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