NUR 101 Respiratory care
1. A nurse is monitoring an older adult pt following a bronchoscopy. the nurses priority is to
monitor which of the following
A. Observing for confusion
B. Auscultating breath sounds
C. Confirming the gag reflex
D. Measuring blood pressure
Answer
C. Confirming the gag reflex
2. A nurse is providing discharge teaching for a pt with new prescribed home oxygen via nasal
cannula. which of the following should the nurse include in the teaching? Select All That Apply
A. Verify the oxygen flow rate every other day.
B. Check the cannula position on a regular basis.
C. Check the tops of the ears for skin breakdown.
D. Post "no smoking" signs in a prominent location in the home.
E. Apply petroleum ointment to nares if they become dry and irritated.
Answer
B. Check the cannula position on a regular basis.
C. Check the tops of the ears for skin breakdown.
D. Post "no smoking" signs in a prominent location in the home.
3. A nurse is caring for a pneumonia pt on 5L/min O2 via nasal cannula. which of the following
actions should the nurse take?
A. Attach a humidifier bottle to the base of the flow meter.
B. Remove the nasal cannula while the client eats.
C. Secure the oxygen tubing to the bed sheet near the client's head.
D. Apply petroleum jelly to the nares as needed to soothe mucous mem- branes.
Answer
A. Attach a humidifier bottle to the base of the flow meter.
4. nurse is listening to a clients breath sounds who has asthma. when the pt exhales, the nurse
,hears a continuous high-pitched squeak. how would you document this?
A. Crackles
B. Rhonchi
C. Stridor
D. Wheezes
Answer
D. Wheezes
5. the nurse is assessing a pt who just returned from surgery, their O2 is 85%. what is the nurses
first action?
A. Administer oxygen at 2 L/min.
B. Administer prescribed analgesic medication.
c. Encourage coughing and deep breathing.
d. Raise the head of the bed.
Answer
d. Raise the head of the bed.
6. when preparing to observe someone's oxygen saturation, you notice edema of both hands and
thickens toenails, where should the nurse apply the pulse ox?
A. Finger
B. Earlobe
C. Toe
D. Skin fold
Answer
B. Earlobe
7. the nurse is assessing an older client whose son reports the client has had a respiratory
infection for a week. Which of the following findings is a manifestation of pneumonia in an
older adult client?
A. Bradycardia
B. Night sweats
C. Confusion
, D. Narrowed pulse pressure
Answer
C. Confusion
8. A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula.The nurse
explains this method delivery does which of the following?
A. Delivers a constant rate of a specific concentration of oxygen
b. Delivers a high concentration of oxygen
c. Delivers a low concentration of oxygen
d. Restricts the client's ability to eat, speak, or drink
Answer
c. Delivers a low concentration of oxygen
9. A nurse is providing discharge teaching for a client who requires home oxygen therapy.
Which of the following statements should the nurse identify as an indication that the client needs
further teaching?
a. "I will be able to tell how much oxygen I'm getting by looking at the flowmeter."
b. "I should call my doctor if I find it harder to concentrate."
c. "I will make sure my visitors smoke outside."
d. "I will wear synthetic clothing and woolen socks when using my oxygen."
Answer
d. "I will wear synthetic clothing and woolen socks when using my oxygen."
10. A nurse is caring for a client who has pneumonia. Which of the following actions should
the nurse take to promote thinning of respiratory secretions?
A. Encourage the client to ambulate frequently.
b. Encourage coughing and deep breathing.
c. Encourage the client to increase fluid intake.
d. Encourage regular use of the incentive spirometer.
Answer
c. Encourage the client to increase fluid intake.
11. A nurse is providing discharge teaching for a client who has a new pre- scription for home
1. A nurse is monitoring an older adult pt following a bronchoscopy. the nurses priority is to
monitor which of the following
A. Observing for confusion
B. Auscultating breath sounds
C. Confirming the gag reflex
D. Measuring blood pressure
Answer
C. Confirming the gag reflex
2. A nurse is providing discharge teaching for a pt with new prescribed home oxygen via nasal
cannula. which of the following should the nurse include in the teaching? Select All That Apply
A. Verify the oxygen flow rate every other day.
B. Check the cannula position on a regular basis.
C. Check the tops of the ears for skin breakdown.
D. Post "no smoking" signs in a prominent location in the home.
E. Apply petroleum ointment to nares if they become dry and irritated.
Answer
B. Check the cannula position on a regular basis.
C. Check the tops of the ears for skin breakdown.
D. Post "no smoking" signs in a prominent location in the home.
3. A nurse is caring for a pneumonia pt on 5L/min O2 via nasal cannula. which of the following
actions should the nurse take?
A. Attach a humidifier bottle to the base of the flow meter.
B. Remove the nasal cannula while the client eats.
C. Secure the oxygen tubing to the bed sheet near the client's head.
D. Apply petroleum jelly to the nares as needed to soothe mucous mem- branes.
Answer
A. Attach a humidifier bottle to the base of the flow meter.
4. nurse is listening to a clients breath sounds who has asthma. when the pt exhales, the nurse
,hears a continuous high-pitched squeak. how would you document this?
A. Crackles
B. Rhonchi
C. Stridor
D. Wheezes
Answer
D. Wheezes
5. the nurse is assessing a pt who just returned from surgery, their O2 is 85%. what is the nurses
first action?
A. Administer oxygen at 2 L/min.
B. Administer prescribed analgesic medication.
c. Encourage coughing and deep breathing.
d. Raise the head of the bed.
Answer
d. Raise the head of the bed.
6. when preparing to observe someone's oxygen saturation, you notice edema of both hands and
thickens toenails, where should the nurse apply the pulse ox?
A. Finger
B. Earlobe
C. Toe
D. Skin fold
Answer
B. Earlobe
7. the nurse is assessing an older client whose son reports the client has had a respiratory
infection for a week. Which of the following findings is a manifestation of pneumonia in an
older adult client?
A. Bradycardia
B. Night sweats
C. Confusion
, D. Narrowed pulse pressure
Answer
C. Confusion
8. A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula.The nurse
explains this method delivery does which of the following?
A. Delivers a constant rate of a specific concentration of oxygen
b. Delivers a high concentration of oxygen
c. Delivers a low concentration of oxygen
d. Restricts the client's ability to eat, speak, or drink
Answer
c. Delivers a low concentration of oxygen
9. A nurse is providing discharge teaching for a client who requires home oxygen therapy.
Which of the following statements should the nurse identify as an indication that the client needs
further teaching?
a. "I will be able to tell how much oxygen I'm getting by looking at the flowmeter."
b. "I should call my doctor if I find it harder to concentrate."
c. "I will make sure my visitors smoke outside."
d. "I will wear synthetic clothing and woolen socks when using my oxygen."
Answer
d. "I will wear synthetic clothing and woolen socks when using my oxygen."
10. A nurse is caring for a client who has pneumonia. Which of the following actions should
the nurse take to promote thinning of respiratory secretions?
A. Encourage the client to ambulate frequently.
b. Encourage coughing and deep breathing.
c. Encourage the client to increase fluid intake.
d. Encourage regular use of the incentive spirometer.
Answer
c. Encourage the client to increase fluid intake.
11. A nurse is providing discharge teaching for a client who has a new pre- scription for home
