Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 23 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Cough
B Syncope
C Hemoptysis
D Tachypnea
Question #2
A “Client is drowsy and complains of headache.”
B “Client has subcutaneous emphysema around needle insertion site.”
C “Client is becoming agitated and complains of pleuritic pain.”
D “Client has oxygen saturation of 93%.”
Question #3
A 5-mm induration
B A blister
C Reddened area
D 15-mm induration
Question #4
A Lie supine to rest the lungs.
B Remain in each position for 30 to 45 minutes for best results.
C Sit upright to promote ventilation.
D Change positions frequently and cough up secretions.
Question #5
A pH 7.35, PaCO2 48 mm Hg
B pH 7.36, PaCO2 32 mm Hg
C pH 7.46, PaO2 80 mm Hg
D pH 7.28, PaO2 50 mm Hg
Question #6
A “The tube will drain secretions from the lung.”
B “Chest tube will allow air to be restored to the lung.”
C “The tube will drain air from the space around the lung.”
D “Chest tubes provide a route for medication instillation to the lung.”
Question #7
A “Getting the flu can complicate pneumonia.”
B “Influenza is the major cause of death in the United States.”
C “Influenza vaccine will prevent typical pneumonias.”
D “Viruses like influenza are the most common cause of pneumonia.”
Question #8
A tracheobronchitis
B staphylococcal pneumonia
C cardiovascular disease
D viral pneumonia
Question #9
A Simple pneumothorax
B Flail chest
C Cardiac tamponade
D Pulmonary contusion
Question #10
A Providing oral hygiene daily
B Using strict hand hygiene
C Keeping the head of the bed at 15 degrees or less
D Turning the client every 4 hours to prevent fatigue
Question #11
A A disease process is present.
B The X-ray is inconclusive.
C The ET tube must be pulled back.
D The ET tube must be advanced.
Question #12
A Flail chest
B Pneumothorax
C Tension pneumothorax
D ARDS
Question #13
A Bloody drainage is seemed in the collection chamber.
B The tissues give a crackling sensation when palpated.
C Absence of bloody drainage in the anterior/upper tube
D Skin around tube is pink
Question #14
A “The mucus-secreting glands are abnormal
B “There are fibrous cysts in the lungs.”
C “Early treatment can stop the progression of the disease.”
D “Allergic reactions cause inflammation in the lungs.”
Question #15
A Myocardial infarction (MI)
B Pulmonary embolism
C Pneumothorax
D Heart failure
Question #16
A “I’ll have to take these medications for 9 to 12 months.”
B “It won’t be necessary for the people I work with to take medication.”
C “I’ll need to have scheduled laboratory tests while I’m on the medication.”
D “The people I have contact with at work should be checked regularly.”
Question #17
A The client exhibits restlessness and confusion.
B The client exhibits bronchial breath sounds over the affected area.
C The client has a partial pressure of arterial oxygen (PaO2) value of 90 mm Hg or higher.
D The client has a partial pressure of arterial carbon dioxide (PaCO2) value of 65 mm Hg or higher.
Question #18
A 1 to 3 weeks
B 6 to 12 months
C 3 to 5 days
D 2 to 4 months
Question #19
A Decreased level of consciousness (LOC)
B Decreased heart rate
C Increased blood pressure
D Increased restlessness
Question #20
A Stabbing pain during respiratory movements.
B Dyspnea and coughing.
C Dullness or flatness on percussion over areas of collected fluid.
D Fever and chills.
Question #21
A Dyspnea
B Syncope
C Ascites
D Hypertension
Question #22
A pH 7.87, PaCO2 38, HCO3 28
B pH 7.47, PaCO2 28, HCO3 30
C pH 7.25, PaCO2 48, HCO3 24
D pH 7.49, PaCO2 34, HCO3 25
Question #23
A Administer a large dose of furosemide (Lasix) IVP stat
B Increase oxygen administration
C Intubate the client and control breathing with mechanical ventilation
D Schedule the client for pulmonary surgery
Question #24
A Direct lung damage
B Aspiration
C Drug ingestion
D Chemical irritation
Question #25
A ventilate the client.
B remove fluid from the lungs.
C remove air from the pleural space.
D administer IV medication.
Question #26
A Chest tubes indicate when the lungs have re-expanded by ceasing to bubble.
B Draining secretions and blood while allowing air to remain in the thoracic cavity is necessary.
C Chest tubes allow air into the pleural space.
D Draining secretions, air, and blood from the thoracic cavity is necessary.
Question #27
A A client with a history of smoking two packs of cigarettes per day until quitting 2 years ago
B A client who is receiving acetaminophen (Tylenol) for pain
C A client with a nasogastric tube
D A client who ambulates in the hallway every 4 hours
Question #28
A 5 to 6 mm
B 0 to 4 mm
C 9 mm
D 7 to 8 mm
Question #29
A Cyanosis
B Inspiratory crackles
C Rapid onset of severe dyspnea
D Bilateral wheezing
Question #30
A Respiratory alkalosis
B Productive cough
C Bradypnea
D Blood-tinged sputum
Question #31
A Respiratory acidosis
B Metabolic alkalosis
C Acute respiratory distress syndrome
D Atelectasis
Question #32
A See if there are leaks in the system.
B See if the wall suction unit has malfunctioned.
C See if the chest tube is clogged.
D See if a kink has developed in the tubing.
Question #33
A pneumothorax.
B consolidation.
C hemothorax.
D pleural effusion.
Question #34
A Obtain a sputum specimen for enzyme immunoassay testing.
B Institute isolation precautions.
C Obtain a nasopharyngeal specimen for reverse-transcription polymerase chain reaction testing.
D Begin an I.V. infusion of dextrose 5% in half-normal saline solution at 100 ml/hour.
Question #35
A “I’ll always have a positive test for tuberculosis.”
B “This disease may come back later if I am under stress.”
C “I’ll stay in isolation for 6 weeks.”
D “I’ll have to take the medication for up to a year.”
Question #36
A Sore throat and abdominal pain
B Nonproductive cough and normal temperature
C Hemoptysis and dysuria
D Dyspnea and wheezing
Question #37
A “It is fine if I eat sushi with a little bit of soy sauce.”
B “I am going to have a tuna fish sandwich for lunch.”
C “It is all right if I drink a glass of red wine with my dinner.”
D “It is all right if I have a grilled cheese sandwich with American cheese.”
Question #38
A Negative
B Nonreactive
C Significant
D Not significant
Question #39
A Send for STAT chest x-ray.
B Obtain arterial blood gases.
C Initiate oxygen therapy and reassess pulse oximetry in 10 minutes.
D Administer bronchodilator as ordered.
Question #40
A Coolness to lower extremities
B Decreased urinary output
C Pain in the feet
D Localized calf tenderness
Question #41
A coal dust.
B silica.
C asbestos.
D pollen.
Question #42
A Vitamin D
B Vitamin B6
C Vitamin E
D Vitamin C
Question #43
A tertiary drug resistance.
B multidrug resistance.
C primary drug resistance.
D secondary drug resistance.
Question #44
A “Because I had a previous reaction to the test, this time I need to get a chest X-ray.”
B “If the test area turns red that means I have tuberculosis.”
C “I will come back in 1 week to have the test read.”
D “I will avoid contact with my family until I am done with the test.”
Question #45
A Inspiratory wheezes in the right thorax
B Bilateral inspiratory and expiratory crackles
C Absence of breath sounds in the right thorax
D Bilateral pleural friction rub
Question #46
A Maintaining a cool room temperature
B Turning the client every 2 hours
C Encouraging increased fluid intake
D Elevating the head of the bed 30 degrees
Question #47
A Sibilant wheezes
B Pleural friction rub
C Crackles in the lung bases
D Low-pitched rhonchi during expiration
Question #48
A Negative
B Borderline
C Positive
D Uncertain
Question #49
A Give antibiotics as ordered.
B Place client on bed rest.
C Encourage increased fluid intake.
D Offer nutritious snacks 2 times a day.
Question #50
A Tracheobronchitis
B Acute respiratory distress syndrome
C Lung cancer
D Bronchitis
Question #51
A Lung contusion
B Damage to surrounding tissues
C Hemorrhage
D Fibrotic changes in lungs
Question #52
A no exposure and no infection.
B exposure and no evidence of infection.
C disease that is not clinically active.
D latent infection with no disease
Question #53
A Place suspected clients together
B Encourage breathing exercises
C Institute droplet precautions
D Do not allow visitors with respiratory infection
Question #54
A A carbohydrate-dense diet
B A diet rich in protein
C A diet low in calories
D A diet with limited fat
Question #55
A Placing the client in respiratory isolation
B Monitoring the client’s fluid intake and output
C Wearing gloves during all client contact
D Assessing the client’s temperature every 8 hours
Question #56
A Enlarged cervical nodes
B Affected voice sounds
C Dysphagia
D Burning of the throat when hot liquids are ingested
Question #57
A The tracheal mucosa
B The frontal sinuses
C The buccal mucosa
D The nasal mucosa
Question #58
A Harsh cough
B Copious mucous secretions
C Sudden restlessness
D Rhonchi in lung fields
Question #59
A “The ET tube will be inserted through an opening in your trachea.”
B “The ET tube will remain in place for at least a day postsurgery.”
C “The ET tube will be connected to a negative-pressure ventilator.”
D “The ET tube will maintain your airway while you’re under anesthesia.”
Question #60
A Fungal infection
B Bacterial infection
C Viral infection
D Systemic infection
Question #61
A 20–25 mL
B 5–10 mL
C 20–30 mL
D No fluid normally is present
Question #62
A Post operative bleeding
B Edema of the upper airway
C Infection
D Plugged tracheostomy tube
Question #63
A Saline lavages to the nares
B Administration of oral antibiotics
C Cold compresses to the sinus cavities
D Use of a dehumidifier
Question #64
A pulmonary embolism.
B pneumonia.
C carotid artery hemorrhage.
D dehydration.
Question #65
A “You should switch to wearing your glasses while taking this medication.”
B “Only wear your contact lenses during the day and take them out in the evening before bed.”
C “There are no significant problems with wearing contact lenses.”
D “The physician can give you eye drops to prevent any problems.”
Question #66
A 30%
B 10%
C 20%
D 40%
Question #67
A Tension pneumothorax
B Pulmonary contusion
C Cardiac tamponade
D Flail chest
Question #68
A Insist on adequate breaks for each employee.
B Fit all employees with protective masks.
C Give workshops on disease prevention
D Provide employees with smoking cessation materials.
Question #69
A Hypercapnia, hypoventilation, and hypoxemia
B Hyperoxemia, hypocapnia, and hyperventilation
C Hyperventilation, hypertension, and hypocapnia
D Hypotension, hyperoxemia, and hypercapnia