1. True or False: COPD is reversible and tends to happens gradually.
2. A patient is presenting with chronic obstructive pulmonary disease. The patient has a chronic
productive cough with dyspnea on excretion. Arterial blood gases show a low oxygen level and
high carbon dioxide level in the blood. On assessment, the patient has cyanosis in the lips and
edema in the abdomen and legs. Based on your nursing knowledge and the patient’s
symptoms, you suspect the patient suffers from what type of COPD?
A. Emphysema
B. Pneumonia
C. Chronic bronchitis
D. Pneumothorax
3. A patient with emphysema may present with all of the following symptoms EXCEPT?
A. Barrel chest
B. Hyperinflation of the lung
C. Hypoventilation
D. Hypercapnia
4. The term blue bloater is used to describe patients with?
A. Pulmonary hypertension
B. Left-sided heart failure
C. Chronic Bronchitis
D. Emphysema
5. A patient is newly diagnosed with COPD due to chronic bronchitis. You’re providing education
to the patient about this disease process. Which statement by the patient indicates they
understood your teaching about this condition?
A. “If I stop smoking, it will cure my condition.”
B. “Complications from this condition can lead to pulmonary hypertension and right-sided heart
failure.”
C. “I’m at risk for low levels of red blood cells due to hypoxia and may require blood transfusions
during acute illnesses.”
D. “My respiratory system is stimulated to breathe due to high carbon dioxide levels rather than
low oxygen levels, as with people who have healthy lungs.
6. An alarm beeps notifying you that one of your patient’s oxygen saturation is reading 89%.
You arrive to the patient’s room, and see the patient comfortably resting in bed watching
television. The patient is already on 2 L of oxygen via nasal cannula. The patient is admitted for
COPD exacerbation. Your next nursing action would be:
A. Continue to monitor the patient
B. Increase the patient’s oxygen level to 3 L
C. Notify the doctor for further orders
D. Turn off the alarm settings
7. You are providing teaching to a patient with chronic COPD on how to perform diaphragmatic
breathing. This technique helps do the following:
A. Increase the breathing rate to prevent hypoxemia
B. Decrease the use of the abdominal muscles
C. Encourages the use of accessory muscles to help with breathing
D. Strengthen the diaphragm
This study source was downloaded by 100000901307859 from CourseHero.com on 10-16-2025 02:30:01 GMT -05:00
https://www.coursehero.com/file/251445590/620802768-COPD-Practice-Questionsdocx/
, 8. A patient with severe COPD is having an episode of extreme shortness of breath and
requests their inhaler. Which type of inhaler ordered by the physician would provide the
FASTEST relief for the patient based on this particular situation?
A. Spiriva
B. Salmeterol
C. Symbicort
D. Albuterol
9. Which of the following statements are incorrect about discharge teaching that you would
provide to a patient with COPD? Select-all-that-apply:
A. “It is best to eat three large meals a day that are relatively low in calories.”
B. “Avoid going outside during extremely hot or cold days.”
C. “It is important to receive the Pneumovax vaccine annually.”
D. “Smoking cessation can help improve your symptoms.”
10. A patient is ordered by the physician to take Pulmicort and Spiriva via inhaler. How should
the patient take this medication?
A. The patient should use the medications every 2 hours for acute episodes of shortness of
breath.
B. The patient should use the Spiriva first and then 5 minutes later the Pulmicort.
C. The patient should use the Pulmicort first and then the Spiriva 5 minutes later.
D. The patient should use the medications at the same exact time, regardless of the order.
11. In regards to question 10, which action by the patient demonstrates they know how to
properly use this medication?
A. The patient rinses their mouth after using the Spiriva inhaler.
B. The patient rinses their mouth after using the Pulmicort inhaler.
C. The patient dispenses of the inhalers.
D. The patient coughs 2 times after using the Pulmicort inhaler.
12. A patient with COPD is reporting depression and thoughts of suicide. The patient states, “I
just feel like ending it all.” You assess the patient’s health history and note that the patient was
recently started on which medication that could cause this side effect:
A. Atrovent
B. Prednisone
C. Roflumilast
D. Theophylline
13. A patient is ordered at 1400 to take Theophylline. You’re assessing the patient’s morning lab
results and note that the Theophylline level drawn this morning reads: 15 mcg/mL. You’re next
nursing action is to?
A. Administer the dose at 1400 as ordered
B. Notify the physician for further orders
C. Hold the 1400 dose
D. Collect another blood sample to confirm the level
14. You are providing care to a patient with COPD who is receiving medical treatment for
exacerbation. The patient has a history of diabetes, hypertension, and hyperlipidemia. The
patient is experiencing extreme hyperglycemia. In addition, the patient has multiple areas of
bruising on the arms and legs. Which medication ordered for this patient can cause
hyperglycemia and bruising?
This study source was downloaded by 100000901307859 from CourseHero.com on 10-16-2025 02:30:01 GMT -05:00
https://www.coursehero.com/file/251445590/620802768-COPD-Practice-Questionsdocx/
2. A patient is presenting with chronic obstructive pulmonary disease. The patient has a chronic
productive cough with dyspnea on excretion. Arterial blood gases show a low oxygen level and
high carbon dioxide level in the blood. On assessment, the patient has cyanosis in the lips and
edema in the abdomen and legs. Based on your nursing knowledge and the patient’s
symptoms, you suspect the patient suffers from what type of COPD?
A. Emphysema
B. Pneumonia
C. Chronic bronchitis
D. Pneumothorax
3. A patient with emphysema may present with all of the following symptoms EXCEPT?
A. Barrel chest
B. Hyperinflation of the lung
C. Hypoventilation
D. Hypercapnia
4. The term blue bloater is used to describe patients with?
A. Pulmonary hypertension
B. Left-sided heart failure
C. Chronic Bronchitis
D. Emphysema
5. A patient is newly diagnosed with COPD due to chronic bronchitis. You’re providing education
to the patient about this disease process. Which statement by the patient indicates they
understood your teaching about this condition?
A. “If I stop smoking, it will cure my condition.”
B. “Complications from this condition can lead to pulmonary hypertension and right-sided heart
failure.”
C. “I’m at risk for low levels of red blood cells due to hypoxia and may require blood transfusions
during acute illnesses.”
D. “My respiratory system is stimulated to breathe due to high carbon dioxide levels rather than
low oxygen levels, as with people who have healthy lungs.
6. An alarm beeps notifying you that one of your patient’s oxygen saturation is reading 89%.
You arrive to the patient’s room, and see the patient comfortably resting in bed watching
television. The patient is already on 2 L of oxygen via nasal cannula. The patient is admitted for
COPD exacerbation. Your next nursing action would be:
A. Continue to monitor the patient
B. Increase the patient’s oxygen level to 3 L
C. Notify the doctor for further orders
D. Turn off the alarm settings
7. You are providing teaching to a patient with chronic COPD on how to perform diaphragmatic
breathing. This technique helps do the following:
A. Increase the breathing rate to prevent hypoxemia
B. Decrease the use of the abdominal muscles
C. Encourages the use of accessory muscles to help with breathing
D. Strengthen the diaphragm
This study source was downloaded by 100000901307859 from CourseHero.com on 10-16-2025 02:30:01 GMT -05:00
https://www.coursehero.com/file/251445590/620802768-COPD-Practice-Questionsdocx/
, 8. A patient with severe COPD is having an episode of extreme shortness of breath and
requests their inhaler. Which type of inhaler ordered by the physician would provide the
FASTEST relief for the patient based on this particular situation?
A. Spiriva
B. Salmeterol
C. Symbicort
D. Albuterol
9. Which of the following statements are incorrect about discharge teaching that you would
provide to a patient with COPD? Select-all-that-apply:
A. “It is best to eat three large meals a day that are relatively low in calories.”
B. “Avoid going outside during extremely hot or cold days.”
C. “It is important to receive the Pneumovax vaccine annually.”
D. “Smoking cessation can help improve your symptoms.”
10. A patient is ordered by the physician to take Pulmicort and Spiriva via inhaler. How should
the patient take this medication?
A. The patient should use the medications every 2 hours for acute episodes of shortness of
breath.
B. The patient should use the Spiriva first and then 5 minutes later the Pulmicort.
C. The patient should use the Pulmicort first and then the Spiriva 5 minutes later.
D. The patient should use the medications at the same exact time, regardless of the order.
11. In regards to question 10, which action by the patient demonstrates they know how to
properly use this medication?
A. The patient rinses their mouth after using the Spiriva inhaler.
B. The patient rinses their mouth after using the Pulmicort inhaler.
C. The patient dispenses of the inhalers.
D. The patient coughs 2 times after using the Pulmicort inhaler.
12. A patient with COPD is reporting depression and thoughts of suicide. The patient states, “I
just feel like ending it all.” You assess the patient’s health history and note that the patient was
recently started on which medication that could cause this side effect:
A. Atrovent
B. Prednisone
C. Roflumilast
D. Theophylline
13. A patient is ordered at 1400 to take Theophylline. You’re assessing the patient’s morning lab
results and note that the Theophylline level drawn this morning reads: 15 mcg/mL. You’re next
nursing action is to?
A. Administer the dose at 1400 as ordered
B. Notify the physician for further orders
C. Hold the 1400 dose
D. Collect another blood sample to confirm the level
14. You are providing care to a patient with COPD who is receiving medical treatment for
exacerbation. The patient has a history of diabetes, hypertension, and hyperlipidemia. The
patient is experiencing extreme hyperglycemia. In addition, the patient has multiple areas of
bruising on the arms and legs. Which medication ordered for this patient can cause
hyperglycemia and bruising?
This study source was downloaded by 100000901307859 from CourseHero.com on 10-16-2025 02:30:01 GMT -05:00
https://www.coursehero.com/file/251445590/620802768-COPD-Practice-Questionsdocx/
