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Question 1 of 50
1. Question
1 point(s)Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnosed asthma. When teaching the patient about this drug, the nurse should explain that it may cause:
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Question 2 of 50
2. Question
1 point(s)Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In acute rhinitis, nasal drainage normally is:
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Question 3 of 50
3. Question
1 point(s)A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?
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Question 4 of 50
4. Question
1 point(s)Before administering ephedrine, Nurse Tony assesses the patient’s history. Because of ephedrine’s central nervous system (CNS) effects, it is not recommended for:
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Question 5 of 50
5. Question
1 point(s)A female patient suffers acute respiratory distress syndrome as a consequence of shock. The patient’s condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator, alarm sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?
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Question 6 of 50
6. Question
1 point(s)A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as needed. Which assessment finding indicates that the patient needs another pancuronium dose?
- Leg movement
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Question 7 of 50
7. Question
1 point(s)On auscultation, which finding suggests a right pneumothorax?
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Question 8 of 50
8. Question
1 point(s)Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses see many abbreviations. What does a lowercase “a” in ABG value present?
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Question 9 of 50
9. Question
1 point(s)A male patient is admitted to the healthcare facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient?
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Question 10 of 50
10. Question
1 point(s)Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the:
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Question 11 of 50
11. Question
1 point(s)After undergoing a left pneumonectomy, a female patient has a chest tube in place for drainage. When caring for this patient, the nurse must:
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Question 12 of 50
12. Question
1 point(s)When caring for a male patient who has just had a total laryngectomy, the nurse should plan to:
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Question 13 of 50
13. Question
1 point(s)A male patient has a sucking stab wound to the chest. Which action should the nurse take first?
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Question 14 of 50
14. Question
1 point(s)For a patient with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?
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Question 15 of 50
15. Question
1 point(s)A male patient’s X-ray result reveals bilateral white-outs, indicating acute respiratory distress syndrome (ARDS). This syndrome results from:
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Question 16 of 50
16. Question
1 point(s)For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway?
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Question 17 of 50
17. Question
1 point(s)Nurse Lei, caring for a client with a pneumothorax and who has had a chest tube inserted, continues gentle bubbling in the suction control chamber. What action is appropriate?
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Question 18 of 50
18. Question
1 point(s)Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate?
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Question 19 of 50
19. Question
1 point(s)Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to:
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Question 20 of 50
20. Question
1 point(s)A nurse is assisting a physician with the removal of a chest tube. The nurse should instruct the client to:
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Question 21 of 50
21. Question
1 point(s)While changing the tapes on a tracheostomy tube, the male client coughs and the tube is dislodged. The initial nursing action is to:
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Question 22 of 50
22. Question
1 point(s)Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. The nurse reports which of the following signs immediately if experienced by the client?
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Question 23 of 50
23. Question
1 point(s)An emergency room nurse is assessing a male client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?
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Question 24 of 50
24. Question
1 point(s)Nurse Reese is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which of the following would the nurse expect to note on assessment of this client?
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Question 25 of 50
25. Question
1 point(s)An oxygen delivery system is prescribed for a male client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed?
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Question 26 of 50
26. Question
1 point(s)Blessy, a community health nurse is conducting an educational session with community members regarding tuberculosis. The nurse tells the group that one of the first symptoms associated with tuberculosis is:
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Question 27 of 50
27. Question
1 point(s)A nurse performs an admission assessment on a female client with a diagnosis of tuberculosis. The nurse reviews the result of which diagnosis test that will confirm this diagnosis?
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Question 28 of 50
28. Question
1 point(s)A nurse is caring for a male client with emphysema who is receiving oxygen. The nurse assesses the oxygen flow rate to ensure that it does not exceed:
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Question 29 of 50
29. Question
1 point(s)A nurse instructs a female client to use the pursed-lip method of breathing and the client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed-lip breathing is to:
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Question 30 of 50
30. Question
1 point(s)A nurse is caring for a male client with acute respiratory distress syndrome. Which of the following would the nurse expect to note in the client?
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Question 31 of 50
31. Question
1 point(s)A nurse is preparing to obtain a sputum specimen from a male client. Which of the following nursing actions will facilitate obtaining the specimen?
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Question 32 of 50
32. Question
1 point(s)Nurse Joy is caring for a client after a bronchoscopy and biopsy. Which of the following signs, if noticed in the client, should be reported immediately to the physician?
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Question 33 of 50
33. Question
1 point(s)A nurse is suctioning fluids from a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of:
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Question 34 of 50
34. Question
1 point(s)A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is the appropriate nursing intervention?
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Question 35 of 50
35. Question
1 point(s)A male adult client is suspected of having a pulmonary embolism. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism?
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Question 36 of 50
36. Question
1 point(s)A slightly obese female client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client’s chest wall, the nurse expects to elicit:
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Question 37 of 50
37. Question
1 point(s)A male client who weighs 175 lb (79.4 kg) is receiving aminophylline (Aminophylline) (400 mg in 500 ml) at 50 ml/hour. The theophylline level is reported as 6 mcg/ml. The nurse calls the physician who instructs the nurse to change the dosage to 0.45 mg/kg/hour. The nurse should:
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Question 38 of 50
38. Question
1 point(s)The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching?
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Question 39 of 50
39. Question
1 point(s)Which phrase is used to describe the volume of air inspired and expired with a normal breath?
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Question 40 of 50
40. Question
1 point(s)A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations?
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Question 41 of 50
41. Question
1 point(s)A female client must take streptomycin for tuberculosis. Before therapy begins, the nurse should instruct the client to notify the physician if a health concern occurs?
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Question 42 of 50
42. Question
1 point(s)A male client is asking the nurse a question regarding the Mantoux test for tuberculosis. The nurse should base her response on the fact that the:
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Question 43 of 50
43. Question
1 point(s)A female adult client has a tracheostomy but doesn’t require continuous mechanical ventilation. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for:
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Question 44 of 50
44. Question
1 point(s)Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?
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Question 45 of 50
45. Question
1 point(s)A black client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the:
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Question 46 of 50
46. Question
1 point(s)For a male client with an endotracheal (ET) tube, which nursing action is most essential?
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Question 47 of 50
47. Question
1 point(s)The nurse assesses a male client’s respiratory status. Which observation indicates that the client is experiencing difficulty breathing?
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Question 48 of 50
48. Question
1 point(s)A female client is undergoing a complete physical examination as a requirement for college. When checking the client’s respiratory status, the nurse observes respiratory excursion to help assess:
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Question 49 of 50
49. Question
1 point(s)A male client comes to the emergency department complaining of sudden onset of diarrhea, anorexia, malaise, cough, headache, and recurrent chills. Based on the client’s history and physical findings, the physician suspects Legionnaires’ disease. While awaiting diagnostic test results, the client is admitted to the facility and started on antibiotic therapy. What is the drug of choice for treating Legionnaires’ disease?
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Question 50 of 50
50. Question
1 point(s)A male client with chronic obstructive pulmonary disease (COPD) is recovering from a myocardial infarction. Because the client is extremely weak and can’t produce an effective cough, the nurse should monitor closely for:
CorrectIncorrect