1. What is the primary cause of respiratory insufficiency in patients
with COPD?
Ans: Increased energy expenditure for breathing
2. What is the main difference between chronic bronchitis and
emphysema?
Chronic bronchitis is characterized by airway hypersecretion, while emphysema is
characterized by alveolar damage
3. What is the primary intervention for managing exacerbations in
patients with COPD?
Ans: Health cessation
4. What is the most effective nursing intervention for
preventing hospital-acquired pneumonia?
Ans: Providing oral care
5. What are the primary signs and symptoms of tuberculosis (TB)?
Ands: Night Sweat , t weight loss, persistent cough, and fatigue
6. What is the primary characteristic of Chronic Obstructive
Pulmonary Disease (COPD)?
Ans: Progressive airflow obstruction
7. What is a common trigger for flares in patients with COPD?
Ans: Cold weather,
8. What is the primary cause of respiratory insufficiency in patients
with COPD?
Ans: Increased energy expenditure for breathing
9. Which of the following is the key underlying feature of asthma?
Ans: inflammatory
10. A nurse consulting with a nutrition specialist knows it's important to consider a
special diet for a client with chronic obstructive pulmonary disease (COPD).
Which diet is appropriate for this client?
Ans: High protein
11. What is histamine, a mediator that supports the inflammatory process in asthma,
secreted by?
Ans: Mast cells
12. A nurse administers albuterol (Proventil), as ordered, to a client with
emphysema. Which finding indicates that the drug is producing a therapeutic
effect?
Ans: Respiratory rate of 22 breaths/minute
13. Which of the following is not a primary symptom of COPD?
Ans: Weight gain
14. A junior-level nursing class has just finished learning about the management of
clients with chronic pulmonary diseases. They learned that a new definition of
, COPD leaves only one type of disorder within its classification. Which of the
following is part of that disorder?
Ans: Emphysema
15. A client with bronchiectasis is admitted to the nursing unit. The primary focus of
nursing care for this client includes
Ans: implementing measures to clear pulmonary secretions.
16. The nurse has instructed the client to use a peak flow meter. The nurse evaluates
client learning as satisfactory when the client.
Ans: Exhales hard and fast with a single blow
17. The nurse should be alert for a complication of bronchiectasis that results from a
combination of retained secretions and obstruction that leads to the collapse of
alveoli. This complication is known as?
Ans: Atelectasis
18. A patient is being treated for status asthmaticus. What danger sign does the
nurse observe that can indicate impending respiratory failure?
Ans: Respiratory acidosis
19. Which exposure acts as a risk factor for and accounts for most cases of chronic
obstructive pulmonary disease (COPD)?
Ans: Exposure to tobacco smoke
20. A client is diagnosed with a chronic respiratory disorder. After assessing the
client's knowledge of the disorder, the nurse prepares a teaching plan. Which
nursing diagnosis is this teaching plan most likely to include?
Ans: Anxiety
21. Which statement describes emphysema?
Ans: A disease of the airways characterized by destruction of the walls of overdistended
alveoli
22. A client with chronic obstructive pulmonary disease (COPD) and core pulmonale
is being prepared for discharge. The nurse should provide which instruction?
Ans: Weigh yourself daily and report a gain of 2 lb in 1 day."
23. The classification of Stage II of COPD is defined as:
Ans: moderate COPD.
24. The nurse is assigned to care for a patient with COPD with hypoxemia and
hypercapnia. When planning care for this patient, what does the nurse
understand is the main goal of treatment?
Ans: Providing sufficient oxygen to improve oxygenation
25. Which of the following is accurate regarding status asthmaticus?
Ans: A severe asthma episode that is refractory to initial therapy
, 26. A nurse is developing a teaching plan for a client with asthma. Which teaching
point has the highest priority?
Ans: Take ordered medications as scheduled.
27. A nurse administers albuterol (Proventil), as ordered, to a client with
emphysema. Which finding indicates that the drug is producing a therapeutic
effect?
Ans: Respiratory rate of 22 breaths/minute
28. Asthma is caused by which type of response?
Ans: IgE-mediated
29. A client with asthma is prescribed a short acting beta-adrenergic (SABA) for
quick relief. Which of the following is the most likely drug to be prescribed? Ans:
Albuterol
30. The classification of Stage III of COPD is defined as:
Ans: severe COPD.
31. A client with a chronic lung disease is prescribed postural
drainage. Place in order the nurse's actions to perform this
procedure. Use all options.
Ans: Plan to do the procedure before a meal. Provide medication to
loosen secretions before the procedure. Obtain an emesis basin,
sputum cup, and paper tissues. Instruct client to breathe in through
the nose and out through pursed lips. Place client in position to drain
the lower lobes for 10 to 15 minutes and then cough. Place client in
position to drain the middle lobe for 10 to 15 minutes and then cough.
Place client in position to drain the upper lobes for 10 to 15 minutes
and then cough.
32. A nurse is assisting with a subclavian vein central line
insertion when the client's oxygen saturation drops rapidly.
He complains of shortness of breath and becomes tachypneic.
The nurse suspects the client has developed a pneumothorax.
Further assessment findings supporting the presence of a
pneumothorax include:
Ans: diminished or absent breath sounds on the affected side.
33. A client has a history of chronic obstructive pulmonary
disease (COPD). Following a coughing episode, the client
reports sudden and unrelieved shortness of breath. Which of
the following is the most important for the nurse to assess?
Ans: Lung sounds
with COPD?
Ans: Increased energy expenditure for breathing
2. What is the main difference between chronic bronchitis and
emphysema?
Chronic bronchitis is characterized by airway hypersecretion, while emphysema is
characterized by alveolar damage
3. What is the primary intervention for managing exacerbations in
patients with COPD?
Ans: Health cessation
4. What is the most effective nursing intervention for
preventing hospital-acquired pneumonia?
Ans: Providing oral care
5. What are the primary signs and symptoms of tuberculosis (TB)?
Ands: Night Sweat , t weight loss, persistent cough, and fatigue
6. What is the primary characteristic of Chronic Obstructive
Pulmonary Disease (COPD)?
Ans: Progressive airflow obstruction
7. What is a common trigger for flares in patients with COPD?
Ans: Cold weather,
8. What is the primary cause of respiratory insufficiency in patients
with COPD?
Ans: Increased energy expenditure for breathing
9. Which of the following is the key underlying feature of asthma?
Ans: inflammatory
10. A nurse consulting with a nutrition specialist knows it's important to consider a
special diet for a client with chronic obstructive pulmonary disease (COPD).
Which diet is appropriate for this client?
Ans: High protein
11. What is histamine, a mediator that supports the inflammatory process in asthma,
secreted by?
Ans: Mast cells
12. A nurse administers albuterol (Proventil), as ordered, to a client with
emphysema. Which finding indicates that the drug is producing a therapeutic
effect?
Ans: Respiratory rate of 22 breaths/minute
13. Which of the following is not a primary symptom of COPD?
Ans: Weight gain
14. A junior-level nursing class has just finished learning about the management of
clients with chronic pulmonary diseases. They learned that a new definition of
, COPD leaves only one type of disorder within its classification. Which of the
following is part of that disorder?
Ans: Emphysema
15. A client with bronchiectasis is admitted to the nursing unit. The primary focus of
nursing care for this client includes
Ans: implementing measures to clear pulmonary secretions.
16. The nurse has instructed the client to use a peak flow meter. The nurse evaluates
client learning as satisfactory when the client.
Ans: Exhales hard and fast with a single blow
17. The nurse should be alert for a complication of bronchiectasis that results from a
combination of retained secretions and obstruction that leads to the collapse of
alveoli. This complication is known as?
Ans: Atelectasis
18. A patient is being treated for status asthmaticus. What danger sign does the
nurse observe that can indicate impending respiratory failure?
Ans: Respiratory acidosis
19. Which exposure acts as a risk factor for and accounts for most cases of chronic
obstructive pulmonary disease (COPD)?
Ans: Exposure to tobacco smoke
20. A client is diagnosed with a chronic respiratory disorder. After assessing the
client's knowledge of the disorder, the nurse prepares a teaching plan. Which
nursing diagnosis is this teaching plan most likely to include?
Ans: Anxiety
21. Which statement describes emphysema?
Ans: A disease of the airways characterized by destruction of the walls of overdistended
alveoli
22. A client with chronic obstructive pulmonary disease (COPD) and core pulmonale
is being prepared for discharge. The nurse should provide which instruction?
Ans: Weigh yourself daily and report a gain of 2 lb in 1 day."
23. The classification of Stage II of COPD is defined as:
Ans: moderate COPD.
24. The nurse is assigned to care for a patient with COPD with hypoxemia and
hypercapnia. When planning care for this patient, what does the nurse
understand is the main goal of treatment?
Ans: Providing sufficient oxygen to improve oxygenation
25. Which of the following is accurate regarding status asthmaticus?
Ans: A severe asthma episode that is refractory to initial therapy
, 26. A nurse is developing a teaching plan for a client with asthma. Which teaching
point has the highest priority?
Ans: Take ordered medications as scheduled.
27. A nurse administers albuterol (Proventil), as ordered, to a client with
emphysema. Which finding indicates that the drug is producing a therapeutic
effect?
Ans: Respiratory rate of 22 breaths/minute
28. Asthma is caused by which type of response?
Ans: IgE-mediated
29. A client with asthma is prescribed a short acting beta-adrenergic (SABA) for
quick relief. Which of the following is the most likely drug to be prescribed? Ans:
Albuterol
30. The classification of Stage III of COPD is defined as:
Ans: severe COPD.
31. A client with a chronic lung disease is prescribed postural
drainage. Place in order the nurse's actions to perform this
procedure. Use all options.
Ans: Plan to do the procedure before a meal. Provide medication to
loosen secretions before the procedure. Obtain an emesis basin,
sputum cup, and paper tissues. Instruct client to breathe in through
the nose and out through pursed lips. Place client in position to drain
the lower lobes for 10 to 15 minutes and then cough. Place client in
position to drain the middle lobe for 10 to 15 minutes and then cough.
Place client in position to drain the upper lobes for 10 to 15 minutes
and then cough.
32. A nurse is assisting with a subclavian vein central line
insertion when the client's oxygen saturation drops rapidly.
He complains of shortness of breath and becomes tachypneic.
The nurse suspects the client has developed a pneumothorax.
Further assessment findings supporting the presence of a
pneumothorax include:
Ans: diminished or absent breath sounds on the affected side.
33. A client has a history of chronic obstructive pulmonary
disease (COPD). Following a coughing episode, the client
reports sudden and unrelieved shortness of breath. Which of
the following is the most important for the nurse to assess?
Ans: Lung sounds
