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Passpoint-Respiratory 2021
Question 1 See full question

A client with asthma has been taking theophylline as ordered. Now, the client's blood theophylline level
is 4.8 mcg/ml. Which dosage change will the physician order?

You Selected:

• Maintain the dose.

Correct response:

• Increase the dose.

Explanation:

Remediation:

Question 2 See full question

A nurse notices that a client admitted for exacerbation of chronic obstructive pulmonary disease is short
of breath. The client has signed an advance directive indicating that he doesn't want to be resuscitated.
The nurse should:
You Selected:

• not provide any care.

Correct response:

• check the client's oxygen saturation.

Explanation:

Remediation:

Question 3 See full question

The nurse is teaching a client who will be undergoing a lung resection. The client is told that two chest
tubes will be placed during surgery. The nurse explains that the purpose of the lower chest tube is to:

You Selected:

• remove air.

Correct response:

• remove fluid.

Explanation:

Remediation:

Question 4 See full question

The nurse is planning to teach the client how to properly use a metered-dose inhaler to treat asthma.

,The nurse should tell the client to:

,You Selected:

• cough and deep-breathe before inhaling the medication.

Correct response:

• rinse the mouth after each use of a steroid inhaler.

Explanation:

Question 5 See full question

The nurse has administered aminophylline to a client with emphysema. The medication is effective when
there is:

You Selected:

• efficient pulmonary circulation.

Correct response:

• relaxation of smooth muscles in the bronchioles.

Explanation:

Question 6 See full question

An adolescent with cystic fibrosis has been hospitalized several times. On the latest admission, the client
has labored respirations, fatigue, malnutrition, and failure to thrive. Which initial nursing actions are
most important?

You Selected:

• applying an oximeter and initiating respiratory therapy

Correct response:

• applying an oximeter and initiating respiratory therapy

Explanation:

Remediation:

Question 7 See full question

After a total laryngectomy, the client has a feeding tube. The feeding tube is effective if the tube
feedings:

You Selected:

• prevent fistula formation.

Correct response:

• meet the fluid and nutritional needs of the client.

, Explanation:

Remediation:

Question 8 See full question

A client with bacterial pneumonia is to be started on IV antibiotics. Which diagnostic tests must be
completed before antibiotic therapy begins?

You Selected:

• red blood cell count

Correct response:

• sputum culture

Explanation:

Remediation:

Question 9 See full question

The nurse assesses the respiratory status of a client who is experiencing an exacerbation of chronic
obstructive pulmonary disease (COPD) secondary to an upper respiratory tract infection. Which findings
is expected?

You Selected:

• coarse crackles and rhonchi

Correct response:

• coarse crackles and rhonchi

Explanation:

Remediation:

Question 10 See full question

A client is prescribed metaproterenol via a metered-dose inhaler, two puffs every 4 hours. The nurse
instructs the client to report which adverse effect?

You Selected:

• decreased pulse rate

Correct response:

• irregular heartbeat

Explanation:

Question 11 See full question