PN Learning System Medical-Surgical: Respiratory
Practice Quiz, Answered
A nurse is assisting with the care for a client who had a chest tube inserted 12 hr
ago. The nurse notes a crackling sensation upon palpation of the skin on the right
side of the client's chest. The nurse should notify the charge nurse that the client is
demonstrating a clinical manifestation of which of the following complications?
- crepitus
A nurse is assisting with the development of a teaching plan about how to prevent
an acute asthma attack for a young adult client. Which of the following points
should the nurse plan to discuss first?
- Determine the client's perception of the disease process and what might have
triggered the current attack
A nurse on a medical-surgical unit is caring for a client who is postoperative
following a hip replacement surgery. The client reports feeling apprehensive and
restless. The nurse collects additional data from the client. Which of the following
findings is an indication of pulmonary embolism?
- Sudden onset of dyspnea
Rationale:
Clinical manifestations of pulmonary embolism have a rapid onset. Dyspnea
occurs due to reduced blood flow to the lungs.
A nurse in a provider's office is collecting data from a client who is states he was
recently exposed to tuberculosis. Which of the following findings is a clinical
manifestation of pulmonary tuberculosis?
- Night sweats
Night sweats and fevers are clinical manifestations of tuberculosis.
, A nurse is assisting with the plan of care for a client who has chronic obstructive
pulmonary disease and is malnourished. Which of the following recommendations
to promote nutritional intake should the nurse include in the plan?
- Eat high-calorie foods first
Rationale:
The client who has COPD often experiences early satiety. Therefore, the client
should eat calorie-dense foods first.
A nurse is reinforcing preoperative teaching with a client who is to undergo a
pneumonectomy. The client states, "I am afraid it will hurt to cough after the
surgery." Which of the following statements should the nurse make?
- "I will show you how to splint your incision while coughing."
A nurse is reinforcing teaching with a client about pulmonary function tests. Which
of the following tests measures the volume of air the lungs can hold at the end of
maximum inhalation?
- Total lung capacity
Rationale:
Pulmonary function tests are used to examine the effectiveness of the lungs and
identify lung problems. Total lung capacity measures the amount of air the lungs
can hold after maximum inhalation.
A nurse is preparing to assist a provider to withdraw arterial blood from a client's
radial artery for measurement of ABG. Which of the following actions should the
nurse plan to take?
- Check the circulation in the client's ulnar artery prior to obtaining the specimen.
A nurse is assisting the provider to prepare a client for a thoracentesis. The nurse
should instruct the client that which of the following positions will be used for this
procedure?
- Sitting while leaning forward over the bedside table
Practice Quiz, Answered
A nurse is assisting with the care for a client who had a chest tube inserted 12 hr
ago. The nurse notes a crackling sensation upon palpation of the skin on the right
side of the client's chest. The nurse should notify the charge nurse that the client is
demonstrating a clinical manifestation of which of the following complications?
- crepitus
A nurse is assisting with the development of a teaching plan about how to prevent
an acute asthma attack for a young adult client. Which of the following points
should the nurse plan to discuss first?
- Determine the client's perception of the disease process and what might have
triggered the current attack
A nurse on a medical-surgical unit is caring for a client who is postoperative
following a hip replacement surgery. The client reports feeling apprehensive and
restless. The nurse collects additional data from the client. Which of the following
findings is an indication of pulmonary embolism?
- Sudden onset of dyspnea
Rationale:
Clinical manifestations of pulmonary embolism have a rapid onset. Dyspnea
occurs due to reduced blood flow to the lungs.
A nurse in a provider's office is collecting data from a client who is states he was
recently exposed to tuberculosis. Which of the following findings is a clinical
manifestation of pulmonary tuberculosis?
- Night sweats
Night sweats and fevers are clinical manifestations of tuberculosis.
, A nurse is assisting with the plan of care for a client who has chronic obstructive
pulmonary disease and is malnourished. Which of the following recommendations
to promote nutritional intake should the nurse include in the plan?
- Eat high-calorie foods first
Rationale:
The client who has COPD often experiences early satiety. Therefore, the client
should eat calorie-dense foods first.
A nurse is reinforcing preoperative teaching with a client who is to undergo a
pneumonectomy. The client states, "I am afraid it will hurt to cough after the
surgery." Which of the following statements should the nurse make?
- "I will show you how to splint your incision while coughing."
A nurse is reinforcing teaching with a client about pulmonary function tests. Which
of the following tests measures the volume of air the lungs can hold at the end of
maximum inhalation?
- Total lung capacity
Rationale:
Pulmonary function tests are used to examine the effectiveness of the lungs and
identify lung problems. Total lung capacity measures the amount of air the lungs
can hold after maximum inhalation.
A nurse is preparing to assist a provider to withdraw arterial blood from a client's
radial artery for measurement of ABG. Which of the following actions should the
nurse plan to take?
- Check the circulation in the client's ulnar artery prior to obtaining the specimen.
A nurse is assisting the provider to prepare a client for a thoracentesis. The nurse
should instruct the client that which of the following positions will be used for this
procedure?
- Sitting while leaning forward over the bedside table
