Test 3: Asthma and COPD UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Which of the following physical assessment finds would the nurse expect to find in a client with
advance chronic obstructive pulmonary disease (COPD) - CORRECT ANSWER -
Increased anterior to posterior chest diameter (barrel chest)
When instructing client on how to decrease the risk of COPD. The nurse would emphasize which
of the following behaviors? - CORRECT ANSWER - Abstain from cigarette smoking
Which of the following is the primary reason to teach pursed-lip breathing to clients with
emphysema? - CORRECT ANSWER - To promote carbon dioxide elimination.
The condition traps carbon dioxide which makes it difficult to get it out.
A client with COPD is experiencing dyspnea and has low PaO2 levels. The nurse plans to
administer oxygen as ordered. What helps with oxygen administration with a COPD client. -
CORRECT ANSWER - High oxygen concentration may inhibit the hypoxic stimulus to
breath
When creating a discharge plan to manage the care of a client with COPD, the nurse will
anticipate that eh client will do which of the following? - CORRECT ANSWER - Develop
respiratory infections easily
A client with COPD reports steady weight loss and being "too tired from just breathing to eat."
Which of the following nursing diagnoses would be most appropriate when planning nutritional
interventions for this client? - CORRECT ANSWER - Imbalanced nutrition: less than
body requirements related to fatigue
Which of the following outcomes would be appropriate for a client with COPD who has been
discharged to home? - CORRECT ANSWER - The client agrees to call the physician if
dyspnea on exertion increases
, Which of the following is a priority goal for the client with COPD? - CORRECT
ANSWER - Maintaining functional ability
When teaching a client with COPD to conserve energy, the nurse should teach the client to lift
objects: - CORRECT ANSWER - While exhaling though pursed lips
The nurse teaches a client with COPD to assess for signs and symptoms of right sided heart
failure. Which of the following signs and symptoms should be included in the teaching plan? -
CORRECT ANSWER - Peripheral edema
The nurse assesses the respiratory status of a client who is experiencing an exacerbation of
COPD secondary to an upper respiratory tract infection. Which of the following findings would
be expected? - CORRECT ANSWER - Coarse crackles and rhonchi
Which of the following blood gas abnormalities should the nurse anticipate in a client with
advanced COPD? - CORRECT ANSWER - Increased PaCO2
Which of the following diets would be most appropriate for a client with COPD? - CORRECT
ANSWER - High calories high protein diet
The nurse administers Theophylline to a client, to evaluate the effectiveness of this medication,
which of the following drug actions should the nurse anticipate? - CORRECT ANSWER -
Relaxation of bronchial smooth muscle
The nurse is planning to teach a client with COPD how to cough effectively. Which of the
following instructions should be included? - CORRECT ANSWER - Take a deep
abdominal breath, or sniff bend forward and cough three or four times on exhalation
Which of the following would be an appropriate expected outcome for an adult client with well
controlled asthma? - CORRECT ANSWER - Breath sounds are clear
ACTUAL Exam Questions and CORRECT
Answers
Which of the following physical assessment finds would the nurse expect to find in a client with
advance chronic obstructive pulmonary disease (COPD) - CORRECT ANSWER -
Increased anterior to posterior chest diameter (barrel chest)
When instructing client on how to decrease the risk of COPD. The nurse would emphasize which
of the following behaviors? - CORRECT ANSWER - Abstain from cigarette smoking
Which of the following is the primary reason to teach pursed-lip breathing to clients with
emphysema? - CORRECT ANSWER - To promote carbon dioxide elimination.
The condition traps carbon dioxide which makes it difficult to get it out.
A client with COPD is experiencing dyspnea and has low PaO2 levels. The nurse plans to
administer oxygen as ordered. What helps with oxygen administration with a COPD client. -
CORRECT ANSWER - High oxygen concentration may inhibit the hypoxic stimulus to
breath
When creating a discharge plan to manage the care of a client with COPD, the nurse will
anticipate that eh client will do which of the following? - CORRECT ANSWER - Develop
respiratory infections easily
A client with COPD reports steady weight loss and being "too tired from just breathing to eat."
Which of the following nursing diagnoses would be most appropriate when planning nutritional
interventions for this client? - CORRECT ANSWER - Imbalanced nutrition: less than
body requirements related to fatigue
Which of the following outcomes would be appropriate for a client with COPD who has been
discharged to home? - CORRECT ANSWER - The client agrees to call the physician if
dyspnea on exertion increases
, Which of the following is a priority goal for the client with COPD? - CORRECT
ANSWER - Maintaining functional ability
When teaching a client with COPD to conserve energy, the nurse should teach the client to lift
objects: - CORRECT ANSWER - While exhaling though pursed lips
The nurse teaches a client with COPD to assess for signs and symptoms of right sided heart
failure. Which of the following signs and symptoms should be included in the teaching plan? -
CORRECT ANSWER - Peripheral edema
The nurse assesses the respiratory status of a client who is experiencing an exacerbation of
COPD secondary to an upper respiratory tract infection. Which of the following findings would
be expected? - CORRECT ANSWER - Coarse crackles and rhonchi
Which of the following blood gas abnormalities should the nurse anticipate in a client with
advanced COPD? - CORRECT ANSWER - Increased PaCO2
Which of the following diets would be most appropriate for a client with COPD? - CORRECT
ANSWER - High calories high protein diet
The nurse administers Theophylline to a client, to evaluate the effectiveness of this medication,
which of the following drug actions should the nurse anticipate? - CORRECT ANSWER -
Relaxation of bronchial smooth muscle
The nurse is planning to teach a client with COPD how to cough effectively. Which of the
following instructions should be included? - CORRECT ANSWER - Take a deep
abdominal breath, or sniff bend forward and cough three or four times on exhalation
Which of the following would be an appropriate expected outcome for an adult client with well
controlled asthma? - CORRECT ANSWER - Breath sounds are clear
