Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 24 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A I
B IV
C III
D III
Question #2
A Ipratropium bromide
B Fluticasone propionate
C Ipratropium bromide and albuterol sulfate
D Albuterol
Question #3
A “Because I am prescribed a corticosteroid-containing MDI, I will rinse my mouth with water after use.”
B “I can’t use a spacer or holding chamber with the MDI.”
C “I will shake the MDI container before I use it.”
D “I will take a slow, deep breath in after pushing down on the MDI.”
Question #4
A Productive cough
B Chest tightness
C Inflammation
D Shortness of breath
Question #5
A Mucus secretions that block airways
B Inflamed airways that obstruct airflow
C Dry airways that obstruct airflow
D Overinflated alveoli that impair gas exchange
E Decreased numbers of goblet cells
Question #6
A Cromolyn sodium
B Budesonide
C Albuterol
D Theophylline
Question #7
A Sits in a straight–back chair and leans forward
B Records in a diary the number achieved after one breath
C Inhales deeply and holds the breath
D Exhales hard and fast with a single blow
Question #8
A has a pulse oximetry reading of 93%.
B uses the sternocleidomastoid muscles.
C wants the head of the bed raised to a 90-degree level.
D sits in tripod position.
Question #9
A pleural effusion.
B pulmonary edema.
C atelectasis.
D oxygen toxicity.
Question #10
A Sharp, stabbing chest pain
B Tachycardia
C Dyspnea
D A dry, hacking cough
Question #11
A Metabolic alkalosis
B Respiratory acidosis
C Respiratory alkalosis
D Metabolic acidosis
Question #12
A Both procedures treat end-stage emphysema.
B Both procedures cure COPD.
C Both procedures improve the overall quality of life of a client with COPD.
D Both procedures treat patients with bullous emphysema.
Question #13
A Activity intolerance related to fatigue
B High risk for ineffective therapeutic regimen management related to lack of knowledge
C Ineffective coping related to anxiety
D Disturbed sleep pattern related to cough
Question #14
A “I do not need to rinse my mouth with this type of inhaler.”
B “After I breathe in, I will hold my breath for 10 seconds.”
C “If I use the spacer, I know I am only supposed to push on the inhaler once.”
D “I will make sure to take a slow, deep breath as I push on my inhaler.”
Question #15
A Lung sounds
B Skin color
C Heart rate
D Respiratory rate
Question #16
A Metabolic acidosis
B Respiratory acidosis
C Respiratory alkalosis
D Metabolic alkalosis
Question #17
A albuterol (Proventil).
B alprazolam (Xanax).
C propranolol (Inderal).
D morphine.
Question #18
A An I.V. beta2-adrenergic agonist
B An oral corticosteroid
C An inhaled corticosteroid
D An inhaled beta2-adrenergic agonist
Question #19
A Encouraging the client to drink three glasses of fluid daily
B Using a Venturi mask to deliver oxygen as ordered
C Keeping the client in semi-Fowler’s position
D Administering a sedative as ordered
Question #20
A II
B I
C IV
D III
Question #21
A at risk for COPD.
B moderate COPD.
C mild COPD.
D severe COPD.
E very severe COPD.
Question #22
A Monitoring the pulse oximetry to assess need for early intervention when PCO2 levels
B Avoiding the use of oxygen to decrease the hypoxic drive
C Providing sufficient oxygen to improve oxygenation
D Increasing pH
Question #23
A Decreased numbers of goblet cells
B Overinflated alveoli that impair gas exchange
C Dry airways that obstruct airflow
D Mucus secretions that block airways
E Inflamed airways that obstruct airflow
Question #24
A Provides nebulized tobramycin (TOBI)
B Gives oral pancreatic enzymes with meals
C Administers vancomycin intravenously
D Collects sputum for culture and sensitivity
Question #25
A Assesses fasting blood glucose levels
B Informs the client to limit fluid intake due to fluid retention
C Aspirates for blood return before injecting the medication
D Encourages the client to decrease caloric intake due to increased appetite
Question #26
A “Many options are available for you.”
B “Have you tried to quit smoking before?”
C “I can refer you to the American Lung Association.”
D “Nicotine patches would be appropriate for you.”
Question #27
A Has a respiratory rate of 28 breaths/minute
B Cannot perform activities of daily living
C Has wheezes in the right lung lobes
D Reports shortness of breath
Question #28
A Administer the salmeterol and then administer the triamcinolone.
B Monitor the client’s theophylline level before administering the medications.
C Allow the client to choose the order in which the drugs are administered.
D Administer the triamcinolone and then administer the salmeterol.
Question #29
A Normothermia
B Increased sputum production
C Decreased oxygen requirements
D Decreased activity tolerance
Question #30
A very severe COPD.
B moderate COPD.
C mild COPD.
D at risk for COPD.
E severe COPD.
Question #31
A Ipratropium bromide
B Fluticasone propionate
C Ipratropium bromide and albuterol sulfate
D Albuterol
Question #32
A Chest pain during respiration
B Tachypnea and tachycardia
C Sputum and a productive cough
D Fever, chills, and diaphoresis
Question #33
A Passive smoking
B Exposure to tobacco smoke
C Occupational exposure
D Ambient air pollution
Question #34
A Emphysema
B Bronchitis
C Polycythemia
D Asthma
Question #35
A Mast cells
B Bullae
C Alveoli
D Lung parenchyma
Question #36
A IgM-mediated
B IgD-mediated
C IgE-mediated
D IgA-mediated
Question #37
A High-protein
B Low-fat
C 1,800-calorie ADA
D Full-liquid
Question #38
A Anxiety
B Imbalanced nutrition: More than body requirements
C Impaired swallowing
D Unilateral neglect
Question #39
A paradoxical chest wall movement with respirations.
B muffled or distant heart sounds.
C tracheal deviation to the unaffected side.
D diminished or absent breath sounds on the affected side.
Question #40
A Ascites
B Decreased airflow
C Compromised gas exchange
D Wheezes
E Jugular vein distention
Question #41
A Discussing palliative care and end-of-life issues with the client
B Performing chest physiotherapy as ordered
C Providing the client a low-sodium diet
D Restricting oral intake to 1,000 mL/day
Question #42
A providing the client a low-calorie, high-fiber diet.
B implementing measures to clear pulmonary secretions.
C teaching the family how to perform postural drainage.
D instructing the client on the signs of respiratory infection.
Question #43
A A disease that results in reversible airflow obstruction, a common clinical outcome
B Chronic dilatation of a bronchus or bronchi
C Presence of cough and sputum production for at least a combined total of 2 to 3 months in each of two consecutive years
D A disease of the airways characterized by destruction of the walls of overdistended alveoli
Question #44
A Obesity
B Autism
C Asthma
D Cerebral palsy
Question #45
A Metabolic alkalosis
B Metabolic acidosis
C Respiratory acidosis
D Respiratory alkalosis
Question #46
A Ipratropium bromide
B Formoterol
C Isoproterenol
D Albuterol
Question #47
A Metabolic alkalosis
B Respiratory alkalosis
C Respiratory acidosis
D Metabolic acidosis
Question #48
A Intravenous methylprednisolone (Solu–Medrol) 120 mg
B Oxygen through nasal cannula at 2 L/minute
C Vancomycin 1 gram intravenously over 1 hour
D Ipratropium bromide (Alupent) by metered-dose inhaler
Question #49
A Allergy
B Congenital malformations
C Male gender
D Air pollution
Question #50
A very severe COPD.
B moderate COPD.
C at risk for COPD.
D mild COPD.
E severe COPD.
Question #51
A 56 mm Hg; 86%
B 58 mm Hg; 88%
C 54 mm Hg; 84%
D 60 mm Hg; 90%
Question #52
A Atelectasis
B Emphysema
C Pleurisy
D Pneumonia
Question #53
A Weight reduction
B Smoking cessation
C Cholesterol management
D Cancer prevention
Question #54
A Streptococcus pneumonia and varicella
B Haemophilus influenzae and Gardasil
C Streptococcus pneumonia and Haemophilus influenzae
D Haemophilus influenzae and varicella
Question #55
A Exhales hard and fast with a single blow
B Records in a diary the number achieved after one breath
C Inhales deeply and holds the breath
D Sits in a straight–back chair and leans forward
Question #56
A Occupational exposure
B Exposure to tobacco smoke
C Ambient air pollution
D Passive smoking
Question #57
A Metabolic acidosis
B Respiratory alkalosis
C Respiratory acidosis
D Metabolic alkalosis
Question #58
A Respiratory rate of 22 breaths/minute
B Dilated and reactive pupils
C Urine output of 40 ml/hour
D Heart rate of 100 beats/minute
Question #59
A II
B III
C IV
D I
Question #60
A Usually does not progress to severe obstruction
B Patients have a productive cough.
C A severe asthma episode that is refractory to initial therapy
D Usually occurs with warning
Question #61
A Bronchiectasis
B Asthma
C Cystic fibrosis
D Emphysema
Question #62
A Neutrophils
B Eosiniphils
C Lymphocytes
D Mast cells