CCC1 EXAM #3 (LATEST) QUESTIONS WITH ACTUAL SOLUTIONS!!
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 - (answer)Diminished breath sounds
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 - (answer)A hyperinflated chest
noted on the chest x-ray
Decreased oxygen saturation with mild exercise
The nurse is preparing a list of home care instructions for a client who has been hospitalized and treated
for tuberculosis. Which instructions would the nurse include on the list? Select all that apply.
1. Activities should be resumed gradually.
2. Avoid contact with other individuals, except family members, for at least 6 months.
3. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
4. Respiratory isolation is not necessary, because family members already have been exposed.
5. Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags.
6. When one sputum culture is negative, the client is no longer considered infectious and usually can
return to former employment. - (answer)Activities should be resumed gradually.
A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
Respiratory isolation is not necessary, because family members already have been exposed.
, CCC1 EXAM #3 (LATEST) QUESTIONS WITH ACTUAL SOLUTIONS!!
Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags.
The nurse is caring for a client after a bronchoscopy and biopsy. Which finding, if noted in the client,
would the nurse immediately report to the primary health care provider?
1. Dry cough
2. Hematuria
3. Bronchospasm
4. Blood-streaked sputum - (answer)Bronchospasm
The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse
would expect to note which finding?
1. Slow, deep respirations
2. Rapid, deep respirations
3. Paradoxical respirations
4. Pain, especially with inspiration - (answer)Pain, especially with inspiration
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 - (answer)Paradoxical chest movement
The nurse is assessing a client with multiple trauma who is at risk for developing acute respiratory
distress syndrome. The nurse would assess for which earliest sign of acute respiratory distress
syndrome?
1. Bilateral wheezing
2. Inspiratory crackles
3. Intercostal retractions
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 - (answer)Diminished breath sounds
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 - (answer)A hyperinflated chest
noted on the chest x-ray
Decreased oxygen saturation with mild exercise
The nurse is preparing a list of home care instructions for a client who has been hospitalized and treated
for tuberculosis. Which instructions would the nurse include on the list? Select all that apply.
1. Activities should be resumed gradually.
2. Avoid contact with other individuals, except family members, for at least 6 months.
3. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
4. Respiratory isolation is not necessary, because family members already have been exposed.
5. Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags.
6. When one sputum culture is negative, the client is no longer considered infectious and usually can
return to former employment. - (answer)Activities should be resumed gradually.
A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
Respiratory isolation is not necessary, because family members already have been exposed.
, CCC1 EXAM #3 (LATEST) QUESTIONS WITH ACTUAL SOLUTIONS!!
Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags.
The nurse is caring for a client after a bronchoscopy and biopsy. Which finding, if noted in the client,
would the nurse immediately report to the primary health care provider?
1. Dry cough
2. Hematuria
3. Bronchospasm
4. Blood-streaked sputum - (answer)Bronchospasm
The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse
would expect to note which finding?
1. Slow, deep respirations
2. Rapid, deep respirations
3. Paradoxical respirations
4. Pain, especially with inspiration - (answer)Pain, especially with inspiration
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 - (answer)Paradoxical chest movement
The nurse is assessing a client with multiple trauma who is at risk for developing acute respiratory
distress syndrome. The nurse would assess for which earliest sign of acute respiratory distress
syndrome?
1. Bilateral wheezing
2. Inspiratory crackles
3. Intercostal retractions
