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MED-SURG RESPIRATORY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE 2025
Terms in this set (102)
What is the primary difference between emphysema and chronic bronchitis?
A) Chronic bronchitis predominantly affects the large airways.
C
B) Emphysema predominantly affects the large airways.
C) Emphysema predominantly affects the alveoli.
D) Chronic bronchitis predominantly affects the alveoli.
Which assessment finding supports the nurse's suspicion that a patient is
experiencing chronic obstructive pulmonary disease (COPD)?
A) Dysrhythmias
D
B) Cyanotic nail beds
C) Clubbing of the fingers
D) Cough in the morning producing clear sputum
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?
C A) Tachycardia
B)Cough
C) Barrel chest
D) Wheezing
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?
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A) Ineffective Coping
D
B) Ineffective Airway Clearance
C) Anxiety
D) Ineffective Breathing Pattern
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?
C A) Instruct in pursed-lip breathing
B)Teach visualization and meditation
C) Deep breathing and coughing every hour
D) Instruct in abdominal breathing
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 flattened diaphragm with infiltrates. Based on this data, which prescription
does the nurse question for this patient?
C 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
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 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
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?
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A) Patient conducts morning care and ambulates in room while maintaining
A an oxygen saturation of 92% on room air per oximetry reading.
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.
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."
C
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."
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