NURS 333 Ch. 40 | Actual study set |
Questions and verified Answers
A patient who started smoking in adolescence and continues to smoke 40 years later comes to the clinic.
The nurse understands that this patient has an increased risk for being diagnosed with which disorder:
A) Alcoholism and hypertension
B) Obesity and diabetes
C) Stress-related illnesses
D) Cardiopulmonary disease and lung cancer - ANSW-Cardiopulmonary disease and lung cancer
A patient has been diagnosed with severe iron deficiency anemia. During physical assessment for which
of the following symptoms would the nurse assess to determine the patient's oxygen status?
A) Increased breathlessness but increased activity tolerance
B) Decreased breathlessness and decreased activity tolerance
C) Increased activity tolerance and decreased breathlessness
D) Decreased activity tolerance and increased breathlessness - ANSW-Decreased activity tolerance and
increased breathlessness
A patient is admitted to the emergency department with suspected carbon monoxide poisoning. Even
though the patient's color is ruddy, not cyanotic, the nurse understands that the patient is at a risk for
decreased oxygen-carrying capacity of blood because carbon monoxide does which of the following:
A) Stimulates hyperventilation, causing respiratory alkalosis
B) Forms a strong bond with hemoglobin, creating a functional anemia.
C) Stimulates hypoventilation, causing respiratory acidosis
D) Causes alveoli to overinflate, leading to atelectasis - ANSW-Forms a strong bond with hemoglobin,
creating a functional anemia.
A 6-year-old boy is admitted to the pediatric unit with chills and a fever of 104°F (40°C). What
physiological process explains why the child is at risk for developing dyspnea?
A) Fever increases metabolic demands, requiring increased oxygen need.
B) Blood glucose stores are depleted, and the cells do not have energy to use oxygen.
C) Carbon dioxide production increases as result of hyperventilation.
D) Carbon dioxide production decreases as a result of hypoventilation. - ANSW-Fever increases metabolic
demands, requiring increased oxygen need.
A patient is admitted with the diagnosis of severe left-sided heart failure. The nurse expects to auscultate
which adventitious lung sounds?
A) Sonorous wheezes in the left lower lung
B) Rhonchi midsternum
C) Crackles only in apex of lungs
D) Inspiratory crackles in lung bases - ANSW-Inspiratory crackles in lung bases
, The nurse is caring for a patient who has decreased mobility. Which intervention is a simple and cost-
effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall
expansion?
A) Antibiotics
B) Frequent change of position
C) Oxygen humidification
D) Chest physiotherapy - ANSW-Frequent change of position
A patient is admitted with severe lobar pneumonia. Which of the following assessment findings would
indicate that the patient needs airway suctioning?
A) Coughing up thick sputum only occasionally
B) Coughing up thin, watery sputum easily after nebulization
C) Decreased independent ability to cough
D) Lung sounds clear only after coughing - ANSW-Decreased independent ability to cough
A patient was admitted after a motor vehicle accident with multiple fractured ribs. Respiratory
assessment includes signs/symptoms of secondary pneumothorax, which includes which of the
following?
A) Sharp pleuritic pain that worsens on inspiration
B) Crackles over lung bases of affected lung
C) Tracheal deviation toward the affected lung
D) Increased diaphragmatic excursion on side of rib fractures - ANSW-Sharp pleuritic pain that worsens
on inspiration
A patient has been newly diagnosed with emphysema. In discussing his condition with the nurse, which
of his statements would indicate a need for further education?
A) "I'll make sure that I rest between activities so I don't get so short of breath."
B) "I'll rest for 30 minutes before I eat my meal."
C) "If I have trouble breathing at night, I'll use two to three pillows to prop up."
D) "If I get short of breath, I'll turn up my oxygen level to 6 L/min." - ANSW-"If I get short of breath, I'll
turn up my oxygen level to 6 L/min."
The nurse goes to assess a new patient and finds him lying supine in bed. The patient tells the nurse that
he feels short of breath. Which nursing action should the nurse perform first?
A) Raise the head of the bed to 45 degrees.
B) Take his oxygen saturation with a pulse oximeter.
C) Take his blood pressure and respiratory rate.
D) Notify the health care provider of his shortness of breath. - ANSW-Raise the head of the bed to 45
degrees.
The nurse is caring for a patient who exhibits labored breathing and uses accessory muscles. The patient
has crackles in both lung bases and diminished breath sounds. Which would be priority assessments for
the nurse to perform? (Select all that apply.)
A) SpO2 levels
B) Amount of sputum production
Questions and verified Answers
A patient who started smoking in adolescence and continues to smoke 40 years later comes to the clinic.
The nurse understands that this patient has an increased risk for being diagnosed with which disorder:
A) Alcoholism and hypertension
B) Obesity and diabetes
C) Stress-related illnesses
D) Cardiopulmonary disease and lung cancer - ANSW-Cardiopulmonary disease and lung cancer
A patient has been diagnosed with severe iron deficiency anemia. During physical assessment for which
of the following symptoms would the nurse assess to determine the patient's oxygen status?
A) Increased breathlessness but increased activity tolerance
B) Decreased breathlessness and decreased activity tolerance
C) Increased activity tolerance and decreased breathlessness
D) Decreased activity tolerance and increased breathlessness - ANSW-Decreased activity tolerance and
increased breathlessness
A patient is admitted to the emergency department with suspected carbon monoxide poisoning. Even
though the patient's color is ruddy, not cyanotic, the nurse understands that the patient is at a risk for
decreased oxygen-carrying capacity of blood because carbon monoxide does which of the following:
A) Stimulates hyperventilation, causing respiratory alkalosis
B) Forms a strong bond with hemoglobin, creating a functional anemia.
C) Stimulates hypoventilation, causing respiratory acidosis
D) Causes alveoli to overinflate, leading to atelectasis - ANSW-Forms a strong bond with hemoglobin,
creating a functional anemia.
A 6-year-old boy is admitted to the pediatric unit with chills and a fever of 104°F (40°C). What
physiological process explains why the child is at risk for developing dyspnea?
A) Fever increases metabolic demands, requiring increased oxygen need.
B) Blood glucose stores are depleted, and the cells do not have energy to use oxygen.
C) Carbon dioxide production increases as result of hyperventilation.
D) Carbon dioxide production decreases as a result of hypoventilation. - ANSW-Fever increases metabolic
demands, requiring increased oxygen need.
A patient is admitted with the diagnosis of severe left-sided heart failure. The nurse expects to auscultate
which adventitious lung sounds?
A) Sonorous wheezes in the left lower lung
B) Rhonchi midsternum
C) Crackles only in apex of lungs
D) Inspiratory crackles in lung bases - ANSW-Inspiratory crackles in lung bases
, The nurse is caring for a patient who has decreased mobility. Which intervention is a simple and cost-
effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall
expansion?
A) Antibiotics
B) Frequent change of position
C) Oxygen humidification
D) Chest physiotherapy - ANSW-Frequent change of position
A patient is admitted with severe lobar pneumonia. Which of the following assessment findings would
indicate that the patient needs airway suctioning?
A) Coughing up thick sputum only occasionally
B) Coughing up thin, watery sputum easily after nebulization
C) Decreased independent ability to cough
D) Lung sounds clear only after coughing - ANSW-Decreased independent ability to cough
A patient was admitted after a motor vehicle accident with multiple fractured ribs. Respiratory
assessment includes signs/symptoms of secondary pneumothorax, which includes which of the
following?
A) Sharp pleuritic pain that worsens on inspiration
B) Crackles over lung bases of affected lung
C) Tracheal deviation toward the affected lung
D) Increased diaphragmatic excursion on side of rib fractures - ANSW-Sharp pleuritic pain that worsens
on inspiration
A patient has been newly diagnosed with emphysema. In discussing his condition with the nurse, which
of his statements would indicate a need for further education?
A) "I'll make sure that I rest between activities so I don't get so short of breath."
B) "I'll rest for 30 minutes before I eat my meal."
C) "If I have trouble breathing at night, I'll use two to three pillows to prop up."
D) "If I get short of breath, I'll turn up my oxygen level to 6 L/min." - ANSW-"If I get short of breath, I'll
turn up my oxygen level to 6 L/min."
The nurse goes to assess a new patient and finds him lying supine in bed. The patient tells the nurse that
he feels short of breath. Which nursing action should the nurse perform first?
A) Raise the head of the bed to 45 degrees.
B) Take his oxygen saturation with a pulse oximeter.
C) Take his blood pressure and respiratory rate.
D) Notify the health care provider of his shortness of breath. - ANSW-Raise the head of the bed to 45
degrees.
The nurse is caring for a patient who exhibits labored breathing and uses accessory muscles. The patient
has crackles in both lung bases and diminished breath sounds. Which would be priority assessments for
the nurse to perform? (Select all that apply.)
A) SpO2 levels
B) Amount of sputum production
