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