Fundamentals Adaptive Quiz
test 1
Which assessment finding is considered the earliest sign of
decreased tissue oxygenation?
Answer:Unexplained restlessness
Which physical assessment maneuver is the nurse performing
when instructing the client to breathe in slowly and a little more
deeply than normal through the mouth?
Answer:Auscultation
Which physical assessment findings of a client suspected of
having a respiratory disorder would be considered normal?
Select all that apply.
Answer:Pink nasal mucosa, midline trachea, non labored
breathing of 14/min
What finding would be consistent with long-standing hypoxemia
in a client who reports shortness of breath?
Answer:Clubbing
,A client is admitted with a sudden onset of dyspnea and chest
pain. What are the interventions in the order in which the nurse
will perform them to provide comfort to the client?
1. Notifying the Rapid Response Team
2. Reassuring the client and family members
3. elevate the head of the bed to help the client breathe easier
4. Prepare oxygen therapy and blood gas analysis
Answer:5. Monitoring and assessing for other changes
Which would the nurse consider to be a potential respiratory
system-related complication of surgery?
Answer:Atelectasis
An older adult client who complains of difficulty breathing after
a surgery is found to have decreased vital capacity on
spirometry. Which nursing intervention should be performed in
this situation?
Answer:Teach coughing and deep-breathing exercises.
The nurse finds the respiratory rate is 8 breaths per minute in a
client who is on intravenous morphine sulfate. What should the
nurse do immediately in this situation?
, Answer:Stop administering the medication
A child who reports shortness of breath, wheezing, and
coughing is found to have pulmonary edema and is prescribed
furosemide. Which nursing interventions would be beneficial to
the client? Select all that apply.
Answer:Checking the child's weight every day
Calculating the dose of drug as carefully as possible
Assessing the child regularly to help prevent electrolyte loss
Continuous high-pitched squeaking or musical sounds that
result from rapid vibration of bronchial walls. They are
associated with bronchospasms or airway obstruction
Answer:Wheezing
Creaking or grating sounds caused by roughened, inflamed
pleural surfaces rubbing together. They are associated with
pleurisy, pneumonia, or a pulmonary infarct.
Answer:Pleural friction rubs
Normal, low-pitched rustling sounds heard over peripheral lung
fields
Answer:Vesicular breath sounds
test 1
Which assessment finding is considered the earliest sign of
decreased tissue oxygenation?
Answer:Unexplained restlessness
Which physical assessment maneuver is the nurse performing
when instructing the client to breathe in slowly and a little more
deeply than normal through the mouth?
Answer:Auscultation
Which physical assessment findings of a client suspected of
having a respiratory disorder would be considered normal?
Select all that apply.
Answer:Pink nasal mucosa, midline trachea, non labored
breathing of 14/min
What finding would be consistent with long-standing hypoxemia
in a client who reports shortness of breath?
Answer:Clubbing
,A client is admitted with a sudden onset of dyspnea and chest
pain. What are the interventions in the order in which the nurse
will perform them to provide comfort to the client?
1. Notifying the Rapid Response Team
2. Reassuring the client and family members
3. elevate the head of the bed to help the client breathe easier
4. Prepare oxygen therapy and blood gas analysis
Answer:5. Monitoring and assessing for other changes
Which would the nurse consider to be a potential respiratory
system-related complication of surgery?
Answer:Atelectasis
An older adult client who complains of difficulty breathing after
a surgery is found to have decreased vital capacity on
spirometry. Which nursing intervention should be performed in
this situation?
Answer:Teach coughing and deep-breathing exercises.
The nurse finds the respiratory rate is 8 breaths per minute in a
client who is on intravenous morphine sulfate. What should the
nurse do immediately in this situation?
, Answer:Stop administering the medication
A child who reports shortness of breath, wheezing, and
coughing is found to have pulmonary edema and is prescribed
furosemide. Which nursing interventions would be beneficial to
the client? Select all that apply.
Answer:Checking the child's weight every day
Calculating the dose of drug as carefully as possible
Assessing the child regularly to help prevent electrolyte loss
Continuous high-pitched squeaking or musical sounds that
result from rapid vibration of bronchial walls. They are
associated with bronchospasms or airway obstruction
Answer:Wheezing
Creaking or grating sounds caused by roughened, inflamed
pleural surfaces rubbing together. They are associated with
pleurisy, pneumonia, or a pulmonary infarct.
Answer:Pleural friction rubs
Normal, low-pitched rustling sounds heard over peripheral lung
fields
Answer:Vesicular breath sounds
