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