Med-Surg Respiratory Test with 100% Verified
Answers Graded A+
C- -What is the primary difference between emphysema and chronic bronchitis?
A) Chronic bronchitis predominantly affects the large airways.
B) Emphysema predominantly affects the large airways.
C) Emphysema predominantly affects the alveoli.
D) Chronic bronchitis predominantly affects the alveoli.
D- -Which assessment finding supports the nurse's suspicion that a patient is
experiencing chronic obstructive pulmonary disease (COPD)?
A) Dysrhythmias
B) Cyanotic nail beds
C) Clubbing of the fingers
D) Cough in the morning producing clear sputum
C- -The nurse is providing care to a patient diagnosed with chronic obstruction
pulmonary disease (COPD) after years of experiencing emphysema. Which clinical
manifestation does the nurse anticipate when assessing this patient?
A) Tachycardia
B) Cough
C) Barrel chest
@MercyTrishia docs
,Med-Surg Respiratory Test with 100% Verified
Answers Graded A+
D) Wheezing
D- -The nurse is planning care for the patient diagnosed with chronic obstructive
pulmonary disease (COPD) who has a breathing rate of 32 per minute, elevated blood
pressure, and fatigue. Which nursing diagnosis is the priority for this patient?
A) Ineffective Coping
B) Ineffective Airway Clearance
C) Anxiety
D) Ineffective Breathing Pattern
C- -The nurse is providing care for a patient diagnosed with chronic obstructive
pulmonary disease (COPD). Which intervention is inappropriate to control the patient's
breathing pattern?
A) Instruct in pursed-lip breathing
B) Teach visualization and meditation
C) Deep breathing and coughing every hour
D) Instruct in abdominal breathing
C- -A patient diagnosed with chronic obstructive pulmonary disease (COPD) has a
pulse oximetry reading of 93%, increased red blood and white blood cell count,
temperature of 101°F, pulse 100 bpm, respirations 35 bpm, and a chest x-ray that showed a
@MercyTrishia docs
,Med-Surg Respiratory Test with 100% Verified
Answers Graded A+
flattened diaphragm with infiltrates. Based on this data, which prescription does the nurse
question for this patient?
A) Antibiotic therapy
B) Nonsteroidal anti-inflammatory agents
C) Oxygen by nasal cannula at 3-4 liters/minute
D) Bronchodilators such as an adrenergic stimulating drugs or anticholinergic agents
A- -The nurse is providing care to a patient diagnosed with chronic obstructive
pulmonary disease (COPD). A nursing diagnosis for this patient is Imbalanced Nutrition:
Less than Body Requirements. Which intervention is appropriate for this nursing diagnosis?
A) Encourage a diet high in protein and fats
B) Keep snacks to a minimum
C) Encourage carbohydrate-rich foods to provide needed calories for energy
D) Suggest the patient eat three meals per day to maintain energy needs
A- -The nurse is providing care to a patient diagnosed with chronic obstructive
pulmonary disease (COPD). Which observation would indicate that care provided to this
patient has been effective?
A) Patient conducts morning care and ambulates in room while maintaining an oxygen
saturation of 92% on room air per oximetry reading.
@MercyTrishia docs
, Med-Surg Respiratory Test with 100% Verified
Answers Graded A+
B) Patient needs assistance with morning care and meals due to shortness of breath.
C) Patient states family members are discussing admission to a nursing home for
continuing care.
D) Patient leaves hospital unit to smoke outside four times a day.
C- -The nurse is teaching a patient diagnosed with chronic obstructive pulmonary
disease (COPD). Which patient statement indicates a need for further teaching?
A) "I should inhale by sniffing."
B) "I should avoid aerosol sprays."
C) "I should limit my fluid intake to 1-1.5 quarts daily."
D) "I should get a flu vaccine every year."
A, C & D - -The nurse is providing care to a patient diagnosed with chronic obstructive
pulmonary disease (COPD)? Which factors in the patient's history support the current
diagnosis?
(Select all that apply.)
A) Working in an industrial environment
B) Working in an office setting with air conditioning
C) History of asthma
D) Current cigarette smoking
@MercyTrishia docs
Answers Graded A+
C- -What is the primary difference between emphysema and chronic bronchitis?
A) Chronic bronchitis predominantly affects the large airways.
B) Emphysema predominantly affects the large airways.
C) Emphysema predominantly affects the alveoli.
D) Chronic bronchitis predominantly affects the alveoli.
D- -Which assessment finding supports the nurse's suspicion that a patient is
experiencing chronic obstructive pulmonary disease (COPD)?
A) Dysrhythmias
B) Cyanotic nail beds
C) Clubbing of the fingers
D) Cough in the morning producing clear sputum
C- -The nurse is providing care to a patient diagnosed with chronic obstruction
pulmonary disease (COPD) after years of experiencing emphysema. Which clinical
manifestation does the nurse anticipate when assessing this patient?
A) Tachycardia
B) Cough
C) Barrel chest
@MercyTrishia docs
,Med-Surg Respiratory Test with 100% Verified
Answers Graded A+
D) Wheezing
D- -The nurse is planning care for the patient diagnosed with chronic obstructive
pulmonary disease (COPD) who has a breathing rate of 32 per minute, elevated blood
pressure, and fatigue. Which nursing diagnosis is the priority for this patient?
A) Ineffective Coping
B) Ineffective Airway Clearance
C) Anxiety
D) Ineffective Breathing Pattern
C- -The nurse is providing care for a patient diagnosed with chronic obstructive
pulmonary disease (COPD). Which intervention is inappropriate to control the patient's
breathing pattern?
A) Instruct in pursed-lip breathing
B) Teach visualization and meditation
C) Deep breathing and coughing every hour
D) Instruct in abdominal breathing
C- -A patient diagnosed with chronic obstructive pulmonary disease (COPD) has a
pulse oximetry reading of 93%, increased red blood and white blood cell count,
temperature of 101°F, pulse 100 bpm, respirations 35 bpm, and a chest x-ray that showed a
@MercyTrishia docs
,Med-Surg Respiratory Test with 100% Verified
Answers Graded A+
flattened diaphragm with infiltrates. Based on this data, which prescription does the nurse
question for this patient?
A) Antibiotic therapy
B) Nonsteroidal anti-inflammatory agents
C) Oxygen by nasal cannula at 3-4 liters/minute
D) Bronchodilators such as an adrenergic stimulating drugs or anticholinergic agents
A- -The nurse is providing care to a patient diagnosed with chronic obstructive
pulmonary disease (COPD). A nursing diagnosis for this patient is Imbalanced Nutrition:
Less than Body Requirements. Which intervention is appropriate for this nursing diagnosis?
A) Encourage a diet high in protein and fats
B) Keep snacks to a minimum
C) Encourage carbohydrate-rich foods to provide needed calories for energy
D) Suggest the patient eat three meals per day to maintain energy needs
A- -The nurse is providing care to a patient diagnosed with chronic obstructive
pulmonary disease (COPD). Which observation would indicate that care provided to this
patient has been effective?
A) Patient conducts morning care and ambulates in room while maintaining an oxygen
saturation of 92% on room air per oximetry reading.
@MercyTrishia docs
, Med-Surg Respiratory Test with 100% Verified
Answers Graded A+
B) Patient needs assistance with morning care and meals due to shortness of breath.
C) Patient states family members are discussing admission to a nursing home for
continuing care.
D) Patient leaves hospital unit to smoke outside four times a day.
C- -The nurse is teaching a patient diagnosed with chronic obstructive pulmonary
disease (COPD). Which patient statement indicates a need for further teaching?
A) "I should inhale by sniffing."
B) "I should avoid aerosol sprays."
C) "I should limit my fluid intake to 1-1.5 quarts daily."
D) "I should get a flu vaccine every year."
A, C & D - -The nurse is providing care to a patient diagnosed with chronic obstructive
pulmonary disease (COPD)? Which factors in the patient's history support the current
diagnosis?
(Select all that apply.)
A) Working in an industrial environment
B) Working in an office setting with air conditioning
C) History of asthma
D) Current cigarette smoking
@MercyTrishia docs
