NURS 301 RESPIRATORY

NURS 301 RESPIRATORY PRACTICE QUESTIONS AND ANSWERS In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a printout. 1. An elderly client with pneumonia may appear with which of the following symptoms first? 1. Altered mental status and dehydration 2. fever and chills 3. Hemoptysis and dyspnea 4. Pleuritic chest pain and cough 2. Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows pneumonia to develop? 1. Atelectasis 2. Bronchiectasis 3. Effusion 4. Inflammation 3. A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold. From his history, the client may have which of the following? 1. Acute asthma 2. Bronchial pneumonia 3. Chronic obstructive pulmonary disease (COPD) 4. Emphysema 4. Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder? 1. Circumoral cyanosis 2. Increased forced expiratory volume 3. Inspiratory and expiratory wheezing 4. Normal breath sounds 5. Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection? 1. Emotional 2. Extrinsic 3. Intrinsic 4. Mediated 6. A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away? 1. Beta-adrenergic blockers 2. Bronchodilators 3. Inhaled steroids 4. Oral steroids 7. A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should be taken first? 1. Take a full medication history 2. Give a bronchodilator by nebulizer 3. Apply a cardiac monitor to the client 4. Provide emotional support to the client. 8. A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this information, he most likely has which of the following conditions? 1. Adult respiratory distress syndrome (ARDS) 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema 9. The term “blue bloater” refers to which of the following conditions? 1. Adult respiratory distress syndrome (ARDS) 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema 10. The term “pink puffer” refers to the client with which of the following conditions? 1. ARDS 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema 11. A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. He’s tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. This client has symptoms of which of the following respiratory disorders? 1. ARDS 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema 12. It’s highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations for which of the following reasons? 1. All clients are recommended to have these vaccines 2. These vaccines produce bronchodilation and improve oxygenation. 3. These vaccines help reduce the tachypnea these clients experience. 4. Respiratory infections can cause severe hypoxia and possibly death in these clients. 13. Exercise has which of the following effects on clients with asthma, chronic bronchitis, and emphysema? 1. It enhances cardiovascular fitness. 2. It improves respiratory muscle strength. 3. It reduces the number of acute attacks. 4. It worsens respiratory function and is discouraged. 14. Clients with chronic obstructive bronchitis are given diuretic therapy. Which of the following reasons best explains why? 1. Reducing fluid volume reduces oxygen demand. 2. Reducing fluid volume improves clients’ mobility. 3. Restricting fluid volume reduces sputum production. 4. Reducing fluid volume improves respiratory function.