MED SURG RESPIRATORY EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS GUARANTEED
A nurse is providing teaching to a client who will undergo a total laryngectomy. Which of
the following statements indicate that the client understands the impact of the surgery?
- “I understands that I will have a permanent tracheostomy after the surgery.”
Rational: With a partial laryngectomy, the tracheostomy is temporary. With the total laryngectomy the
tracheostomy will be permanent.
A nurse is providing discharge instructions to a client who has a new laryngectomy. The
nurse tells the client to be careful while bathing to prevent which of the following
complications?
-Aspiration of water.
Rational: This is a client with a tracheostomy, so he will need to use a shower shield over the
stoma when bathing or showering to keep water out of the airway.
A nurse is caring for a client who is extremely anxious and is hyperventilating. The client’s
ABG results are pH 7.50, PaCO2 27 mmHg, and HCO3-25 mEq/L. The nurse should identify
that the client has which of the following acid-base imbalances?
-Respiratory alkalosis.
A nurse is planning postoperative education for a client who will undergo a radical neck
dissection for cancer of the larynx. The nurse should include which of the following
topics? (SATA)
-NPO status
-Alternative methods of communication
- Changes in body image
-Swallowing exercises.
A nurse in a clinic is providing teaching for a client who is scheduled to have a tuberculin
skin test. Which of the following pieces of information should the nurse include?
- “You must return to the clinic to have the test read in 2 or 3 days.”
A nurse is providing discharge teaching to a client who is postoperative following a
rhinoplasty/ Which of the following instructions should the nurse include?
“Lie on your back with your head elevated 30º when resting.”
,MED SURG RESPIRATORY EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS GUARANTEED
A nurse is preparing to assist provider with an arterial blood withdrawal
from a client’s radial artery for ABG measurements. Which of the following
actions the nurse plan to take?
,MED SURG RESPIRATORY EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS GUARANTEED
-Perform an Allen’s test prior to obtaining the specimen.
Rational: the nurse should ensure that the circulation of the hands is
adequate from the ulnar artery in case the radial artery is injured from the
blood draw. The most common site for withdrawal of arterial blood gases is
the radial artery.
A nurse is providing teaching to a client about pulmonary function testing.
Which of the following tests measures the volume of air the lungs can holds
at the end of maximum inhalation?
-Total lung capacity
A nurse is providing preoperative teaching to a client who is to undergo a
pneumonectomy. The client states, “I am afraid coughing will hurt after
surgery.” Which of the following statements by the nurse is appropriate?
-“I will show you how to splint your incision while coughing.”
A nurse is caring for a client who has a tracheostomy and is receiving
mechanical ventilation. When the low-pressure alarm on the ventilator
sounds, it indicates which of the following to the nurse?
-A leak within the ventilator’s circuitry.
A nurse is caring for a client who is postoperative following a rhinoplasty.
Which of the following findings should the nurse report to the surgeon?
-Frequent swallowing
Rational: this indicates posterior nasal bleeding and possibly hemorrhage.
A nurse is caring for a client immediately following extubation. Which of
the following manifestations indicates that the nurse should call the rapid
response team?
-Stridor
Rational: the nurse should identify that stridor (high-pitched crowing sound
heard during inspiration) is caused by laryngeal edema and can indicate
impending airway obstruction.
A nurse is caring for a client who has a chest tube. The nurse notes that the
chest tube has become disconnected from the chest drainage system.
Which of the following actions should the nurse take?
, MED SURG RESPIRATORY EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS GUARANTEED
-Immerse the end of the chest tube in a bottle of sterile water.
ANSWERS GRADED A+ SUCCESS GUARANTEED
A nurse is providing teaching to a client who will undergo a total laryngectomy. Which of
the following statements indicate that the client understands the impact of the surgery?
- “I understands that I will have a permanent tracheostomy after the surgery.”
Rational: With a partial laryngectomy, the tracheostomy is temporary. With the total laryngectomy the
tracheostomy will be permanent.
A nurse is providing discharge instructions to a client who has a new laryngectomy. The
nurse tells the client to be careful while bathing to prevent which of the following
complications?
-Aspiration of water.
Rational: This is a client with a tracheostomy, so he will need to use a shower shield over the
stoma when bathing or showering to keep water out of the airway.
A nurse is caring for a client who is extremely anxious and is hyperventilating. The client’s
ABG results are pH 7.50, PaCO2 27 mmHg, and HCO3-25 mEq/L. The nurse should identify
that the client has which of the following acid-base imbalances?
-Respiratory alkalosis.
A nurse is planning postoperative education for a client who will undergo a radical neck
dissection for cancer of the larynx. The nurse should include which of the following
topics? (SATA)
-NPO status
-Alternative methods of communication
- Changes in body image
-Swallowing exercises.
A nurse in a clinic is providing teaching for a client who is scheduled to have a tuberculin
skin test. Which of the following pieces of information should the nurse include?
- “You must return to the clinic to have the test read in 2 or 3 days.”
A nurse is providing discharge teaching to a client who is postoperative following a
rhinoplasty/ Which of the following instructions should the nurse include?
“Lie on your back with your head elevated 30º when resting.”
,MED SURG RESPIRATORY EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS GUARANTEED
A nurse is preparing to assist provider with an arterial blood withdrawal
from a client’s radial artery for ABG measurements. Which of the following
actions the nurse plan to take?
,MED SURG RESPIRATORY EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS GUARANTEED
-Perform an Allen’s test prior to obtaining the specimen.
Rational: the nurse should ensure that the circulation of the hands is
adequate from the ulnar artery in case the radial artery is injured from the
blood draw. The most common site for withdrawal of arterial blood gases is
the radial artery.
A nurse is providing teaching to a client about pulmonary function testing.
Which of the following tests measures the volume of air the lungs can holds
at the end of maximum inhalation?
-Total lung capacity
A nurse is providing preoperative teaching to a client who is to undergo a
pneumonectomy. The client states, “I am afraid coughing will hurt after
surgery.” Which of the following statements by the nurse is appropriate?
-“I will show you how to splint your incision while coughing.”
A nurse is caring for a client who has a tracheostomy and is receiving
mechanical ventilation. When the low-pressure alarm on the ventilator
sounds, it indicates which of the following to the nurse?
-A leak within the ventilator’s circuitry.
A nurse is caring for a client who is postoperative following a rhinoplasty.
Which of the following findings should the nurse report to the surgeon?
-Frequent swallowing
Rational: this indicates posterior nasal bleeding and possibly hemorrhage.
A nurse is caring for a client immediately following extubation. Which of
the following manifestations indicates that the nurse should call the rapid
response team?
-Stridor
Rational: the nurse should identify that stridor (high-pitched crowing sound
heard during inspiration) is caused by laryngeal edema and can indicate
impending airway obstruction.
A nurse is caring for a client who has a chest tube. The nurse notes that the
chest tube has become disconnected from the chest drainage system.
Which of the following actions should the nurse take?
, MED SURG RESPIRATORY EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS GUARANTEED
-Immerse the end of the chest tube in a bottle of sterile water.
