Medical Surgical Nursing Exam #3-
Graded A
What statement describes emphysema? - ANSWER-A disease of the airways
characterized by destruction of the walls of overdistended alveoli
Which is the most important risk factor for development of chronic obstructive
pulmonary disease (COPD)? - ANSWER-Cigarette smoking
Which type of chest configuration is typical for a client with COPD? - ANSWER-Barrel
Chest
In which grade of COPD is the force expiratory volume (FEV) less than 30%? -
ANSWER-Phase III
Clients with grade 3 COPD develop demonstrate a FEV1 less than 30 to 50% predicted
with respiratory failure of clinical signs of right heart failure. Green one is mild COPD
with an FEV1 greater than or equal to 80% predicted clients with grade 2 COPD
demonstrate and FEV1 of 50 to 80% predicted grade 4 is characterized by FEV less
than 30% predicted
Which term means an increase in red blood cell concentration in the blood? - ANSWER-
Polycythemia
What is the strongest predisposing factor for asthma? - ANSWER-allergy
Which medication is contra indicated in acute asthma exacerbations? - ANSWER-
Cromolyn sodium
As status asthmaticus worsens, the nurse would expect which acid-base imbalance? -
ANSWER-Respiratory acidosis
Which diagnostic test is the most accurate and assessing acute airway obstruction? -
ANSWER-Pulmonary function studies
cystic fibrosis (CF) is diagnosed by clinical signs and symptoms in addition to which
test? - ANSWER-Sweat chloride concentration
Which symptoms are considered primary symptoms of COPD? - ANSWER-Cough
, Which exposure acts as a risk factor for and accounts for the majority of cases of
chronic obstructive pulmonary disease (COPD)? - ANSWER-Exposure to tobacco
smoke
The classification of grade I COPD is defined as - ANSWER-mild COPD
Which drug is second line pharmacotherapy for smoking abstinence? - ANSWER-
Clonidine
A client newly diagnosed with COPD tells the nurse, "I can't believe I have COPD; I only
had a cough. Are there other symptoms I should know about"? Which is the best
response by the nurse? - ANSWER-"Other symptoms you may develop are shortness
of breath upon exertion and sputum production."
Why would a client with COPD report feeling fatigued? Select all that apply. - ANSWER-
The client is using all expendable energy just to breathe.
Lung function gradually decreases over time in clients with COPD.
In which statements regarding medications taken by the client diagnosed with COPD
did the drug name and the drug category correctly match? - ANSWER-Ciprofloxacin is
an antibiotic
Albuterol is a bronchodilator
Prednisone is a corticosteroid
A client presents to the ED experiencing symptoms of COPD exacerbation. The nurse
understands the goals of therapy should be achieved to improve the clients condition.
Which statements reflect therapy goals? select all that apply. - ANSWER-Provide long-
term support for medical management
Provide medical support for current exasperation
Treat the underlying cause of the event
Return the client to their original functioning abilities
Which measure may increase complications for a client with COPD? - ANSWER-
Increased oxygen supply
Which statement is true about both lung transplant and bullectomy? - ANSWER-Both
procedures improve the overall quality of life of a client with COPD.
A nurse is caring for a client with COPD. While reviewing breathing exercises the nurse
instruct the client to breathe in slowly through the nose, taking a normal breath. The
nurse asked the client to pucker his lips as if preparing to whistle. Finally the client is a
told to exhale slowly and gently through the puckered lips. The nurse teaches the client
these breathing exercises to accomplish which goals? Select all that apply. - ANSWER-
Prevent airway collapse
Control the rate and depth of respirations
Release air trapped in the lungs
Graded A
What statement describes emphysema? - ANSWER-A disease of the airways
characterized by destruction of the walls of overdistended alveoli
Which is the most important risk factor for development of chronic obstructive
pulmonary disease (COPD)? - ANSWER-Cigarette smoking
Which type of chest configuration is typical for a client with COPD? - ANSWER-Barrel
Chest
In which grade of COPD is the force expiratory volume (FEV) less than 30%? -
ANSWER-Phase III
Clients with grade 3 COPD develop demonstrate a FEV1 less than 30 to 50% predicted
with respiratory failure of clinical signs of right heart failure. Green one is mild COPD
with an FEV1 greater than or equal to 80% predicted clients with grade 2 COPD
demonstrate and FEV1 of 50 to 80% predicted grade 4 is characterized by FEV less
than 30% predicted
Which term means an increase in red blood cell concentration in the blood? - ANSWER-
Polycythemia
What is the strongest predisposing factor for asthma? - ANSWER-allergy
Which medication is contra indicated in acute asthma exacerbations? - ANSWER-
Cromolyn sodium
As status asthmaticus worsens, the nurse would expect which acid-base imbalance? -
ANSWER-Respiratory acidosis
Which diagnostic test is the most accurate and assessing acute airway obstruction? -
ANSWER-Pulmonary function studies
cystic fibrosis (CF) is diagnosed by clinical signs and symptoms in addition to which
test? - ANSWER-Sweat chloride concentration
Which symptoms are considered primary symptoms of COPD? - ANSWER-Cough
, Which exposure acts as a risk factor for and accounts for the majority of cases of
chronic obstructive pulmonary disease (COPD)? - ANSWER-Exposure to tobacco
smoke
The classification of grade I COPD is defined as - ANSWER-mild COPD
Which drug is second line pharmacotherapy for smoking abstinence? - ANSWER-
Clonidine
A client newly diagnosed with COPD tells the nurse, "I can't believe I have COPD; I only
had a cough. Are there other symptoms I should know about"? Which is the best
response by the nurse? - ANSWER-"Other symptoms you may develop are shortness
of breath upon exertion and sputum production."
Why would a client with COPD report feeling fatigued? Select all that apply. - ANSWER-
The client is using all expendable energy just to breathe.
Lung function gradually decreases over time in clients with COPD.
In which statements regarding medications taken by the client diagnosed with COPD
did the drug name and the drug category correctly match? - ANSWER-Ciprofloxacin is
an antibiotic
Albuterol is a bronchodilator
Prednisone is a corticosteroid
A client presents to the ED experiencing symptoms of COPD exacerbation. The nurse
understands the goals of therapy should be achieved to improve the clients condition.
Which statements reflect therapy goals? select all that apply. - ANSWER-Provide long-
term support for medical management
Provide medical support for current exasperation
Treat the underlying cause of the event
Return the client to their original functioning abilities
Which measure may increase complications for a client with COPD? - ANSWER-
Increased oxygen supply
Which statement is true about both lung transplant and bullectomy? - ANSWER-Both
procedures improve the overall quality of life of a client with COPD.
A nurse is caring for a client with COPD. While reviewing breathing exercises the nurse
instruct the client to breathe in slowly through the nose, taking a normal breath. The
nurse asked the client to pucker his lips as if preparing to whistle. Finally the client is a
told to exhale slowly and gently through the puckered lips. The nurse teaches the client
these breathing exercises to accomplish which goals? Select all that apply. - ANSWER-
Prevent airway collapse
Control the rate and depth of respirations
Release air trapped in the lungs
