CHAPTER 23: MANAGEMENT OF
PATIENTS WITH CHEST AND LOWER
RESPIRATORY TRACT DISORDERS
FINAL EXAM QUESTIONS WITH 100%
CORRECT ANSWERS [GRADED A+]
A client is admitted to the health care facility with active tuberculosis (TB).
The nurse should include which intervention in the care plan?
a) Keeping the door to the client's room open to observe the client
b) Instructing the client to wear a mask at all times
c) Putting on an individually fitted mask when entering the client's room
d) Wearing a gown and gloves when providing direct care - ✔✔c) Putting
on an individually fitted mask when entering the client's room
Explanation:
©morren2025/2026.Year published 2026.
,Because TB is transmitted by droplet nuclei from the respiratory tract, the
nurse should put on a mask when entering the client's room. Occupation
Safety and Health Administration standards require an individually fitted
mask. Having the client wear a mask at all times would hinder sputum
expectoration and respirations would make the mask moist. A nurse who
doesn't anticipate contact with the client's blood or body fluids need not
wear a gown or gloves when providing direct care. A client with TB should
be in a room with laminar airflow, and the room's door should be shut at all
times. pg.591
A client is brought to the emergency department following a motor vehicle
accident. Which of the following nursing assessment is significant in
diagnosing this client with flail chest?
a) Clubbing of fingers and toes
b) Respiratory acidosis
c) Paradoxical chest movement
d) Chest pain on inspiration - ✔✔c) Paradoxical chest movement
Explanation:
©morren2025/2026.Year published 2026.
,Flail chest occurs when two or more adjacent ribs fracture and results in
impairment of chestwall movement. Respiratory acidosis and chest pain
are symptoms that can occur with flail chest but is not as significant in the
diagnosis as paradoxical chest movement. Clubbing of fingers and toes are
sign of prolonged tissue hypoxia. pg.612
You are caring for a client status post lung resection. When assessing your
client you find that the bubbling in the water-seal chamber for the chest
tubes is more than you expected. What should you check when bubbling in
the water-seal chamber is excessive?
a) See if the chest tube is clogged.
b) See if the wall suction unit has malfunctioned.
c) See if there are leaks in the system.
d) See if a kink has developed in the tubing. - ✔✔c) See if there are leaks
in the system.
Explanation:
Bubbling in the water-seal chamber occurs in the early postoperative
period. If bubbling is excessive, the nurse checks the system for any kind of
leaks. Fluctuation of the fluid in the water-seal chamber is initially present
©morren2025/2026.Year published 2026.
, with each respiration. Fluctuations cease if the chest tube is clogged or a
kink develops in the tubing. If the suction unit malfunctions, the suction
control chamber, not the water-seal chamber, will be affected. pg.526
You are caring for a client with chronic respiratory failure. What are the
signs and symptoms of chronic respiratory failure?
a) Progressive loss of lung function associated with chronic disease
b) Sudden loss of lung function associated with chronic disease
c) Progressive loss of lung function with history of normal lung function
d) Sudden loss of lung function with history of normal lung function - ✔✔a)
Progressive loss of lung function associated with chronic disease
Explanation:
In chronic respiratory failure, the loss of lung function is progressive,
usually irreversible, and associated with chronic lung disease or other
disease. This makes options B, C, and D incorrect. pg.595
You are assessing a client's potential for pulmonary emboli. What finding
indicates possible deep vein thrombosis?
©morren2025/2026.Year published 2026.
PATIENTS WITH CHEST AND LOWER
RESPIRATORY TRACT DISORDERS
FINAL EXAM QUESTIONS WITH 100%
CORRECT ANSWERS [GRADED A+]
A client is admitted to the health care facility with active tuberculosis (TB).
The nurse should include which intervention in the care plan?
a) Keeping the door to the client's room open to observe the client
b) Instructing the client to wear a mask at all times
c) Putting on an individually fitted mask when entering the client's room
d) Wearing a gown and gloves when providing direct care - ✔✔c) Putting
on an individually fitted mask when entering the client's room
Explanation:
©morren2025/2026.Year published 2026.
,Because TB is transmitted by droplet nuclei from the respiratory tract, the
nurse should put on a mask when entering the client's room. Occupation
Safety and Health Administration standards require an individually fitted
mask. Having the client wear a mask at all times would hinder sputum
expectoration and respirations would make the mask moist. A nurse who
doesn't anticipate contact with the client's blood or body fluids need not
wear a gown or gloves when providing direct care. A client with TB should
be in a room with laminar airflow, and the room's door should be shut at all
times. pg.591
A client is brought to the emergency department following a motor vehicle
accident. Which of the following nursing assessment is significant in
diagnosing this client with flail chest?
a) Clubbing of fingers and toes
b) Respiratory acidosis
c) Paradoxical chest movement
d) Chest pain on inspiration - ✔✔c) Paradoxical chest movement
Explanation:
©morren2025/2026.Year published 2026.
,Flail chest occurs when two or more adjacent ribs fracture and results in
impairment of chestwall movement. Respiratory acidosis and chest pain
are symptoms that can occur with flail chest but is not as significant in the
diagnosis as paradoxical chest movement. Clubbing of fingers and toes are
sign of prolonged tissue hypoxia. pg.612
You are caring for a client status post lung resection. When assessing your
client you find that the bubbling in the water-seal chamber for the chest
tubes is more than you expected. What should you check when bubbling in
the water-seal chamber is excessive?
a) See if the chest tube is clogged.
b) See if the wall suction unit has malfunctioned.
c) See if there are leaks in the system.
d) See if a kink has developed in the tubing. - ✔✔c) See if there are leaks
in the system.
Explanation:
Bubbling in the water-seal chamber occurs in the early postoperative
period. If bubbling is excessive, the nurse checks the system for any kind of
leaks. Fluctuation of the fluid in the water-seal chamber is initially present
©morren2025/2026.Year published 2026.
, with each respiration. Fluctuations cease if the chest tube is clogged or a
kink develops in the tubing. If the suction unit malfunctions, the suction
control chamber, not the water-seal chamber, will be affected. pg.526
You are caring for a client with chronic respiratory failure. What are the
signs and symptoms of chronic respiratory failure?
a) Progressive loss of lung function associated with chronic disease
b) Sudden loss of lung function associated with chronic disease
c) Progressive loss of lung function with history of normal lung function
d) Sudden loss of lung function with history of normal lung function - ✔✔a)
Progressive loss of lung function associated with chronic disease
Explanation:
In chronic respiratory failure, the loss of lung function is progressive,
usually irreversible, and associated with chronic lung disease or other
disease. This makes options B, C, and D incorrect. pg.595
You are assessing a client's potential for pulmonary emboli. What finding
indicates possible deep vein thrombosis?
©morren2025/2026.Year published 2026.
