Choices Questions with correct
Answers Latest 2025/2026
Complete
2
- ANS - The emergency department nurse is assessing a client who has
sustained a blunt injury to the chest wall. Which finding indicates the
presence of a pneumothorax in this client?
1. A low respiratory rate
2. Diminished breath sounds
3. The presence of a barrel chest
4. A sucking sound at the site of injury
2, 3
- ANS - The nurse is caring for a client hospitalized with acute
exacerbation of chronic obstructive pulmonary disease. Which findings
would the nurse expect to note on assessment of this client? Select all
that apply.
1. A low arterial PCo2, level
2. A hyperinflated chest noted on the chest x-ray
3. Decreased oxygen saturation with mild exercise
4. A widened diaphragm noted on the chest x-ray
5. Pulmonary function tests that demonstrate increased vital capacity
,4
- ANS - The nurse instructs a client to use the pursed-lip method of
breathing and evaluates the teaching by asking the client about the
purpose of this type of breathing. The nurse determines that the client
understands if the client states that the primary purpose of pursed-lip
breathing is to promote which outcome?
1. Promote oxygen intake
2. Strengthen the diaphragm
3. Strengthen the intercostal muscles
4. Promote carbon dioxide elimination
3
- ANS - The nurse is caring for a client after a bronchoscopy and biopsy.
Which finding, if noted in the client, should be reported immediately to
the health care provider?
1. Dry cough
2. Hematuria
3. Bronchospasm
4. Blood-streaked sputum
2
- ANS - The nurse is preparing to suction a client via a tracheostomy tube.
The nurse should plan to limit the suctioning time to a maximum of
which time period?
1.5 seconds
2. 10 seconds
,3. 30 seconds
4. 60 seconds
3
- ANS - The nurse is suctioning a client via an endotracheal tube. During
the suctioning procedure, the nurse notes on the monitor that the heart
rate is decreasing. Which nursing intervention is appropriate?
1. Continue to suction.
2. Notify the health care provider immediately.
3. Stop the procedure and reoxygenate the client.
4. Ensure that the suction is limited to 15 seconds.
4
- ANS - The nurse is assessing the respiratory status of a client who has
suffered a fractured rib. The nurse should expect to note which finding?
1. Slow, deep respirations
2. Rapid, deep respirations
3. Paradoxical respirations
4. Pain, especially with inspiration
3
- ANS - A client with a chest injury has suffered flail chest. The nurse
assesses the client for which most distinctive sign of flail chest?
1. Cyanosis
2. Hypotension
3. Paradoxical chest movement
, 4. Dyspnea, especially on exhalation
1
- ANS - A client has been admitted with chest trauma after a motor
vehicle crash and has undergone subsequent intubation. The nurse
checks the client when the high-pressure alarm on the ventilator sounds,
and notes that the client has absence of breath sounds in the right upper
lobe of the lung. The nurse immediately assesses for other signs of which
condition?
1. Right pneumothorax
2. Pulmonary embolism
3. Displaced endotracheal tube
4. Acute respiratory distress syndrome
4
- ANS - The nurse is assessing a client with multiple trauma who is at risk
for developing acute respiratory distress syndrome. The nurse should
assess for which earliest sign of acute respiratory distress syndrome?
1. Bilateral wheezing
2. Inspiratory crackles
3. Intercostal retractions
4. Increased respiratory rate
2
- ANS - The nurse is discussing the techniques of chest physiotherapy
and postural drainage (respiratory treatments) to a client having
expectoration problems because of chronic thick, tenacious mucus