Medical-Surgical Nursing 6th 7th 8th Edition by Linton
Matteson Test Bank
What statement describes emphysema? - ANSWER: A disease of the airways characterized by
destruction of the walls of overdistended alveoli
Which is the most important risk factor for development of chronic obstructive pulmonary disease
(COPD)? - ANSWER: Cigarette smoking
Which type of chest configuration is typical for a client with COPD? - ANSWER: Barrel Chest
In which grade of COPD is the force expiratory volume (FEV) less than 30%? - ANSWER: Phase III
Clients with grade 3 COPD develop demonstrate a FEV1 less than 30 to 50% predicted with respiratory
failure of clinical signs of right heart failure. Green one is mild COPD with an FEV1 greater than or
equal to 80% predicted clients with grade 2 COPD demonstrate and FEV1 of 50 to 80% predicted
grade 4 is characterized by FEV less than 30% predicted
Which term means an increase in red blood cell concentration in the blood? - ANSWER: Polycythemia
What is the strongest predisposing factor for asthma? - ANSWER: allergy
Which medication is contra indicated in acute asthma exacerbations? - ANSWER: Cromolyn sodium
As status asthmaticus worsens, the nurse would expect which acid-base imbalance? - ANSWER:
Respiratory acidosis
Which diagnostic test is the most accurate and assessing acute airway obstruction? - ANSWER:
Pulmonary function studies
cystic fibrosis (CF) is diagnosed by clinical signs and symptoms in addition to which test? - ANSWER:
Sweat chloride concentration
Which symptoms are considered primary symptoms of COPD? - ANSWER: Cough
Which exposure acts as a risk factor for and accounts for the majority of cases of chronic obstructive
pulmonary disease (COPD)? - ANSWER: Exposure to tobacco smoke
The classification of grade I COPD is defined as - ANSWER: mild COPD
Which drug is second line pharmacotherapy for smoking abstinence? - ANSWER: Clonidine
A client newly diagnosed with COPD tells the nurse, "I can't believe I have COPD; I only had a cough.
Are there other symptoms I should know about"? Which is the best response by the nurse? -
ANSWER: "Other symptoms you may develop are shortness of breath upon exertion and sputum
production."
Why would a client with COPD report feeling fatigued? Select all that apply. - ANSWER: The client is
using all expendable energy just to breathe.
Lung function gradually decreases over time in clients with COPD.
, In which statements regarding medications taken by the client diagnosed with COPD did the drug
name and the drug category correctly match? - ANSWER: Ciprofloxacin is an antibiotic
Albuterol is a bronchodilator
Prednisone is a corticosteroid
A client presents to the ED experiencing symptoms of COPD exacerbation. The nurse understands the
goals of therapy should be achieved to improve the clients condition. Which statements reflect
therapy goals? select all that apply. - ANSWER: Provide long-term support for medical management
Provide medical support for current exasperation
Treat the underlying cause of the event
Return the client to their original functioning abilities
Which measure may increase complications for a client with COPD? - ANSWER: Increased oxygen
supply
Which statement is true about both lung transplant and bullectomy? - ANSWER: Both procedures
improve the overall quality of life of a client with COPD.
A nurse is caring for a client with COPD. While reviewing breathing exercises the nurse instruct the
client to breathe in slowly through the nose, taking a normal breath. The nurse asked the client to
pucker his lips as if preparing to whistle. Finally the client is a told to exhale slowly and gently through
the puckered lips. The nurse teaches the client these breathing exercises to accomplish which goals?
Select all that apply. - ANSWER: Prevent airway collapse
Control the rate and depth of respirations
Release air trapped in the lungs
A client diagnosed with asthma is preparing for discharge. The nurse is educating the client on the
proper use of peak flow meter. The nurse instructs client to complete which action? - ANSWER: If
coughing occurs during the procedure, repeat it.
A client with bronchiectasis is admitted to the nursing unit. The primary focus of nursing care for this
client includes - ANSWER: Implementing measures to clear pulmonary secretions
The nurse is assigned the care of a 30-year-old client diagnosed with cystic fibrosis (CF). Which nursing
intervention will be included in the client's care plan? - ANSWER: Performing chest physiotherapy as
ordered
A nurse is reviewing pressurized metered dose inhaler (pMDI) instructions with a client. Which
statement by the client indicates a need for further instruction? - ANSWER: "I can't use a spacer or
holding chamber with the MDI."
The nurse is caring for a patient with COPD. The patient is receiving oxygen therapy via nasal cannula.
The nurse understands ago of oxygen therapy is to maintain the patient's SaO2 level at or above that
what percent? - ANSWER: 90%
A client is receiving PO for long term control and prevention of asthma symptoms. Client education
related to this medication include - ANSWER: The importance of blood tests to monitor serum
concentrations
A client is being treated in the ED for respiratory distress coupled with pneumonia. The client has no
medical history. However the client works in coal mine and smokes 10 cigarettes a day. The nurse
anticipates which order based on the client's immediate needs? - ANSWER: Administration of
antibiotics
For both outpatient and inpatient scheduled for a diagnostic procedures of cardiovascular system, the
nurse performs a thorough initial assessment to established at accurate baseline data which data is
necessary to collect if the client is experiencing chest pain? - ANSWER: Description of pain
Matteson Test Bank
What statement describes emphysema? - ANSWER: A disease of the airways characterized by
destruction of the walls of overdistended alveoli
Which is the most important risk factor for development of chronic obstructive pulmonary disease
(COPD)? - ANSWER: Cigarette smoking
Which type of chest configuration is typical for a client with COPD? - ANSWER: Barrel Chest
In which grade of COPD is the force expiratory volume (FEV) less than 30%? - ANSWER: Phase III
Clients with grade 3 COPD develop demonstrate a FEV1 less than 30 to 50% predicted with respiratory
failure of clinical signs of right heart failure. Green one is mild COPD with an FEV1 greater than or
equal to 80% predicted clients with grade 2 COPD demonstrate and FEV1 of 50 to 80% predicted
grade 4 is characterized by FEV less than 30% predicted
Which term means an increase in red blood cell concentration in the blood? - ANSWER: Polycythemia
What is the strongest predisposing factor for asthma? - ANSWER: allergy
Which medication is contra indicated in acute asthma exacerbations? - ANSWER: Cromolyn sodium
As status asthmaticus worsens, the nurse would expect which acid-base imbalance? - ANSWER:
Respiratory acidosis
Which diagnostic test is the most accurate and assessing acute airway obstruction? - ANSWER:
Pulmonary function studies
cystic fibrosis (CF) is diagnosed by clinical signs and symptoms in addition to which test? - ANSWER:
Sweat chloride concentration
Which symptoms are considered primary symptoms of COPD? - ANSWER: Cough
Which exposure acts as a risk factor for and accounts for the majority of cases of chronic obstructive
pulmonary disease (COPD)? - ANSWER: Exposure to tobacco smoke
The classification of grade I COPD is defined as - ANSWER: mild COPD
Which drug is second line pharmacotherapy for smoking abstinence? - ANSWER: Clonidine
A client newly diagnosed with COPD tells the nurse, "I can't believe I have COPD; I only had a cough.
Are there other symptoms I should know about"? Which is the best response by the nurse? -
ANSWER: "Other symptoms you may develop are shortness of breath upon exertion and sputum
production."
Why would a client with COPD report feeling fatigued? Select all that apply. - ANSWER: The client is
using all expendable energy just to breathe.
Lung function gradually decreases over time in clients with COPD.
, In which statements regarding medications taken by the client diagnosed with COPD did the drug
name and the drug category correctly match? - ANSWER: Ciprofloxacin is an antibiotic
Albuterol is a bronchodilator
Prednisone is a corticosteroid
A client presents to the ED experiencing symptoms of COPD exacerbation. The nurse understands the
goals of therapy should be achieved to improve the clients condition. Which statements reflect
therapy goals? select all that apply. - ANSWER: Provide long-term support for medical management
Provide medical support for current exasperation
Treat the underlying cause of the event
Return the client to their original functioning abilities
Which measure may increase complications for a client with COPD? - ANSWER: Increased oxygen
supply
Which statement is true about both lung transplant and bullectomy? - ANSWER: Both procedures
improve the overall quality of life of a client with COPD.
A nurse is caring for a client with COPD. While reviewing breathing exercises the nurse instruct the
client to breathe in slowly through the nose, taking a normal breath. The nurse asked the client to
pucker his lips as if preparing to whistle. Finally the client is a told to exhale slowly and gently through
the puckered lips. The nurse teaches the client these breathing exercises to accomplish which goals?
Select all that apply. - ANSWER: Prevent airway collapse
Control the rate and depth of respirations
Release air trapped in the lungs
A client diagnosed with asthma is preparing for discharge. The nurse is educating the client on the
proper use of peak flow meter. The nurse instructs client to complete which action? - ANSWER: If
coughing occurs during the procedure, repeat it.
A client with bronchiectasis is admitted to the nursing unit. The primary focus of nursing care for this
client includes - ANSWER: Implementing measures to clear pulmonary secretions
The nurse is assigned the care of a 30-year-old client diagnosed with cystic fibrosis (CF). Which nursing
intervention will be included in the client's care plan? - ANSWER: Performing chest physiotherapy as
ordered
A nurse is reviewing pressurized metered dose inhaler (pMDI) instructions with a client. Which
statement by the client indicates a need for further instruction? - ANSWER: "I can't use a spacer or
holding chamber with the MDI."
The nurse is caring for a patient with COPD. The patient is receiving oxygen therapy via nasal cannula.
The nurse understands ago of oxygen therapy is to maintain the patient's SaO2 level at or above that
what percent? - ANSWER: 90%
A client is receiving PO for long term control and prevention of asthma symptoms. Client education
related to this medication include - ANSWER: The importance of blood tests to monitor serum
concentrations
A client is being treated in the ED for respiratory distress coupled with pneumonia. The client has no
medical history. However the client works in coal mine and smokes 10 cigarettes a day. The nurse
anticipates which order based on the client's immediate needs? - ANSWER: Administration of
antibiotics
For both outpatient and inpatient scheduled for a diagnostic procedures of cardiovascular system, the
nurse performs a thorough initial assessment to established at accurate baseline data which data is
necessary to collect if the client is experiencing chest pain? - ANSWER: Description of pain
