COPD (Med-Surg EAQs) Test Questions and
Answers Rated A
Which complications in a patient with chronic think about steps and breathing while walking
obstructive pulmonary disorder (COPD) require
acute intervention? Select all that apply. (It is essential to involve the patient with chronic
obstructive pulmonary disease (COPD) in
1. Atelectasis physical activity for 20 minutes three times a
week. The patient should remember to think
2. Pneumonia about steps and breathing, which will help
decrease anxiety and also slow the pace. The
3. Cor pulmonale patient must walk slowly with pursed lips to
breathe. The patient should exhale while pushing
4. Mucoid impact and inhale while at rest. The patient should wait
for 5 minutes to relax and regain a normal
5. Exacerbations - ANSWER -2. breathing rate before administration of a beta
Pneumonia agonist after exercise.)
3. Cor pulmonale
Which nursing intervention will the nurse include
5. Exacerbations in the teaching plan for a patient with difficulty in
breathing due to low oxygen level in the blood?
(The patient with chronic obstructive pulmonary
disorder (COPD) may develop complications 1. Suggest that the patient breathes slowly with
such as pneumonia, cor pulmonale, and an open mouth
exacerbations of COPD, which require acute
interventions. After the crisis is resolved, the 2. Advise the patient to refrain from sexual
patient has to undergo assessment for the activity after eating
degree and severity of the underlying respiratory
problem. This information helps the nurse plan a 3. Ask the patient to plan sexual activity during
better care plan. Atelectasis and mucoid impact the late afternoon
are complications of asthma.)
4. Suggest that the patient choose the missionary
position during intercourse - ANSWER -2.
Which measure should a patient with chronic Advise the patient to refrain from sexual activity
obstructive pulmonary disorder (COPD) take after eating
when performing physical activity?
(A patient with chronic obstructive pulmonary
1. Walk briskly or bicycle with pursed lips disorder (COPD) has dyspnea and hypoxemia
due to poor ventilation. For males, erectile
2. Exhale while at rest and inhale while pushing dysfunction can occur with COPD, as with many
chronic diseases. The nurse may suggest that
3. Administer beta agonists immediately after the patient refrain from sexual activity after eating
exercise to prevent breathlessness during intercourse.
The patient should use pursed lips to breathe
4. Remember to think about steps and breathing slowly. It is better to plan sexual activity during
while walking - ANSWER -4. Remember to the day, when the patient's breathing is best. The
1/6
, COPD (Med-Surg EAQs) Test Questions and
Answers Rated A
patient should choose a less stressful position (PLB) are correct?
during intercourse and avoid the missionary
position. 1. "Inhale slowly and deeply through your mouth."
2. "During exhalation, relax your facial muscles
A patient has had chronic obstructive pulmonary and puff out your cheeks."
disease (COPD) for 3 months. Further
assessment reveals that forced expiratory 3. "Use this action only after any activity that
volume in one second (FEV 1) is 65 percent. causes you to be short of breath."
Which treatment option would be most
appropriate for this patient? 4. "Make breathing out (exhalation) three times
longer than breathing in (inhalation)." -
1. Treatment with salmeterol ANSWER -4. "Make breathing out
(exhalation) three times longer than breathing in
2. Treatment with budesonide (inhalation)."
3. Treatment with albuterol and ipratropium (The exhalation period needs to be three times
combination as long as the inhalation period. Patients need to
inhale slowly and deeply through the nose, not
4. Treatment with budesonide and formoterol the mouth, first. PLB should be used before,
combination - ANSWER -3. Treatment with during, and after, not just after, any activity that
albuterol and ipratropium combination causes shortness of breath. While exhaling, the
facial muscles need to be relaxed without any
(A patient who has had chronic obstructive puffing out of the cheeks.)
pulmonary disease for 3 months and who has an
FEV 1 of 65 percent would require treatment with
short-acting bronchodilators such as albuterol or A patient is experiencing an exacerbation of
ipratropium. These drugs can be used as chronic obstructive pulmonary disease (COPD)
monotherapy, but combining them improves their and requires supplemental oxygen. To deliver the
effect and decreases the risk of side effects. precise amount of oxygen, the nurse should use
Salmeterol monotherapy is less effective than which type of equipment?
combination therapy of albuterol and ipratropium
because of its lower efficacy and higher risk for 1. Venturi mask
side effects. Budesonide is an inhaled
corticosteroid, which should not be used as 2. Simple face mask
monotherapy in patients with COPD because of
its side effects. Budesonide and formoterol 3. Non-rebreather mask
combination is used for COPD in patients with
FEV 1 of less than 60 percent.) 4. Laryngeal mask airway - ANSWER -1.
Venturi mask
Which instructions, given by the nurse to the (The Venturi mask delivers precise
patient with chronic obstructive pulmonary concentrations of oxygen and should be selected
disease (COPD), regarding pursed lip breathing whenever this is a priority concern. A non-
2/6
Answers Rated A
Which complications in a patient with chronic think about steps and breathing while walking
obstructive pulmonary disorder (COPD) require
acute intervention? Select all that apply. (It is essential to involve the patient with chronic
obstructive pulmonary disease (COPD) in
1. Atelectasis physical activity for 20 minutes three times a
week. The patient should remember to think
2. Pneumonia about steps and breathing, which will help
decrease anxiety and also slow the pace. The
3. Cor pulmonale patient must walk slowly with pursed lips to
breathe. The patient should exhale while pushing
4. Mucoid impact and inhale while at rest. The patient should wait
for 5 minutes to relax and regain a normal
5. Exacerbations - ANSWER -2. breathing rate before administration of a beta
Pneumonia agonist after exercise.)
3. Cor pulmonale
Which nursing intervention will the nurse include
5. Exacerbations in the teaching plan for a patient with difficulty in
breathing due to low oxygen level in the blood?
(The patient with chronic obstructive pulmonary
disorder (COPD) may develop complications 1. Suggest that the patient breathes slowly with
such as pneumonia, cor pulmonale, and an open mouth
exacerbations of COPD, which require acute
interventions. After the crisis is resolved, the 2. Advise the patient to refrain from sexual
patient has to undergo assessment for the activity after eating
degree and severity of the underlying respiratory
problem. This information helps the nurse plan a 3. Ask the patient to plan sexual activity during
better care plan. Atelectasis and mucoid impact the late afternoon
are complications of asthma.)
4. Suggest that the patient choose the missionary
position during intercourse - ANSWER -2.
Which measure should a patient with chronic Advise the patient to refrain from sexual activity
obstructive pulmonary disorder (COPD) take after eating
when performing physical activity?
(A patient with chronic obstructive pulmonary
1. Walk briskly or bicycle with pursed lips disorder (COPD) has dyspnea and hypoxemia
due to poor ventilation. For males, erectile
2. Exhale while at rest and inhale while pushing dysfunction can occur with COPD, as with many
chronic diseases. The nurse may suggest that
3. Administer beta agonists immediately after the patient refrain from sexual activity after eating
exercise to prevent breathlessness during intercourse.
The patient should use pursed lips to breathe
4. Remember to think about steps and breathing slowly. It is better to plan sexual activity during
while walking - ANSWER -4. Remember to the day, when the patient's breathing is best. The
1/6
, COPD (Med-Surg EAQs) Test Questions and
Answers Rated A
patient should choose a less stressful position (PLB) are correct?
during intercourse and avoid the missionary
position. 1. "Inhale slowly and deeply through your mouth."
2. "During exhalation, relax your facial muscles
A patient has had chronic obstructive pulmonary and puff out your cheeks."
disease (COPD) for 3 months. Further
assessment reveals that forced expiratory 3. "Use this action only after any activity that
volume in one second (FEV 1) is 65 percent. causes you to be short of breath."
Which treatment option would be most
appropriate for this patient? 4. "Make breathing out (exhalation) three times
longer than breathing in (inhalation)." -
1. Treatment with salmeterol ANSWER -4. "Make breathing out
(exhalation) three times longer than breathing in
2. Treatment with budesonide (inhalation)."
3. Treatment with albuterol and ipratropium (The exhalation period needs to be three times
combination as long as the inhalation period. Patients need to
inhale slowly and deeply through the nose, not
4. Treatment with budesonide and formoterol the mouth, first. PLB should be used before,
combination - ANSWER -3. Treatment with during, and after, not just after, any activity that
albuterol and ipratropium combination causes shortness of breath. While exhaling, the
facial muscles need to be relaxed without any
(A patient who has had chronic obstructive puffing out of the cheeks.)
pulmonary disease for 3 months and who has an
FEV 1 of 65 percent would require treatment with
short-acting bronchodilators such as albuterol or A patient is experiencing an exacerbation of
ipratropium. These drugs can be used as chronic obstructive pulmonary disease (COPD)
monotherapy, but combining them improves their and requires supplemental oxygen. To deliver the
effect and decreases the risk of side effects. precise amount of oxygen, the nurse should use
Salmeterol monotherapy is less effective than which type of equipment?
combination therapy of albuterol and ipratropium
because of its lower efficacy and higher risk for 1. Venturi mask
side effects. Budesonide is an inhaled
corticosteroid, which should not be used as 2. Simple face mask
monotherapy in patients with COPD because of
its side effects. Budesonide and formoterol 3. Non-rebreather mask
combination is used for COPD in patients with
FEV 1 of less than 60 percent.) 4. Laryngeal mask airway - ANSWER -1.
Venturi mask
Which instructions, given by the nurse to the (The Venturi mask delivers precise
patient with chronic obstructive pulmonary concentrations of oxygen and should be selected
disease (COPD), regarding pursed lip breathing whenever this is a priority concern. A non-
2/6
