1. A client with chronic bronchitis often shows signs of hypoxia. Which of the
following is the priority to monitor for in this client?
A. O2 levels
B. Barrel chest
C. Nutritional Status
D. Clubbing of fingers: A. O2 levels
2. Which of the following positions offers no benefit to relieve dyspnea in a
client with chronic air flow limitation?
A. sitting at the edge of the chair, leaning forward with his arms folded and
resting on a table
B. A low- semi reclining positions with shoulders back and niche apart
C. Leaning forward in a chair with feet spread apart and elbows placed on
knees
D. upright with head slightly flexed, with feet spread apart and shoulders
relaxed: B. A low- semi reclining positions with shoulders back and niche apart
3. The nurse knows that which of the following test is not used to identify
potential tuberculosis
A. sputum culture
B. Chest x-ray
C. Mantoux skin test
D. Saliva swab: D. Saliva swab
4. The nurse has identified a nursing diagnosis of ineffective airway clearance
with bronchospasms for client with pneumonia. What nursing intervention will
help to conduct refractive air clearance for a client with pneumonia?
A. increase liters of humidified oxygen perfect marks
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
C. Handheld bronchodilator always as needed
D. Prednisone via inhaler or IV to reduce the inflammation: B. Scheduled and
PRN albuterol nebulizer bronchodilator treatment
5. The nurse is teaching a client about post-rhinoplasty care. Which statement
by the clients indicate an understanding of the instructions? SATA
A. I will have a very large dressing on my nose
,B. I may have a very dry mouth and throat
C. There will be swelling that will cause a loss of sense of smell
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
F. I will be able to breathing only from my nose
G. I should take a stool softener to prevent straining during bowel movements-
: A. I will have a very large dressing on my nose
, B. I may have a very dry mouth and throat
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
G. I should take a stool softener to prevent straining during bowel movements
6. A 27yr old male presents to the E.R with difficulty breathing, respiratory rate
is 36 bpm, O2 is 85% on RA. Breaths are diminished bilaterally. Which of the
following is a nursing intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV: B. Secure the airway
7. Nurse is teaching a client with COPD about energy conservation. What does
the nurse advise the patient to avoid?
A. performing activities at a relaxed pace through the day with rest periods
B. Working on activities that require using the arms at chest level or lower
C. Eating 3 large meals per day
D. Talking and performing activity separately: C. Eating 3 large meals per day
8. Which statement by the patient indicates understanding about radiation
therapy for neck cancer?
A. I will need to wear sunscreen or protect my skin with clothing at all times/
my cousin may initially be hoarse but should improve over time
B. There are not side effects other than a hoarse voice
C. Radiation does not cause a dry mouth
D. My throat is not directly affected by radiation: A. I will need to wear sunscreen
or protect my skin with clothing at all times/ my cousin may initially be hoarse but
should improve over time
9. Which intervention promotes comfort in dyspnea management for a patient
with lung cancer?
A. Administer morphine on a routine, scheduled basis
B. Place the patient in a supine position with a pillow under the knees and legs
C. Encourage coughing, deep breathing and independence ambulation
D. Provide nitroglycerine as prescribed/provide supplemental oxygen via
nasal cannula or mask: A. Administer morphine on a routine, scheduled basis
10. 37 year old male client presented to the emergency room with complaints
of nasal, facial pain and bloody discharge. He states the symptoms started
approx. 3 mon ago has gotten worse. He states that he feels like his nose is
blocked up all the time. Based on symptoms which of the following diagnosis
test would the nurse anticipate to provide?
A. CT scan of the face
following is the priority to monitor for in this client?
A. O2 levels
B. Barrel chest
C. Nutritional Status
D. Clubbing of fingers: A. O2 levels
2. Which of the following positions offers no benefit to relieve dyspnea in a
client with chronic air flow limitation?
A. sitting at the edge of the chair, leaning forward with his arms folded and
resting on a table
B. A low- semi reclining positions with shoulders back and niche apart
C. Leaning forward in a chair with feet spread apart and elbows placed on
knees
D. upright with head slightly flexed, with feet spread apart and shoulders
relaxed: B. A low- semi reclining positions with shoulders back and niche apart
3. The nurse knows that which of the following test is not used to identify
potential tuberculosis
A. sputum culture
B. Chest x-ray
C. Mantoux skin test
D. Saliva swab: D. Saliva swab
4. The nurse has identified a nursing diagnosis of ineffective airway clearance
with bronchospasms for client with pneumonia. What nursing intervention will
help to conduct refractive air clearance for a client with pneumonia?
A. increase liters of humidified oxygen perfect marks
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
C. Handheld bronchodilator always as needed
D. Prednisone via inhaler or IV to reduce the inflammation: B. Scheduled and
PRN albuterol nebulizer bronchodilator treatment
5. The nurse is teaching a client about post-rhinoplasty care. Which statement
by the clients indicate an understanding of the instructions? SATA
A. I will have a very large dressing on my nose
,B. I may have a very dry mouth and throat
C. There will be swelling that will cause a loss of sense of smell
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
F. I will be able to breathing only from my nose
G. I should take a stool softener to prevent straining during bowel movements-
: A. I will have a very large dressing on my nose
, B. I may have a very dry mouth and throat
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
G. I should take a stool softener to prevent straining during bowel movements
6. A 27yr old male presents to the E.R with difficulty breathing, respiratory rate
is 36 bpm, O2 is 85% on RA. Breaths are diminished bilaterally. Which of the
following is a nursing intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV: B. Secure the airway
7. Nurse is teaching a client with COPD about energy conservation. What does
the nurse advise the patient to avoid?
A. performing activities at a relaxed pace through the day with rest periods
B. Working on activities that require using the arms at chest level or lower
C. Eating 3 large meals per day
D. Talking and performing activity separately: C. Eating 3 large meals per day
8. Which statement by the patient indicates understanding about radiation
therapy for neck cancer?
A. I will need to wear sunscreen or protect my skin with clothing at all times/
my cousin may initially be hoarse but should improve over time
B. There are not side effects other than a hoarse voice
C. Radiation does not cause a dry mouth
D. My throat is not directly affected by radiation: A. I will need to wear sunscreen
or protect my skin with clothing at all times/ my cousin may initially be hoarse but
should improve over time
9. Which intervention promotes comfort in dyspnea management for a patient
with lung cancer?
A. Administer morphine on a routine, scheduled basis
B. Place the patient in a supine position with a pillow under the knees and legs
C. Encourage coughing, deep breathing and independence ambulation
D. Provide nitroglycerine as prescribed/provide supplemental oxygen via
nasal cannula or mask: A. Administer morphine on a routine, scheduled basis
10. 37 year old male client presented to the emergency room with complaints
of nasal, facial pain and bloody discharge. He states the symptoms started
approx. 3 mon ago has gotten worse. He states that he feels like his nose is
blocked up all the time. Based on symptoms which of the following diagnosis
test would the nurse anticipate to provide?
A. CT scan of the face
