nurs 400 unit 3 Exam Questions & Answers 100%
Correct!!
Chapter 22 Assessment of Respiratory Function - ANSWER-
1. A patient is having her tonsils removed. The patient asks the nurse what function the
tonsils normally serve. Which of the following would be the most accurate response?
A) The tonsils separate your windpipe from your throat when you swallow.
B) The tonsils help to guard the body from invasion of organisms.
C) The tonsils make enzymes that you swallow and which aid with digestion.
D) The tonsils help with regulating the airflow down into your lungs. - ANSWER-B
2. The nurse is caring for a patient who has just returned to the unit after a colon resection.
The patient is showing signs of hypoxia. The nurse knows that this is probably caused by
what?
A) Nitrogen narcosis
B) Infection
C) Impaired diffusion
D) Shunting - ANSWER-D
3. The nurse is assessing a patient who frequently coughs after eating or drinking. How
should the nurse best follow up this assessment finding?
A) Obtain a sputum sample.
B) Perform a swallowing assessment.
C) Inspect the patients tongue and mouth.
D) Assess the patients nutritional status. - ANSWER-B
4. The ED nurse is assessing a patient complaining of dyspnea. The nurse auscultates the
patients chest and hears wheezing throughout the lung fields. What might this indicate?
,A) The patient has a narrowed airway.
B) The patient has pneumonia.
C) The patient needs physiotherapy.
D) The patient has a hemothorax. - ANSWER-A
10. A patient with a decreased level of consciousness is in a recumbent position. How should
the nurse best assess the lung fields for a patient in this position?
A) Inform that physician that the patient is in a recumbent position and anticipate an
order for a portable chest x-ray.
B) Turn the patient to enable assessment of all the patients lung fields.
C) Avoid turning the patient, and assess the accessible breath sounds from the
anterior chest wall.
D) Obtain a pulse oximetry reading, and, if the reading is low, reposition the patient
and auscultate breath sounds. - ANSWER-B
11. A patient is undergoing testing to see if he has a pleural effusion. Which of the nurses
respiratory assessment findings would be most consistent with this diagnosis?
A) Increased tactile fremitus, egophony, and a dull sound upon percussion of the
chest wall
B) Decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion
of the chest wall
C) Lung fields dull to percussion, absent breath sounds, and a pleural friction rub
D) Normal tactile fremitus, decreased breath sounds, and a resonant sound upon
percussion of the chest wall - ANSWER-C
12. The nurse doing rounds at the beginning of a shift notices a sputum specimen in a
container sitting on the bedside table in a patients room. The nurse asks the patient when
he produced the sputum specimen and he states that the specimen is about 4 hours old.
What action should the nurse take?
A) Immediately take the sputum specimen to the laboratory.
,B) Discard the specimen and assist the patient in obtaining another specimen.
C) Refrigerate the sputum specimen and submit it once it is chilled.
D) Add a small amount of normal saline to moisten the specimen. - ANSWER-B
13. The nurse is assessing a newly admitted medical patient and notes there is a depression
in the lower portion of the patients sternum. This patients health record should note the
presence of what chest deformity?
A) A barrel chest
B) A funnel chest
C) A pigeon chest
D) Kyphoscoliosis - ANSWER-B
5. The nurse is caring for a patient admitted with an acute exacerbation of chronic
obstructive pulmonary disease. During assessment, the nurse finds that the patient is
experiencing increased dyspnea. What is the most accurate measurement of the
concentration of oxygen in the patients blood?
A) A capillary blood sample
B) Pulse oximetry
C) An arterial blood gas (ABG) study
D) A complete blood count (CBC) - ANSWER-C
6. The nurse is caring for a patient who has returned to the unit following a bronchoscopy.
The patient is asking for something to drink. Which criterion will determine when the
nurse should allow the patient to drink fluids?
A) Presence of a cough and gag reflex
B) Absence of nausea
C) Ability to demonstrate deep inspiration
D) Oxygen saturation of 92% - ANSWER-A
7. A patient 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 - ANSWER-C
8. In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse
needs to assess a patients 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 - ANSWER-D
9. A patient asks the nurse why an infection in his upper respiratory system is affecting the
clarity of his speech. Which structure serves as the patients resonating chamber in
speech?
A) Trachea
B) Pharynx
C) Paranasal sinuses
D) Larynx - ANSWER-C
14. The medical nurse who works on a pulmonology unit is aware that several respiratory
conditions can affect lung tissue compliance. The presence of what condition would lead
to an increase in lung compliance?
A) Emphysema
B) Pulmonary fibrosis
C) Pleural effusion
D) Acute respiratory distress syndrome (ARDS) - ANSWER-A
Correct!!
Chapter 22 Assessment of Respiratory Function - ANSWER-
1. A patient is having her tonsils removed. The patient asks the nurse what function the
tonsils normally serve. Which of the following would be the most accurate response?
A) The tonsils separate your windpipe from your throat when you swallow.
B) The tonsils help to guard the body from invasion of organisms.
C) The tonsils make enzymes that you swallow and which aid with digestion.
D) The tonsils help with regulating the airflow down into your lungs. - ANSWER-B
2. The nurse is caring for a patient who has just returned to the unit after a colon resection.
The patient is showing signs of hypoxia. The nurse knows that this is probably caused by
what?
A) Nitrogen narcosis
B) Infection
C) Impaired diffusion
D) Shunting - ANSWER-D
3. The nurse is assessing a patient who frequently coughs after eating or drinking. How
should the nurse best follow up this assessment finding?
A) Obtain a sputum sample.
B) Perform a swallowing assessment.
C) Inspect the patients tongue and mouth.
D) Assess the patients nutritional status. - ANSWER-B
4. The ED nurse is assessing a patient complaining of dyspnea. The nurse auscultates the
patients chest and hears wheezing throughout the lung fields. What might this indicate?
,A) The patient has a narrowed airway.
B) The patient has pneumonia.
C) The patient needs physiotherapy.
D) The patient has a hemothorax. - ANSWER-A
10. A patient with a decreased level of consciousness is in a recumbent position. How should
the nurse best assess the lung fields for a patient in this position?
A) Inform that physician that the patient is in a recumbent position and anticipate an
order for a portable chest x-ray.
B) Turn the patient to enable assessment of all the patients lung fields.
C) Avoid turning the patient, and assess the accessible breath sounds from the
anterior chest wall.
D) Obtain a pulse oximetry reading, and, if the reading is low, reposition the patient
and auscultate breath sounds. - ANSWER-B
11. A patient is undergoing testing to see if he has a pleural effusion. Which of the nurses
respiratory assessment findings would be most consistent with this diagnosis?
A) Increased tactile fremitus, egophony, and a dull sound upon percussion of the
chest wall
B) Decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion
of the chest wall
C) Lung fields dull to percussion, absent breath sounds, and a pleural friction rub
D) Normal tactile fremitus, decreased breath sounds, and a resonant sound upon
percussion of the chest wall - ANSWER-C
12. The nurse doing rounds at the beginning of a shift notices a sputum specimen in a
container sitting on the bedside table in a patients room. The nurse asks the patient when
he produced the sputum specimen and he states that the specimen is about 4 hours old.
What action should the nurse take?
A) Immediately take the sputum specimen to the laboratory.
,B) Discard the specimen and assist the patient in obtaining another specimen.
C) Refrigerate the sputum specimen and submit it once it is chilled.
D) Add a small amount of normal saline to moisten the specimen. - ANSWER-B
13. The nurse is assessing a newly admitted medical patient and notes there is a depression
in the lower portion of the patients sternum. This patients health record should note the
presence of what chest deformity?
A) A barrel chest
B) A funnel chest
C) A pigeon chest
D) Kyphoscoliosis - ANSWER-B
5. The nurse is caring for a patient admitted with an acute exacerbation of chronic
obstructive pulmonary disease. During assessment, the nurse finds that the patient is
experiencing increased dyspnea. What is the most accurate measurement of the
concentration of oxygen in the patients blood?
A) A capillary blood sample
B) Pulse oximetry
C) An arterial blood gas (ABG) study
D) A complete blood count (CBC) - ANSWER-C
6. The nurse is caring for a patient who has returned to the unit following a bronchoscopy.
The patient is asking for something to drink. Which criterion will determine when the
nurse should allow the patient to drink fluids?
A) Presence of a cough and gag reflex
B) Absence of nausea
C) Ability to demonstrate deep inspiration
D) Oxygen saturation of 92% - ANSWER-A
7. A patient 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 - ANSWER-C
8. In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse
needs to assess a patients 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 - ANSWER-D
9. A patient asks the nurse why an infection in his upper respiratory system is affecting the
clarity of his speech. Which structure serves as the patients resonating chamber in
speech?
A) Trachea
B) Pharynx
C) Paranasal sinuses
D) Larynx - ANSWER-C
14. The medical nurse who works on a pulmonology unit is aware that several respiratory
conditions can affect lung tissue compliance. The presence of what condition would lead
to an increase in lung compliance?
A) Emphysema
B) Pulmonary fibrosis
C) Pleural effusion
D) Acute respiratory distress syndrome (ARDS) - ANSWER-A
