Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
A nurse obtains the health history of a client who is recently diagnosed with lung cancer and
identifies that the client has a 60-pack-year smoking history. Which action is most important
for the nurse to take when interviewing this client?
a. Tell the client that he or she needs to quit smoking to stop further cancer
development.
b. Encourage the client to be completely honest about both tobacco and marijuana
use.
c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty.
d. Avoid giving the client false hope regarding cancer treatment and prognosis. - ANSWER C
A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with
the correct intervention?
a. Client reports being dizzy—nurse calls the Rapid Response Team.
b. Client's heart rate is 55 beats/min—nurse withholds pain medication.
c. Client has reduced breath sounds—nurse calls primary health care provider
immediately.
d. Client's respiratory rate is 18 breaths/min—nurse decreases oxygen flow rate. - ANSWER C
A nurse assesses a client's respiratory status. Which information is most important for the
nurse to obtain?
a. Average daily fluid intake.
,Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
b. Neck circumference
c. Height and weight
d. Occupation and hobbies - ANSWER D
A nurse observes that a client's anteroposterior (AP) chest diameter is the same as the lateral
chest diameter. Which question would the nurse ask the client in response to this finding?
a. "Are you taking any medications or herbal supplements?"
b. "Do you have any chronic breathing problems?"
c. "How often do you perform aerobic exercise?"
d. "What is your occupation and what are your hobbies?" - ANSWER B
A nurse is assessing a client who is recovering from a lung biopsy. The client's breath sounds
are absent. While another nurse calls the Rapid Response Team, what action by the nurse
takes is most important?
a. Take a full set of vital signs.
b. Obtain pulse oximetry reading.
c. Ask the patient about hemoptysis.
d. Inspect the biopsy site. - ANSWER B
A nurse is caring for a client who is scheduled to undergo a thoracentesis. Which intervention
would the nurse complete prior to the procedure?
a. Measure oxygen saturation before and after a 12-minute walk.
b. Verify that the client understands all possible complications.
c. Explain the procedure in detail to the client and the family.
d. Validate that informed consent has been given by the client - ANSWER D
,Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate
action?
a. The client rates pain as a 5/10 at the site of the procedure.
b. A small amount of drainage from the site is noted.
c. Pulse oximetry is 93% on 2 L of oxygen.
d. The trachea is shifted toward the opposite side of the neck. - ANSWER D
A nurse cares for a client who had a bronchoscopy 2 hours ago. The client asks for a drink of
water. What action would the nurse take next?
a. Call the primary health care provider and request food and water for the client.
b. Provide the client with ice chips instead of a drink of water.
c. Assess the client's gag reflex before giving any food or water.
d. Let the client have a small sip to see whether he or she can swallow. - ANSWER C
A nurse plans care for a client who is experiencing dyspnea and must stop multiple times
when climbing a flight of stairs. Which intervention would the nurse include in this client's
plan of care?
a. Assistance with activities of daily living
b. Physical therapy activities every day
c. Oxygen therapy at 2 L per nasal cannula
d. Complete bedrest with frequent repositioning - ANSWER A
A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement
would the nurse include in this client's teaching?
a. "Make a list of reasons why smoking is a bad habit."
b. "Rise slowly when getting out of bed in the morning."
, Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
c. "Smoking while taking this medication will increase your risk of a stroke."
d. "Stopping this medication suddenly increases your risk for a heart attack." - ANSWER C
A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy.
The client presents with continuous cyanosis even with oxygen therapy. What action would
the nurse take next?
a. Administer an albuterol treatment.
b. Notify the Rapid Response Team.
c. Assess the client's peripheral pulses.
d. Obtain blood and sputum cultures - ANSWER B
A nurse auscultates a harsh hollow sound over a client's trachea and larynx. What action
would the nurse take first?
a. Document the findings.
b. Administer oxygen therapy.
c. Position the client in high-Fowler position.
d. Administer prescribed albuterol. - ANSWER A
A nurse assesses a client who is prescribed varenicline for smoking cessation. Which signs or
symptoms would the nurse identify as adverse effects of this medication? (Select all that
apply.)
a. Visual hallucinations
b. Tachycardia
c. Decreased cravings
d. Manic behavior
e. Increased thirst
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
A nurse obtains the health history of a client who is recently diagnosed with lung cancer and
identifies that the client has a 60-pack-year smoking history. Which action is most important
for the nurse to take when interviewing this client?
a. Tell the client that he or she needs to quit smoking to stop further cancer
development.
b. Encourage the client to be completely honest about both tobacco and marijuana
use.
c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty.
d. Avoid giving the client false hope regarding cancer treatment and prognosis. - ANSWER C
A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with
the correct intervention?
a. Client reports being dizzy—nurse calls the Rapid Response Team.
b. Client's heart rate is 55 beats/min—nurse withholds pain medication.
c. Client has reduced breath sounds—nurse calls primary health care provider
immediately.
d. Client's respiratory rate is 18 breaths/min—nurse decreases oxygen flow rate. - ANSWER C
A nurse assesses a client's respiratory status. Which information is most important for the
nurse to obtain?
a. Average daily fluid intake.
,Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
b. Neck circumference
c. Height and weight
d. Occupation and hobbies - ANSWER D
A nurse observes that a client's anteroposterior (AP) chest diameter is the same as the lateral
chest diameter. Which question would the nurse ask the client in response to this finding?
a. "Are you taking any medications or herbal supplements?"
b. "Do you have any chronic breathing problems?"
c. "How often do you perform aerobic exercise?"
d. "What is your occupation and what are your hobbies?" - ANSWER B
A nurse is assessing a client who is recovering from a lung biopsy. The client's breath sounds
are absent. While another nurse calls the Rapid Response Team, what action by the nurse
takes is most important?
a. Take a full set of vital signs.
b. Obtain pulse oximetry reading.
c. Ask the patient about hemoptysis.
d. Inspect the biopsy site. - ANSWER B
A nurse is caring for a client who is scheduled to undergo a thoracentesis. Which intervention
would the nurse complete prior to the procedure?
a. Measure oxygen saturation before and after a 12-minute walk.
b. Verify that the client understands all possible complications.
c. Explain the procedure in detail to the client and the family.
d. Validate that informed consent has been given by the client - ANSWER D
,Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate
action?
a. The client rates pain as a 5/10 at the site of the procedure.
b. A small amount of drainage from the site is noted.
c. Pulse oximetry is 93% on 2 L of oxygen.
d. The trachea is shifted toward the opposite side of the neck. - ANSWER D
A nurse cares for a client who had a bronchoscopy 2 hours ago. The client asks for a drink of
water. What action would the nurse take next?
a. Call the primary health care provider and request food and water for the client.
b. Provide the client with ice chips instead of a drink of water.
c. Assess the client's gag reflex before giving any food or water.
d. Let the client have a small sip to see whether he or she can swallow. - ANSWER C
A nurse plans care for a client who is experiencing dyspnea and must stop multiple times
when climbing a flight of stairs. Which intervention would the nurse include in this client's
plan of care?
a. Assistance with activities of daily living
b. Physical therapy activities every day
c. Oxygen therapy at 2 L per nasal cannula
d. Complete bedrest with frequent repositioning - ANSWER A
A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement
would the nurse include in this client's teaching?
a. "Make a list of reasons why smoking is a bad habit."
b. "Rise slowly when getting out of bed in the morning."
, Ignatavicius: Medical-Surgical Nursing,
10th Edition – Respiratory 113 complete
Actual Solutions. 2025-2026
c. "Smoking while taking this medication will increase your risk of a stroke."
d. "Stopping this medication suddenly increases your risk for a heart attack." - ANSWER C
A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy.
The client presents with continuous cyanosis even with oxygen therapy. What action would
the nurse take next?
a. Administer an albuterol treatment.
b. Notify the Rapid Response Team.
c. Assess the client's peripheral pulses.
d. Obtain blood and sputum cultures - ANSWER B
A nurse auscultates a harsh hollow sound over a client's trachea and larynx. What action
would the nurse take first?
a. Document the findings.
b. Administer oxygen therapy.
c. Position the client in high-Fowler position.
d. Administer prescribed albuterol. - ANSWER A
A nurse assesses a client who is prescribed varenicline for smoking cessation. Which signs or
symptoms would the nurse identify as adverse effects of this medication? (Select all that
apply.)
a. Visual hallucinations
b. Tachycardia
c. Decreased cravings
d. Manic behavior
e. Increased thirst
