EAQ Gas Exchange
An older client with a history of congestive heart failure expresses concern about potential exposure to
TB from his or her roommate at the extended care facility. The roommate coughs a great deal and
sometimes spits up blood. Which is the primary reason that the nurse pursues more information about
the roommate?
A. Death from TB is on the increase in older populations.
B. The roommate is causing increased anxiety and stress in the client.
C. TB adversely affects older adults with chronic illness.
D. Most likely, the roommate prevents the client from getting proper sleep. - C. TB adversely
affects older adults with chronic illness.
Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks?
SELECT ALL THAT APPLY.
A. Mold
B. Cold Air
C. Pet Dander
D. Air Pollution
E. Cigarette Smoke - A. Mold
B. Cold Air
C. Pet Dander
D. Air Pollution
E. Cigarette Smoke
A client arrives in the ED with multiple crushing wounds of the chest, abdomen, and legs. What are
priority nursing assessments?
A. Level of consciousness and pupil size.
,B. Characteristics of pain and blood pressure.
C. Quality of respirations and presence of pulses.
D. Observation of abdominal contusions and other wounds. - C. Quality of respirations and
presence of pulses.
During administration of an antibiotic, the client becomes restless and flushed, and begins to wheeze.
Which action will the nurse take after stopping the antibiotic infusion?
A. Check the client's temperature
B. Take the client's blood pressure
C. Obtain the client's pulse oximetry
D. Assess the client's respiratory status - D. Assess the client's respiratory status
Which amount is the normal value of a client's inspiratory reserve volume?
A. 0.5 L
B. 1.0 L
C. 1.5 L
D. 3.0 L - D. 3.0 L
The spouse of a client with TB received a tuberculin skin test. The nurse examined the skin test and
identified an area of induration greater than 10 mm. Which response to this finding would the nurse
implement?
A. No further action is required at this time.
B. Additional tests are necessary to determine infection status.
C. Immediately repeat the skin test for confirmation.
D. Results are positive, indicating an active infection. - B. Additional tests are necessary to
determine infection status.
,Which parameter describes the maximum volume of air a client's lungs may contain?
A. Vital Capacity
B. Total Lung Capacity
C. Inspiratory Capacity
D. Functional Residual Capacity - B. Total Lung Capacity
Which statement describes a client's tidal volume?
A. Tidal volume is the volume of air inhaled and exhaled with each breath.
B. Tidal volume is the amount of air remaining in the lungs after forces expiration.
C. Tidal volume is the additional air forcefully inhaled after normal inhalation.
D. Tidal volume is the additional air forcefully exhaled after normal exhalation. - A. Tidal volume is
the volume of air inhaled and exhaled with each breath.
A child in respiratory distress is admitted to the hospital and diagnosed with acute spasmodic laryngitis.
At the time of discharge, the mother asks how to handle another attack at home. Which would the nurse
recommend?
A. Place him near a cool-mist humidifier.
B. Bring him to the ED.
C. Give him an over-the-counter cough syrup.
D. Offer him warm tea sweetened with honey. - A. Place him near a cool-mist humidifier.
The nurse described a client's abnormal breath suds and included crackles, rhonchi, wheezes, and
pleural friction rubs. Which breath sounds did the nurse hear?
, A. Vesicular
B. Bronchial
C. Adventitious
D. Bronchovesicular - C. Adventitious
The nurse assesses the integumentary system of four clients. Which client has the least change of a false-
positive result while undergoing assessment of capillary refill time?
A. Client with shock.
B. Client with anemia.
C. Client with epilepsy.
D. Client with perisperhal vascular disease. - C. Client with epilepsy.
A client reports left-sided chest pain after playin racquetball. The client is hospitalized and diagnosed
with left pneumothorax. When assessing the client's left chest area, the nurse expects to identify which
finding?
A. Dull sound on percussion
B. Vocal fremitus on palpation
C. Rales w/ rhonchi on auscultation
D. Absence of breath sounds on auscultation - D. Absence of breath sounds on auscultation
Which explanation would the nurse provide to the parents of a child with spasmodic croup who ask why
their child is receiving humidified oxygen?
A. It helps prevent drying of membranes.
B. It provides a mode of giving inhalant medications.
C. It increases the surface tension of the respiratory tract.
An older client with a history of congestive heart failure expresses concern about potential exposure to
TB from his or her roommate at the extended care facility. The roommate coughs a great deal and
sometimes spits up blood. Which is the primary reason that the nurse pursues more information about
the roommate?
A. Death from TB is on the increase in older populations.
B. The roommate is causing increased anxiety and stress in the client.
C. TB adversely affects older adults with chronic illness.
D. Most likely, the roommate prevents the client from getting proper sleep. - C. TB adversely
affects older adults with chronic illness.
Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks?
SELECT ALL THAT APPLY.
A. Mold
B. Cold Air
C. Pet Dander
D. Air Pollution
E. Cigarette Smoke - A. Mold
B. Cold Air
C. Pet Dander
D. Air Pollution
E. Cigarette Smoke
A client arrives in the ED with multiple crushing wounds of the chest, abdomen, and legs. What are
priority nursing assessments?
A. Level of consciousness and pupil size.
,B. Characteristics of pain and blood pressure.
C. Quality of respirations and presence of pulses.
D. Observation of abdominal contusions and other wounds. - C. Quality of respirations and
presence of pulses.
During administration of an antibiotic, the client becomes restless and flushed, and begins to wheeze.
Which action will the nurse take after stopping the antibiotic infusion?
A. Check the client's temperature
B. Take the client's blood pressure
C. Obtain the client's pulse oximetry
D. Assess the client's respiratory status - D. Assess the client's respiratory status
Which amount is the normal value of a client's inspiratory reserve volume?
A. 0.5 L
B. 1.0 L
C. 1.5 L
D. 3.0 L - D. 3.0 L
The spouse of a client with TB received a tuberculin skin test. The nurse examined the skin test and
identified an area of induration greater than 10 mm. Which response to this finding would the nurse
implement?
A. No further action is required at this time.
B. Additional tests are necessary to determine infection status.
C. Immediately repeat the skin test for confirmation.
D. Results are positive, indicating an active infection. - B. Additional tests are necessary to
determine infection status.
,Which parameter describes the maximum volume of air a client's lungs may contain?
A. Vital Capacity
B. Total Lung Capacity
C. Inspiratory Capacity
D. Functional Residual Capacity - B. Total Lung Capacity
Which statement describes a client's tidal volume?
A. Tidal volume is the volume of air inhaled and exhaled with each breath.
B. Tidal volume is the amount of air remaining in the lungs after forces expiration.
C. Tidal volume is the additional air forcefully inhaled after normal inhalation.
D. Tidal volume is the additional air forcefully exhaled after normal exhalation. - A. Tidal volume is
the volume of air inhaled and exhaled with each breath.
A child in respiratory distress is admitted to the hospital and diagnosed with acute spasmodic laryngitis.
At the time of discharge, the mother asks how to handle another attack at home. Which would the nurse
recommend?
A. Place him near a cool-mist humidifier.
B. Bring him to the ED.
C. Give him an over-the-counter cough syrup.
D. Offer him warm tea sweetened with honey. - A. Place him near a cool-mist humidifier.
The nurse described a client's abnormal breath suds and included crackles, rhonchi, wheezes, and
pleural friction rubs. Which breath sounds did the nurse hear?
, A. Vesicular
B. Bronchial
C. Adventitious
D. Bronchovesicular - C. Adventitious
The nurse assesses the integumentary system of four clients. Which client has the least change of a false-
positive result while undergoing assessment of capillary refill time?
A. Client with shock.
B. Client with anemia.
C. Client with epilepsy.
D. Client with perisperhal vascular disease. - C. Client with epilepsy.
A client reports left-sided chest pain after playin racquetball. The client is hospitalized and diagnosed
with left pneumothorax. When assessing the client's left chest area, the nurse expects to identify which
finding?
A. Dull sound on percussion
B. Vocal fremitus on palpation
C. Rales w/ rhonchi on auscultation
D. Absence of breath sounds on auscultation - D. Absence of breath sounds on auscultation
Which explanation would the nurse provide to the parents of a child with spasmodic croup who ask why
their child is receiving humidified oxygen?
A. It helps prevent drying of membranes.
B. It provides a mode of giving inhalant medications.
C. It increases the surface tension of the respiratory tract.
