Which information about gender, cultural ditterences, and
ethnic ditterences in patients with obstructive lung dis- Whites have the highest incidence of cystic fibrosis
ease will the nurse use when planning care?
Which diagnostic test will the clinic nurse anticipate to
confirm a diagnosis of chronic obstructive pulmonary dis- Spirometry
ease (COPD) in a patient with dyspnea?
Which factor causes the clinical manifestations of chronic
Inability to ettectively expire air
obstructive pulmonary disease (COPD)?
Which are the predominant inflammatory cells in chronic Neutrophils
obstructive pulmonary disease (COPD)? Select all that ap- Lymphocytes
ply. Macrophages
Which physiologic ettect of ongoing tobacco smoking
Respiratory tract cell hyperplasia
leads to chronic obstructive pulmonary disease (COPD)?
When educating a patient with chronic obstructive pul-
monary disease (COPD) who continues to smoke ciga-
Cardiovascular disease
rettes, which complication of smoking would the nurse
discuss with the patient?
Which of these is a clinical manifestation of early chronic
A chronic, intermittent cough
obstructive pulmonary disease (COPD)?
Which findings will the nurse expect when assessing a
Barrel chest on inspection
clinic patient with chronic obstructive pulmonary disease
Wheezes on auscultation
(COPD)? Select all that apply.
Which factor contributes to loss of lung elastic recoil
in a patient with chronic obstructive pulmonary disease Imbalance of protease and antiprotease activity
(COPD) due to cigarette smoking?
Which is the purpose of lung reduction surgery for the pa-
Allows more room for normal alveoli to expand
tient with chronic obstructive pulmonary disease (COPD)?
Ankle edema
, MED SURG 1 Test Questions with Answers Graded A+
When caring for a patient diagnosed with cor pulmonale,
which finding will the nurse expect?
Which information about the purpose of pursed-lip
breathing will the nurse include when teaching a patient
Preventing air trapping
with chronic obstructive pulmonary disease about breath-
ing exercises?
Which explanation is likely when the nurse notes a hemo-
globin level of 20 g/dL in a patient admitted with chronic Hypoxia has stimulated erythropoiesis
obstructive pulmonary disease (COPD)?
Which complication would the nurse expect in a patient
with chronic obstructive pulmonary disease who has α1-- Liver disease
antitrypsin (AAT) deficiency?
"Asthma prevalence and age-adjusted death rates are the
highest among Puerto Ricans."
Which statements about health disparities that contribute "Hispanics have lower death rates from chronic obstructive
to chronic obstructive pulmonary diseases are accurate? pulmonary diseases than other ethnic groups."
Select all that apply. "Despite higher rates of smoking in other groups, whites
have the highest incidence of chronic obstructive pul-
monary diseases."
Which actions will the nurse include when performing Vibration
chest physiotherapy on a patient with chronic obstructive Percussion
pulmonary disease? Select all that apply. Postural drainage
Which is the most common organism found in heated
nebulizers used for humidification during oxygen admin- Pseudomonas aeruginosa
istration?
Which description best characterizes chronic obstructive
Progressive persistent expiratory airflow limitation
pulmonary disease (COPD)?
Which action will the nurse take to prevent complications
Pad the tubing over the patient's ears.
when a patient is using an oxygen-conserving cannula?
, MED SURG 1 Test Questions with Answers Graded A+
When teaching a class on smoking cessation, which ben- Lower cancer risk
efits of tobacco cessation will the nurse include? Select all Improvement in chronic cough
that apply. Enhanced sense of taste and smell
Weight gain
Which complications would the nurse monitor for when
Polycythemia
caring for a patient with chronic obstructive pulmonary
Hepatomegaly
disease (COPD) and cor pulmonale? Select all that apply.
Jugular vein distension
When the nurse needs to transport a patient who needs
an FiO2 of 45% to a ditterent department, which oxygen Simple face mask
delivery device will be best to use?
Which benefits of a pulmonary rehabilitation (PR) pro- Boosts mood
gram will the nurse include when encouraging a patient Reduces dyspnea
to consider PR? Select all that apply. Enhances quality of life
Which action by the student nurse while performing chest
Percussing with both hands simultaneously
percussion indicates the need for further teaching?
Which finding indicates that a patient with chronic ob-
structive pulmonary disease (COPD) requires home oxy- Oxygen saturation (SaO2) 87% at rest
gen therapy?
Which instruction will the nurse give a patient with chronic
obstructive pulmonary disease who is using the Flutter Sit upright while using the device
airway clearance device?
When would the nurse schedule postural drainage for a
patient who has chronic obstructive pulmonary disease One hour before a meal
(COPD)?
Which intervention in a hospitalized patient can be dele-
Patient B
gated to unlicensed assistive personnel?
Which finding would confirm a diagnosis of chronic ob-
structive pulmonary disease (COPD) in a patient with dys- FEV1/FVC ratio of 65%
pnea and a history of tobacco use?