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RN Nursing School · Med-Surg · 690 questions

Respiratory Disorders practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Respiratory Disorders, practise in the app.

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  1. 1A nurse is caring for a patient diagnosed with chronic obstructive pulmonary disease (COPD) who is receiving 2 L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the oxygen?Answer →
  2. 2A nurse is preparing to administer ceftriaxone 2 g via intravenous (IV) infusion over 60 minutes. Available is ceftriaxone 2 g in 50 mL. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)Answer →
  3. 3A client with a chest tube suddenly becomes dyspneic. Which interventions should the nurse NOT implement? (Select all that apply.)Answer →
  4. 4Which of the following conditions can place a client at risk for acute respiratory distress syndrome (ARDS)?Answer →
  5. 5Warning signs of pulmonary embolism in a client with confirmed deep vein thrombosis include which symptoms? Select all that apply.Answer →
  6. 662-year-old woman reports worsening shortness of breath and a chronic morning cough. She has a 30-pack-year smoking history and works as a baker. The nurse begins collecting an environmental exposure history using the I PREPARE model. Which action should the nurse take FIRST to guide further respiratory assessment?Answer →
  7. 7Which finding indicates an adverse reaction to a beta2-agonist?Answer →
  8. 8The nurse is caring for a patient with pneumonia with a new nurse in orientation. Which of the following statements by the new nurse would indicate an understanding of the nature of this condition?Answer →
  9. 9A nurse notes a client with chronic bronchitis has SpO2 of 89%, is confused, and has bluish lips. The nurse recognizes these signs as which of the following?Answer →
  10. 10A post-lobectomy patient suddenly becomes severely dyspneic. Assessment reveals tracheal deviation away from the operative side, tachycardia, and absent breath sounds on the affected side. What is the nurse's priority action?Answer →
  11. 11A nurse is assisting in the care of a client who has a tracheostomy. Select the 3 findings that require immediate follow-up.Answer →
  12. 12Which assessment finding requires immediate follow-up by the nurse?Answer →
  13. 13A patient with long-standing COPD (Chronic Obstructive Pulmonary Disease) is admitted for increased dyspnea. The patient is on 2 L/min via nasal cannula. ABG (Arterial Blood Gas) results show: pH 7.29, PaCO₂ 58 mmHg, HCO₃ 29 mEq/L. Based on these findings, how should the nurse interpret this acid-base disturbance?Answer →
  14. 14A nurse is teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?Answer →
  15. 15A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5 mg/kg/dose subcutaneous every 12 hr. The client weighs 245 lb. How many mg should the nurse administer per dose?Answer →
  16. 16A patient with acute pulmonary edema is extremely anxious, tachypneic, and using accessory muscles. What positioning will best improve ventilation?Answer →
  17. 17A nurse is assisting discharge planning for a client who has a new prescription for bi-level positive airway pressure (BiPAP). The nurse should plan to contact which of the following healthcare team members to educate the client?Answer →
  18. 18A patient with severe asthma exacerbation suddenly has no audible wheezing and diminished breath sounds. What does this indicate?Answer →
  19. 19For each clinical finding listed below, indicate whether the finding suggests the need for an endotracheal tube, tracheostomy, or both. Each finding may be associated with more than one type of artificial airway.Answer →
  20. 20A tracheostomy patient becomes acutely anxious and unable to vocalize. Oxygen saturation begins to fall. The nurse attempts suctioning but the catheter cannot advance. What should the nurse do first?Answer →
  21. 21A nurse is reinforcing teaching for a client prescribed ipratropium. Which statement by the client indicates understanding of the expected use of this medication?Answer →
  22. 22A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of discomfort around the chest tube site. Which of the following actions should the nurse take?Answer →
  23. 23The nurse is reviewing a client's arterial blood gas (ABG) results: pH 7.48, PaCO₂ 40 mm Hg, and HCO₃ 30 mEq/L. Which clinical finding should the nurse expect?Answer →
  24. 24Which assessment finding for a client receiving oxygen therapy with a nonrebreather mask requires the nurse to intervene immediately?Answer →
  25. 25A nurse is performing chest percussion on a client who has severe COPD. Which of the following actions should the nurse take?Answer →
  26. 26A nurse is teaching a newly diagnosed adult with cystic fibrosis (CF) about genetic inheritance. Which statement most accurately explains the condition's genetics?Answer →
  27. 27A nurse is caring for a client who has COPD. Which of the following nursing actions should the nurse take?Answer →
  28. 28A nurse is caring for a client with pneumonia who is on mechanical ventilation and exhibits a respiratory rate of 34 breaths per minute. The client's ABG results show a pH of 7.5, PaCO2 of 28 mm Hg, and HCO3 of 22 mEq/L. Which nursing action should be prioritized?Answer →
  29. 29When assessing a patient with chronic bronchitis, which clinical sign best indicates a complication related to right-sided heart failure?Answer →
  30. 30The nurse is teaching a client with asthma how to use a peak flow meter to monitor airway status. Which instruction should the nurse include in the teaching?Answer →
  31. 31Which of the following medications is NOT commonly used in the treatment of pulmonary embolism?Answer →
  32. 32A client with a possible pulmonary embolism complains of chest pain and difficulty breathing. Vital signs are: HR 142 bpm, BP 100/60 mmHg and respirations 42/ min. What should the nurse's first action be?Answer →
  33. 33A nurse is reinforcing discharge teaching with a client who has asthma and a new prescription for salmeterol. Which of the following instructions should the nurse include?Answer →
  34. 34The nurse is assessing a client with rib fractures. Which of the following findings would indicate that the client is developing a tension pneumothorax?Answer →
  35. 35When auscultating a client's lungs, the nurse identifies crackles in the left posterior base. Which of the following actions should the nurse take?Answer →
  36. 36Which of the following statements from a patient with asthma as a result of environmental allergies indicates the need for further teaching?Answer →
  37. 37A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?Answer →
  38. 38A nurse is evaluating a client with a chest tube for hemothorax. Which of the following drainage amounts is NOT an expected finding that can be reported routinely?Answer →
  39. 39A nurse is preparing to obtain a sputum specimen for culture and sensitivity. Which of the following action should the nurse plan to take?Answer →
  40. 40A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the following positions should the nurse place the client for the procedure?Answer →
  41. 41A patient with asthma has been prescribed a long-acting beta2-agonist (LABA). Which statement by the patient indicates the need for further teaching regarding this medication?Answer →
  42. 42For each body system below, click to specify the potential nursing intervention that an LPN can be delegated to perform in the care of a client with tuberculosis. Each body system may support more than one potential nursing intervention. (Each category must have at least 1 response option selected.)Answer →
  43. 43Which of the following nursing interventions are crucial in preventing ventilator-associated pneumonia in a client on mechanical ventilation? Select all that apply.Answer →
  44. 44Which finding most strongly suggests active pulmonary TB?Answer →
  45. 45A patient with severe COPD who chronically retains CO₂ receives IV morphine for rib fracture pain. Thirty minutes later the nurse notes excessive drowsiness and shallow respirations. What assessment is priority?Answer →
  46. 46A nurse is caring for an adult patient with a confirmed pulmonary embolism who is receiving low molecular weight heparin therapy. The patient suddenly develops acute shortness of breath, tachycardia, and hemoptysis. Which nursing action should the nurse perform first?Answer →
  47. 47A nursing student is asked to identify which lab result is most indicative of successful treatment in a client being treated for respiratory acidosis on mechanical ventilation. Which result should they choose?Answer →
  48. 48Review the electronic health record. Which action should the nurse take?Answer →
  49. 49A patient with active TB walks into the hallway without a mask. What is the priority nursing action?Answer →
  50. 50What is status asthmaticus?Answer →
  51. 51A client phones the telehealth nurse reporting nausea and development of a throbbing headache while on a climbing expedition. Which teaching will the nurse provide first?Answer →
  52. 52A pneumonia patient has PaO₂ 55 mmHg. Which intervention is priority?Answer →
  53. 53A client with a chest tube begins to show continuous bubbling in the water seal chamber. Which action is NOT appropriate?Answer →
  54. 54A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?Answer →
  55. 55The client with chronic obstructive pulmonary disease (COPD) is to be discharged home with orders for continuous oxygen at a rate of 2 l/min via cannula. What information does the nurse provide to the client and his wife regarding the use of oxygen at home?Answer →
  56. 56During the assessment of a patient with asthma, which clinical finding is characteristic of airway inflammation and bronchoconstriction?Answer →
  57. 57A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?Answer →
  58. 58When a person experiences impaired gas exchange, how does the body compensate to maintain homeostasis?Answer →
  59. 59A patient presents with the following arterial blood gas (ABG) results: pH 7.50, PaCO2 48 mmHg, HCQ32 34 mEq/L. Which ABG is this?Answer →
  60. 60A nurse is preparing to review discharge instructions with a client who has pulmonary tuberculosis. Which of the following information should the nurse include?Answer →
  61. 61A client is receiving a secondary infusion of vancomycin 1,500 mg in 250 mL to be infused over two hours. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numerical value only.)Answer →
  62. 62A nurse is caring for a client who has suspected metabolic alkalosis from continuous nasogastric suction for 24 hr. Which of the following arterial blood gas (ABG) results should the nurse expect?Answer →
  63. 63Which of the following is a potential complication of Guillain-Barré syndrome affecting the respiratory system?Answer →
  64. 64The nurse assessing an adult client following a motor vehicle accident observes that the client has an increased use of accessory muscles and is reporting chest pain and shortness of breath. The nurse should recognize the possibility of what condition?Answer →
  65. 65What manifestation occurs due to air trapping and overinflation of the lungs in a person with chronic obstructive pulmonary disease (COPD)?Answer →
  66. 66The nurse is caring for a client experiencing tachypnea, dyspnea, and confusion. Which of the following orders does the nurse anticipate receiving from the healthcare provider? Select all that apply.Answer →
  67. 67A client with a history of chronic obstructive pulmonary disease is admitted with shortness of breath. Which nursing action is appropriate?Answer →
  68. 68Considering the role of LPNs and the proper delegation of tasks involving IV therapy in a tuberculosis care setting, identify the correct actions that can be anticipated or contraindicated.Answer →
  69. 69A nurse is performing chest physiotherapy on a client who has a respiratory infection. To help with the removal of secretions, which of the following techniques should the nurse use?Answer →
  70. 70A nurse is providing education to a client diagnosed with viral rhinosinusitis. Which of the following topics should the nurse include in the education?Answer →
  71. 71A client with chronic obstructive pulmonary disease tells a nurse that they feel short of breath. The client's respiratory rate is 36 breaths/minute and the nurse auscultates diffuse wheezes. Arterial oxygen saturation is 84%. The nurse calls the assigned respiratory therapist to administer an ordered nebulizer treatment. The therapist says, "I have several more nebulizer treatments to do on the unit where I am w. As soon as I'm finished, I'll come and assess the client." The nurse's most appropriate action is to:Answer →
  72. 72A nurse is discussing nutrition options with a client who has a new diagnosis of COPD. Which of the following statements should the nurse make?Answer →
  73. 73A new nurse administers oxygen at 3 L/min via nasal cannula to a client with chronic obstructive pulmonary disease (COPD). Which parameters should the nurse monitor closely because they may indicate early respiratory compromise? Select all that apply.Answer →
  74. 74A nurse is performing care for several clients with the help of an assistive personnel (AP). Which task should the nurse ask the AP to perform first?Answer →
  75. 75The nurse at a long-term care facility is assessing each of the residents. Which resident faces the highest risk for aspiration?Answer →
  76. 76A patient with a history of moderate persistent asthma arrives at the emergency department with severe dyspnea, audible wheezing, and use of accessory muscles. The provider diagnoses acute bronchospasm and orders an immediate bronchodilator. The nurse prepares to administer ____(1)____ which treats acute bronchospasm by _____(2)____Answer →
  77. 77A client with asthma becomes increasingly anxious and states, "I can't breathe." Respirations are 38/min, wheezing is audible, and O2 sat is 93% on room air. What is the nurse's next priority action?Answer →
  78. 78A nurse is providing education on managing fatigue to a client with chronic obstructive pulmonary disease (COPD). Which statement by the client indicates understanding of the teaching?Answer →
  79. 79A 58-year-old client with chronic asthma is prescribed theophylline. During assessment, the nurse notes the client regularly consumes caffeinated beverages and recently started ciprofloxacin for a urinary tract infection. Which nursing action is most appropriate to ensure safe theophylline therapy?Answer →
  80. 80A nurse is caring for a patient admitted with COPD who is mildly short of breath, using accessory muscles, and appears tired. Which nursing intervention is the most appropriate to help alleviate the patient's respiratory distress?Answer →
  81. 81A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following instructions should the nurse include?Answer →
  82. 82What manifestations are consistent with a pulmonary embolus? Select all that apply.Answer →
  83. 83A nurse is teaching a group of older adults about pneumonia prevention. Which interventions should the nurse include? (Select all that apply)Answer →
  84. 84Immediately after total laryngectomy, a patient develops cyanosis and increased labored breathing. What is the nurse's first action?Answer →
  85. 85Which finding(s) requires nursing intervention? Select all that apply.Answer →
  86. 86A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?Answer →
  87. 87A healthcare provider orders 250 mg of cefuroxime to be administered orally twice a day. The pharmacy supplies cefuroxime suspension with a concentration of 125 mg/5 ml. How many milliliters will you administer per dose? (Answer as number only and round to the nearest whole number)Answer →
  88. 88A client experiencing an acute asthma attack has ABGs: pH 7.36, PaCO₂ 45 mmHg (previously 30 mmHg), PaO₂ 70 mmHg. What is the nurse's next priority action?Answer →
  89. 89Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The nurse should [blank1] to prevent [blank2].Answer →
  90. 90A post-thoracotomy patient's chest tube output increases to 250 ml/hr of bright red blood. What is the priority?Answer →
  91. 91The nurse is reviewing the lab results of a patient with suspected eosinophilic asthma. Which finding supports this diagnosis?Answer →
  92. 92A nurse is caring for a client who has had several episodes of vomiting. The nurse obtains arterial blood gas (ABG) results from the laboratory. How should the nurse interpret this ABG? Ph 7.45 PaCO2 49mm Hg HCO3 30mEq/LAnswer →
  93. 93A chronic obstructive pulmonary disease (COPD) client complains of dyspnea after his daily exercises. What is the best nursing action?Answer →
  94. 94Which of the following nursing interventions are essential for a client receiving mechanical ventilation to ensure safety and effectiveness? Select all that apply.Answer →
  95. 95Which nursing action best promotes airway clearance?Answer →
  96. 96A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO2 of 53, and an HCO of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?Answer →
  97. 97A nurse is evaluating a client 1 hour after treatment for a severe asthma attack. Which of the following findings does NOT indicate improvement?Answer →
  98. 98A nurse is caring for a client who has tuberculosis and is taking rifampin. The client reports that her saliva has turned red-orange in color. Which of the following responses should the nurse make?Answer →
  99. 99The nurse reviews the chart of a client who has been mechanically ventilated at a high respiratory rate. Which acid-base imbalance is the client at risk of developing?Answer →
  100. 100A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?Answer →
  101. 101A client with status asthmaticus suddenly becomes quiet on auscultation. Respiratory rate is 34/min, oxygen saturation is 88% on 6 L nasal cannula, and the client appears drowsy. What is the nurse's next priority action?Answer →
  102. 102A nurse is reviewing diagnostic results for several clients with respiratory conditions. Which of the following findings is NOT consistent with a diagnosis of pneumonia?Answer →
  103. 103A nurse is assessing a client with advanced chronic obstructive pulmonary disease (COPD). Which finding is most indicative of long-term disease progression?Answer →
  104. 104Which information about a client who has been admitted with a right calf venous thromboembolism requires immediate action by the nurse?Answer →
  105. 105A nurse receives a shift report regarding four clients on a ventilator. Which client should the nurse assess first based on priority?Answer →
  106. 106Which finding(s) should the nurse teach a patient taking cotrimoxazole (Bactrim) to report to the health care provider? (Select all that apply.)Answer →
  107. 107A nurse is performing tracheostomy care for a client. Which of the following actions should the nurse take?Answer →
  108. 108A nurse is collecting data on a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?Answer →
  109. 109A nurse is caring for a client who has just had a bronchoscopy. Which of the following actions should the nurse take?Answer →
  110. 110A nurse is providing education to a client with a new diagnosis of asthma. Which statement should the nurse plan to include in the education?Answer →
  111. 111A patient with asthma reports "not being able to take deep breaths." The nurse auscultates decreased breath sounds in the bases. What is the nurse's best action?Answer →
  112. 112A patient with COPD is prescribed steroid therapy. What would be the priority information for the nurse to give the patient who is on long-term steroid therapy?Answer →
  113. 113A nurse is providing discharge teaching to a client who has asthma and new prescriptions for a steroid and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  114. 114The nurse caring for mechanically ventilated clients uses best practices to prevent ventilator-associated pneumonia. What actions are included in this practice? Select all that applyAnswer →
  115. 115A client with a chest tube shows excessive continuous bubbling in the water-seal chamber. After clamping the tube near the dressing, the bubbling continues. What should the nurse do next?Answer →
  116. 116A post-lobectomy patient suddenly becomes severely dyspneic. Assessment reveals tracheal deviation away from the operative side, tachycardia, and absent breath sounds on the affected side. What is the nurse's priority action?Answer →
  117. 117A patient undergoes pulmonary function tests (PFTs) due to suspected restrictive lung disease. The PFT results demonstrate a decreased forced vital capacity (FVC) and a decreased total lung capacity (TLC). Which of the following patterns is consistent with a restrictive pulmonary disorder?Answer →
  118. 118A client with pulmonary embolism asks why anticoagulation is important even after symptoms improve. Which response is best?Answer →
  119. 119A client's spouse states that she is worried about her husband because he appears to be breathing "really hard." The nurse performs a respiratory assessment. What findings would indicate a need for further interventions?Answer →
  120. 120A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?Answer →
  121. 121A nurse is providing a client who has COPD with education regarding adapting their behavior. Which of the following describes an anticipated outcome following education of the client?Answer →
  122. 122The nurse is delegating tasks for a client with suspected tension pneumothorax. Which task should NOT be delegated to the CNA?Answer →
  123. 123A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?Answer →
  124. 124One hour after thoracentesis, a patient reports sharp chest pain and dyspnea. Breath sounds are decreased on one side. What is suspected?Answer →
  125. 125Based on the client above, complete the bow-tie by selecting the correct items.Answer →
  126. 126A 55-year-old patient presents with facial pain over the cheeks, postnasal drip, dental pain, and low-grade fever. Which assessment finding most strongly suggests bacterial rhinosinusitis?Answer →
  127. 127A nurse is evaluating a client with a chest tube and drainage system. Which of the following findings should the nurse identify as evidence that the client's lung has successfully re-expanded? (Select all that apply)Answer →
  128. 128A nurse is caring for a patient receiving oxygen via a nonrebreather mask for acute respiratory distress. Which nursing actions are appropriate for the safe management of this device? Select all that apply.Answer →
  129. 129A nurse assesses a client with asthma whose inhalers are not relieving symptoms. The client has severe dyspnea and SpO2 88%. Which findings support status asthmaticus? (Select all that apply.)Answer →
  130. 130A nurse reviews the client's assessment findings. Which findings support a diagnosis of impaired respiratory status? Select all that applyAnswer →
  131. 131A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who continues to smoke despite previous counseling. The patient expresses frustration about quitting and reports frequent respiratory infections and worsening dyspnea. Which nursing action best addresses this patient's complex needs to promote smoking cessation?Answer →
  132. 132A patient's admission vital signs are temperature 37.6° C, heart rate 96 beats/min, respirations 22 breaths/min, and blood pressure 140/90 mm Hg. Later, the patient requests pain medication, and the nurse records vital signs before administering codeine 15 mg with acetaminophen 300 mg (Tylenol 2) two tablets by mouth. Before administering the medication, which patient assessment is the nurse's priority?Answer →
  133. 133A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days. When collecting data from the client. The nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?Answer →
  134. 134A nurse is providing home health care instructions to an adult patient prescribed oxygen therapy for COPD. Which of the following nursing interventions should the nurse implement to ensure safe and effective oxygen use at home? (Select all that apply)Answer →
  135. 135A nurse is providing education to the parents of a child with streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?Answer →
  136. 136A nurse is caring for a client who has a deep vein thrombosis. Which of the following findings should indicate to the nurse that the client could be experiencing a pulmonary embolism?Answer →
  137. 137A patient has acute bronchitis with a nonproductive cough and wheezes. Which topic would the nurse plan to include in the teaching plan?Answer →
  138. 138The nurse in the Medical Surgical Unit is assessing four clients. Which client does the nurse NOT need to see first?Answer →
  139. 139A client presents to the emergency department with suspected bacterial pneumonia. What assessment finding requires immediate intervention by the nurse?Answer →
  140. 140A client with a tracheostomy requires suctioning due to visible secretions and diminished breath sounds. Which intervention should the nurse prioritize first?Answer →
  141. 141A firefighter trapped in a house fire is admitted to the intensive care unit (ICU) for smoke inhalation. Shortly after admission, the client started to display signs and symptoms of acute respiratory distress syndrome (ARDS) requiring intubation. What supportive treatment should the nurse implement to assist the client's recovery?Answer →
  142. 142A nurse is planning care for a patient with advanced idiopathic pulmonary fibrosis (IPF) experiencing severe dyspnea. Which intervention aligns best with symptom management at this stage?Answer →
  143. 143A patient previously exposed to anthrax starts to feel slightly better after 3 days of mild prodromal symptoms. Suddenly, he develops dyspnea, stridor, high fever, and cyanosis. What is the nurse's priority action?Answer →
  144. 144A patient with pulmonary embolism develops hemoptysis. What is the pathophysiologic cause?Answer →
  145. 145Drag from the choices area to specify which condition the client is most likely experiencing [blank1], two actions the nurse should take to address that condition [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  146. 146A nurse is suctioning fluids from a client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the client's heart rate is decreasing. Which is the appropriate nursing intervention?Answer →
  147. 147A patient with severe hypocalcemia develops perioral numbness and inspiratory stridor. Which complication is the nurse most concerned about?Answer →
  148. 148A client presents to the emergency department experiencing an acute asthma exacerbation. What assessment finding(s) should the nurse expect? Select all that apply.Answer →
  149. 149A client presents to the emergency department reporting chest discomfort and difficulty breathing, and the nurse suspects a pulmonary embolism. Vital signs include a heart rate of 142 beats/minute, blood pressure of 100/60 mmHg, respiratory rate of 42 breaths/minute, and pulse oximetry reading of 85%. Which action should the nurse take first?Answer →
  150. 150For each planned nursing action, indicate whether it is Anticipated or Contraindicated for a mechanically ventilated client with low-pressure alarms and diminished breath sounds.Answer →
  151. 151A nurse is caring for a client following the placement of a chest tube drainage system for a pneumothorax. Which of the following findings should the nurse expect?Answer →
  152. 152What complication occurs in individuals with chronic obstructive pulmonary disease due to excess mucus production?Answer →
  153. 153A nurse is caring for a client who has a chest tube. The chest tube is accidentally disconnected from the drainage system. Complete the following sentence by using the lists of options. The nurse should first ___[Blank1]___, then monitor for signs of ___[Blank2]___.Answer →
  154. 154A patient seen in the asthma clinic has recorded daily peak flowrates that are 70% of the baseline. Which action will the nurse plan to take next?Answer →
  155. 155A nurse is caring for a patient following a bronchoscopy who acutely develops stridor, labored breathing, and a decrease in oxygen saturation to 80%. Using priority-setting frameworks and the nursing process, which action should the nurse implement immediately?Answer →
  156. 156Which of the following factors could contribute to a high-pressure alarm on a mechanical ventilator? Select all that apply.Answer →
  157. 157During an acute asthma exacerbation, what manifestation is most concerning?Answer →
  158. 158An unstable client in the intensive care unit has suspected massive pulmonary embolism with hypotension, syncope, and jugular venous distention. The client cannot leave for imaging. Which action is best?Answer →
  159. 159Which of the following respiratory findings should the nurse recognize as a compensatory response to metabolic acidosis?Answer →
  160. 160A patient with chronic bronchitis reports increased sputum volume, worsening dyspnea, and increased cough over the past 48 hours. These findings strongly suggest:Answer →
  161. 161A patient taking pyrazinamide, rifampin, ethambutol, and isoniazid for TB asks which side effects or monitoring should be reported immediately. Which responses are correct? (Select all that apply)Answer →
  162. 162The nurse is caring for a trauma client whose x-ray reveals multiple rib fractures. Which intervention should the nurse include in the client's plan of care?Answer →
  163. 163A nurse is reinforcing discharge teaching for a client newly prescribed a long-acting bronchodilator (LABA) for chronic asthma management. Which client statement indicates the need for further teaching?Answer →
  164. 164A newly diagnosed client with small cell lung cancer (SCLC) asks the nurse about the expected course of the disease. Which statement by the nurse is most accurate?Answer →
  165. 165The nurse interprets the client's assessment findings and ABG results. The client is most likely experiencing [blank 1] which is likely triggered by [blank 2].Answer →
  166. 166Why does polycythemia often occur in individuals with Chronic Obstructive Pulmonary Disease (COPD)?Answer →
  167. 167A patient with asthma has ABG: pH 7.48, PaCO₂ 30 during acute attack. Interpretation?Answer →
  168. 168A patient with a chest tube for pneumothorax suddenly develops respiratory distress. The drainage chamber shows no output for 2 hours and there is no fluctuation in the water seal. What is most likely occurring?Answer →
  169. 169A nurse is teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  170. 170A nurse is assessing a client. Which of the following findings should the nurse identify as an indication of respiratory failure?Answer →
  171. 171A nurse is caring for a client who is 1 day postoperative following an open thoracotomy. The client is receiving oxygen mist at 40% by face tent. The client's SpO₂ is 89%. ABG results are: pH 7.31, PaO2 93 mm Hg, PCO₂ 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action by the nurse?Answer →
  172. 172While performing a history, a client becomes unconscious. What is the priority nursing action?Answer →
  173. 173The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?Answer →
  174. 174Which statement describes the pathophysiology of emphysema?Answer →
  175. 175A nurse is caring for a client following the placement of a chest tube drainage system for a pneumothorax. Which of the following findings should the nurse expect?Answer →
  176. 176A client had a Mantoux skin test; 72 hours later the client's forearm has a raised red area about 16 mm in diameter. What is the correct interpretation of this Mantoux skin test?Answer →
  177. 177A 68-year-old postoperative hip replacement patient is at risk for deep vein thrombosis (DVT). Which intervention is most effective in preventing pulmonary embolism?Answer →
  178. 178All of the following findings suggest progression from simple pneumothorax to tension pneumothorax EXCEPTAnswer →
  179. 179A nurse is planning care for a middle-aged male patient who reports waking up tired, experiencing daytime fatigue, and has a history of loud snoring and hypertension that is poorly responsive to medications. What is the most appropriate initial action by the nurse?Answer →
  180. 180Which physical exam finding is commonly associated with chronic bronchitis?Answer →
  181. 181A nurse is assisting with the care of a client who has adult respiratory distress syndrome (ARDS). Which of the following actions should the nurse take?Answer →
  182. 182A 72-year-old immunocompromised patient develops cough, fever, and fatigue after cleaning a damp, moldy basement. Which intervention should the nurse prioritize?Answer →
  183. 183A nurse is performing tracheostomy care for a client and suctioning to remove secretions. Which of the following actions should the nurse take? (Select all that apply)Answer →
  184. 184A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)Answer →
  185. 185A client with COPD is receiving oxygen at 2 L/min via nasal cannula. The client's oxygen saturation is 88%, and they appear comfortable. What is the nurse's best action?Answer →
  186. 186A patient with severe COPD who chronically retains CO₂ receives IV morphine for rib fracture pain. Thirty minutes later the nurse notes excessive drowsiness and shallow respirations. What assessment is priority?Answer →
  187. 187A nurse is caring for a client who has pneumonia caused by Haemophilus influenzae type B. Which of the following types of isolation precautions should the nurse implement?Answer →
  188. 188A nurse cares for a client 4 hours after a total laryngectomy. Which concern should the nurse prioritize?Answer →
  189. 189An older adult with pneumonia is producing rust-colored sputum and reports pleuritic chest pain. Which pathophysiologic process best explains these findings?Answer →
  190. 190ABG results: pH 7.36, PaCO₂ 60 mmHg, HCO₃⁻ 34 mEq/L. How should the nurse interpret this?Answer →
  191. 191A nurse is caring for a group of clients on an adult medical-surgical unit. Which of the following clients should the nurse identify as having the highest risk for aspiration?Answer →
  192. 192What type of pneumonia is described as widespread and occurs due to people interacting in public?Answer →
  193. 193A chest tube system shows continuous bubbling in the water-seal chamber. Which actions are appropriate? Select all that apply.Answer →
  194. 194A patient with a history of emphysema is admitted to the post-surgical unit. Which interventions will the nurse implement for this patient during the post-operative period? (Select all that apply)Answer →
  195. 195A nurse is providing tracheostomy care to a patient with a cuffed tracheostomy tube. Which actions are appropriate? Select all that apply.Answer →
  196. 196The nurse educator prepares to speak to a group of nursing students about direct and indirect insults to the lungs that may lead to the development of acute respiratory distress syndrome (ARDS). Which conditions will the nurse include in the teaching session? Select all that apply.Answer →
  197. 197A 32-year-old client with a history of asthma, pulmonary hypertension, and generalized anxiety disorder arrives at the emergency department after using a rescue inhaler multiple times without relief. The client is anxious, diaphoretic, and speaking in one-word sentences. Assessment findings: RR 36/min HR 128 bpm SpO₂: 89% on 4 L nasal cannula Use of accessory muscles Chest expansion minimal Lung sounds: markedly diminished with faint expiratory wheeze Peak flow: 80 L/min (personal best 410) Select: 1 condition the client is most likely experiencing 2 priority nursing actions 2 risk factors that may have contributed to the client's current conditionAnswer →
  198. 198What is the target oxygen saturation for a COPD exacerbation?Answer →
  199. 199Review the client's arterial blood gas trends. What finding should the nurse identify as an indication of compensation occurring?Answer →
  200. 200Which of the following statements about anticoagulation therapy for pulmonary embolism is NOT correct?Answer →
  201. 201A nurse is developing a discharge teaching plan for an adult patient with cystic fibrosis who has frequent pulmonary exacerbations. Which instruction should the nurse prioritize to reduce the risk of future respiratory infections?Answer →
  202. 202What manifestation should the nurse expect to assess in an older adult client with pneumonia?Answer →
  203. 203A patient with cystic fibrosis (CF) is admitted with increased dyspnea, hemoptysis, and a 12% decrease in forced expiratory volume (FEV1). What should the nurse anticipate in the patient's plan of care?Answer →
  204. 204The nurse assesses a client admitted with stage 4 lung cancer reporting difficulty breathing. What additional finding should the nurse identify as most concerning?Answer →
  205. 205A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?Answer →
  206. 206A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?Answer →
  207. 207A client arrives at the emergency department in status asthmaticus. The nurse determines that the client's condition is severe and death may be impending. What leads the nurse to this conclusion?Answer →
  208. 208A nurse is evaluating ABG results of a client during an acute asthma attack: pH 7.48, PaCO₂ 30 mmHg, HCO₃ 24 mEq/L. Which interpretation is NOT correct?Answer →
  209. 209A nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?Answer →
  210. 210A nurse in an urgent care clinic is assessing a client who reports a sore throat, painful swallowing, and a temperature of 101.8°F (38.3°C). The tonsils are enlarged with white exudate, and anterior cervical lymph nodes are tender. Which action should the nurse take first?Answer →
  211. 211A patient with emphysema complains of increased shortness of breath and uses accessory muscles to breathe. What is the most important nursing consideration when planning care for this patient?Answer →
  212. 212A public health nurse promoting the annual influenza vaccination is focusing health promotion efforts on the populations most vulnerable to death from influenza. The nurse should focus on which of the following groups?Answer →
  213. 213A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client tells the nurse she has been having difficulty breathing. Which of the following actions is the nurse's priority at this time?Answer →
  214. 214A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
  215. 215Which findings are expected in acute asthma exacerbation?Answer →
  216. 216A home-bound client with severe, end-stage chronic obstructive pulmonary disease (COPD) is being visited by the home health nurse. Which instruction should the nurse include in the client's teaching plan?Answer →
  217. 217A nurse is caring for a patient receiving oxygen via a nonrebreather mask for acute respiratory distress. Which nursing actions are appropriate for the safe management of this device? Select all that apply.Answer →
  218. 218A nurse is educating a patient newly diagnosed with latent tuberculosis infection (LTBI). Which statement about LTBI is NOT accurate?Answer →
  219. 219How does assessing dyspnea with a Visual Analog Dyspnea Scale (VADS) support nursing care in COPD patients?Answer →
  220. 220A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?Answer →
  221. 221A nurse is providing an educational session to colleagues on the unit regarding COPD. Which of the following options would the nurse provide regarding associated risks of COPD?Answer →
  222. 222A young adult with exercise-induced asthma is being taught how to use a long-acting beta-agonist (LABA). Which statement by the client indicates a need for further teaching?Answer →
  223. 223A nurse is teaching a newly licensed nurse about a non-rebreather oxygen mask. Which of the following instructions should the nurse include?Answer →
  224. 224After morning care, the nurse prepares for tracheostomy care. Which action will the nurse take? Select all that apply.Answer →
  225. 225A patient with asthma is increasingly short of breath and appears anxious. Which assessment finding indicates worsening respiratory status?Answer →
  226. 226A nurse is reinforcing discharge teaching with a client who has asthma and a new prescription for salmeterol. Which of the following instructions should the nurse include?Answer →
  227. 227A nurse is performing tracheostomy care for a client. Which of the following actions should the nurse take?Answer →
  228. 228Which of the following is NOT an appropriate initial nursing intervention for a suspected pulmonary embolism?Answer →
  229. 229A patient reports shortness of breath and increased anxiety. On auscultation, the nurse hears loud, rough, grating sounds in the lateral lung fields that worsen with deep inspiration. Which assessment finding best correlates with this auscultation result?Answer →
  230. 230A nurse is educating a newly diagnosed adult asthma patient about their personal asthma action plan and drug therapy. Which of the following statements by the patient indicate understanding? (Select all that apply.)Answer →
  231. 231A patient taking rifampin (Rifadin) reports orange discolored urine and tears. What is the appropriate nurse response?Answer →
  232. 232A patient with active TB is prescribed rifampin. Which nursing consideration is most important to include in patient teaching?Answer →
  233. 233A nurse is assessing a client with a history of asthma who presents with worsening dyspnea despite repeated use of a rescue inhaler. The client's SpO2 is 88% on room air. Which findings support a diagnosis of status asthmaticus? (Select all that apply.)Answer →
  234. 234A 45-year-old patient with chronic sinusitis and asthma is admitted with worsening facial pain and nasal congestion. The patient is prescribed corticosteroids, nasal irrigation, and advised to avoid known allergens. Which nursing action best integrates patient-centered care to promote symptom management and prevent relapse?Answer →
  235. 235A patient with a history of severe asthma presents to the emergency department with tachypnea and anxiety. Suddenly, wheezing becomes minimal and breath sounds are barely audible. Respiratory rate is 34/min. What does this finding most likely indicate?Answer →
  236. 236A client has the following ABG's results: pH 7.28, PaO2 88 mmHg, PaCO2 57 mmHg, HCO3 24 mEq/L. How does the nurse interpret the results?Answer →
  237. 237A client with a history of asthma reports having episodes of bronchoconstriction and increased mucus production while exercising. Which action should the nurse implement?Answer →
  238. 238A nurse is assisting with the care of a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGS), which of the following conditions should the nurse anticipate the client to be experiencing?Answer →
  239. 239A client is on synchronized intermittent mandatory ventilation (SIMV). Which of the following statements accurately describes this mode of ventilation?Answer →
  240. 240A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?Answer →
  241. 241The nurse assigns collection of a sputum specimen to an unlicensed assistive personnel (UAP). Before delegating this task to the UAP, which action is most important for the nurse to implement?Answer →
  242. 242The nurse plans care for a patient with superior vena cava syndrome (SVCS) secondary to lung cancer. What should the nurse prioritize?Answer →
  243. 243A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?Answer →
  244. 244A nurse is caring for a patient with emphysema. Which assessment finding would the nurse expect based on the pathophysiology of emphysema?Answer →
  245. 245A client with a possible pulmonary embolism complains of chest pain and difficulty breathing. Vital signs are: HR 142 bpm, BP 100/60 mmHg, and respirations 42/minute. What should the nurse's first action be?Answer →
  246. 246Which of the following diagnostic tests is NOT typically used to confirm pulmonary embolism?Answer →
  247. 247A nurse is caring for a group of clients on an infectious disease unit. The nurse should wear an N95 respirator mask when caring for a client who has which of the following disorders?Answer →
  248. 248Which manifestations are expected for a client with chronic bronchitis?Answer →
  249. 249A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose?Answer →
  250. 250A nurse prepares to administer theophylline 0.4 g orally. The medication is available as 200 mg tablets. How many tablets should the nurse administer? Enter only numeric values in your answer.Answer →
  251. 251When suctioning a tracheostomy tube, what is the most important consideration?Answer →
  252. 252A nurse is caring for a client who has metabolic alkalosis. Which of the following assessment findings is a possible cause for this condition? (Select all that apply.)Answer →
  253. 253A nurse is collecting data for a client who has COPD. The nurse should expect the client's chest to be which of the following shapes?Answer →
  254. 254What health condition might the following ABG report indicate: pH 7.18, pC02 44, HCO3 16, p02 95%Answer →
  255. 255A nurse is caring for a client who has a chest tube in the pleural space. The nurse notices continuous bubbling in the water seal chamber of the client's drainage system. Which of the following actions should the nurse take?Answer →
  256. 256A patient with chronic hypercarbia is receiving oxygen therapy for hypoxemia. The nurse adjusts the oxygen flow to maintain an oxygen saturation greater than 90% while avoiding complications from excessive FiO2. Which oxygen delivery system is most appropriate for this patient at this time?Answer →
  257. 257An adult patient is admitted to the ICU with Acute Respiratory Distress Syndrome (ARDS). The patient has been intubated and is mechanically ventilated. The patient is becoming increasingly agitated, and the high-pressure alarm is frequently being triggered. Which of the following interventions would the nurse do first?Answer →
  258. 258What is the primary pathophysiological feature of chronic bronchitis?Answer →
  259. 259A client has recently been diagnosed with chronic obstructive pulmonary disease (COPD). He finds that after smoking or exercise he experiences difficulty breathing, headaches, and nausea. The nurse recognizes that these are symptoms of what problem?Answer →
  260. 260A nurse is educating a patient with untreated obstructive sleep apnea (OSA) who reports irritability, frequent headaches, and memory problems. The patient refuses further evaluation, stating, "I just snore a lot, it's not serious." What is the most appropriate nursing response?Answer →
  261. 261A nurse is teaching a newly diagnosed adult with cystic fibrosis (CF) about genetic inheritance. Which statement most accurately explains the condition's genetics?Answer →
  262. 262A client presents with muscle cramps, hand tremors, and has been vomiting for three days. Arterial blood gas (ABG) results include: pH 7.49, PaCO2 43 mmHg, HCO3- 35 mEq/L. What action should the nurse plan to take based on the client's condition?Answer →
  263. 263What action should a person take to prevent the development of a pulmonary embolism?Answer →
  264. 264Indication for Inferior Vena Cava filter placement?Answer →
  265. 265A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values: pH 7.22, PaCO₂ 68 mm Hg, Base excess -2, PaO₂ 78 mm Hg, Saturation 80%, Bicarbonate 26 mEq/L. Which of the following is an appropriate analysis of the ABGs?Answer →
  266. 266A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority?Answer →
  267. 267A patient with chronic bronchitis becomes confused and drowsy after several days of increased sputum production. What is the most likely cause?Answer →
  268. 268A patient with chronic obstructive pulmonary disease (COPD) is prescribed an inhaled anticholinergic. After administration, the patient complains of dry mouth and reports difficulty urinating. As the nurse, how should you prioritize your clinical actions?Answer →
  269. 269A nurse is assessing a patient with suspected active TB. Which finding is most consistent with pulmonary TB?Answer →
  270. 270The nurse cares for a client with chronic obstructive pulmonary disease (COPD). What finding should the nurse recognize as an indication that the client has developed a serious complication of this disease?Answer →
  271. 271All of the following teaching points are appropriate for a client recovering from tension pneumothorax EXCEPTAnswer →
  272. 272A patient presents with the following arterial blood gas (ABG) results: pH 7.30, PaCO2 50 mmHg, HCO3 24 mEq/L. Which condition is most likely indicated by these findings?Answer →
  273. 273Which of the following individuals is most likely to have a restrictive lung disorder?Answer →
  274. 274After the nurse has received change of shift report, which patient should be assessed first?Answer →
  275. 275A nurse is caring for a client who was recently diagnosed with small cell lung cancer and is now beginning radiation treatment. Which intervention should the nurse include in the plan of care related to health promotion and maintenance?Answer →
  276. 276A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the X-ray department. Which of the following actions should the nurse take?Answer →
  277. 277The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?Answer →
  278. 278A nurse is caring for a client in the emergency department (ED) who has high anxiety and shallow respirations at a rate of 30/min. Which of the following acid-base disturbances is the client most likely experiencing?Answer →
  279. 279A client in acute respiratory failure is classified as having ventilatory failure. The nurse understands that which finding is a potential extra pulmonary cause of ventilatory failure?Answer →
  280. 280A post-thoracotomy patient's chest tube output increases to 250 mL/hr of bright red blood. What is the priority?Answer →
  281. 281A patient on isoniazid therapy reports dark urine, yellowing of the skin and eyes, and increased bruising. What is the nurse's priority action?Answer →
  282. 282A patient with lung cancer is ordered postural drainage. The nurse understands this is a process that helps:Answer →
  283. 283A nurse is assessing equipment needs in order to perform tracheostomy suctioning on a client. Which of the following pieces of equipment should the nurse gather for the procedure?Answer →
  284. 284One hour after thoracentesis, a patient reports sharp chest pain and dyspnea. Breath sounds are decreased on one side. What is suspected?Answer →
  285. 285A patient with emphysema complains of increased shortness of breath and uses accessory muscles to breathe. What is the most important nursing consideration when planning care for this patient?Answer →
  286. 286A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?Answer →
  287. 287A patient with asthma is increasingly short of breath and appears anxious. Which assessment finding indicates worsening respiratory status?Answer →
  288. 288A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a prescription for a chest x-ray. Which of the following actions should the nurse plan to take?Answer →
  289. 289A nurse is teaching a patient newly diagnosed with non-small cell lung cancer (NSCLC) about targeted therapy. What should the nurse emphasize about this treatment?Answer →
  290. 290A COPD patient on 3 L oxygen becomes increasingly somnolent. ABG: pH 7.30, PaCO₂ 72, HCO₃⁻ 34. What is the priority action?Answer →
  291. 291A patient with a chest tube for pneumothorax suddenly develops respiratory distress. The drainage chamber shows no output for 2 hours and there is no fluctuation in the water seal. What is most likely occurring?Answer →
  292. 292A nurse in a provider's office is assessing a client with long-standing chronic obstructive pulmonary disease (COPD). Which finding indicates a possible acute complication that should be reported to the provider immediately?Answer →
  293. 293A newly admitted client was diagnosed with deep vein thrombosis and a pulmonary embolism. Which nursing diagnosis should receive the highest priority?Answer →
  294. 294The nurse is teaching a group of staff nurses about complications associated with a tracheostomy. Which of the following conditions would the nurse include? Select all that applyAnswer →
  295. 295The nurse is assessing an adult client following a motor vehicle collision. The nurse observes that the client has tracheal deviation and is reporting pleuritic chest pain and dyspnea. The nurse should recognize the possibility of what condition?Answer →
  296. 296Why does hypoxia occur when a person has pneumonia?Answer →
  297. 297The nurse takes an admission history on a patient with possible asthma who has new-onset wheezing and shortness of breath. Which information may indicate a need for a change in therapy?Answer →
  298. 298How can oral candidiasis be prevented with corticosteroid MDI use?Answer →
  299. 299Which of the following clients should the nurse identify as being at increased risk for developing ventilator-associated pneumonia (VAP)? Select all that apply.Answer →
  300. 300A nurse is caring for a patient with obstructive shock due to a massive pulmonary embolism who presents with hypotension, tachycardia, decreased oxygen saturation, and signs of right ventricular strain on ECG. After initiating oxygen therapy and fluid resuscitation, which nursing action should be prioritized to prevent further hemodynamic deterioration?Answer →
  301. 301A patient with chronic hypercarbia is receiving oxygen therapy for hypoxemia. The nurse adjusts the oxygen flow to maintain an oxygen saturation greater than 90% while avoiding complications from excessive FiO. Which oxygen delivery system is most appropriate for this patient at this time?Answer →
  302. 302A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps.)Answer →
  303. 303A patient with bacterial pneumonia begins coughing up pink frothy sputum and develops worsening crackles and dyspnea. Which complication should the nurse suspect?Answer →
  304. 304A patient with asthma has ABG: PH 7.48, PaCO₂, 30 during acute attack. Interpretation?Answer →
  305. 305A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy post diagnosis of non small cell lung cancer. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?Answer →
  306. 306A client is being treated for a low-risk, stable pulmonary embolism (PE). Which of the following interventions should the nurse prioritize to provide effective management?Answer →
  307. 307The nurse is caring for four clients. Which client does the nurse identify at greatest risk of developing acute respiratory distress syndrome (ARDS)?Answer →
  308. 308A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?Answer →
  309. 309Which adverse effect should the nurse monitor for in a client taking theophylline?Answer →
  310. 310When performing tracheostomy suctioning, why is it essential to avoid applying suction while inserting the catheter?Answer →
  311. 311A nurse is reviewing arterial blood gas (ABG) results for a client: pH 7.30, HCO3 18 mEq/L, and PaCO2 within the expected range. Which of the following acid-base imbalances should the nurse identify?Answer →
  312. 312A nurse is caring for a group of clients. Which of the following clients should the nurse understand is at risk for stridor?Answer →
  313. 313A nurse is reinforcing discharge teaching for a client with asthma. The nurse explains that the client's prescription for albuterol works by __(1)__, while montelukast works by __(2)__.Answer →
  314. 314A nurse is caring for a client during an acute asthma attack. Which of the following findings is NOT expected?Answer →
  315. 315Which patient factors increase susceptibility to severe endemic respiratory infections? (Select all that apply)Answer →
  316. 316A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Vital signs include a temperature of 100.5° F (38° C), heart rate 120 beats/minute, respirations 28 breaths/minute, blood pressure 170/90 mm Hg, and oxygen saturation 89%. Which finding warrants immediate intervention by the nurse?Answer →
  317. 317A COPD patient on 3 L oxygen becomes increasingly somnolent. ABG: pH 7.30, PaCO2 72, HCO₃ 34. What is the priority action?Answer →
  318. 318The nurse is caring for a patient who has returned to the unit following a bronchoscopy. The patient is asking for something to drink. Which criteria will determine when the nurse should allow the patient to drink fluids?Answer →
  319. 319The nurse palpates a 5 mm induration 48 hours after administering the purified protein derivative (PPD) skin test to a client who is homeless and has no known living relatives. Which intervention should the nurse implement?Answer →
  320. 320After the nurse assesses the client, the healthcare provider (HCP) writes prescriptions. The nurse reviews the prescriptions. Which 2 prescriptions should the nurse complete first?Answer →
  321. 321A patient with pulmonary embolism develops hemoptysis. What is the pathophysiologic cause?Answer →
  322. 322A nurse is caring for a client who has just had a bronchoscopy. Which of the following actions should the nurse take?Answer →
  323. 323The nurse, caring for a patient with emphysema, understands that airflow limitations are not reversible. The ending result of this tissue deterioration is:Answer →
  324. 324How does assessing dyspnea with a Visual Analog Dyspnea Scale (VADS) support nursing care in COPD patients?Answer →
  325. 325Complete the following sentence by choosing from the list of options. The nurse is caring for a client with suspected bacterial pneumonia. The nurse should first [1], then [2].Answer →
  326. 326A charge nurse questions the nurse's teaching plan for a patient that has recently been diagnosed with acute viral sinusitis when the nurse includes the following instructions. Perform good hand hygiene. Take the antibiotics until the prescription is completed. Drink plenty of fluid Contact the health care provider if symptoms worsen. Which instruction should the charge nurse question?Answer →
  327. 327An adult patient arrives at the emergency department with active epistaxis. The nurse notes the patient is on anticoagulant therapy for atrial fibrillation. Which nursing action should the nurse prioritize to manage the epistaxis effectively while considering the patient's medication?Answer →
  328. 328A 72-year-old immunocompromised patient develops cough, fever, and fatigue after cleaning a damp, moldy basement. Which intervention should the nurse prioritize?Answer →
  329. 329A nurse is preparing to perform oral care for a client who is unconscious. Which of the following actions should the nurse take as the FIRST priority?Answer →
  330. 330A client with acute pulmonary embolism has pleuritic chest pain, tachypnea, and hypoxemia. Which arterial blood gas pattern is most likely early in the course?Answer →
  331. 331A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)Answer →
  332. 332A patient with a history of severe asthma presents to the emergency department with tachypnea and anxiety. Suddenly, wheezing becomes minimal and breath sounds are barely audible. Respiratory rate is 34/min. What does this finding most likely indicate?Answer →
  333. 333The nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?Answer →
  334. 334The charge nurse observes a nurse in the intensive care unit perform an arterial blood draw on a client with respiratory acidosis. What action by the nurse requires intervention by the charge nurse?Answer →
  335. 335Indications to stop suctioning a tracheostomy and oxygenate include:Answer →
  336. 336A nurse is teaching an obese client who has obstructive sleep apnea how to best decrease nightly apneic episodes. Which of the following client statements indicates an understanding of the teaching?Answer →
  337. 337What is the recommended cuff inflation pressure for an endotracheal tube to prevent tissue necrosis in a client?Answer →
  338. 338The nurse is assessing a client with a chest tube following a pneumonectomy. Which assessment finding requires nursing intervention?Answer →
  339. 339The nurse is educating a client with asthma about preventative measures to avoid having an asthma attack. What does the nurse inform the client is a priority intervention to prevent an asthma attack?Answer →
  340. 340During inhalation, which of the following changes occurs in the thoracic cavity that facilitates air entry into the lungs?Answer →
  341. 341The nurse is preparing to suction a client's tracheostomy. Which action is most important to prevent a decrease in the client's oxygen saturation during the procedure?Answer →
  342. 342Which patient factors increase susceptibility to severe endemic respiratory infections? (Select all that apply)Answer →
  343. 343In managing an elderly client diagnosed with a pulmonary embolism, which of the following interventions should be considered to ensure effective treatment and prevention of further embolism? Select all that apply.Answer →
  344. 344Which finding best indicates that the client's condition is improving?Answer →
  345. 345A nurse is assessing a client for hypoxemia during an acute exacerbation of chronic obstructive pulmonary disease. Which is an early manifestation of hypoxemia?Answer →
  346. 346For each situation, click to specify whether the situation puts the person at risk for community-acquired pneumonia or nosocomial pneumonia.Answer →
  347. 347Which scenario describes a medical emergency?Answer →
  348. 348A nurse is planning care for a patient with advanced idiopathic pulmonary fibrosis (IPF) experiencing severe dyspnea. Which intervention aligns best with symptom management at this stage?Answer →
  349. 349A nurse is caring for a client receiving a continuous heparin infusion for treatment of a pulmonary embolism. The client weighs 82 kg. The infusion was initiated according to standing orders at 15 units/kg/hour. Six hours after initiation, the nurse receives the following laboratory result: PTT = 50 seconds. What is the nurse's priority action?Answer →
  350. 350Which client instruction should the nurse correct after recovery from tension pneumothorax?Answer →
  351. 351A client diagnosed with acute asthma is experiencing inspiratory and expiratory wheezing and decreased forced expiratory volume. Which medication should the nurse administer first?Answer →
  352. 352In providing discharge teaching to a client with chronic obstructive pulmonary disease (COPD), which instruction is most important for the nurse to emphasize?Answer →
  353. 353Immediately after total laryngectomy, a patient develops cyanosis and increased labored breathing. What is the nurse's first action?Answer →
  354. 354A patient with severe asthma exacerbation suddenly has no audible wheezing and diminished breath sounds. What does this indicate?Answer →
  355. 355A client with asthma and type 1 diabetes mellitus is admitted with severe dyspnea, substernal retractions, and wheezing. The client uses a rescue inhaler PRN and reports mild polyuria and polydipsia over the past 24 hours. Which action should the nurse take first?Answer →
  356. 356A nurse is assessing a client who has COPD. Which of the following findings should the nurse report to the provider immediately?Answer →
  357. 357A patient with asthma has been prescribed a long-acting beta2-agonist (LABA). Which statement by the patient indicates the need for further teaching regarding this medication?Answer →
  358. 358What condition does the following ABG report indicate: pH 7.52, PCO₂ 29, HCO₃ 23, pO₂ 97%?Answer →
  359. 359A nurse is reviewing the provider's orders for a client with COPD who is receiving oxygen therapy. Which of the following orders should the nurse question?Answer →
  360. 360Your patient has a chest tube. You're assessing the water seal chamber and you note that the water moves up as the patient inhales and then moves down when the patient exhales. What is your interpretation of this data?Answer →
  361. 361A patient with severe asthma has ABG pH 7.26, PaCO₂ 58, PaO₂ 60. Which findings indicate impending respiratory failure? Select all that apply.Answer →
  362. 362Your patient is diagnosed with a latent tuberculosis infection. Select all the correct statements that reflect this condition: Select all that applyAnswer →
  363. 363A patient scheduled for surgical management of obstructive sleep apnea asks why an endoscopic evaluation is necessary before surgery What is the best response by the nurse?Answer →
  364. 364A home health nurse is reviewing safety with the family of a client who uses home oxygen therapy. Which of the following information should the nurse include?Answer →
  365. 365The nurse receives an arterial blood gas report for a client with chronic respiratory failure. What do the lab results indicate? pH 36 PaCO2 65 mmHg HCO3- 34 mEq/LAnswer →
  366. 366A nurse is performing chest percussion on a client who has severe COPD. Which of the following actions should the nurse take?Answer →
  367. 367An adult patient with a history of asthma presents to the clinic with increased wheezing, chest tightness, and shortness of breath despite adherence to his prescribed inhaled corticosteroid and long-acting bronchodilator. His peak flow readings have decreased over the past week. Which nursing action should take priority to manage this patient effectively?Answer →
  368. 368A nurse is caring for a client who is receiving oxygen at 2 L/min via a nasal cannula. From this information, the nurse should identify that the client is receiving which of the following oxygen concentrations?Answer →
  369. 369Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. Considering the client's history and assessment findings, it is likely the client has ______ related to ______.Answer →
  370. 370A nurse is caring for four patients on a busy medical-surgical floor. After the nurse receives report, which patient should the nurse assess first?Answer →
  371. 371A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?Answer →
  372. 372When initiating oxygen therapy for a client with respiratory failure and monitoring their response, which assessment finding would most warrant immediate intervention?Answer →
  373. 373A client is on mechanical ventilator settings that include the use of PEEP (positive end-expiratory pressure). Which finding indicates the client is developing a complication related to this therapy and requires immediate treatment?Answer →
  374. 374Review the electronic health record. Which 3 factors likely contributed to the client's complication? Select the 3 correct factors.Answer →
  375. 375A client is being discharged to home on warfarin therapy after an acute pulmonary embolism (PE). Which client response indicates a need for further teaching by the nurse?Answer →
  376. 376A nurse is providing an educational session to colleagues on the unit regarding COPD. Which of the following options would the nurse provide regarding associated risks of COPD?Answer →
  377. 377A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  378. 378A patient is admitted with confusion, lethargy, and rapid breathing. The arterial blood gas (ABG) results are as follows: pH 7.20, PaCO2 25, HCO3 10. Based on these findings, what is this ABG?Answer →
  379. 379A 72-year-old patient presents with confusion, weakness, and a low-grade fever. The patient has a history of chronic lung disease and has not received a pneumococcal vaccine. Vital signs reveal hypoxemia and tachypnea. Based on this patient's risk factors, which type of pneumonia is this patient most likely experiencing?Answer →
  380. 380For each clinical finding listed below, indicate whether the finding suggests the need for an endotracheal tube, tracheostomy, or both. Each finding may be associated with more than one type of artificial airway.Answer →
  381. 381A nurse is assisting with the care of a client who has adult respiratory distress syndrome (ARDS). Which of the following actions should the nurse take?Answer →
  382. 382While suctioning a client, vagal stimulation occurs. What is the appropriate nursing action?Answer →
  383. 383What is the first-line bronchodilator medication used in the treatment of an acute asthma attack?Answer →
  384. 384A patient taking cefuroxime axetil (Ceftin) complains of nausea. What action should the nurse implement to decrease the nausea?Answer →
  385. 385A nurse is caring for a client who has active tuberculosis. Which of the following interventions should the nurse include in the plan of care?Answer →
  386. 386A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a disposable water-seal drainage system with suction. The nurse should intervene for which of the following observations?Answer →
  387. 387A nurse is caring for a client who has a chest tube in the pleural space. The nurse notices continuous bubbling in the water seal chamber of the client's drainage system. Which of the following actions should the nurse take?Answer →
  388. 388A client with suspected tension pneumothorax is assessed in the ED. Which findings are NOT consistent with tension pneumothorax? (Select All that Apply.)Answer →
  389. 389The nurse is caring for a client with a cuffed tracheostomy. For which complication does the nurse monitor?Answer →
  390. 390In the context of managing refractory respiratory failure and cardiogenic shock, determine the anticipated or contraindicated nursing actions in the use of ECMO support.Answer →
  391. 391A nurse is preparing to assist in an emergency procedure for a patient with complete upper airway obstruction caused by foreign-body aspiration. The patient is unconscious. Which action should the nurse expect to take first?Answer →
  392. 392A client's arterial blood gas (ABG) results are as follows: pH 7.12, PaCO₂ 90 mm Hg, and HCO₃ 22 mEq/L. Based on this data, how should the nurse interpret the client's acid-base status?Answer →
  393. 393A nurse is assisting a client with mild chronic obstructive pulmonary disease (COPD) to set a goal related to the condition. Which of the following is an appropriate goal for this client?Answer →
  394. 394A client's arterial blood gas report indicates a pH of 7.5, PaO2 94 mm Hg, PaCO2 30 mm Hg, and an HCO3- 24 mEq/L (24 mmol/L). Which action should the nurse take based on these findings?Answer →
  395. 395A nurse is evaluating an older adult client who is receiving end-of-life care and has Cheyne-Stokes respirations. Which of the following observations should the nurse identify as confirmation of this respiratory pattern?Answer →
  396. 396Which statement by a patient demonstrates correct understanding of endemic respiratory infections?Answer →
  397. 397As the assessment is completed, the nurse observes that the client has a large amount of thick secretions visible in the trach. What is the priority nursing action?Answer →
  398. 398When assessing a patient with chronic bronchitis, which clinical sign best indicates a complication related to right-sided heart failure?Answer →
  399. 399A patient with chronic obstructive pulmonary disease has a priority problem of imbalanced nutrition: less than body requirements. Which intervention would be most appropriate for the nurse to include in the plan of care?Answer →
  400. 400A 40-year-old male presents with chest pain and shortness of breath. Which lab value indicates pulmonary embolism?Answer →
  401. 401A nurse is preparing to administer a metered dose inhaler (MDI) medication to a client. Which of the following actions should the nurse take?Answer →
  402. 402A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
  403. 403A nurse is caring for a client who has a deep vein thrombosis. Which of the following findings should indicate to the nurse that the client could be experiencing a pulmonary embolism?Answer →
  404. 404A nurse prepares to administer levofloxacin 750 mg IV diluted in 150 mL of normal saline to infuse over 90 minutes. What rate should the nurse set on the IV pump (mL/hr)?Answer →
  405. 405Which comorbid condition requires immediate concern with propranolol?Answer →
  406. 406The nurse is performing tracheostomy suctioning, and during catheter insertion, the client begins to cough. What action should the nurse take?Answer →
  407. 407A patient with long-standing COPD (Chronic Obstructive Pulmonary Disease) is admitted for increased dyspnea. The patient is on 2 L O₂ via nasal cannula. ABG (Arterial Blood Gas) results show: pH 7.29, PaCO₂ 58 mmHg, HCO₃⁻ 29 mEq/L. Based on these findings, how should the nurse interpret this acid-base disturbance?Answer →
  408. 408The nurse is assessing a client who sustained a blunt chest injury. Which would indicate to the nurse that the client is exhibiting a flail chest?Answer →
  409. 409The nurse is caring for a client with rib fractures and a pneumothorax who reports a pain score of 8/10. The nurse administered prescribed hydromorphone IV push and reassesses the client in 30 minutes. What data indicates that the treatment is effective?Answer →
  410. 410The nurse is teaching the spouse of a client on mechanical ventilation about Measures to prevent ventilator-associated pneumonia. Which of the following statements by the family would indicate to the nurse that the family needs additional instruction?Answer →
  411. 411A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night. Which of the following statements should the nurse identify as an indication that the client understands the instructions?Answer →
  412. 412The nurse is caring for a client with a massive pulmonary embolus who also has developed right-sided heart failure. Which symptom will the nurse need to report immediately to the health care provider?Answer →
  413. 413The nurse is preparing to perform postural drainage for a client with thick respiratory secretions. Which action should the nurse take to promote effective airway clearance?Answer →
  414. 414What is a common trigger for extrinsic asthma?Answer →
  415. 415Clinical features that commonly raise suspicion for Pulmonary Embolism:Answer →
  416. 416Which of the following preventive measures is NOT appropriate for a patient at risk for pulmonary embolism?Answer →
  417. 417A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?Answer →
  418. 418A client with COPD has all of the following ABG changes from earlier today. Which change alerts the nurse to take immediate action to prevent harm?Answer →
  419. 419A nurse is reinforcing discharge teaching for a client newly prescribed a long-acting bronchodilator (LABA) for chronic asthma management. Which client statement indicates the need for further teaching?Answer →
  420. 420A nurse is caring for an older adult with posterior epistaxis requiring nasal packing. Which nursing intervention is the priority to ensure patient safety during treatment?Answer →
  421. 421The nurse is teaching a young college student, who was recently diagnosed with asthma, about disease management. The client is currently renting a historic house in a mountainous region, close to the college. Which information is most important for the nurse to provide this client?Answer →
  422. 422A nurse is caring for a patient diagnosed with pleural effusion who is experiencing decreased oxygen saturation and dyspnea. After confirming the underlying cause and initiating appropriate treatment, which nursing action should the nurse prioritize to improve the patient's oxygenation status?Answer →
  423. 423A nurse is reinforcing teaching to a graduating nurse about fluid volume deficit. Which of the following concepts about water balance should the nurse explain to the graduating nurse?Answer →
  424. 424A patient scheduled for surgical management of obstructive sleep apnea asks why an endoscopic evaluation is necessary before surgery. What is the best response by the nurse?Answer →
  425. 425A nurse is educating a COPD patient on pursed-lip breathing. The patient asks, "What is this actually doing for me?" The most accurate response is:Answer →
  426. 426After an acute asthma attack, which medication is used to prevent airway reactivity and increased secretions?Answer →
  427. 427A 75-year-old client is admitted to the hospital for management of a hip fracture after a fall at home. On hospital day 4, the client develops shortness of breath and a productive cough. A sputum culture is positive for pneumococcal pneumonia. What type of pneumonia does the client most likely have?Answer →
  428. 428A nurse in the emergency department is assessing a newly admitted client who has facial trauma. Which of the following assessments is the nurse's priority?Answer →
  429. 429The nurse is reviewing the lab results of a patient with suspected eosinophilic asthma. Which finding supports this diagnosis?Answer →
  430. 430The nurse is caring for a client with a chest tube connected to a drainage system. The nurse observes continuous bubbling in the water seal chamber. Which action should the nurse take first?Answer →
  431. 431A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports dyspnea with minimal exertion. Which of the following acid-base imbalances should the nurse suspect?Answer →
  432. 432Which of the following are the most common manifestations of COPD? (Select all that apply.)Answer →
  433. 433A nurse is completing a focused respiratory assessment of a patient with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma?Answer →
  434. 434A young adult with exercise-induced asthma is being taught how to use a long-acting beta-agonist (LABA). Which statement by the client indicates a need for further teaching?Answer →
  435. 435A client receiving assist-control mechanical ventilation has a respiratory rate set to 14 breaths per minute. The nurse observes that the client is initiating breaths that are above the preset rate. What is the most appropriate interpretation of this situation?Answer →
  436. 436A nurse is preparing to perform endotracheal suctioning on a patient diagnosed with pneumonia and currently being mechanically ventilated. Pre-suctioning assessment reveals bilateral crackles and an SaO₂ of 92%. The patient is coughing vigorously. Which of the following are appropriate guidelines?Answer →
  437. 437After change-of-shift report, which patient will the nurse assess first?Answer →
  438. 438An asthma patient has RR 36/min and minimal breath sounds. How should the nurse interpret this?Answer →
  439. 439A nurse is caring for a client who has just had a bronchoscopy. Which of the following actions should the nurse take?Answer →
  440. 440A chest tube system shows continuous bubbling in the water-seal chamber. Which actions are appropriate? Select all that apply.Answer →
  441. 441A client who was admitted yesterday with bilateral pneumonia has congested breath sounds, an oxygen saturation of 94%, and a temperature of 100° F (37.8° C). The client has a weak cough effort and is using their accessory muscles to breathe. Which intervention should the nurse implement first?Answer →
  442. 442Which one of the following assessments is most appropriate for determining the correct placement of an endotracheal tube in a mechanically ventilated client?Answer →
  443. 443The nurse is caring for several clients on the respiratory unit. Which client does the nurse assess most carefully for the development of acute respiratory distress syndrome (ARDS)?Answer →
  444. 444A patient on isoniazid therapy reports dark urine, yellowing of the skin and eyes, and increased bruising. What is the nurse's priority action?Answer →
  445. 445A nurse is reviewing arterial blood gas (ABG) results of clients with respiratory conditions. Which of the following ABG findings is NOT consistent with acute respiratory acidosis?Answer →
  446. 446A nurse is caring for a client diagnosed with pneumonia, a urinary tract infection, dehydration, and a temperature of 102 degrees. After reviewing the orders, calculate how many drops per minute using 20gtt/mL tubing.Answer →
  447. 447What term describes a blood clot that obstructs the pulmonary artery, blocking blood flow through the lung tissue?Answer →
  448. 448A client with acute respiratory distress syndrome (ARDS) has fine crackles at lung bases and the respirations are shallow at a rate of 28 breaths/minute. The client is restless and anxious. In addition to monitoring the arterial blood gas results, the nurse should anticipate doing which of the following? Select all that apply.Answer →
  449. 449A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?Answer →
  450. 450Which of the following interventions would be most likely to prevent the development of acute respiratory distress syndrome (ARDS)?Answer →
  451. 451A nurse is caring for a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?Answer →
  452. 452A patient with severe hypocalcemia develops perioral numbness and inspiratory stridor. Which complication is the nurse most concerned about?Answer →
  453. 453Which of the following statements is true regarding venous thromboembolism (VTE) and pulmonary embolus (PE)?Answer →
  454. 454An asthma attack is caused by which pathophysiological process(es)? Select all that apply.Answer →
  455. 455Which of the following statements about mechanical ventilation assist-control mode are true? Select all that apply.Answer →
  456. 456A patient with a history of moderate persistent asthma arrives at the emergency department with severe dyspnea, audible wheezing, and use of accessory muscles. The provider diagnoses acute bronchospasm and orders an immediate bronchodilator. The nurse prepares to administer: [blank 1] by [blank 2].Answer →
  457. 457A nurse is evaluating the Mantoux tuberculin skin test result of a client who returned exactly 48 hours after administration. The clients has a history of HIV infection. The nurse notes an induration measuring 6 mm at the injection site. Which is the most appropriate nursing action based on this finding?Answer →
  458. 458A nurse is caring for a client who is at risk for respiratory alkalosis. Which of the following alterations should the nurse identify as an increased risk for this condition?Answer →
  459. 459A nurse reviews the following arterial blood gas (ABG) results for a client who is anxious and breathing rapidly: pH: 7.50 PaO2: 99 mm Hg PaCO2: 29 mm Hg HCO3: 22 mEq/L Which nursing intervention is most appropriate?Answer →
  460. 460A nurse is planning care for the client. For each potential healthcare provider's prescription, select whether it is indicated, nonessential, or contraindicated.Answer →
  461. 461Which tasks can a registered nurse (RN) delegate to an LPN in the management of a client with tuberculosis? (Select all that apply)Answer →
  462. 462Which client should the nurse prioritize as needing emergent treatment, assuming no other injuries are present except the ones outlined?Answer →
  463. 463Which finding in a client with suspected tension pneumothorax does NOT require immediate intervention?Answer →
  464. 464A patient presents with severe unilateral throat pain, fever, difficulty swallowing, trismus, and a muffled "hot potato" voice. Which assessment finding most strongly indicates a peritonsillar abscess?Answer →
  465. 465A nurse is educating a client who has congested lungs on how to keep secretions thin and more easily coughed-up and expectorated. What would be one self-care measure to teach?Answer →
  466. 466A nurse is assessing a patient with suspected active TB. Which finding is most consistent with pulmonary TB?Answer →
  467. 467Which of the following actions should a nurse perform when suctioning clients with tracheostomy tubes, according to best practices? Select all that apply.Answer →
  468. 468A 60-year-old man reports fever, cough, chest pain, and night sweats after returning from a construction site near the Ohio River Valley He reports extensive dust exposure while disturbing soil. Which infection should the nurse suspect?Answer →
  469. 469A client with a tracheostomy requires suctioning due to visible secretions and diminished breath sounds. Which intervention should the nurse prioritize first?Answer →
  470. 470A nurse is teaching a group of older adults about pneumonia prevention. Which interventions should the nurse include? (Select all that apply)Answer →
  471. 471Which medication helps to remove secretions by liquifying or loosening them?Answer →
  472. 472A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?Answer →
  473. 473A pneumonia patient has PaO₂, 55 mmHg. Which intervention is priority?Answer →
  474. 474For each body system below, click to specify the potential nursing intervention that would be appropriate for the care of the client. Each body system may support more than one potential nursing intervention. (Each category must have at least 1 response option selected.)Answer →
  475. 475A nurse in the emergency department is caring for a client who has COPD with exacerbations. Which of the following interventions should the nurse provide?Answer →
  476. 476A nurse is providing care to a client who has a history of asthma. The client presents with influenza symptoms that started the previous day. The provider orders an influenza test and prescribes an oral antiviral with instructions to begin the treatment as soon as possible. The client asks the nurse whether they can take the antiviral before the lab results are back. Which of the following responses by the nurse is appropriate?Answer →
  477. 477A nurse is caring for a patient admitted for an acute asthma exacerbation. The patient reports extreme dyspnea, stating, "Turn up the oxygen, I'm not getting enough air." Which action would the nurse take first?Answer →
  478. 478Which of the following assessment findings in a patient with COPD require immediate nursing interventions? (Select all that apply)Answer →
  479. 479Based on the client's vital signs, what is the appropriate nursing action?Answer →
  480. 480A nurse cares for a client who had a chest tube placed 6 hours ago and refuses to take deep breaths because of the pain. What action would the nurse take?Answer →
  481. 481A patient with chronic bronchitis reports increased sputum volume, worsening dyspnea, and increased cough over the past 48 hours. These findings strongly suggest:Answer →
  482. 482The nurse in the emergency department (ED) is assessing a patient with a history of asthma complaining of dyspnea. The nurse auscultates the patient's chest and hears wheezing throughout the lung fields. The nurse interprets these findings as?Answer →
  483. 483A nurse is reviewing infection control measures for a patient admitted with suspected active pulmonary tuberculosis. Which of the following is correct EXCEPTAnswer →
  484. 484The nurse is caring for a client with acute respiratory distress syndrome (ARDS) secondary to a chest injury. The client has crackles in the bilateral posterior lung fields, tachycardia, delayed capillary refill, decreased urine output, and the following arterial blood gas (ABG) results: pH 7.56, PaO2 51, PaCO2 58, HCO3 24, SaO2 76%. Which is the healthcare team's priority?Answer →
  485. 485A nurse is providing care to a client with a chest tube following a pneumothorax. Which of the following nursing actions is NOT appropriate?Answer →
  486. 486A nurse is caring for a patient on volume-controlled mechanical ventilation with a tidal volume set at 8 ml/kg and a respiratory rate of 14 breaths/min. The patient suddenly develops high-pressure ventilator alarms and increased agitation. Which nursing action takes priority to address this situation?Answer →
  487. 487The nurse is teaching a client with COPD about energy conservation techniques. Which statement by the client demonstrates the best understanding of these principles?Answer →
  488. 488A nurse is reviewing the laboratory results of a client who was hyperventilating during a panic attack. Which of the following arterial blood gas values should the nurse expect?Answer →
  489. 489A nurse is caring for a client who is 1 day postoperative following an open thoracotomy. The client is receiving oxygen mist at 40% by face tent. The client's SaO₂ is 89%. ABG results are: pH 7.31, PaO₂ 93 mm Hg, PaCO₂ 50 mm Hg, HCO₃ 25 mEq/L. Which of the following is an appropriate action by the nurse?Answer →
  490. 490Which of the following assessment findings is NOT expected in a massive pulmonary embolism?Answer →
  491. 491The nurse notes a COPD client on 1 L/min with SpO2 84%, RR 8, and shallow breaths. Next step?Answer →
  492. 492The nurse is teaching a class on the medical management of epistaxis. The nurse will include which of the following: (Select all that apply)Answer →
  493. 493A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?Answer →
  494. 494A nurse is caring for a client admitted with pneumonia. The client is increasingly restless and reports severe shortness of breath. Assessment findings include a respiratory rate of 32 breaths/min, oxygen saturation of 82% on room air, use of accessory muscles, and diffuse crackles throughout both lung fields. Which action should the nurse take first?Answer →
  495. 495A client with flail chest is receiving mechanical ventilation. Which of the following interventions is the priority to ensure adequate ventilation and prevent aspiration?Answer →
  496. 496A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?Answer →
  497. 497A client receiving IV heparin therapy for a submassive pulmonary embolus asks why he is receiving this kind of therapy and why it is taking a long time. Which response by the nurse is most accurate?Answer →
  498. 498A patient with COPD on 2L/min nasal cannula O2 has a PaO2 of 58 mmHg and PaCO2 of 62 mmHg. The patient is alert and conversational. Which action is the priority?Answer →
  499. 499The nurse is teaching a new graduate about tension pneumothorax. Which statement by the new nurse indicates incorrect understanding?Answer →
  500. 500The nurse is caring for a client with pulmonary embolism who is receiving enoxaparin. Which of the following actions should the nurse include in the plan of care?Answer →
  501. 501A culture from an 80-year-old patient reveals Haemophilus in the sputum that is sensitive to ampicillin (Principen). Which is the nurse's priority assessment before administering the antibiotic?Answer →
  502. 502A patient is admitted with a respiratory rate of 30 breaths per minute, reports dizziness, and has an arterial blood gas (ABG) showing pH 7.52, PaCO2 28 mmHg, and HCO3 24 mEq/L. What is this ABG?Answer →
  503. 503Which nursing action for a patient with chronic obstructive pulmonary disease (COPD) could the nurse delegate to experienced assistive personnel (AP)?Answer →
  504. 504The nurse is caring for a client with shortness of breath, audible wheezing, and an oxygen saturation of 89%. What action should the nurse prioritize?Answer →
  505. 505The nurse is caring for a client who is experiencing hypoventilation. Which arterial blood gas results should the nurse expect?Answer →
  506. 506A nurse is teaching a client who has tuberculosis about infection control with her family at home. Which of the following instructions should the nurse include?Answer →
  507. 507A nurse is caring for a client admitted with pneumonia caused by Streptococcus pneumoniae. Which of the following types of pneumonia is Streptococcus pneumoniae?Answer →
  508. 508A client who was admitted yesterday with bilateral pneumonia has congested breath sounds, an oxygen saturation of 94%, and a temperature of 100° F (37.8° C). The client has a weak cough effort and is using their accessory muscles to breathe. Which intervention should the nurse implement first?Answer →
  509. 509A 55-year-old man with darker skin presents with increasing dyspnea on exertion. His pulse oximeter reads 96%, but he reports severe breathlessness on a visual analog scale. Based on best practices for health equity, what is the nurse's PRIORITY action?Answer →
  510. 510A nurse is monitoring a patient receiving catheter-directed thrombolytic therapy with tissue plasminogen activator (TPA). Which action is a priority if the patient develops confusion and chest pain?Answer →
  511. 511A patient with active TB walks into the hallway without a mask. What is the priority nursing action?Answer →
  512. 512A nurse is providing discharge education to a client with asthma about proper administration of their Ipratropium metered dose inhaler. Which statement by the client indicates a need for further teaching?Answer →
  513. 513Which asthma client requires immediate evaluation?Answer →
  514. 514A nurse is assessing a client with a history of asthma who presents with worsening dyspnea despite repeated use of a rescue inhaler. The client's SpO₂ is 88% on room air. Which findings support a diagnosis of status asthmaticus? (Select all that apply.)Answer →
  515. 515ABG results: pH 7.36, PaCO₂, 60 mmHg, HCO₃, 34 mEq/L How should the nurse interpret this?Answer →
  516. 516A nurse is evaluating the effectiveness of treatment for a client with active pulmonary tuberculosis who has been receiving a multi-drug regimen for three weeks. Which finding indicates that the treatment has been effective?Answer →
  517. 517A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?Answer →
  518. 518The client is under airborne precautions. What is a priority item for the nurse?Answer →
  519. 519The provider prescribes treatment for an acute COPD exacerbation. Which interventions should the nurse anticipate implementing? Select all that apply.Answer →
  520. 520A client has been diagnosed and treated for tuberculosis; her last sputum culture was negative. At discharge, the nurse is discussing the home care with the client. What is critical information to include in this discussion?Answer →
  521. 521A nurse is assessing a patient with chronic obstructive pulmonary disease (COPD). Which of the following signs and symptoms should the nurse expect to observe in this patient? Select all that apply.Answer →
  522. 522A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions is the priority for the nurse to take?Answer →
  523. 523Which best describes the purpose of pursed lip breathing in the client with COPD?Answer →
  524. 524A client admitted on the med-surg floor was found in the following position. Why the client would adopt it?Answer →
  525. 525The nurse is caring for a client with asthma and pneumonia who reports increasing shortness of breath and has both inspiratory and expiratory wheezes. Which medication should the nurse administer?Answer →
  526. 526A nurse is caring for a patient with chronic asthma who is prescribed a leukotriene modifier. Which nursing action is the most appropriate to ensure safe and effective use of this medication?Answer →
  527. 527A nurse is assessing a patient with chronic obstructive pulmonary disease (COPD). Which of the following signs and symptoms should the nurse expect to observe in this patient? Select all that applyAnswer →
  528. 528A client on mechanical ventilation triggers a low-pressure alarm. What should the nurse assess first to determine the cause of this alarm?Answer →
  529. 529Which of the following clients are showing signs of chronic hypoxemia?Answer →
  530. 530The nurse is assessing a client with a suspected pneumothorax. Which finding is most consistent with this condition?Answer →
  531. 531The emergency department nurse provides prescribed treatments to a client with respiratory alkalosis related to a panic attack. What finding indicates to the nurse that the client's condition is worsening?Answer →
  532. 532For each procedure below, click to specify whether it can be delegated to a Licensed Practical Nurse (LPN) in the context of tuberculosis care. Some procedures may support more than one delegation option. (Each category must have at least 1 response option selected.)Answer →
  533. 533Which of the following methods can be used to verify the correct placement of an endotracheal tube after intubation? Select all that apply.Answer →
  534. 534A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?Answer →
  535. 535A nurse is collecting data from a client who has respiratory insufficiency. Which of the following findings should the nurse identify as an early sign of inadequate oxygenation?Answer →
  536. 536A nurse notes that the chest tube has become disconnected from the drainage system. Which of the following actions is NOT appropriate?Answer →
  537. 537A patient diagnosed with active tuberculosis (TB) is homeless and has a history of chronic alcohol use. Which intervention by the nurse is expected to be most effective in ensuring adherence with the TB treatment regimen?Answer →
  538. 538While reading the client's operative record after a right lobectomy, the nurse notes that the client's tumor is staged as T1N₀M₀. When the client asks if chemotherapy (CT) will be necessary, how should the nurse respond?Answer →
  539. 539A 60-year-old man reports fever, cough, chest pain, and night sweats after returning from a construction site near the Ohio River Valley. He reports extensive dust exposure while disturbing soil. Which infection should the nurse suspect?Answer →
  540. 540A nurse is assessing a client who has chronic respiratory insufficiency. Which of the following findings should the nurse expect as result of the long-term inadequate oxygenation?Answer →
  541. 541A 72-year-old with type 2 diabetes and severe COPD arrives with Kussmaul-type breathing that has recently become shallow and slow. He is lethargic. Labs: ABG: pH 7.18, PaCO2 55 mmHg, HCO3 38 mEq/L, PaO2 64 mmHg on 4 L/min NC. Serum: Na 132, Cl 96, K 5.8, Glucose 540, Lactate 5 mmol/L. Which interpretation is most accurate?Answer →
  542. 542A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The client's medication regimen has been recently changed to a new bronchodilator. Therapeutic effects of this medication would include which of the following?Answer →
  543. 543A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has uncompensated metabolic acidosis. Which of the following results should the nurse expect to see?Answer →
  544. 544A patient with chronic respiratory symptoms presents with chronic cough, sputum production, and dyspnea. Further evaluation indicates airflow limitation on pulmonary function tests. Which of the following features is more indicative of chronic bronchitis rather than emphysema?Answer →
  545. 545A nurse is instructing a client on the use of a metered-dose inhaler (MDI). Which of the following actions is NOT correct?Answer →
  546. 546A nurse is monitoring a client who has just had a thoracentesis to remove pleural fluid. Which of the following clinical manifestations should indicate to the nurse that the client is experiencing a complication and the provider should be notified immediately?Answer →
  547. 547The nurse is assigned four patients. Which patient should be assessed first?Answer →
  548. 548A nurse is providing care to a group of patients. Which patient will the nurse see first?Answer →
  549. 549A 55-year-old patient presents with facial pain over the cheeks, postnasal drip, dental pain, and low-grade fever. Which assessment finding most strongly suggests bacterial rhinosinusitis?Answer →
  550. 550Which factor most increases pretest probability for Pulmonary Embolism?Answer →
  551. 551Based on the client above, complete the bow-tie by dragging options to the appropriate categories as you identify the two priority actions the nurse should take, the probable diagnosis, and the two parameters most important to monitor at this time.Answer →
  552. 552A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal chamber during client inspiration?Answer →
  553. 553An immigrant patient with cough, hemoptysis, weight loss, and night sweats has an abnormal CXR showing apical cavities. What is the nurse's first action?Answer →
  554. 554A patient with emphysema has a barrel-shaped chest and decreased breath sounds. This assessment finding most directly reflects:Answer →
  555. 555A nurse is teaching a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further instruction?Answer →
  556. 556A nurse is assessing a patient with suspected emphysema. Which finding should the nurse expect to observe during inspection of the thorax?Answer →
  557. 557The Spo2 of a client receiving oxygen therapy by nasal cannula at 6 L/min has dropped from 94% an hour ago to 90%. Which action does the nurse perform first to improve gas exchange before reporting the change to the primary health care provider?Answer →
  558. 558An asthma patient has RR 36/min and minimal breath sounds. How should the nurse interpret this?Answer →
  559. 559The nurse starts the albuterol nebulizer as prescribed. Which should the nurse assess after the albuterol nebulizer treatment is complete? Select all that apply.Answer →
  560. 560A nurse is caring for a patient with acute respiratory distress syndrome (ARDS) who is on mechanical ventilation. The patient demonstrates signs of agitation and increased respiratory rate during a spontaneous breathing trial (SBT). Which action should the nurse take first?Answer →
  561. 561A nurse is caring for a client with a chest tube connected to a closed drainage system. Which of the following findings is NOT expected in a properly functioning system?Answer →
  562. 562An 18-year-old female is rescued from a nonfatal drowning incident. She is unconscious and has slow, shallow respirations and bradycardia. Which of the following physiologic processes are most likely contributing to her current condition? (Select all that apply)Answer →
  563. 563The nurse is correct in identifying which clinical manifestation is associated with the diagnosis of allergic rhinitis?Answer →
  564. 564A 72-year-old patient presents with confusion, weakness, and a low-grade fever. The patient has a history of chronic illness and has not received a pneumococcal vaccine. Vital signs reveal hypoxemia and tachypnea. Based on this patient's risk factors, which type of pneumonia is this patient most likely experiencing?Answer →
  565. 565What is a risk factor for developing a pulmonary embolus?Answer →
  566. 566A nurse is reinforcing discharge teaching for a client who requires home oxygen therapy. Which of the following statements should the nurse identify as an indication that the client needs further teaching?Answer →
  567. 567A client with an acute asthma exacerbation after providing the prescribed treatments. What finding should the nurse report to the healthcare provider immediately?Answer →
  568. 568A client on mechanical ventilation has a high-pressure alarm triggered. Which of the following actions should the nurse prioritize to address this alarm?Answer →
  569. 569Which of the following complications is associated with mechanical ventilation? Select all that applyAnswer →
  570. 570A patient with exercise-induced asthma is planning to go jogging. What nursing instruction will best help prevent bronchospasm during exercise?Answer →
  571. 571The nurse is planning discharge teaching for a client with chronic obstructive pulmonary disease (COPD) about maintaining adequate nutrition. What statement should the nurse plan to include in the education?Answer →
  572. 572A nurse is caring for a client who has metabolic acidosis. Which of the following could be a cause for the for metabolic acidosis?Answer →
  573. 573A nurse is performing tracheostomy care for a client. Which of the following actions should the nurse take?Answer →
  574. 574The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?Answer →
  575. 575A client is being treated in the ED for respiratory distress coupled with bacterial pneumonia. The client has no medical history. However, the client works in a coal mine and smokes 10 cigarettes a day. The nurse anticipates which order based on the client's immediate needs?Answer →
  576. 576An older adult with pneumonia is producing rust-colored sputum and reports pleuritic chest pain. Which pathophysiologic process best explains these findings?Answer →
  577. 577A client has been classified as status asthmaticus. The nurse understands that this client will likely initially exhibit symptoms of:Answer →
  578. 578A nurse provides medication teaching to a client newly prescribed Breo Ellipta (Vilanterol-Fluticasone). Which client statement indicates a need for further teaching?Answer →
  579. 579The client reports increasing shortness of breath. Upon auscultation, the nurse notes expiratory wheezes in bilateral lung fields. What is the nurse's priority action?Answer →
  580. 580A client admitted to the medical-surgical unit with a submassive pulmonary embolism from atrial fibrillation due to mitral valve stenosis is started initially on enoxaparin and warfarin for the first few days. The client asks the nurse why two medications are needed. Which response by the nurse is accurate?Answer →
  581. 581A nurse is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide?Answer →
  582. 582Which statement by a patient demonstrates correct understanding of endemic respiratory infections?Answer →
  583. 583What health condition might the following ABG report indicate: pH 7.18, pCO₂ 44, HCO₃ 16, pO₂ 95%?Answer →
  584. 584The nurse is caring for a client who arrived in the emergency department with acute respiratory distress. Which assessment finding by the nurse requires the most rapid action?Answer →
  585. 585The nurse is caring for a client with a chest tube connected to gravity drainage. Which of the following statements would the nurse identify as the purpose of the water seal?Answer →
  586. 586A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?Answer →
  587. 587Which medication is administered first to a patient who has acute dyspnea, wheezing, hypercapnia, and hypoxemia?Answer →
  588. 588A nurse is educating a patient with untreated obstructive sleep apnea (OSA) who reports irritability, frequent headaches, and memory problems. The patient refuses further evaluation, stating, "I just snore a lot, it's not serious." What is the most appropriate nursing response?Answer →
  589. 589A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone oral solution 5 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  590. 590A patient with exercise-induced asthma is planning to go jogging. What nursing instruction will best help prevent bronchospasm during exercise?Answer →
  591. 591Which of the following assessment findings in a patient with COPD require immediate nursing interventions? (Select all that apply.)Answer →
  592. 592The nurse is caring for a client with a pneumothorax who has a chest tube connected to a closed drainage system with suction. Which of the following actions should the nurse include in the plan of care?Answer →
  593. 593A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?Answer →
  594. 594A nurse is teaching a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?Answer →
  595. 595What condition can result in impaired gas exchange due to difficulty exhaling trapped air?Answer →
  596. 596The nurse is caring for a client at risk for tension pneumothorax. Which assessment finding is LEAST concerning?Answer →
  597. 597A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client tells the nurse she has been having difficulty breathing. Which of the following actions is the nurse's priority at this time?Answer →
  598. 598The nurse is teaching a group of staff nurses about risk factors associated with developing a pulmonary embolism. Which of the following conditions would the nurse include in the teaching? Select all that applyAnswer →
  599. 599A COPD patient is prescribed ipratropium (Atrovent) and albuterol (ProAir) as separate inhalers. Which instruction reflects best nursing practice for sequencing?Answer →
  600. 600A tracheostomy patient becomes acutely anxious and unable to vocalize. Oxygen saturation begins to fall. The nurse attempts suctioning but the catheter cannot advance. What should the nurse do first?Answer →
  601. 601The nurse is caring for a client who returns to the community health clinic with latent tuberculosis infection (LTBI). The client has a positive skin test and is not showing signs of active disease. Which prophylactic prescription should the nurse teach the client to maintain strict compliance to prevent the development of active tuberculosis (TB) infection?Answer →
  602. 602A nurse provides care for a client receiving oxygen from a non-rebreather mask. Which nursing intervention is the highest priority?Answer →
  603. 603A nurse is planning care for a client who has hyponatremia. Which of the following actions is the priority to include in the plan of care?Answer →
  604. 604A client is admitted to the hospital for exacerbation of chronic obstructive pulmonary disease (COPD). What would the nurse expect to find during a nursing assessment?Answer →
  605. 605A nurse is reinforcing teaching about use of a metered-dose inhaler (MD) with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. (Move the Steps into the box on the right, placing them in the selected order of performance. Use all steps.)Answer →
  606. 606A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a prescription for a chest x-ray. Which of the following actions should the nurse plan to take?Answer →
  607. 607A patient who underwent a thoracentesis 2 hours ago reports new sharp pain on the right side that worsens at the end of inhalation and exhalation. The nurse also notes shallow respirations and a heart rate of 118 beats/min. Which complication should the nurse suspect?Answer →
  608. 608The nurse understands which oxygen delivery method gives the most precise concentration of oxygen?Answer →
  609. 609Which of the following are the most common manifestations of COPD? (Select all that apply.)Answer →
  610. 610The nurse is caring for a patient with inner maxillary fixation (IMF) following a jaw fracture repair. Which teaching point is most essential to prevent a life-threatening complication?Answer →
  611. 611The NP is providing education to a client newly diagnosed with asthma, according to the National Asthma Education and Prevention Program (NAEPP), What teaching recommendation is consistent with the NAEPP guidelines for asthma management?Answer →
  612. 612A client with a chest tube for a pneumothorax is experiencing sudden respiratory distress. Client says, "I'm having a hard time breathing." The water-seal chamber shows no tidaling. Which action should the nurse take first to address this situation?Answer →
  613. 613Which finding is the best indication for inferior vena cava filter placement?Answer →
  614. 614A nurse is caring for a client who is postoperative following a tracheostomy and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?Answer →
  615. 615A nurse is reinforcing teaching to a client who has asthma. Which of the following medications should the nurse instruct the client to use to abort an acute attack?Answer →
  616. 616A patient with bacterial pneumonia begins coughing up pink frothy sputum and develops worsening crackles and dyspnea. Which complication should the nurse suspect?Answer →
  617. 617Which of the following is NOT a typical clinical manifestation of pulmonary embolism?Answer →
  618. 618A patient with severe asthma has ABG pH 7.26, PaCO2 58, PaO2 60. Which findings indicate impending respiratory failure? Select all that apply.Answer →
  619. 619A nurse is caring for a patient receiving oxygen therapy via a nasal cannula at a flow rate of 3 liters per minute (LPM). The patient has chronic obstructive pulmonary disease (COPD) and is experiencing increased shortness of breath. The nurse observes the patient's oxygen saturation (SpO2) has dropped to 88%. What should be the nurse's initial action?Answer →
  620. 620Best device to deliver exact FiO2 of 24% in a COPD client?Answer →
  621. 621A patient with active TB is prescribed rifampin. Which nursing consideration is most important to include in patient teaching?Answer →
  622. 622A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene.Answer →
  623. 623A patient reports shortness of breath and increased anxiety. On auscultation, the nurse hears loud, rough, grating sounds in the lateral lung fields that worsen with deep inspiration. Which assessment finding best correlates with this auscultation result?Answer →
  624. 624The nurse is educating a client with asthma about recognizing signs of a severe asthma attack that require immediate emergency care. Which statement by the client indicates correct understanding?Answer →
  625. 625A nurse is preparing discharge instructions for a patient who underwent sinus cancer surgery. Which instruction is most appropriate regarding sinus cavity care?Answer →
  626. 626Pneumothorax is a possible complication of COPD. Symptoms will depend on the suddenness of the attack and the size of the air leak. The most common, immediate symptom that should be assessed is:Answer →
  627. 627The nurse receives a child in the emergency department. The child assumes a tripod sitting position, drooling. exhibiting stridor when breathing. Which action would the nurse avoid?Answer →
  628. 628A nurse is assessing clients diagnosed with asthma. Which of the following findings is NOT expected during an acute asthma exacerbation?Answer →
  629. 629A client with a 15-pack-year smoking history presents with progressive dyspnea, barrel-shaped chest, and diminished breath sounds bilaterally. Complete the diagram by selecting the condition, actions to take, and parameters to monitor.Answer →
  630. 630A nurse is caring for a client who had a thoracentesis 2 hr ago. Which of the following findings should the nurse expect?Answer →
  631. 631A 6-year-old child with cystic fibrosis is admitted to the medical unit. On initial observation, the child appears underweight and has rhonchi breath sounds. Which of the following interventions should the nurse implement first?Answer →
  632. 632A nurse is explaining to a client with asthma with a new prescription for prednisone what it is used for. What would be the most accurate explanation that the nurse could give?Answer →
  633. 633A newly admitted client was diagnosed with deep vein thrombosis and a pulmonary embolism. Which nursing diagnosis should receive the highest priority?Answer →
  634. 634What is the target oxygen saturation for a COPD exacerbation?Answer →
  635. 635A nurse is caring for an older adult with posterior epistaxis requiring nasal packing. Which nursing intervention is the priority to ensure patient safety during treatment?Answer →
  636. 636A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious lung sounds?Answer →
  637. 637A nurse is planning care for a middle-aged male patient who reports waking up tired, experiencing daytime fatigue, and has a history of loud snoring and hypertension that is poorly responsive to medications. What is the most appropriate initial action by the nurse?Answer →
  638. 638A provider is discharging a client who has a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include which of the following instructions? (Select all that apply)Answer →
  639. 639A nurse is planning an educational session for a client with a known hearing impairment. Which of the following strategies should the nurse incorporate to effectively communicate and facilitate learning for this client?Answer →
  640. 640A nurse is assisting discharge planning for a client who has a new prescription for bi-level positive airway pressure (BiPAP). The nurse should plan to contact which of the following healthcare team members to educate the client?Answer →
  641. 641What manifestation is expected when a person has pneumonia?Answer →
  642. 642A nurse is completing discharge teaching with a client who is being treated for active tuberculosis (TB). Which of the following client statements indicates an understanding of the teaching?Answer →
  643. 643A 55-year-old man with darker skin presents with increasing dyspnea on exertion. His pulse oximeter reads 96%, but he reports severe breathlessness on a visual analog scale. Based on best practices for health equity, what is the nurse's PRIORITY action?Answer →
  644. 644A nurse on a medical-surgical unit hears an assistive personnel (AP) tell a client, "If you don't stay in bed, I will tie you down." This behavior is most indicative of which legal issue?Answer →
  645. 645A registered nurse (RN) is managing a client with tuberculosis and must decide what tasks to delegate to assistive personnel (AP). Which tasks are suitable for delegation? (Select all that apply)Answer →
  646. 646A nurse is performing a focused respiratory assessment on a client at 0800... At 1100 the patient shows acute respiratory changes. What type of assessment is this?Answer →
  647. 647A 62-year-old woman reports worsening shortness of breath and a chronic morning cough. She has a 30-pack-year smoking history and works as a baker. The nurse begins collecting an environmental exposure history using the I PREPARE model. Which action should the nurse take FIRST to guide further respiratory assessment?Answer →
  648. 648A nurse is assessing a patient with suspected emphysema. Which finding should the nurse expect to observe during inspection of the thorax?Answer →
  649. 649A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax?Answer →
  650. 650A patient with cystic fibrosis (CF) is admitted with increased dyspnea, hemoptysis, and a 12% decrease in forced expiratory volume (FEV1). What should the nurse anticipate in the patient's plan of care?Answer →
  651. 651An adult patient with multiple rib fractures is at risk for developing respiratory complications. The nurse notes shallow respirations on the affected side and mild cyanosis. The patient's pain level is 8 on a scale of 0 to 10. Which nursing intervention best addresses both pain management, shallow respirations, decreased breath sounds, and prevention of respiratory complications in this patient?Answer →
  652. 652A nurse is assessing a client with chronic obstructive pulmonary disease who reports worsening shortness of breath. Which finding requires immediate intervention?Answer →
  653. 653The nurse begins client education and asks the client what potential asthma triggers may have been involved in her recent exacerbation. For each statement click to specify if the client has an understanding or no understanding of asthma triggers.Answer →
  654. 654The nurse assesses for clubbing of the nails by ?Answer →
  655. 655A 72-year-old patient presents to the clinic 36 hours after the sudden onset of fever, chills, severe headache, and cough. Several cases of influenza A have been confirmed in the community. The nurse anticipates a prescription for oseltamivir. Which assessment finding makes antiviral treatment MOST appropriate?Answer →
  656. 656A nurse reviews the client's assessment findings. Which condition should the nurse prioritize as the most immediate problem?Answer →
  657. 657A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO2 of 53, and an HCO3 of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?Answer →
  658. 658A nurse in the emergency department is caring for a client who has COPD with exacerbations. Which of the following interventions should the nurse provide?Answer →
  659. 659A patient who underwent a thoracentesis 2 hours ago reports new sharp pain on the right side that worsens at the end of inhalation and exhalation. The nurse also notes shallow respirations and a heart rate of 118 beats/min. Which complication should the nurse suspect?Answer →
  660. 660A client has just been intubated with an endotracheal tube. Which of the following methods is one of the reliable ways to confirm proper placement of the tube?Answer →
  661. 661The nurse is preparing a discharge teaching plan for an adult client with asthma. Which teaching point should be the priority to prevent exacerbations of the client's asthma?Answer →
  662. 662The emergency department nurse assesses a client with respiratory acidosis. What question should the nurse ask to determine the potential cause of this imbalance?Answer →
  663. 663The nurse is providing care to several clients on the medical surgical unit. Which client is at highest risk for a pulmonary fat embolism?Answer →
  664. 664A patient with chronic bronchitis becomes confused and drowsy after several days of increased sputum production. What is the most likely cause?Answer →
  665. 665A nurse is caring for a client who has chronic respiratory acidosis due to chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect with this client?Answer →
  666. 666The nurse is providing care to a client who is diagnosed with acute respiratory distress syndrome (ARDS). Which clinical finding does the nurse anticipate for this client who is experiencing hypoxia as a result of the ARDS diagnosis?Answer →
  667. 667A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal chamber during client inspiration?Answer →
  668. 668When performing tracheostomy suctioning, why is it essential to avoid applying suction while inserting the catheter?Answer →
  669. 669Which of the following is true regarding the physiology of an open pneumothoraxAnswer →
  670. 670A home health nurse is assessing a client who has COPD. Which of the following findings indicates the need for a referral for pulmonary rehabilitation?Answer →
  671. 671A nurse is preparing to assist in an emergency procedure for a patient with complete upper airway obstruction caused by foreign-body aspiration. The patient is unconscious. Which action should the nurse expect to take first?Answer →
  672. 672The nurse is assigned four patients. Which patient should be assessed first?Answer →
  673. 673A client with COPD who smokes 1 PPD presents for a routine appointment. Which client statement causes the nurse to suspect an increase in dyspnea?Answer →
  674. 674A nurse is providing education to a client newly prescribed isoniazid (INH) for treatment of tuberculosis. Which statement by the client indicates correct understanding of the medication instructions?Answer →
  675. 675Before administering a long-acting beta2-agonist (LABA) such as salmeterol, the nurse should ensure the client also has:Answer →
  676. 676What are advantages to breastfeeding? Select all that apply.Answer →
  677. 677A client with asthma is prescribed albuterol. Which finding indicates the medication is effective?Answer →
  678. 678The nurse is caring for a client with two chest tubes connected to a drainage system. The nurse plans to delegate ambulation to a nursing assistant (NA) who has floated from another unit. The NA states, "I'm not familiar with chest tubes." Which action should the nurse take?Answer →
  679. 679Which of the following statements are true regarding the diagnosis of Acute Respiratory Distress Syndrome (ARDS)? Select all that apply.Answer →
  680. 680A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?Answer →
  681. 681A patient with emphysema has a barrel-shaped chest and decreased breath sounds. This assessment finding most directly reflects:Answer →
  682. 682An adult patient with acute bronchitis is being discharged from the hospital. The patient has a history of chronic obstructive pulmonary disease (COPD) and expresses concern about managing symptoms at home. Which nursing teaching point should the nurse prioritize to prevent exacerbation and promote recovery?Answer →
  683. 683In most children 4 years and older, which of the following treatment approaches is effective in preventing asthma exacerbations and improving symptoms?Answer →
  684. 684The nurse assesses the client after the dose of albuterol and documents the findings in the chart. Which action(s) should the nurse plan for the rest of the shift? Select all that apply.Answer →
  685. 685A patient with cystic fibrosis (CF) reports thick mucus production and increased coughing during an acute exacerbation. Which nursing action best promotes airway clearance?Answer →
  686. 686What finding on the chest x-ray is indicative of ARDS?Answer →
  687. 687A client with a tracheostomy tube requires suctioning to clear secretions. Which of the following actions should a nurse prioritize to ensure the client's safety and effective airway clearance during the suctioning process?Answer →
  688. 688Emphysema can be categorized into different variations based on the distribution of lung damage. Which type of emphysema is characterized by damage primarily affecting the upper lobes of the lungs?Answer →
  689. 689A 50-year-old homeless man, who is living in a local homeless shelter and is an IV drug user, has arrived to the clinic to have his PPD skin test assessed. What is considered a positive result in this case?Answer →
  690. 690A nurse is assessing a client with chronic obstructive pulmonary disease who reports worsening shortness of breath. Which finding requires immediate intervention?Answer →