©Themoon EXAM SOLUTIONS
27/11/2024 11:35AM
Med-Surg II - Exam 1 Questions and
Answers
For air to enter the lungs (process of ventilation), the intrapulmonary pressure must be less than
atmospheric pressure so the air can be pulled inward. Select the movement of respiratory
muscles that makes this happen during inspiration. - Answers✓✓Diaphragm contracts and
elongates the chest cavity
The nurse is caring for a client with an exacerbation of COPD and scheduled for pulmonary
function studies using a spirometer. Which client statement would the nurse clarify? -
Answers✓✓"I will breathe in through my mouth and out through my nose."
A Black client with asthma seeks emergency care for acute respiratory distress. Because of this
client's dark skin, the nurse should assess for cyanosis by inspecting the: - Answers✓✓Mucous
Membranes
High or increased compliance occurs in which disease process? - Answers✓✓Emphysema
A patient visited a health care clinic for treatment of upper respiratory tract congestion, fatigue,
and sputum production that was rust-colored. Which of the following diagnoses is likely based
on this history and inspection of the sputum? - Answers✓✓An infection with pneumococcal
pneumonia
The nurse auscultated a patient's middle lobe of the lungs for abnormal breath sounds. To do
this, the nurse placed the stethoscope on the: - Answers✓✓Anterior surface of the right side of
the chest, between the fourth and fifth rib.
, ©Themoon EXAM SOLUTIONS
27/11/2024 11:35AM
The nurse knows that what condition is associated with increased compliance of the lungs? -
Answers✓✓Emphysema
The nurse is caring for a client with a decrease in airway diameter causing airway resistance.
The client experiences coughing and mucus production. Upon lung assessment, which
adventitious breath sounds are anticipated? - Answers✓✓Sibilant Wheezes
The nurse is reviewing the blood gas results for a patient with pneumonia. What arterial blood
gas measurement best reflects the adequacy of alveolar ventilation? - Answers✓✓PaCO2
A patient exhibited signs of an altered ventilation-perfusion ration. The nurse is aware that
adequate ventilation but impaired perfusion exists when the patient has which of the following
conditions? - Answers✓✓Pulmonary Embolism
A client is seen in the emergency room for a case of diabetic acidosis with the presence of
Kussmaul respiration's. What client condition is associated with the presence of Kussmaul
respiration's? - Answers✓✓Hyperventilation
The nurse is obtaining a health history for a client who reports hemoptysis for the past 2
months. The client reports occasional dyspnea. Which imaging study, ordered by the physician,
will view the thoracic cavity while in movement? - Answers✓✓Fluoroscopy
A client arrives in the emergency department reporting shortness of breath. She has 3+ pitting
edema below the knees, a respiratory rate of 36 breaths per minute, and heaving respirations.
The nurse auscultates the client's lungs to reveal coarse, moist, high-pitched, and non-
continuous sounds that do not clear with coughing. The nurse will document these sounds as
which type? - Answers✓✓Crackles
, ©Themoon EXAM SOLUTIONS
27/11/2024 11:35AM
A client is described as having pectus carinatum. What would be the physical manifestation of
this condition? - Answers✓✓The sternum protrudes and the ribs are sloped backwards.
The nurse documents breath sounds that are soft, with inspiratory sounds longer than expiratory
and found over the periphery of the lungs. Which of the following will the nurse chart? -
Answers✓✓Vesicular
A young adult visited a clinic because he was injured during a softball game. He told the nurse
that the ball struck him in his "Adams Apple." To assess the initial impact of injury, the nurse: -
Answers✓✓Palpates the thyroid cartilage
The nurse is studying for a physiology test over the respiratory system. Which should the nurse
know about central chemoreceptors in the medulla? - Answers✓✓They respond to changes in
CO2 levels and hydrogen ion concentrations (pH) in the cerebrospinal fluid
The nurse is caring for a client in the immediate post-thoracentesis period. In which position is
the client placed? - Answers✓✓Lying on the unaffected side
A student nurse is working with a client who is diagnosed with head trauma. The nurse has
documented Cheyne-Stokes respirations. The student would expect to see which of the
following? - Answers✓✓Regular breathing where the rate and depth increase, then decrease
You are assessing the respiratory system of a client just admitted to your unit. What do you
know to assess in addition to the physical and functional issues related to breathing? -
Answers✓✓How these issues affect the client's quality of life
Which diagnostic imaging modality is more accurate than computed tomography in detecting
malignancies? - Answers✓✓PET
27/11/2024 11:35AM
Med-Surg II - Exam 1 Questions and
Answers
For air to enter the lungs (process of ventilation), the intrapulmonary pressure must be less than
atmospheric pressure so the air can be pulled inward. Select the movement of respiratory
muscles that makes this happen during inspiration. - Answers✓✓Diaphragm contracts and
elongates the chest cavity
The nurse is caring for a client with an exacerbation of COPD and scheduled for pulmonary
function studies using a spirometer. Which client statement would the nurse clarify? -
Answers✓✓"I will breathe in through my mouth and out through my nose."
A Black client with asthma seeks emergency care for acute respiratory distress. Because of this
client's dark skin, the nurse should assess for cyanosis by inspecting the: - Answers✓✓Mucous
Membranes
High or increased compliance occurs in which disease process? - Answers✓✓Emphysema
A patient visited a health care clinic for treatment of upper respiratory tract congestion, fatigue,
and sputum production that was rust-colored. Which of the following diagnoses is likely based
on this history and inspection of the sputum? - Answers✓✓An infection with pneumococcal
pneumonia
The nurse auscultated a patient's middle lobe of the lungs for abnormal breath sounds. To do
this, the nurse placed the stethoscope on the: - Answers✓✓Anterior surface of the right side of
the chest, between the fourth and fifth rib.
, ©Themoon EXAM SOLUTIONS
27/11/2024 11:35AM
The nurse knows that what condition is associated with increased compliance of the lungs? -
Answers✓✓Emphysema
The nurse is caring for a client with a decrease in airway diameter causing airway resistance.
The client experiences coughing and mucus production. Upon lung assessment, which
adventitious breath sounds are anticipated? - Answers✓✓Sibilant Wheezes
The nurse is reviewing the blood gas results for a patient with pneumonia. What arterial blood
gas measurement best reflects the adequacy of alveolar ventilation? - Answers✓✓PaCO2
A patient exhibited signs of an altered ventilation-perfusion ration. The nurse is aware that
adequate ventilation but impaired perfusion exists when the patient has which of the following
conditions? - Answers✓✓Pulmonary Embolism
A client is seen in the emergency room for a case of diabetic acidosis with the presence of
Kussmaul respiration's. What client condition is associated with the presence of Kussmaul
respiration's? - Answers✓✓Hyperventilation
The nurse is obtaining a health history for a client who reports hemoptysis for the past 2
months. The client reports occasional dyspnea. Which imaging study, ordered by the physician,
will view the thoracic cavity while in movement? - Answers✓✓Fluoroscopy
A client arrives in the emergency department reporting shortness of breath. She has 3+ pitting
edema below the knees, a respiratory rate of 36 breaths per minute, and heaving respirations.
The nurse auscultates the client's lungs to reveal coarse, moist, high-pitched, and non-
continuous sounds that do not clear with coughing. The nurse will document these sounds as
which type? - Answers✓✓Crackles
, ©Themoon EXAM SOLUTIONS
27/11/2024 11:35AM
A client is described as having pectus carinatum. What would be the physical manifestation of
this condition? - Answers✓✓The sternum protrudes and the ribs are sloped backwards.
The nurse documents breath sounds that are soft, with inspiratory sounds longer than expiratory
and found over the periphery of the lungs. Which of the following will the nurse chart? -
Answers✓✓Vesicular
A young adult visited a clinic because he was injured during a softball game. He told the nurse
that the ball struck him in his "Adams Apple." To assess the initial impact of injury, the nurse: -
Answers✓✓Palpates the thyroid cartilage
The nurse is studying for a physiology test over the respiratory system. Which should the nurse
know about central chemoreceptors in the medulla? - Answers✓✓They respond to changes in
CO2 levels and hydrogen ion concentrations (pH) in the cerebrospinal fluid
The nurse is caring for a client in the immediate post-thoracentesis period. In which position is
the client placed? - Answers✓✓Lying on the unaffected side
A student nurse is working with a client who is diagnosed with head trauma. The nurse has
documented Cheyne-Stokes respirations. The student would expect to see which of the
following? - Answers✓✓Regular breathing where the rate and depth increase, then decrease
You are assessing the respiratory system of a client just admitted to your unit. What do you
know to assess in addition to the physical and functional issues related to breathing? -
Answers✓✓How these issues affect the client's quality of life
Which diagnostic imaging modality is more accurate than computed tomography in detecting
malignancies? - Answers✓✓PET
