Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 23 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Cough
B Tachypnea
C Syncope
D Hemoptysis
Question #2
A “Client has oxygen saturation of 93%.”
B “Client is drowsy and complains of headache.”
C “Client has subcutaneous emphysema around needle insertion site.”
D “Client is becoming agitated and complains of pleuritic pain.”
Question #3
A 5-mm induration
B 15-mm induration
C A blister
D Reddened area
Question #4
A Change positions frequently and cough up secretions.
B Remain in each position for 30 to 45 minutes for best results.
C Lie supine to rest the lungs.
D Sit upright to promote ventilation.
Question #5
A pH 7.28, PaO2 50 mm Hg
B pH 7.36, PaCO2 32 mm Hg
C pH 7.35, PaCO2 48 mm Hg
D pH 7.46, PaO2 80 mm Hg
Question #6
A “Chest tubes provide a route for medication instillation to the lung.”
B “Chest tube will allow air to be restored to the lung.”
C “The tube will drain secretions from the lung.”
D “The tube will drain air from the space around the lung.”
Question #7
A “Influenza is the major cause of death in the United States.”
B “Influenza vaccine will prevent typical pneumonias.”
C “Viruses like influenza are the most common cause of pneumonia.”
D “Getting the flu can complicate pneumonia.”
Question #8
A viral pneumonia
B cardiovascular disease
C tracheobronchitis
D staphylococcal pneumonia
Question #9
A Flail chest
B Pulmonary contusion
C Cardiac tamponade
D Simple pneumothorax
Question #10
A Turning the client every 4 hours to prevent fatigue
B Providing oral hygiene daily
C Keeping the head of the bed at 15 degrees or less
D Using strict hand hygiene
Question #11
A The ET tube must be advanced.
B A disease process is present.
C The ET tube must be pulled back.
D The X-ray is inconclusive.
Question #12
A Flail chest
B Pneumothorax
C ARDS
D Tension pneumothorax
Question #13
A Skin around tube is pink
B The tissues give a crackling sensation when palpated.
C Bloody drainage is seemed in the collection chamber.
D Absence of bloody drainage in the anterior/upper tube
Question #14
A “There are fibrous cysts in the lungs.”
B “Allergic reactions cause inflammation in the lungs.”
C “The mucus-secreting glands are abnormal
D “Early treatment can stop the progression of the disease.”
Question #15
A Pulmonary embolism
B Pneumothorax
C Heart failure
D Myocardial infarction (MI)
Question #16
A “It won’t be necessary for the people I work with to take medication.”
B “The people I have contact with at work should be checked regularly.”
C “I’ll need to have scheduled laboratory tests while I’m on the medication.”
D “I’ll have to take these medications for 9 to 12 months.”
Question #17
A The client exhibits bronchial breath sounds over the affected area.
B The client has a partial pressure of arterial oxygen (PaO2) value of 90 mm Hg or higher.
C The client exhibits restlessness and confusion.
D The client has a partial pressure of arterial carbon dioxide (PaCO2) value of 65 mm Hg or higher.
Question #18
A 2 to 4 months
B 3 to 5 days
C 1 to 3 weeks
D 6 to 12 months
Question #19
A Decreased level of consciousness (LOC)
B Increased blood pressure
C Decreased heart rate
D Increased restlessness
Question #20
A Dyspnea and coughing.
B Dullness or flatness on percussion over areas of collected fluid.
C Fever and chills.
D Stabbing pain during respiratory movements.
Question #21
A Hypertension
B Ascites
C Syncope
D Dyspnea
Question #22
A pH 7.87, PaCO2 38, HCO3 28
B pH 7.25, PaCO2 48, HCO3 24
C pH 7.49, PaCO2 34, HCO3 25
D pH 7.47, PaCO2 28, HCO3 30
Question #23
A Administer a large dose of furosemide (Lasix) IVP stat
B Intubate the client and control breathing with mechanical ventilation
C Schedule the client for pulmonary surgery
D Increase oxygen administration
Question #24
A Direct lung damage
B Chemical irritation
C Drug ingestion
D Aspiration
Question #25
A remove air from the pleural space.
B remove fluid from the lungs.
C ventilate the client.
D administer IV medication.
Question #26
A Draining secretions, air, and blood from the thoracic cavity is necessary.
B Chest tubes indicate when the lungs have re-expanded by ceasing to bubble.
C Draining secretions and blood while allowing air to remain in the thoracic cavity is necessary.
D Chest tubes allow air into the pleural space.
Question #27
A A client with a nasogastric tube
B A client who is receiving acetaminophen (Tylenol) for pain
C A client who ambulates in the hallway every 4 hours
D A client with a history of smoking two packs of cigarettes per day until quitting 2 years ago
Question #28
A 5 to 6 mm
B 7 to 8 mm
C 9 mm
D 0 to 4 mm
Question #29
A Rapid onset of severe dyspnea
B Inspiratory crackles
C Bilateral wheezing
D Cyanosis
Question #30
A Bradypnea
B Respiratory alkalosis
C Productive cough
D Blood-tinged sputum
Question #31
A Acute respiratory distress syndrome
B Atelectasis
C Metabolic alkalosis
D Respiratory acidosis
Question #32
A See if the wall suction unit has malfunctioned.
B See if the chest tube is clogged.
C See if there are leaks in the system.
D See if a kink has developed in the tubing.
Question #33
A pleural effusion.
B hemothorax.
C consolidation.
D pneumothorax.
Question #34
A Begin an I.V. infusion of dextrose 5% in half-normal saline solution at 100 ml/hour.
B Institute isolation precautions.
C Obtain a nasopharyngeal specimen for reverse-transcription polymerase chain reaction testing.
D Obtain a sputum specimen for enzyme immunoassay testing.
Question #35
A “I’ll always have a positive test for tuberculosis.”
B “I’ll have to take the medication for up to a year.”
C “This disease may come back later if I am under stress.”
D “I’ll stay in isolation for 6 weeks.”
Question #36
A Hemoptysis and dysuria
B Sore throat and abdominal pain
C Dyspnea and wheezing
D Nonproductive cough and normal temperature
Question #37
A “I am going to have a tuna fish sandwich for lunch.”
B “It is all right if I drink a glass of red wine with my dinner.”
C “It is all right if I have a grilled cheese sandwich with American cheese.”
D “It is fine if I eat sushi with a little bit of soy sauce.”
Question #38
A Nonreactive
B Negative
C Not significant
D Significant
Question #39
A Administer bronchodilator as ordered.
B Send for STAT chest x-ray.
C Initiate oxygen therapy and reassess pulse oximetry in 10 minutes.
D Obtain arterial blood gases.
Question #40
A Localized calf tenderness
B Decreased urinary output
C Pain in the feet
D Coolness to lower extremities
Question #41
A asbestos.
B coal dust.
C silica.
D pollen.
Question #42
A Vitamin C
B Vitamin B6
C Vitamin E
D Vitamin D
Question #43
A primary drug resistance.
B tertiary drug resistance.
C multidrug resistance.
D secondary drug resistance.
Question #44
A “I will come back in 1 week to have the test read.”
B “If the test area turns red that means I have tuberculosis.”
C “I will avoid contact with my family until I am done with the test.”
D “Because I had a previous reaction to the test, this time I need to get a chest X-ray.”
Question #45
A Absence of breath sounds in the right thorax
B Bilateral inspiratory and expiratory crackles
C Bilateral pleural friction rub
D Inspiratory wheezes in the right thorax
Question #46
A Maintaining a cool room temperature
B Encouraging increased fluid intake
C Turning the client every 2 hours
D Elevating the head of the bed 30 degrees
Question #47
A Pleural friction rub
B Crackles in the lung bases
C Low-pitched rhonchi during expiration
D Sibilant wheezes
Question #48
A Negative
B Positive
C Borderline
D Uncertain
Question #49
A Offer nutritious snacks 2 times a day.
B Give antibiotics as ordered.
C Place client on bed rest.
D Encourage increased fluid intake.
Question #50
A Lung cancer
B Tracheobronchitis
C Bronchitis
D Acute respiratory distress syndrome
Question #51
A Hemorrhage
B Fibrotic changes in lungs
C Lung contusion
D Damage to surrounding tissues
Question #52
A no exposure and no infection.
B latent infection with no disease
C exposure and no evidence of infection.
D disease that is not clinically active.
Question #53
A Do not allow visitors with respiratory infection
B Encourage breathing exercises
C Institute droplet precautions
D Place suspected clients together
Question #54
A A diet low in calories
B A diet with limited fat
C A carbohydrate-dense diet
D A diet rich in protein
Question #55
A Wearing gloves during all client contact
B Monitoring the client’s fluid intake and output
C Placing the client in respiratory isolation
D Assessing the client’s temperature every 8 hours
Question #56
A Affected voice sounds
B Burning of the throat when hot liquids are ingested
C Dysphagia
D Enlarged cervical nodes
Question #57
A The nasal mucosa
B The frontal sinuses
C The buccal mucosa
D The tracheal mucosa
Question #58
A Copious mucous secretions
B Harsh cough
C Sudden restlessness
D Rhonchi in lung fields
Question #59
A “The ET tube will maintain your airway while you’re under anesthesia.”
B “The ET tube will remain in place for at least a day postsurgery.”
C “The ET tube will be connected to a negative-pressure ventilator.”
D “The ET tube will be inserted through an opening in your trachea.”
Question #60
A Viral infection
B Systemic infection
C Bacterial infection
D Fungal infection
Question #61
A 20–25 mL
B 5–10 mL
C 20–30 mL
D No fluid normally is present
Question #62
A Post operative bleeding
B Edema of the upper airway
C Infection
D Plugged tracheostomy tube
Question #63
A Cold compresses to the sinus cavities
B Saline lavages to the nares
C Use of a dehumidifier
D Administration of oral antibiotics
Question #64
A dehydration.
B pneumonia.
C carotid artery hemorrhage.
D pulmonary embolism.
Question #65
A “You should switch to wearing your glasses while taking this medication.”
B “Only wear your contact lenses during the day and take them out in the evening before bed.”
C “The physician can give you eye drops to prevent any problems.”
D “There are no significant problems with wearing contact lenses.”
Question #66
A 30%
B 10%
C 20%
D 40%
Question #67
A Flail chest
B Cardiac tamponade
C Pulmonary contusion
D Tension pneumothorax
Question #68
A Insist on adequate breaks for each employee.
B Give workshops on disease prevention
C Fit all employees with protective masks.
D Provide employees with smoking cessation materials.
Question #69
A Hypercapnia, hypoventilation, and hypoxemia
B Hyperoxemia, hypocapnia, and hyperventilation
C Hypotension, hyperoxemia, and hypercapnia
D Hyperventilation, hypertension, and hypocapnia