Nurs 432 Ch. 29 Assessment of the Respiratory System
questions with accurate answers
A client comes to the emergency department with a productive cough.
Which symptom does the nurse look for that will require immediate
attention?
A. Blood in the sputum
B. Mucoid sputum
C. Pink frothy sputum
D. Yellow sputum Ans✓✓✓ Pink frothy sputum
A client had a thoracentesis 1 day ago. He calls the home health agency
and tells the nurse that he is very short of breath and anxious. What is
the major concern of the nurse?
A. Abscess
B. Pneumonia
C. Pneumothorax
D. Pulmonary embolism Ans✓✓✓ Pneumothorax
A client has returned to the postanesthesia care unit (PACU) after a
bronchoscopy. Which of these nursing tasks is best for the charge nurse
to delegate to the experienced nursing assistant working in PACU?
A. Assess breath sounds.
B. Check gag reflex.
C. Determine level of consciousness.
,D. Monitor blood pressure and pulse. Ans✓✓✓ Monitor blood pressure
and pulse.
A client is admitted to the medical floor with a new diagnosis of lung
cancer. How can the nurse assist the client initially with the anxiety
associated with the new diagnosis?
A. Encourage client to ask questions and verbalize concerns.
B. Leave client alone to deal with his own feelings.
C. Medicate client with diazepam (Valium) for anxiety every 8 hours.
D. Provide journals about cancer treatment. Ans✓✓✓ Encourage client
to ask questions and verbalize concerns.
A client is admitted to the surgical floor with chest pain, shortness of
breath, and hypoxemia after having a knee replacement. What diagnostic
test will the nurse teach the client about to help confirm the diagnosis?
A. Bronchoscopy
B. Chest x-ray
C. Computed tomography (CT) scan
D. Thoracoscopy Ans✓✓✓ Computed tomography (CT) scan
A client is having surgery. He asks his nurse, "When they put that tube
in my throat, where does it really go?" What is the name of the opening
of the vocal cords?
A. Arytenoid cartilage
B. Epiglottis
, C. Glottis
D. Palatine tonsils Ans✓✓✓ Glottis
A client with asthma reports shortness of breath. What is the nurse
assessing when auscultating this client's chest?
A. Adventitious breath sounds
B. Fremitus
C. Oxygenation status
D. Respiratory excursion Ans✓✓✓ Adventitious breath sounds
A cough can be a side of effect of this group of prescribed drugs
Ans✓✓✓ ACE inhibitors
Adventitious sounds Ans✓✓✓ Additional breath sounds superimposed
on normal sounds; indicate pathologic changes in the lung
Alveoli Ans✓✓✓ The basic units of gas exchange
An RN and an LPN/LVN are working together to provide care for a
client hospitalized with dyspnea who requires all of these nursing
actions. Which of these actions is best accomplished by the RN?
A. Administer the purified protein derivative (PPD) for tuberculosis
testing.
B. Assess vital signs and the puncture site after thoracentesis.
C. Monitor oxygen saturation using pulse oximetry every 4 hours.
questions with accurate answers
A client comes to the emergency department with a productive cough.
Which symptom does the nurse look for that will require immediate
attention?
A. Blood in the sputum
B. Mucoid sputum
C. Pink frothy sputum
D. Yellow sputum Ans✓✓✓ Pink frothy sputum
A client had a thoracentesis 1 day ago. He calls the home health agency
and tells the nurse that he is very short of breath and anxious. What is
the major concern of the nurse?
A. Abscess
B. Pneumonia
C. Pneumothorax
D. Pulmonary embolism Ans✓✓✓ Pneumothorax
A client has returned to the postanesthesia care unit (PACU) after a
bronchoscopy. Which of these nursing tasks is best for the charge nurse
to delegate to the experienced nursing assistant working in PACU?
A. Assess breath sounds.
B. Check gag reflex.
C. Determine level of consciousness.
,D. Monitor blood pressure and pulse. Ans✓✓✓ Monitor blood pressure
and pulse.
A client is admitted to the medical floor with a new diagnosis of lung
cancer. How can the nurse assist the client initially with the anxiety
associated with the new diagnosis?
A. Encourage client to ask questions and verbalize concerns.
B. Leave client alone to deal with his own feelings.
C. Medicate client with diazepam (Valium) for anxiety every 8 hours.
D. Provide journals about cancer treatment. Ans✓✓✓ Encourage client
to ask questions and verbalize concerns.
A client is admitted to the surgical floor with chest pain, shortness of
breath, and hypoxemia after having a knee replacement. What diagnostic
test will the nurse teach the client about to help confirm the diagnosis?
A. Bronchoscopy
B. Chest x-ray
C. Computed tomography (CT) scan
D. Thoracoscopy Ans✓✓✓ Computed tomography (CT) scan
A client is having surgery. He asks his nurse, "When they put that tube
in my throat, where does it really go?" What is the name of the opening
of the vocal cords?
A. Arytenoid cartilage
B. Epiglottis
, C. Glottis
D. Palatine tonsils Ans✓✓✓ Glottis
A client with asthma reports shortness of breath. What is the nurse
assessing when auscultating this client's chest?
A. Adventitious breath sounds
B. Fremitus
C. Oxygenation status
D. Respiratory excursion Ans✓✓✓ Adventitious breath sounds
A cough can be a side of effect of this group of prescribed drugs
Ans✓✓✓ ACE inhibitors
Adventitious sounds Ans✓✓✓ Additional breath sounds superimposed
on normal sounds; indicate pathologic changes in the lung
Alveoli Ans✓✓✓ The basic units of gas exchange
An RN and an LPN/LVN are working together to provide care for a
client hospitalized with dyspnea who requires all of these nursing
actions. Which of these actions is best accomplished by the RN?
A. Administer the purified protein derivative (PPD) for tuberculosis
testing.
B. Assess vital signs and the puncture site after thoracentesis.
C. Monitor oxygen saturation using pulse oximetry every 4 hours.
