Med-Surg Test #1 (Respiratory) questions |\ |\ |\ |\
with answers
|\ |\
A nurse is auscultating the lung sounds of a client who came to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the clinic for a physical exam. There is not any history of lung
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease. What should the nurse expect to hear?
|\ |\ |\ |\ |\ |\ |\
a. adventitious breath sounds
|\ |\ |\
b. bronchial breath sounds
|\ |\ |\
c. bronchovesicular breath sounds
|\ |\ |\
d. vesicular breath sounds - CORRECT ANSWERS ✔✔answer: c
|\ |\ |\ |\ |\ |\ |\ |\
rationale: the nurse auscultates breath sounds from side to side,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
moving from the upper to the lower chest. They listen anteriorly,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
laterally, and posteriorly. Normal breath sounds include
|\ |\ |\ |\ |\ |\ |\
bronchovesicular sounds. |\
A client comes to the doctor's office describing shortness of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
breath and strange breath sounds when inhaling deeply. Upon
|\ |\ |\ |\ |\ |\ |\ |\ |\
auscultation of the lung fields, sibilant wheezes are noted. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the following statements by the nurse most correct?
|\ |\ |\ |\ |\ |\ |\ |\
a. "Wheezes result from air passing through narrowed passages."
|\ |\ |\ |\ |\ |\ |\ |\
b. "Wheezes result from air escaping through a pneumothorax."
|\ |\ |\ |\ |\ |\ |\ |\
c. "Wheezes result from air collecting in the pleural cavity."
|\ |\ |\ |\ |\ |\ |\ |\ |\
d. "Wheezes result from air between visceral and parietal
|\ |\ |\ |\ |\ |\ |\ |\ |\
pleurae." - CORRECT ANSWERS ✔✔answer: a |\ |\ |\ |\ |\
,ratioanle: wheezes may be sibilant (hissing/whistling) or sonorous
|\ |\ |\ |\ |\ |\ |\
(full and deep). Sibilant wheezes (formerly called wheezes) are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
continuous musical sounds that can be heard during inspiration |\ |\ |\ |\ |\ |\ |\ |\ |\
and expiration; and result from air passing through narrowed or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
partially obstructed air passages and are heard in clients with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
increased secretions. |\
A nurse needs to obtain a sputum specimen from an adult client.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which nursing action will best facilitate obtaining the specimen?
|\ |\ |\ |\ |\ |\ |\ |\
a. ask the client to spit into the collection container
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. have the client take deep breaths
|\ |\ |\ |\ |\ |\
c. restrict the client's fluids
|\ |\ |\ |\
d. wait until after the client has eaten to get the specimen. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔answer: b |\ |\ |\
rationale: collecting a sputum specimen have the client rinse
|\ |\ |\ |\ |\ |\ |\ |\ |\
their mouth with tap water; instruct the client to take several
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
deep breaths, cough forcefully, and expectorate into the
|\ |\ |\ |\ |\ |\ |\ |\
container.
The nurse is giving instructions to a client having pulmonary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
angiography. Which of the following statements is the best |\ |\ |\ |\ |\ |\ |\ |\ |\
evidence that the client understands the nurse's instructions
|\ |\ |\ |\ |\ |\ |\ |\
about what will take place during the diagnostic procedure?
|\ |\ |\ |\ |\ |\ |\ |\ |\
Select all that apply. |\ |\ |\
a. "I may feel some pressure at the site."
|\ |\ |\ |\ |\ |\ |\ |\
b. "I may have bleeding at the site following the procedure."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. "I will not be allowed to cough after the procedure."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,d. "I will sense a warm, flushed feeling and an urge to cough
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
when the dye is injected." - CORRECT ANSWERS ✔✔answer: a,d
|\ |\ |\ |\ |\ |\ |\ |\ |\
rationale: during pulmonary angiograpy, the nurse obtains data
|\ |\ |\ |\ |\ |\ |\ |\
about the client's level of anxiety and knowledge of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure. The nurse provides explanations and reinforces the
|\ |\ |\ |\ |\ |\ |\ |\
client's understanding. The client will experience a feeling of
|\ |\ |\ |\ |\ |\ |\ |\ |\
pressure on catheter insertion. When the contrast medium is
|\ |\ |\ |\ |\ |\ |\ |\ |\
infused, the client will sense a warm, flushed feeling and an urge
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to cough.
|\
When caring for a client having a lung scan, which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following nursing interventions is most important during the
|\ |\ |\ |\ |\ |\ |\ |\
procedure?
a. reassure the client about the amount of radiation from the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure.
b. coach the client to hold his or her breath at times during the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure
c.administer sedative or narcotic as per orders before the |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure
d. aid the client to rest arms and head on a pillow during the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure. - CORRECT ANSWERS ✔✔answer: a |\ |\ |\ |\ |\
rationale: the client must receive adequate explanations before
|\ |\ |\ |\ |\ |\ |\ |\
the procedure to reduce anxiety. The nurse must reassure the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client that the amount of radiation from this procedure is less
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
than that used during a chest x-ray.
|\ |\ |\ |\ |\ |\
, Movement of air into and out of the lungs sufficient to maintain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
normal arterial oxygen and carbon dioxide tensions is termed
|\ |\ |\ |\ |\ |\ |\ |\ |\
what?
a. perfusion
|\
b. ventilation
|\
c. diffusion
|\
d. inspiration - CORRECT ANSWERS ✔✔answer: b
|\ |\ |\ |\ |\ |\
rationale: ventilation is the actual movement of air in and out of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the respiratory tract. This process requires a patent airway and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intact and functioning respiratory muscles.
|\ |\ |\ |\
While conducting the physical examination during assessment of
|\ |\ |\ |\ |\ |\ |\ |\
the respiratory system, which of the following would describe
|\ |\ |\ |\ |\ |\ |\ |\ |\
lung sounds produced by air movement through the trachea and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are loud with long expiration?
|\ |\ |\ |\
a. bronchovesicular sounds
|\ |\
b. bronchial sounds
|\ |\
c. sonorous wheezes
|\ |\
d. vesicular sounds - CORRECT ANSWERS ✔✔answer: b
|\ |\ |\ |\ |\ |\ |\
rationale: normal bronchial lung sounds are auscultated over the
|\ |\ |\ |\ |\ |\ |\ |\ |\
trachea and are loud with long expiration.
|\ |\ |\ |\ |\ |\
The physician orders arterial blood gases (ABGs) to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\
various factors related to blood oxygenation on a patient who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with answers
|\ |\
A nurse is auscultating the lung sounds of a client who came to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the clinic for a physical exam. There is not any history of lung
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease. What should the nurse expect to hear?
|\ |\ |\ |\ |\ |\ |\
a. adventitious breath sounds
|\ |\ |\
b. bronchial breath sounds
|\ |\ |\
c. bronchovesicular breath sounds
|\ |\ |\
d. vesicular breath sounds - CORRECT ANSWERS ✔✔answer: c
|\ |\ |\ |\ |\ |\ |\ |\
rationale: the nurse auscultates breath sounds from side to side,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
moving from the upper to the lower chest. They listen anteriorly,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
laterally, and posteriorly. Normal breath sounds include
|\ |\ |\ |\ |\ |\ |\
bronchovesicular sounds. |\
A client comes to the doctor's office describing shortness of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
breath and strange breath sounds when inhaling deeply. Upon
|\ |\ |\ |\ |\ |\ |\ |\ |\
auscultation of the lung fields, sibilant wheezes are noted. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the following statements by the nurse most correct?
|\ |\ |\ |\ |\ |\ |\ |\
a. "Wheezes result from air passing through narrowed passages."
|\ |\ |\ |\ |\ |\ |\ |\
b. "Wheezes result from air escaping through a pneumothorax."
|\ |\ |\ |\ |\ |\ |\ |\
c. "Wheezes result from air collecting in the pleural cavity."
|\ |\ |\ |\ |\ |\ |\ |\ |\
d. "Wheezes result from air between visceral and parietal
|\ |\ |\ |\ |\ |\ |\ |\ |\
pleurae." - CORRECT ANSWERS ✔✔answer: a |\ |\ |\ |\ |\
,ratioanle: wheezes may be sibilant (hissing/whistling) or sonorous
|\ |\ |\ |\ |\ |\ |\
(full and deep). Sibilant wheezes (formerly called wheezes) are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
continuous musical sounds that can be heard during inspiration |\ |\ |\ |\ |\ |\ |\ |\ |\
and expiration; and result from air passing through narrowed or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
partially obstructed air passages and are heard in clients with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
increased secretions. |\
A nurse needs to obtain a sputum specimen from an adult client.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which nursing action will best facilitate obtaining the specimen?
|\ |\ |\ |\ |\ |\ |\ |\
a. ask the client to spit into the collection container
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. have the client take deep breaths
|\ |\ |\ |\ |\ |\
c. restrict the client's fluids
|\ |\ |\ |\
d. wait until after the client has eaten to get the specimen. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔answer: b |\ |\ |\
rationale: collecting a sputum specimen have the client rinse
|\ |\ |\ |\ |\ |\ |\ |\ |\
their mouth with tap water; instruct the client to take several
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
deep breaths, cough forcefully, and expectorate into the
|\ |\ |\ |\ |\ |\ |\ |\
container.
The nurse is giving instructions to a client having pulmonary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
angiography. Which of the following statements is the best |\ |\ |\ |\ |\ |\ |\ |\ |\
evidence that the client understands the nurse's instructions
|\ |\ |\ |\ |\ |\ |\ |\
about what will take place during the diagnostic procedure?
|\ |\ |\ |\ |\ |\ |\ |\ |\
Select all that apply. |\ |\ |\
a. "I may feel some pressure at the site."
|\ |\ |\ |\ |\ |\ |\ |\
b. "I may have bleeding at the site following the procedure."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. "I will not be allowed to cough after the procedure."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,d. "I will sense a warm, flushed feeling and an urge to cough
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
when the dye is injected." - CORRECT ANSWERS ✔✔answer: a,d
|\ |\ |\ |\ |\ |\ |\ |\ |\
rationale: during pulmonary angiograpy, the nurse obtains data
|\ |\ |\ |\ |\ |\ |\ |\
about the client's level of anxiety and knowledge of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure. The nurse provides explanations and reinforces the
|\ |\ |\ |\ |\ |\ |\ |\
client's understanding. The client will experience a feeling of
|\ |\ |\ |\ |\ |\ |\ |\ |\
pressure on catheter insertion. When the contrast medium is
|\ |\ |\ |\ |\ |\ |\ |\ |\
infused, the client will sense a warm, flushed feeling and an urge
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to cough.
|\
When caring for a client having a lung scan, which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following nursing interventions is most important during the
|\ |\ |\ |\ |\ |\ |\ |\
procedure?
a. reassure the client about the amount of radiation from the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure.
b. coach the client to hold his or her breath at times during the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure
c.administer sedative or narcotic as per orders before the |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure
d. aid the client to rest arms and head on a pillow during the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure. - CORRECT ANSWERS ✔✔answer: a |\ |\ |\ |\ |\
rationale: the client must receive adequate explanations before
|\ |\ |\ |\ |\ |\ |\ |\
the procedure to reduce anxiety. The nurse must reassure the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client that the amount of radiation from this procedure is less
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
than that used during a chest x-ray.
|\ |\ |\ |\ |\ |\
, Movement of air into and out of the lungs sufficient to maintain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
normal arterial oxygen and carbon dioxide tensions is termed
|\ |\ |\ |\ |\ |\ |\ |\ |\
what?
a. perfusion
|\
b. ventilation
|\
c. diffusion
|\
d. inspiration - CORRECT ANSWERS ✔✔answer: b
|\ |\ |\ |\ |\ |\
rationale: ventilation is the actual movement of air in and out of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the respiratory tract. This process requires a patent airway and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intact and functioning respiratory muscles.
|\ |\ |\ |\
While conducting the physical examination during assessment of
|\ |\ |\ |\ |\ |\ |\ |\
the respiratory system, which of the following would describe
|\ |\ |\ |\ |\ |\ |\ |\ |\
lung sounds produced by air movement through the trachea and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are loud with long expiration?
|\ |\ |\ |\
a. bronchovesicular sounds
|\ |\
b. bronchial sounds
|\ |\
c. sonorous wheezes
|\ |\
d. vesicular sounds - CORRECT ANSWERS ✔✔answer: b
|\ |\ |\ |\ |\ |\ |\
rationale: normal bronchial lung sounds are auscultated over the
|\ |\ |\ |\ |\ |\ |\ |\ |\
trachea and are loud with long expiration.
|\ |\ |\ |\ |\ |\
The physician orders arterial blood gases (ABGs) to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\
various factors related to blood oxygenation on a patient who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
