk for lung cancer?
a. Smoking and exposure to radon gas
b. Living in a cold climate and having pets
c. Eating foods high in beta carotene and fiber
d. Living in crowded conditions and lack of sunlight
5. A patient with lung cancer who is scheduled to begin a course of radiation therapy asks the nurse,
How will they know if Im cured? The nurses best response is based on which understanding of the disease
process?
a. Lung cancer is never a curable disease; prolonged life is the goal.
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, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
3
b. Eighty percent of lung cancers are curable with radiation therapy.
c. Radiation in lung cancer is most often used to increase comfort, not cure disease.
d. Radiation therapy reduces inflammation; chemotherapy is used to shrink the tumor.
6. A patient with lung cancer develops pleural effusion. Which explanation by the nurse would help
the patient understand this problem?
a. Pus has developed in your alveoli that must be removed to improve your breathing.
b. You have large amounts of fluid collecting in your airways because of the lung cancer.
c. Fluid has collected in the space between your lungs and the sac surrounding your lungs.
d. Fluid in your pericardial sac places pressure on your lungs, making it difficult to breathe.
7. A patient diagnosed with a pleural effusion is very dyspneic. With which procedure should the
nurse anticipate assisting?
a. Tracheostomy
b. Thoracentesis
c. Bronchoscopy
d. Pericardiocentesis
N U RS IN G T B .C O M
8. The nurse is providing discharge teach i ng fo r a p a ti en t with newly diagnosed
asthma. What should be included in the discharge teaching?
a. Fluid fills the tiny sacs in the lungs and makes breathing difficult.
NURSINGTB.COM
, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
4
b. Symptoms are caused by inflammation in the lining of your airways.
c. You may notice large amounts of pus-like sputum that has a foul odor.
d. The chest wall becomes stiff and air movement is restricted in individuals with asthma.
9. The nurse is providing routine follow-up care for a young adult with asthma who has been on a
3- month course of maintenance therapy. Which activity would best help the nurse to determine if the
patients treatment plan was effective?
a. Obtain an ABG analysis.
b. Determine the patients pulse oximeter reading.
c. Evaluate the patients use of an incentive spirometer.
d. Examine daily tracking records of the peak expiratory flow rate.
10. A summer camp worker reports to the camp nurse with complaints of shortness of breath and
audible wheezing. Which inhaled medication should the nurse provide?
a. Albuterol (Proventil)
b. Cromolyn sodium (Intal)
NURSINGTB.COM
1
Chapter 31. Nursing
Care of Patients With
Lower Respiratory Tract
Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A patient is admitted to a respiratory unit with a diagnosis of left lower lobe pneumonia. The
nursing assessment reveals the patient to be febrile and experiencing a weak, congested-sounding cough.
The patient has moist crackles throughout the lung fields. Based on the data provided, which nursing
diagnosis is most appropriate?
a. Anxiety
b. Impaired Gas Exchange
c. Ineffective Breathing Pattern
d. Ineffective Airway Clearance
2. The nurse is caring for a patient with pneumonia. Which laboratory test would best help the nurse
to monitor the condition of this patient?
a. Electrolytes, serum creatinine
b. Complete blood count (CBC), urinalysis
NURSINGTB.COM
, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
2
c. Partial thromboplastin time (PTT), serum potassium
NURSINGTB.COM
d. White blood cell (WBC) count, arterial blood gases (ABGs)
3. A patient is unable to maintain a clear airway effectively with coughing and has a respiratory rate
of 22/min with coarse crackles bilaterally. Which intervention should the nurse provide first?
a. Encourage fluids.
b. Encourage bedrest.
c. Perform tracheal suctioning.
d. Assess the patients coughing
technique.
4. The nurse is reviewing data collected on a patient with a respiratory disorder. Which factor should
the nurse identify that places the patient at risk for lung cancer?
a. Smoking and exposure to radon gas
b. Living in a cold climate and having pets
c. Eating foods high in beta carotene and fiber
d. Living in crowded conditions and lack of sunlight
5. A patient with lung cancer who is scheduled to begin a course of radiation therapy asks the nurse,
How will they know if Im cured? The nurses best response is based on which understanding of the disease
process?
a. Lung cancer is never a curable disease; prolonged life is the goal.
NURSINGTB.COM
, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
3
b. Eighty percent of lung cancers are curable with radiation therapy.
c. Radiation in lung cancer is most often used to increase comfort, not cure disease.
d. Radiation therapy reduces inflammation; chemotherapy is used to shrink the tumor.
6. A patient with lung cancer develops pleural effusion. Which explanation by the nurse would help
the patient understand this problem?
a. Pus has developed in your alveoli that must be removed to improve your breathing.
b. You have large amounts of fluid collecting in your airways because of the lung cancer.
c. Fluid has collected in the space between your lungs and the sac surrounding your lungs.
d. Fluid in your pericardial sac places pressure on your lungs, making it difficult to breathe.
7. A patient diagnosed with a pleural effusion is very dyspneic. With which procedure should the
nurse anticipate assisting?
a. Tracheostomy
b. Thoracentesis
c. Bronchoscopy
d. Pericardiocentesis
N U RS IN G T B .C O M
8. The nurse is providing discharge teach i ng fo r a p a ti en t with newly diagnosed
asthma. What should be included in the discharge teaching?
a. Fluid fills the tiny sacs in the lungs and makes breathing difficult.
NURSINGTB.COM
, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
4
b. Symptoms are caused by inflammation in the lining of your airways.
c. You may notice large amounts of pus-like sputum that has a foul odor.
d. The chest wall becomes stiff and air movement is restricted in individuals with asthma.
9. The nurse is providing routine follow-up care for a young adult with asthma who has been on a
3- month course of maintenance therapy. Which activity would best help the nurse to determine if the
patients treatment plan was effective?
a. Obtain an ABG analysis.
b. Determine the patients pulse oximeter reading.
c. Evaluate the patients use of an incentive spirometer.
d. Examine daily tracking records of the peak expiratory flow rate.
10. A summer camp worker reports to the camp nurse with complaints of shortness of breath and
audible wheezing. Which inhaled medication should the nurse provide?
a. Albuterol (Proventil)
b. Cromolyn sodium (Intal)
NURSINGTB.COM
