NUR 240 Exam 3 Respy Questions With
Correct Answers
The |emergency |department |nurse |is |assessing |a |client |who |has |sustained |a |blunt |injury |to |the
|chest |wall. |Which |finding |indicates |the |presence |of |a |pneumothorax |in |this |client? |
1. |A |low |respiratory |rate |
2. |Diminished |breath |sounds |
3. |The |presence |of |a |barrel |chest |
4. |A |sucking |sound |at |the |site |of |injury |- |CORRECT |ANSWER✔✔-2
The |nurse |is |caring |for |a |client |hospitalized |with |acute |exacerbation |of |chronic |obstructive |
pulmonary |disease. |Which |findings |would |the |nurse |expect |to |note |on |assessment |of |this |
client? |Select |all |that |apply. |
1. |A |low |arterial |PCo2, |level |
2. |A |hyperinflated |chest |noted |on |the |chest |x-ray |
3. |Decreased |oxygen |saturation |with |mild |exercise |
4. |A |widened |diaphragm |noted |on |the |chest |x-ray |
5. |Pulmonary |function |tests |that |demonstrate |increased |vital |capacity |- |CORRECT |
ANSWER✔✔-2, |3
The |nurse |instructs |a |client |to |use |the |pursed-lip |method |of |breathing |and |evaluates |the |
teaching |by |asking |the |client |about |the |purpose |of |this |type |of |breathing. |The |nurse |
determines |that |the |client |understands |if |the |client |states |that |the |primary |purpose |of |pursed-
lip |breathing |is |to |promote |which |outcome? |
1. |Promote |oxygen |intake |
2. |Strengthen |the |diaphragm |
,3. |Strengthen |the |intercostal |muscles |
4. |Promote |carbon |dioxide |elimination |- |CORRECT |ANSWER✔✔-4
The |nurse |is |caring |for |a |client |after |a |bronchoscopy |and |biopsy. |Which |finding, |if |noted |in |the
|client, |should |be |reported |immediately |to |the |health |care |provider? |
1. |Dry |cough |
2. |Hematuria |
3. |Bronchospasm |
4. |Blood-streaked |sputum |- |CORRECT |ANSWER✔✔-3
The |nurse |is |preparing |to |suction |a |client |via |a |tracheostomy |tube. |The |nurse |should |plan |to |
limit |the |suctioning |time |to |a |maximum |of |which |time |period? |
1.5 |seconds |
2. |10 |seconds |
3. |30 |seconds |
4. |60 |seconds |- |CORRECT |ANSWER✔✔-2
The |nurse |is |suctioning |a |client |via |an |endotracheal |tube. |During |the |suctioning |procedure, |
the |nurse |notes |on |the |monitor |that |the |heart |rate |is |decreasing. |Which |nursing |intervention |
is |appropriate? |
1. |Continue |to |suction. |
2. |Notify |the |health |care |provider |immediately. |
3. |Stop |the |procedure |and |reoxygenate |the |client. |
4. |Ensure |that |the |suction |is |limited |to |15 |seconds. |- |CORRECT |ANSWER✔✔-3
The |nurse |is |assessing |the |respiratory |status |of |a |client |who |has |suffered |a |fractured |rib. |The |
nurse |should |expect |to |note |which |finding? |
1. |Slow, |deep |respirations |
, 2. |Rapid, |deep |respirations |
3. |Paradoxical |respirations |
4. |Pain, |especially |with |inspiration |- |CORRECT |ANSWER✔✔-4
A |client |with |a |chest |injury |has |suffered |flail |chest. |The |nurse |assesses |the |client |for |which |
most |distinctive |sign |of |flail |chest? |
1. |Cyanosis |
2. |Hypotension |
3. |Paradoxical |chest |movement |
4. |Dyspnea, |especially |on |exhalation |- |CORRECT |ANSWER✔✔-3
A |client |has |been |admitted |with |chest |trauma |after |a |motor |vehicle |crash |and |has |undergone |
subsequent |intubation. |The |nurse |checks |the |client |when |the |high-pressure |alarm |on |the |
ventilator |sounds, |and |notes |that |the |client |has |absence |of |breath |sounds |in |the |right |upper |
lobe |of |the |lung. |The |nurse |immediately |assesses |for |other |signs |of |which |condition? |
1. |Right |pneumothorax |
2. |Pulmonary |embolism |
3. |Displaced |endotracheal |tube |
4. |Acute |respiratory |distress |syndrome |- |CORRECT |ANSWER✔✔-1
The |nurse |is |assessing |a |client |with |multiple |trauma |who |is |at |risk |for |developing |acute |
respiratory |distress |syndrome. |The |nurse |should |assess |for |which |earliest |sign |of |acute |
respiratory |distress |syndrome? |
1. |Bilateral |wheezing |
2. |Inspiratory |crackles |
3. |Intercostal |retractions |
4. |Increased |respiratory |rate |- |CORRECT |ANSWER✔✔-4
Correct Answers
The |emergency |department |nurse |is |assessing |a |client |who |has |sustained |a |blunt |injury |to |the
|chest |wall. |Which |finding |indicates |the |presence |of |a |pneumothorax |in |this |client? |
1. |A |low |respiratory |rate |
2. |Diminished |breath |sounds |
3. |The |presence |of |a |barrel |chest |
4. |A |sucking |sound |at |the |site |of |injury |- |CORRECT |ANSWER✔✔-2
The |nurse |is |caring |for |a |client |hospitalized |with |acute |exacerbation |of |chronic |obstructive |
pulmonary |disease. |Which |findings |would |the |nurse |expect |to |note |on |assessment |of |this |
client? |Select |all |that |apply. |
1. |A |low |arterial |PCo2, |level |
2. |A |hyperinflated |chest |noted |on |the |chest |x-ray |
3. |Decreased |oxygen |saturation |with |mild |exercise |
4. |A |widened |diaphragm |noted |on |the |chest |x-ray |
5. |Pulmonary |function |tests |that |demonstrate |increased |vital |capacity |- |CORRECT |
ANSWER✔✔-2, |3
The |nurse |instructs |a |client |to |use |the |pursed-lip |method |of |breathing |and |evaluates |the |
teaching |by |asking |the |client |about |the |purpose |of |this |type |of |breathing. |The |nurse |
determines |that |the |client |understands |if |the |client |states |that |the |primary |purpose |of |pursed-
lip |breathing |is |to |promote |which |outcome? |
1. |Promote |oxygen |intake |
2. |Strengthen |the |diaphragm |
,3. |Strengthen |the |intercostal |muscles |
4. |Promote |carbon |dioxide |elimination |- |CORRECT |ANSWER✔✔-4
The |nurse |is |caring |for |a |client |after |a |bronchoscopy |and |biopsy. |Which |finding, |if |noted |in |the
|client, |should |be |reported |immediately |to |the |health |care |provider? |
1. |Dry |cough |
2. |Hematuria |
3. |Bronchospasm |
4. |Blood-streaked |sputum |- |CORRECT |ANSWER✔✔-3
The |nurse |is |preparing |to |suction |a |client |via |a |tracheostomy |tube. |The |nurse |should |plan |to |
limit |the |suctioning |time |to |a |maximum |of |which |time |period? |
1.5 |seconds |
2. |10 |seconds |
3. |30 |seconds |
4. |60 |seconds |- |CORRECT |ANSWER✔✔-2
The |nurse |is |suctioning |a |client |via |an |endotracheal |tube. |During |the |suctioning |procedure, |
the |nurse |notes |on |the |monitor |that |the |heart |rate |is |decreasing. |Which |nursing |intervention |
is |appropriate? |
1. |Continue |to |suction. |
2. |Notify |the |health |care |provider |immediately. |
3. |Stop |the |procedure |and |reoxygenate |the |client. |
4. |Ensure |that |the |suction |is |limited |to |15 |seconds. |- |CORRECT |ANSWER✔✔-3
The |nurse |is |assessing |the |respiratory |status |of |a |client |who |has |suffered |a |fractured |rib. |The |
nurse |should |expect |to |note |which |finding? |
1. |Slow, |deep |respirations |
, 2. |Rapid, |deep |respirations |
3. |Paradoxical |respirations |
4. |Pain, |especially |with |inspiration |- |CORRECT |ANSWER✔✔-4
A |client |with |a |chest |injury |has |suffered |flail |chest. |The |nurse |assesses |the |client |for |which |
most |distinctive |sign |of |flail |chest? |
1. |Cyanosis |
2. |Hypotension |
3. |Paradoxical |chest |movement |
4. |Dyspnea, |especially |on |exhalation |- |CORRECT |ANSWER✔✔-3
A |client |has |been |admitted |with |chest |trauma |after |a |motor |vehicle |crash |and |has |undergone |
subsequent |intubation. |The |nurse |checks |the |client |when |the |high-pressure |alarm |on |the |
ventilator |sounds, |and |notes |that |the |client |has |absence |of |breath |sounds |in |the |right |upper |
lobe |of |the |lung. |The |nurse |immediately |assesses |for |other |signs |of |which |condition? |
1. |Right |pneumothorax |
2. |Pulmonary |embolism |
3. |Displaced |endotracheal |tube |
4. |Acute |respiratory |distress |syndrome |- |CORRECT |ANSWER✔✔-1
The |nurse |is |assessing |a |client |with |multiple |trauma |who |is |at |risk |for |developing |acute |
respiratory |distress |syndrome. |The |nurse |should |assess |for |which |earliest |sign |of |acute |
respiratory |distress |syndrome? |
1. |Bilateral |wheezing |
2. |Inspiratory |crackles |
3. |Intercostal |retractions |
4. |Increased |respiratory |rate |- |CORRECT |ANSWER✔✔-4
