Respiratory assessment

Apnea

Crackles

Wheezing

Rhonchi

2. A client diagnosed with flu asks why he was not given an antibiotic. What is the best response by the nurse? 

Flue is a viral illness. So, antibiotics will not help

Antibiotics are only given for flu A

Antibiotics are only helpful if started within 48hurs of the onset of the symptoms

I will speak to the provider about this

3. 1 cup = _____ ounces?

5

6

7

8

4. A medication orders states, administer digoxin 0.5 mg PO stat. Available is digoxin 0/25mg/tab. How many tabs doe the nurse administer (answer whole number) 

2 tablets

3 tablets

4 tablets

5 tablets

5. Which of the following devices can help clients with asthma monitor their symptoms at home? 

Incentive spirometer

Nasal cannula

Peak flow meter

Pulse oximeter

 

6. Which adventitious sound indicates an airway obstruction? 

Stridor

Friction rub

Crackles

Wheezing

7. A client has nail polish on their fingernails and toenail. Which of the following locations would be the best place to apply the pulse oximeter probe?

Forehead

Finger

Earlobe

Toe

8. Which client below is at risk for atelectasis?

A client with hip replacement who is ambulating

A client with tonsillectomy who report pain with swallowing

A client with asthma exacerbation

A client who had a chest surgery and report pain of 8/10

9. The nurse is getting client ready for a chest computerized axial tomography (CAT) scan with contrast. What is the priority data to collect for this client?

Is the client able to sit up straight?

Has the client has a CAT scan in the past

Is the client allergic to shellfish?

Is the client claustrophobic

10. A client is recovering from a laryngoscopy. The client asks when he can have something to eat. What is the best repose from the nurse? 

You can eat in 2 hours

You can eat when the gag reflex returns

You can eat when your cough reflex return

 

11. Acute bronchitis is usually caused by which of the following?

Viruses

Fungi

Bacteria

Smoking

12. When managing the care of clients with conditions such as emphysema the nurse should recognize which of the following fact as being most important? 

Lungs stretch receptors may fail to monitor the patterns of breathing

The drive to breath may be dependent on low levels of oxygen in the blood

Reparatory rate may be increased a significant part of the time

13. Which of the following is a common side effect of albuterol?

Rapid heartbeat

Heartburn

Nausea

Itching

14.  The LPN is performing data collection on a client who has limited mobility because of bilateral femur fracturs. The client reports sudden onset of painful respiration and shortness of breath. Which the following is the priority action of the nurse to take?

Place the client on a 100% non-rebreather mask and call for help

Lie the client flat and keep calm

Increased the IV fluids

15. Which of the following is the common cause of pulmonary edema? 

Pneumonia

Left ventricular

Asthma

Chronic bronchitis

 

16. A nurse is discussing diagnostic tests with the parents of a child who is suspected of having cystic fibrosis. Which diagnostic test can the nurse anticipate the child will need?

Sputum Culture

Sweat chloride test

Stool fat content analysis

Pulmonary function test

17. A client tells the nurse. “I don’t want to get the flu shot because I heard it can give you the flue”. Which below is the response by the nurse? 

There are no side-effects associated which the flue vaccine at all

The flu vaccine is 100% effective at preventing the flu, so if I were you, I would get it

It is rare but possible to get the flu from the flu vaccine

You may get mild aches and pains, but you will not get the flu from the vaccine

18. A client comes to the clinic saying that he is having an asthma attack. Which adventitious breath sound should the nurse expect to hear? 

Stridor

Crackles

Friction rub

Wheezing

19. What is the cause of cystic fibrosis? 

Asbestos

Breathing fumes

Smoking

Genetic

20. Which of the following actions is not associated with transmission of influenza? 

Sharing a beverage with an infected person

Contact with an infected person

Contact with the virus on inanimate objects

Going out in the cold with no hat

 

21. A client with COPD tried to quit smoking but failed. What is the most appropriate next action by the nurse? (Select all that apply)

Encourage the client to try again

Do nothing the client already has significant lung damage

Explain to the client that they are at risk of death

Suggest the client use vaping products instead

22. A client with a know DVT reports a sudden onset of dyspnea. What is the priority action in this situation? 

Conduct a full head to tore assessment

Contact the provider

Administer oxygen

Reposition the client

23. A 72-year-old female client is about to be discharged home after being in the hospital for 3 days with bronchitis. Which of the following should be included in her discharge teaching? 

Only rest once or twice per day for short naps

Limit fluid intake

Avoid respiratory irritants, large crowds, and people who are coughing

Taking all you medication until you feel better

24. Which client below should receive the pneumococcal vaccine? 

60-year-old recovering from the flu

25-year-old with cystic fibrosis

48-year-old to be admitted for a cardiac-catheterization

55-year-old healthy female

25. The nurse is aware that coarse crackles, sonorous and sibilant wheezes, pleural friction rub and stridor are examples of which type of breath sounds 

Bronchovesicular

Adventitious

Bronchial

 

26. A medication order states, administer furosemide oral solution 20 mg PO stat. Available is furosemide 40mg/5 oral solution. How man mL should the nurse administer? Record answer to the nearest tenth. Use leading zero if applies. Do not use a trailing zero. Do not label you answer.

2.5

3.5

40

2

27. A client needs IV fluids. The order reads infuse 0.9% NS 1000 MLs over 4 hours. How many mLs/hours should be given? Round answer to the nearest whole number. Do not use a trailing zero. Do not label your answer.

250

350

120

135

28. Which of the following clients are at the risk for acute respiratory distress syndrome (ARDS) Select all that apply. 

A client with sepsis who is mechanically ventilated

A client who has been recently diagnosed with tuberculosis

A client with an asthma exacerbation

A client with pneumonia being as an outpatient

29. A client weights 109 lb. What is the client’s weight in kg? Record answer to the nearest tenth. Do not use a trailing zero. Do not label you answer. 

49.5

50.1

30.9

20.8

 

30. Which of the following measures should the nurse take when caring for a client with TB in acute care facility. 

Place in the room closest to the nurse’s station

Instruct the client to always wear a surgical mask

Wear an N95 mask

Follow contact precautions with this client

31. A newly admitted client has an audible expiratory wheeze. Which of the following is most likely the cause of this? 

Pneumonia

Congestive heart failure

Sinusitis

Asthma

32.  A client with active tuberculosis tells the nurse that he has not been taking h is prescribed medication. What is the next appropriate action of the nurse?

Place the client in contact isolation

Notify the client provide immediately

Explore the client’s reason for not taking the medication

Notify the department of health

33. A client with active tuberculosis will be admitted to a medical-surgical floor. What should the nurse do before she arrives? 

Place gown and gloves outside the room

Place surgical masks outside the room

Call the maintenance to check the negative -pressure room

Alert security that no one can visit the client

34. Why is early detection of tuberculosis important? Select all that apply. 

The client will have fewer complications

Early detection makes treatment more effective

The client will experience less side-effects from the medication

The period of disability will be shorter for the client

35. The nurse is performing a focused respiratory assessment on a client with an asthma exacerbation. What would the nurse expect to hear? 

Rhonchi

Crackles

Stridor

Wheezes

36. Which of the following are signs and symptoms of sinusitis? 

Purulent nasal drainage, epistaxis

Epistaxis, nasal stuffiness

Tenderness over the sinuses, tooth pain

Clean nasal drainage, tenderness over the sinuses

37. Which of the following should be removed from the food tray of a client who had a tonsillectomy?

Apple juice

Ice cream

Plastic straw

38. What is the universal signal for choking 

The thumbs down sign

Hands waving

Hands grasping the throat

Hands in the air

39. which of the following is the most common cause of COPD?

Smoking

Repeated respiratory infection

Genetic

Alcohol abuse

40. A client has been diagnosed with strep pharyngitis and given antibiotics by the provider. The client asks when she will no lover be contagious. What is the best response by the nurse? 

You will no long be contagious when you have finished the antibiotics

You will no long be contagious when you symptoms are gone

You will longer be contagious after 24 hours on antibiotics

You will no long be contagious after 48 hours an antibiotics

41. The nurse has received a report from the off-going shift. Which of the following clients would have the highest priority? 

A client who is requesting pain medication

A client who is short of breath

A client with a temperature of 101.4f

A client whose IV antibiotic does is due

42. A client on the medical-surgical unit begins having difficulty breathing the day after admission. A chest X-ray is ordered, and the client is diagnosed with pneumonia. Which of the following correctly identifies this type of pneumonia? 

Ventilator associated pneumonia

Healthcare associated pneumonia

Hospital acquired pneumonia

Community-acquired pneumonia

43. 1 teaspoon= ___mL?

5

6

8

3

44. Which of the following conditions is most likely to result in a barrel-shaped chest? 

Influenza

Tuberculosis

Pneumonia

COPD

 

45. The LPN is changing the ties around a tracheostomy tube. What is the priority action of the nurse? 

Pre-treat the client with 100% oxygen

Have the client hold his/her breath until the procedure is completed

Hold the tracheostomy tube in place at all times

Place a nasal cannula on the client while changing the tube

46. The nurse caring for a client who just came to the floor after having a tonsillectomy. Which symptom below requires immediate intervention? 

Frequent swallowing

Fatigue

Sore throat

Pain with swallowing

47. Which of the following should not be given to a client with a recent tonsillectomy? Select all that apply. 

A pudding

Orange juice

Jell-O

Toast

Hot tea

48. The nurse places their stethoscope over the anterior third of the chest near the sternum and hears breath sounds that inspiration and exploration of equal duration. What type of breath sounds in the nurse hearing?

Vesicular

Tracheal vesicular

Bronchial

Bronchovesicular

 

49. A client with primary pulmonary hypertension tells the nurse, “It is so unfair that I got this disease I am so depressed”. What is the most appropriate response by the nurse? 

Tell m more about your feelings

I will speak to you doctor about ordering you something for depression

50. Which of the following is not a symptom of throat cancer?

Sore throat for mor than 2 weeks

Difficulty swallowing

Enlarged cervical lymph nodes

Nasal pain

51. A client comes to urgent care with a family member who reports that the client is having an asthma attack. On auscultation, the nurse hears absent breath sounds. Which of the following actions should the nurse do next? 

Start CPR

Alert the provider immediately

Tell the client to puff his inhaler

Lie the client down and keep calm

52. Client in the medical-surgical units asks the nurse why he must get enoxaparin injections what is the best response by the nurse? 

Enoxaparin is given to prevent blood clots until you are more active

Enoxaparin can be given as needed, so you can stop taking it if you want

Enoxaparin can be given as needed your red blood cells while healing

Enoxaparin is given to prevent hospital-acquired pneumonia

53. The client reports having thick and sticky sputum, what is the best action the nurse can take help thin the secretions?

Ambulate more often

Use the incentive spirometer

Drink more fluids

Cough and deep breath

54. Which of the following is not a treatment for epistaxis?

Direct pressure

Resting quietly

Tilting the head back

Ice packs

55. Which of the following statements is not true about healthcare-associated pneumonia? 

It lengthens the hospital stay for the client

It increases the cost of healthcare

It is relatively easy to treat

It can be prevented by vigilant nursing and respiratory care

56. Which factors make elderly clients more susceptible to respiratory complications? Select all that apply. 

Muscle atrophy

Decreased ciliary action

Decreased cough reflex

Senile pneumothorax

57. Untreated step pharyngitis can lead to which of the following? 

Airway obstruction

Pneumonia

Glomerulonephritis

Throat cancer

58. Which of the following is a known cause of asthma? 

Genetics

Vitamin deficiency

Cold weather

Allergens

 

59. The major risk factor for cancer of the larynx is which of the following? 

Hot liquids

Tonsillectomy

Recurrent strep infection

Smoking

60. Which statement is true about the purified protein derivative (PPD) test for tuberculosis (TB)?

It is not useful in screening clients who have been exposed to TB

It is administered via the intramuscular route

It helps distinguish between active and latent disease

It is used to scree health care workers

61. If medication for primary pulmonary hypertension falls, what is the nest option for the client? 

Heart transplantation

Lung transplantation

There is no further treatment

Lung reduction surgery