MSN 377 PULMONARY EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2025
1. The nurse notes new onset confusion in an older patient who is normally alert and oriented. In
which order should the nurse take the following actions? (Put a comma and a space between
each answer choice [A, B, C, D].)
a. Obtain the oxygen saturation.
b. Check the patients pulse rate.
c. Document the change in status.
d. Notify the health care provider - Answers A, B, D, C
Which factors will the nurse consider when calculating the CURB-65 score for a patient with
pneumonia (select all that apply)?
a.
Age
b.
Blood pressure
c.
Respiratory rate
d.
Oxygen saturation
e.
Presence of confusion
f.
Blood urea nitrogen (BUN) level - Answers a,b,c,e,f
After change-of-shift report, which patient should the nurse assess first?
a.
72-year-old with cor pulmonale who has 4+ bilateral edema in his legs and feet
b.
28-year-old with a history of a lung transplant and a temperature of 101 F (38.3 C)
,c.
40-year-old with a pleural effusion who is complaining of severe stabbing chest pain
d.
64-year-old with lung cancer and tracheal deviation after subclavian catheter insertion - Answers
d
. The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy.
Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?
a.
Document the amount of drainage every eight hours.
b.
Obtain samples of drainage for culture from the system.
c.
Assess patient pain level associated with the chest tube.
d.
Check the water-seal chamber for the correct fluid level. - Answers a
The nurse provides discharge teaching for a patient who has two fractured ribs from an
automobile accident. Which statement, if made by the patient, would indicate that teaching has
been effective?
a.
I am going to buy a rib binder to wear during the day.
b.
I can take shallow breaths to prevent my chest from hurting.
c.
I should plan on taking the pain pills only at bedtime so I can sleep.
d.
I will use the incentive spirometer every hour or two during the day. - Answers d
Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a
,lung abscess?
a.
Teach the patient to avoid the use of over-the-counter expectorants.
b.
Assist the patient with chest physiotherapy and postural drainage.
c.
Notify the health care provider immediately about any bloody or foul-smelling sputum.
d.
Teach about the need for prolonged antibiotic therapy after discharge from the hospital. -
Answers d
A patient has acute bronchitis with a nonproductive cough and wheezes. Which topic should the
nurse plan to include in the teaching plan?
a.
Purpose of antibiotic therapy
b.
Ways to limit oral fluid intake
c.
Appropriate use of cough suppressants
d.
Safety concerns with home oxygen therapy - Answers c
A patient who was admitted the previous day with pneumonia complains of a sharp pain of 7
(based on 0 to 10 scale) whenever I take a deep breath. Which action will the nurse take next?
a.
Auscultate breath sounds.
b.
Administer the PRN morphine.
c.
, Have the patient cough forcefully.
d.
Notify the patients health care provider. - Answers a
The nurse is caring for a patient with idiopathic pulmonary arterial hypertension (IPAH) who is
receiving epoprostenol (Flolan). Which assessment information requires the most immediate
action by the nurse?
a.
The oxygen saturation is 94%.
b.
The blood pressure is 98/56 mm Hg.
c.
The patients central IV line is disconnected.
d.
The international normalized ratio (INR) is prolonged. - Answers c
The nurse notes that a patient has incisional pain, a poor cough effort, and scattered rhonchi
after a thoracotomy. Which action should the nurse take first?
a.
Assist the patient to sit upright in a chair.
b.
Splint the patients chest during coughing.
c.
Medicate the patient with prescribed morphine.
d.
Observe the patient use the incentive spirometer - Answers c
A patient is admitted to the emergency department with an open stab wound to the left chest.
What is the first action that the nurse should take?
a.
1. The nurse notes new onset confusion in an older patient who is normally alert and oriented. In
which order should the nurse take the following actions? (Put a comma and a space between
each answer choice [A, B, C, D].)
a. Obtain the oxygen saturation.
b. Check the patients pulse rate.
c. Document the change in status.
d. Notify the health care provider - Answers A, B, D, C
Which factors will the nurse consider when calculating the CURB-65 score for a patient with
pneumonia (select all that apply)?
a.
Age
b.
Blood pressure
c.
Respiratory rate
d.
Oxygen saturation
e.
Presence of confusion
f.
Blood urea nitrogen (BUN) level - Answers a,b,c,e,f
After change-of-shift report, which patient should the nurse assess first?
a.
72-year-old with cor pulmonale who has 4+ bilateral edema in his legs and feet
b.
28-year-old with a history of a lung transplant and a temperature of 101 F (38.3 C)
,c.
40-year-old with a pleural effusion who is complaining of severe stabbing chest pain
d.
64-year-old with lung cancer and tracheal deviation after subclavian catheter insertion - Answers
d
. The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy.
Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?
a.
Document the amount of drainage every eight hours.
b.
Obtain samples of drainage for culture from the system.
c.
Assess patient pain level associated with the chest tube.
d.
Check the water-seal chamber for the correct fluid level. - Answers a
The nurse provides discharge teaching for a patient who has two fractured ribs from an
automobile accident. Which statement, if made by the patient, would indicate that teaching has
been effective?
a.
I am going to buy a rib binder to wear during the day.
b.
I can take shallow breaths to prevent my chest from hurting.
c.
I should plan on taking the pain pills only at bedtime so I can sleep.
d.
I will use the incentive spirometer every hour or two during the day. - Answers d
Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a
,lung abscess?
a.
Teach the patient to avoid the use of over-the-counter expectorants.
b.
Assist the patient with chest physiotherapy and postural drainage.
c.
Notify the health care provider immediately about any bloody or foul-smelling sputum.
d.
Teach about the need for prolonged antibiotic therapy after discharge from the hospital. -
Answers d
A patient has acute bronchitis with a nonproductive cough and wheezes. Which topic should the
nurse plan to include in the teaching plan?
a.
Purpose of antibiotic therapy
b.
Ways to limit oral fluid intake
c.
Appropriate use of cough suppressants
d.
Safety concerns with home oxygen therapy - Answers c
A patient who was admitted the previous day with pneumonia complains of a sharp pain of 7
(based on 0 to 10 scale) whenever I take a deep breath. Which action will the nurse take next?
a.
Auscultate breath sounds.
b.
Administer the PRN morphine.
c.
, Have the patient cough forcefully.
d.
Notify the patients health care provider. - Answers a
The nurse is caring for a patient with idiopathic pulmonary arterial hypertension (IPAH) who is
receiving epoprostenol (Flolan). Which assessment information requires the most immediate
action by the nurse?
a.
The oxygen saturation is 94%.
b.
The blood pressure is 98/56 mm Hg.
c.
The patients central IV line is disconnected.
d.
The international normalized ratio (INR) is prolonged. - Answers c
The nurse notes that a patient has incisional pain, a poor cough effort, and scattered rhonchi
after a thoracotomy. Which action should the nurse take first?
a.
Assist the patient to sit upright in a chair.
b.
Splint the patients chest during coughing.
c.
Medicate the patient with prescribed morphine.
d.
Observe the patient use the incentive spirometer - Answers c
A patient is admitted to the emergency department with an open stab wound to the left chest.
What is the first action that the nurse should take?
a.
