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