1. A client with suspected TB is admitted to the hospital. A long with a private room, which of the
following is appropriate related to isolation procedures?
D. Negative airflow room with a specially fitted respirator
2. A client presents with signs and symptoms that are often associated with lung cancer. Which
clinical manifestations does the nurse expect to observe in this client? (SAT.) b. Hoarseness
d. Frank hemoptysis
e. Chest tightness
3. A client was recently diagnosed with laryngeal cancer. When the nurse begins taking the client’s
history, the client asks,” did you know that I have throat cancer and may not survive?” D.
Tell me more about your concerns.
4.The nurse is caring for a client who was recently diagnosed with cystic fibrosis. Which of the following
is a treatment option for this disorder? c. Chest physiotherapy
5. Anxiety is common among clients who are diagnosed with chronic obstructive pulmonary disease.
Which of the following interventions can assist in reducing a client’s anxiety? (SATA.) b. Plan
out periods of rest throughout the day.
c. Professional counseling.
d. Written plan for dealing with anxiety
e. Relaxation techniques
6. During an admission assessment, the client tells the nurse that she was recently prescribed a new
medication called montelukast. What is the best response by the nurse to assess the client’s
understanding of the montelukast?
a. have you been taking this medication on a scheduled basis?
7. . A client has a positive Mantoux skin test result. What explanation does the nurse give to the client?
d. “You have been infected but this does not mean the active disease is present.”
8 The nurse knows which of the following is the purpose of montelukast for a client with asthma
Blocks leukotriene receptors to decrease inflammation.
9. The nurse is caring for a client who was recently diagnosed with asthma and is providing
education on triggers of asthma. Which of the following can potentially trigger the disease process?
(SATA)
A. Cigarette smoking
B. Animal dander
c. Pollution.
e. Dust.
10. The nurse is performing medication teaching for a client with chronic airflow limitation. What is
the correct sequence for administering inhaled medications?
c. Bronchodilator should be taken at least 5 minutes before other inhaled drugs.
, 11. A nurse is preparing to administer hydromorphone 2.5mg po now, available is hydromorphone
5mg/5
2.5
12. The nurse teaches a client with asthma to monitor for which problem while exercising?
a. Wheezing from bronchospasm.
13. . Which of the following is a major diagnostic test for cystic fibrosis?Sweat chloride test
14. A nurse is providing discharge instructions to a client recently diagnosed with Tb. Which
statement by the client indicates a correct understanding of the teaching?
A. “I will follow up with my healthcare provider regularly.
B. “I need to strictly adhere to my medication schedule.”
C. “ I will avoid alcoholic beverages while on this treatment plan”.
15. . A client who has chronic obstructive pulmonary disease (COPD) and asthma is receiving oxygen
at 2 liters per minute. A family member tells a nurse. ” My mother did not look good, so I turned her
oxygen up to 7 liters”. Which of these nursing actions is best?
c. Decrease the oxygen to 2 liters per minute and assess the client.
16. A nurse is providing education to a client recently diagnosed with pulmonary hypertension.
What is the goal of drug therapy for this client?
C. Reduce the pulmonary pressure to slow cor pulmonale.
17. A Patient with a recent diagnosis of sinus cancer states that he want another cause of antibiotics
because he believes he has another sinus infection. What is the best nurse response?
B. “ Tell me more about your understanding of sinus cancer symptoms”
18. . A nurse is caring for a client who has emphysema. Which of the following findings should the
nurse expect to assess in this client? SATA.
B. Wheezing
C. Tachypnea
C. Distended jugular veins
D. Barrel chest
19. A client arrives in the emergency department with epistaxis. What is the nurse’s priority
intervention?
a. Position the client upright with the head forward.
20. A nurse is caring for several older client in the hospital that the nurse identifies as being at high
risk for healthcare-associated pneumonia. To reduce this risk, what activities should the nurse delegate
to the unlicensed assistive personnel (UAP)? a. Provide oral care every 4 hours.
21. The nurse is providing discharge instruction for a client diagnosed with pneumonia. Which
information is the nurse sure to include? class
following is appropriate related to isolation procedures?
D. Negative airflow room with a specially fitted respirator
2. A client presents with signs and symptoms that are often associated with lung cancer. Which
clinical manifestations does the nurse expect to observe in this client? (SAT.) b. Hoarseness
d. Frank hemoptysis
e. Chest tightness
3. A client was recently diagnosed with laryngeal cancer. When the nurse begins taking the client’s
history, the client asks,” did you know that I have throat cancer and may not survive?” D.
Tell me more about your concerns.
4.The nurse is caring for a client who was recently diagnosed with cystic fibrosis. Which of the following
is a treatment option for this disorder? c. Chest physiotherapy
5. Anxiety is common among clients who are diagnosed with chronic obstructive pulmonary disease.
Which of the following interventions can assist in reducing a client’s anxiety? (SATA.) b. Plan
out periods of rest throughout the day.
c. Professional counseling.
d. Written plan for dealing with anxiety
e. Relaxation techniques
6. During an admission assessment, the client tells the nurse that she was recently prescribed a new
medication called montelukast. What is the best response by the nurse to assess the client’s
understanding of the montelukast?
a. have you been taking this medication on a scheduled basis?
7. . A client has a positive Mantoux skin test result. What explanation does the nurse give to the client?
d. “You have been infected but this does not mean the active disease is present.”
8 The nurse knows which of the following is the purpose of montelukast for a client with asthma
Blocks leukotriene receptors to decrease inflammation.
9. The nurse is caring for a client who was recently diagnosed with asthma and is providing
education on triggers of asthma. Which of the following can potentially trigger the disease process?
(SATA)
A. Cigarette smoking
B. Animal dander
c. Pollution.
e. Dust.
10. The nurse is performing medication teaching for a client with chronic airflow limitation. What is
the correct sequence for administering inhaled medications?
c. Bronchodilator should be taken at least 5 minutes before other inhaled drugs.
, 11. A nurse is preparing to administer hydromorphone 2.5mg po now, available is hydromorphone
5mg/5
2.5
12. The nurse teaches a client with asthma to monitor for which problem while exercising?
a. Wheezing from bronchospasm.
13. . Which of the following is a major diagnostic test for cystic fibrosis?Sweat chloride test
14. A nurse is providing discharge instructions to a client recently diagnosed with Tb. Which
statement by the client indicates a correct understanding of the teaching?
A. “I will follow up with my healthcare provider regularly.
B. “I need to strictly adhere to my medication schedule.”
C. “ I will avoid alcoholic beverages while on this treatment plan”.
15. . A client who has chronic obstructive pulmonary disease (COPD) and asthma is receiving oxygen
at 2 liters per minute. A family member tells a nurse. ” My mother did not look good, so I turned her
oxygen up to 7 liters”. Which of these nursing actions is best?
c. Decrease the oxygen to 2 liters per minute and assess the client.
16. A nurse is providing education to a client recently diagnosed with pulmonary hypertension.
What is the goal of drug therapy for this client?
C. Reduce the pulmonary pressure to slow cor pulmonale.
17. A Patient with a recent diagnosis of sinus cancer states that he want another cause of antibiotics
because he believes he has another sinus infection. What is the best nurse response?
B. “ Tell me more about your understanding of sinus cancer symptoms”
18. . A nurse is caring for a client who has emphysema. Which of the following findings should the
nurse expect to assess in this client? SATA.
B. Wheezing
C. Tachypnea
C. Distended jugular veins
D. Barrel chest
19. A client arrives in the emergency department with epistaxis. What is the nurse’s priority
intervention?
a. Position the client upright with the head forward.
20. A nurse is caring for several older client in the hospital that the nurse identifies as being at high
risk for healthcare-associated pneumonia. To reduce this risk, what activities should the nurse delegate
to the unlicensed assistive personnel (UAP)? a. Provide oral care every 4 hours.
21. The nurse is providing discharge instruction for a client diagnosed with pneumonia. Which
information is the nurse sure to include? class
