Adult Health - Respiratory – Silvestri Test Questions with Verified Answers
1. The nurse is assessing the functioning of a chest tube drainage system in a
client who has just returned from the recovery room following a thoracotomy
with wedge resection. Which are the expected assessment findings? Select
all that apply.: Drainage system maintained below the client's chest
4.
50 mL of drainage in the drainage collection chamber
5.
Occlusive dressing in place over the chest tube insertion site
6.
Fluctuation of water in the tube in the water seal chamber during inhalation and
exhalation
2. The nurse is assisting a health care provider with the removal of a chest
tube. The nurse should instruct the client to take which action?: Perform the
Valsalva maneuver.
3. The nurse caring for a client with a pneumothorax and who has had a chest
tube inserted notes continuous gentle bubbling in the water seal chamber.
What action is most appropriate?: Check for an air leak, because the bubbling
should be intermittent.
4. The nurse is caring for a client who suffered an inhalation injury from a wood
stove. The carbon monoxide blood report reveals a level of 12%. Based on this
level, the nurse would anticipate noting which sign in the client?: Flushing
5. The emergency department nurse is assessing a client who has sustained
a blunt injury to the chest wall. Which finding indicates the presence of a
pneumothorax in this client?: Diminished breath sounds
6. The nurse is caring for a client hospitalized with acute exacerbation of
chronic obstructive pulmonary disease. Which findings would the nurse ex-
pect to note on assessment of this client? Select all that apply.: A hyperinflated
chest noted on the chest x-ray
3.
Decreased oxygen saturation with mild exercise
7. The nurse instructs a client to use the pursed-lip method of breathing and
evaluates the teaching by asking the client about the purpose of this type
of breathing. The nurse determines that the client understands if the client
states that the primary purpose of pursed-lip breathing is to promote which
outcome?: Promote carbon dioxide elimination.
,Adult Health - Respiratory – Silvestri Test Questions with Verified Answers
8. The nurse is preparing a list of home care instructions for a client who has
been hospitalized and treated for tuberculosis. Which instructions should the
nurse include on the list? Select all that apply.: Activities should be resumed
gradually.
A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
4.
Respiratory isolation is not necessary because family members already have been
exposed.
5.
Cover the mouth and nose when coughing or sneezing and put used tissues in
plastic bags.
9. The nurse is caring for a client after a bronchoscopy and biopsy. Which
finding, if noted in the client, should be reported immediately to the health
care provider?: Bronchospasm
10. The nurse is preparing to suction a client via a tracheostomy tube. The
nurse should plan to limit the suctioning time to a maximum of which time
period?: 10 seconds
11. The nurse is suctioning a client via an endotracheal tube. During the
suctioning procedure, the nurse notes on the monitor that the heart rate is
decreasing. Which nursing intervention is appropriate?: Stop the procedure and
reoxygenate the client.
12. The nurse is assessing the respiratory status of a client who has suffered a
fractured rib. The nurse should expect to note which finding?: Pain, especially
with inspiration
13. A client with a chest injury has suffered flail chest. The nurse assesses
the client for which most distinctive sign of flail chest?: Paradoxical chest
movement
14. The nurse is assessing a client with multiple trauma who is at risk for
developing acute respiratory distress syndrome. The nurse should assess
for which earliest sign of acute respiratory distress syndrome?: Increased
respiratory rate
15. The nurse has conducted discharge teaching with a client diagnosed
with tuberculosis who has been receiving medication for 2 weeks. The nurse
determines that the client has understood the information if the client makes
which statement?: "I should not be contagious after 2 to 3 weeks of medication
therapy."
, Adult Health - Respiratory – Silvestri Test Questions with Verified Answers
16. A client has experienced pulmonary embolism. The nurse should assess
for which symptom, which is most commonly reported?: Chest pain that occurs
suddenly
17. A client who is human immunodeficiency virus (HIV)-positive has had a
tuberculin skin test (TST). The nurse notes a 7-mm area of induration at the
site of the skin test and interprets the result as which finding?: Positive
18. A client with acquired immunodeficiency syndrome (AIDS) has histoplas-
mosis. The nurse should assess the client for which expected finding?: Dysp-
nea
19. The nurse is giving discharge instructions to a client with pulmonary
sarcoidosis. The nurse concludes that the client understands the information
if the client indicates to report which early sign of exacerbation?: Shortness of
breath
20. The nurse is taking the history of a client with occupational lung disease
(silicosis). The nurse should assess whether the client wears which item
during periods of exposure to silica particles?: Mask
21. An oxygen delivery system is prescribed for a client with chronic ob-
structive pulmonary disease to deliver a precise oxygen concentration. Which
oxygen delivery system would the nurse prepare for the client?: Venturi mask
22. The nurse is instructing a hospitalized client with a diagnosis of em-
physema about measures that will enhance the effectiveness of breathing
during dyspneic periods. Which position should the nurse instruct the client
to assume?: Sitting up and leaning on an overbed table
23. The community health nurse is conducting an educational session with
community members regarding the signs and symptoms associated with tu-
berculosis. The nurse informs the participants that tuberculosis is considered
as a diagnosis if which signs and symptoms are present? Select all that
apply.: Dyspnea
Night sweats
4.
A bloody, productive cough
5.
A cough with the expectoration of mucoid sputum
24. The nurse performs an admission assessment on a client with a diagnosis
of tuberculosis. The nurse should check the results of which diagnostic test
that will confirm this diagnosis?: Sputum culture
1. The nurse is assessing the functioning of a chest tube drainage system in a
client who has just returned from the recovery room following a thoracotomy
with wedge resection. Which are the expected assessment findings? Select
all that apply.: Drainage system maintained below the client's chest
4.
50 mL of drainage in the drainage collection chamber
5.
Occlusive dressing in place over the chest tube insertion site
6.
Fluctuation of water in the tube in the water seal chamber during inhalation and
exhalation
2. The nurse is assisting a health care provider with the removal of a chest
tube. The nurse should instruct the client to take which action?: Perform the
Valsalva maneuver.
3. The nurse caring for a client with a pneumothorax and who has had a chest
tube inserted notes continuous gentle bubbling in the water seal chamber.
What action is most appropriate?: Check for an air leak, because the bubbling
should be intermittent.
4. The nurse is caring for a client who suffered an inhalation injury from a wood
stove. The carbon monoxide blood report reveals a level of 12%. Based on this
level, the nurse would anticipate noting which sign in the client?: Flushing
5. The emergency department nurse is assessing a client who has sustained
a blunt injury to the chest wall. Which finding indicates the presence of a
pneumothorax in this client?: Diminished breath sounds
6. The nurse is caring for a client hospitalized with acute exacerbation of
chronic obstructive pulmonary disease. Which findings would the nurse ex-
pect to note on assessment of this client? Select all that apply.: A hyperinflated
chest noted on the chest x-ray
3.
Decreased oxygen saturation with mild exercise
7. The nurse instructs a client to use the pursed-lip method of breathing and
evaluates the teaching by asking the client about the purpose of this type
of breathing. The nurse determines that the client understands if the client
states that the primary purpose of pursed-lip breathing is to promote which
outcome?: Promote carbon dioxide elimination.
,Adult Health - Respiratory – Silvestri Test Questions with Verified Answers
8. The nurse is preparing a list of home care instructions for a client who has
been hospitalized and treated for tuberculosis. Which instructions should the
nurse include on the list? Select all that apply.: Activities should be resumed
gradually.
A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
4.
Respiratory isolation is not necessary because family members already have been
exposed.
5.
Cover the mouth and nose when coughing or sneezing and put used tissues in
plastic bags.
9. The nurse is caring for a client after a bronchoscopy and biopsy. Which
finding, if noted in the client, should be reported immediately to the health
care provider?: Bronchospasm
10. The nurse is preparing to suction a client via a tracheostomy tube. The
nurse should plan to limit the suctioning time to a maximum of which time
period?: 10 seconds
11. The nurse is suctioning a client via an endotracheal tube. During the
suctioning procedure, the nurse notes on the monitor that the heart rate is
decreasing. Which nursing intervention is appropriate?: Stop the procedure and
reoxygenate the client.
12. The nurse is assessing the respiratory status of a client who has suffered a
fractured rib. The nurse should expect to note which finding?: Pain, especially
with inspiration
13. A client with a chest injury has suffered flail chest. The nurse assesses
the client for which most distinctive sign of flail chest?: Paradoxical chest
movement
14. The nurse is assessing a client with multiple trauma who is at risk for
developing acute respiratory distress syndrome. The nurse should assess
for which earliest sign of acute respiratory distress syndrome?: Increased
respiratory rate
15. The nurse has conducted discharge teaching with a client diagnosed
with tuberculosis who has been receiving medication for 2 weeks. The nurse
determines that the client has understood the information if the client makes
which statement?: "I should not be contagious after 2 to 3 weeks of medication
therapy."
, Adult Health - Respiratory – Silvestri Test Questions with Verified Answers
16. A client has experienced pulmonary embolism. The nurse should assess
for which symptom, which is most commonly reported?: Chest pain that occurs
suddenly
17. A client who is human immunodeficiency virus (HIV)-positive has had a
tuberculin skin test (TST). The nurse notes a 7-mm area of induration at the
site of the skin test and interprets the result as which finding?: Positive
18. A client with acquired immunodeficiency syndrome (AIDS) has histoplas-
mosis. The nurse should assess the client for which expected finding?: Dysp-
nea
19. The nurse is giving discharge instructions to a client with pulmonary
sarcoidosis. The nurse concludes that the client understands the information
if the client indicates to report which early sign of exacerbation?: Shortness of
breath
20. The nurse is taking the history of a client with occupational lung disease
(silicosis). The nurse should assess whether the client wears which item
during periods of exposure to silica particles?: Mask
21. An oxygen delivery system is prescribed for a client with chronic ob-
structive pulmonary disease to deliver a precise oxygen concentration. Which
oxygen delivery system would the nurse prepare for the client?: Venturi mask
22. The nurse is instructing a hospitalized client with a diagnosis of em-
physema about measures that will enhance the effectiveness of breathing
during dyspneic periods. Which position should the nurse instruct the client
to assume?: Sitting up and leaning on an overbed table
23. The community health nurse is conducting an educational session with
community members regarding the signs and symptoms associated with tu-
berculosis. The nurse informs the participants that tuberculosis is considered
as a diagnosis if which signs and symptoms are present? Select all that
apply.: Dyspnea
Night sweats
4.
A bloody, productive cough
5.
A cough with the expectoration of mucoid sputum
24. The nurse performs an admission assessment on a client with a diagnosis
of tuberculosis. The nurse should check the results of which diagnostic test
that will confirm this diagnosis?: Sputum culture
