Med/Surg Respiratory B & S Questions with Correct Answers

4. The ED nurse is assessing a client who is reporting dyspnea. The nurse auscultates the client's chest and hears wheezing throughout the lung fields. What might this indicate about the client? A. Bronchoconstriction B. Pneumonia C. Hemoptysis D. Hemothorax Correct Answer A. Bronchoconstriction 5. The nurse is caring for a client admitted with an acute exacerbation of chronic obstructive pulmonary disease. During assessment, the nurse finds that the client is experiencing increased dyspnea. What is the most accurate measurement of the concentration of oxygen in the client's blood? A. A capillary blood sample B. Pulse oximetry C. An arterial blood gas (ABG) study D. A complete blood count (CBC) Correct Answer C. An arterial blood gas (ABG) study 7. A client with chronic lung disease is undergoing lung function testing. What test result denotes the volume of air inspired and expired with a normal breath? A. Total lung capacity B. Forced vital capacity C. Tidal volume D. Residual volume Correct Answer C. Tidal volume 8. In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse needs to assess a client's arterial oxygen saturation (SaO2). What procedure will best accomplish this? A. Incentive spirometry B. Arterial blood gas (ABG) measurement C. Peak flow measurement D. Pulse oximetry Correct Answer D. Pulse oximetry 10. A client with a decreased level of consciousness is in a recumbent position. How should the nurse best assess the lung fields for a client in this position? A. Review images from the client's portable chest x-ray. B. Turn the client to enable assessment of all lung fields. C. Assess the breath sounds accessible from the anterior chest wall. D. Assess oxygen saturation and, if low, reposition the client and auscultate breath sounds. Correct Answer B. Turn the client to enable assessment of all lung fields.