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:

A. Yellow
B. Green
*C. Clear
D. Gray

Before administering ephedrine, Nurse Tony assesses the patient’s

history. Because of ephedrine’s central nervous system (CNS) effects, it
is not recommended for:

A. Patients with an acute asthma attack

B. Patients with narcolepsy
C. Patients under age 6
*D. Elderly patients

A female patient suffers adult 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?

*A. Kinking of the ventilator tubing

B. A disconnected ventilator tube
C. An endotracheal cuff leak
D. A change in the oxygen concentration without resetting the oxygen level
alarm

On auscultation, which finding suggests a right pneumothorax?

A. Bilateral inspiratory and expiratory crackles

*B. Absence of breaths sound in the right thorax
C. Inspiratory wheezes in the right thorax
D. Bilateral pleural friction rub.

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 sees
many abbreviations. What does a lowercase “a” in ABG value present?

A. Acid-base balance
*B. Arterial Blood
C. Arterial oxygen saturation
D. Alveoli

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?

A. Activity intolerance related to fatigue

B. Anxiety related to actual threat to health status
C. Risk for infection related to retained secretions
*D. Impaired gas exchange related to airflow obstruction

Nurse Ruth assessing a patient for tracheal displacement should know

that the trachea will deviate toward the:

A. Contralateral side in a simple pneumothorax

B. Affected side in a hemothorax
C. Affected side in a tension pneumothorax
*D. Contralateral side in hemothorax
After undergoing a left pneumonectomy, a female patient has a chest
tube in place for drainage. When caring for this patient, the nurse must:

A. Monitor fluctuations in the water-seal chamber

B. Clamp the chest tube once every shift
*C. Encourage coughing and deep breathing
D. Milk the chest tube every 2 hours

When caring for a male patient who has just had a total laryngectomy,
the nurse should plan to:

A. Encourage oral feeding as soon as possible

*B. Develop an alternative communication method
C. Keep the tracheostomy cuff fully inflated
D. Keep the patient flat in bed

A male patient has a sucking stab wound to the chest. Which action
should the nurse take first?

A. Drawing blood for a hematocrit and hemoglobin level

*B. Applying a dressing over the wound and taping it on three sides
C. Preparing a chest tube insertion tray
D. Preparing to start an I.V. line

For a patient with advanced chronic obstructive pulmonary disease

(COPD), which nursing action best promotes adequate gas exchange?

A. Encouraging the patient to drink three glasses of fluid daily

B. Keeping the patient in semi-Fowler’s position
*C. Using a high-flow venture mask to deliver oxygen as prescribe
D. Administering a sedative, as prescribe
A male patient’s X-ray result reveals bilateral white-outs, indicating
adult respiratory distress syndrome (ARDS). This syndrome results
from:

A. Cardiogenic pulmonary edema

B. Respiratory alkalosis
*C. Increased pulmonary capillary permeability
D. Renal failure

For a female patient with chronic obstructive pulmonary disease, which

nursing intervention would help maintain a patent airway?

A. Restricting fluid intake to 1,000 ml per day

B. Enforcing absolute bed rest
*C. Teaching the patient how to perform controlled coughing
D. Administering prescribe sedatives regularly and in large amounts

Nurse Lei caring for a client with a pneumothorax and who has had a
chest tube inserted notes continues gentle bubbling in the suction
control chamber. What action is appropriate?

*A. Do nothing, because this is an expected finding

B. Immediately clamp the chest tube and notify the physician
C. Check for an air leak because the bubbling should be intermittent
D. Increase the suction pressure so that the bubbling becomes vigorous

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?

A. Inform the physician

*B. Continue to monitor the client
C. Reinforce the occlusive dressing
D. Encourage the client to deep breathe
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:

A. Call the physician

*B. Place the tube in bottle of sterile water
C. Immediately replace the chest tube system
D. Place a sterile dressing over the disconnection site

A nurse is assisting a physician with the removal of a chest tube. The

nurse should instruct the client to:

A. Exhale slowly
B. Stay very still
C. Inhale and exhale quickly
*D. Perform the Valsalva maneuver

While changing the tapes on a tracheostomy tube, the male client

coughs and tube is dislodged. The initial nursing action is to:

A. Call the physician to reinsert the tube

*B. Grasp the retention sutures to spread the opening
C. Call the respiratory therapy department to reinsert the tracheotomy
D. Cover the tracheostomy site with a sterile dressing to prevent infection

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?

*A. Stridor
B. Occasional pink-tinged sputum
C. A few basilar lung crackles on the right
D. Respiratory rate 24 breaths/min
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?

A. A low respiratory rate

*B. Diminished breath sounds
C. The presence of a barrel chest
D. A sucking sound at the site of injury

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?

*A. Hypocapnia
B. A hyperinflated chest noted on the chest x-ray
C. Increased oxygen saturation with exercise
D. A widened diaphragm noted on the chest x-ray

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?

A. Face tent
*B. Venturi mask
C. Aerosol mask
D. Tracheostomy collar

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:
A. Dyspnea
B. Chest pain
C. A bloody, productive cough
*D. A cough with the expectoration of mucoid sputum

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?

A. Bronchoscopy
*B. Sputum culture
C. Chest x-ray
D. Tuberculin skin test

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:

A. 1 L/min
*B. 2 L/min
C. 6 L/min
D. 10 L/min

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:

A. Promote oxygen intake

B. Strengthen the diaphragm
C. Strengthen the intercostal muscles
*D. Promote carbon dioxide elimination
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?

A. Pallor
*B. Low arterial PaO2
C. Elevated arterial PaO2
D. Decreased respiratory rate

A nurse is preparing to obtain a sputum specimen from a male client.

Which of the following nursing actions will facilitate obtaining the
specimen?

A. Limiting fluid
*B. Having the client take deep breaths
C. Asking the client to spit into the collection container
D. Asking the client to obtain the specimen after eating

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?

A. Dry cough
B. Hematuria
*C. Bronchospasm
D. Blood-streaked sputum

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:

A. 1 minute
B. 5 seconds
*C. 10 seconds
D. 30 seconds
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?

A. Continue to suction
B. Notify the physician immediately
*C. Stop the procedure and reoxygenate the client
D. Ensure that the suction is limited to 15 seconds

A male adult client is suspected of having a pulmonary embolus. A

nurse assesses the client, knowing that which of the following is a
common clinical manifestation of pulmonary embolism?

*A. Dyspnea
B. Bradypnea
C. Bradycardia
D. Decreased respirations

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:

*A. Resonant sounds.

B. Hyper resonant sounds.
C. Dull sounds.
D. Flat sounds.

The nurse is teaching a male client with chronic bronchitis about

breathing exercises. Which of the following should the nurse include in
the teaching?
A. Make inhalation longer than exhalation.
B. Exhale through an open mouth.
*C. Use diaphragmatic breathing.
D. Use chest breathing.

Which phrase is used to describe the volume of air inspired and expired
with a normal breath?

A. Total lung capacity

B. Forced vital capacity
*C. Tidal volume
D. Residual volume

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?

A. Simple mask
*B. Non-rebreather mask
C. Face tent
D. Nasal cannula

A female client must take streptomycin for tuberculosis. Before therapy

begins, the nurse should instruct the client to notify the physician if
which health concern occurs?

A. Impaired color discrimination

B. Increased urinary frequency
*C. Decreased hearing acuity
D. Increased appetite
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:

A. Area of redness is measured in 3 days and determines whether tuberculosis

is present.
*B. Skin test doesn’t differentiate between active and dormant tuberculosis
infection.
C. Presence of a wheal at the injection site in 2 days indicates active
tuberculosis.
D. Test stimulates a reddened response in some clients and requires a second
test in 3 months.

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:

A. 15 to 60 seconds.
*B. 5 to 20 minutes.
C. 30 to 40 minutes.
D. 45 to 60 minutes.

Nurse Oliver observes constant bubbling in the water-seal chamber of a

closed chest drainage system. What should the nurse conclude?

A. The system is functioning normally

B. The client has a pneumothorax.
*C. The system has an air leak.
D. The chest tube is obstructed.

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:

A. Lips.
*B. Mucous membranes.
C. Nail beds.
D. Earlobes.

For a male client with an endotracheal (ET) tube, which nursing action
is most essential?

*A. Auscultating the lungs for bilateral breath sounds

B. Turning the client from side to side every 2 hours
C. Monitoring serial blood gas values every 4 hours
D. Providing frequent oral hygiene

The nurse assesses a male client’s respiratory status. Which

observation indicates that the client is experiencing difficulty
breathing?

A. Diaphragmatic breathing
*B. Use of accessory muscles
C. Pursed-lip breathing
D. Controlled breathing

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:

A. Lung vibrations.
B. Vocal sounds.
C. Breath sounds.
*D. Chest movements.

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:
A. Pleural effusion.
B. Pulmonary edema.
*C. Atelectasis.
D. Oxygen toxicity.

The nurse in charge 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?

*A. It helps prevent early airway collapse.

B. It increases inspiratory muscle strength.
C. It decreases use of accessory breathing muscles.
D. It prolongs the inspiratory phase of respiration.

After receiving an oral dose of codeine for an intractable cough, the

male client asks the nurse, “How long will it take for this drug to
work?” How should the nurse respond?

*A. In 30 minutes
B. In 1 hour
C. In 2.5 hours
D. In 4 hours

A male client suffers adult respiratory distress syndrome as a

consequence of shock. The client’s condition deteriorates rapidly, and
endotracheal (ET) intubation and mechanical ventilation are initiated.
When the high-pressure alarm on the mechanical ventilator sounds, the
nurse starts to check for the cause. Which condition triggers the high-
pressure alarm?

*A. Kinking of the ventilator tubing

B. A disconnected ventilator tube
C. An ET cuff leak
D. A change in the oxygen concentration without resetting the oxygen level
alarm
A female client with chronic obstructive pulmonary disease (COPD)
takes anhydrous theophylline, 200 mg P.O. every 8 hours. During a
routine clinic visit, the client asks the nurse how the drug works. What
is the mechanism of action of anhydrous theophylline in treating a
nonreversible obstructive airway disease such as COPD?

*A. It makes the central respiratory center more sensitive to carbon dioxide and
stimulates the respiratory drive.
B. It inhibits the enzyme phosphodiesterase, decreasing degradation of cyclic
adenosine monophosphate, a bronchodilator.
C. It stimulates adenosine receptors, causing bronchodilation.
D. It alters diaphragm movement, increasing chest expansion and enhancing
the lung’s capacity for gas exchange.

A male client with pneumococcal pneumonia is admitted to an acute

care facility. The client in the next room is being treated for
mycoplasma pneumonia. Despite the different causes of the various
types of pneumonia, all of them share which feature?

*A. Inflamed lung tissue

B. Sudden onset
C. Responsiveness to penicillin.
D. Elevated white blood cell (WBC) count

A male client admitted to an acute care facility with pneumonia is

receiving supplemental oxygen, 2 L/minute via nasal cannula. The
client’s history includes chronic obstructive pulmonary disease (COPD)
and coronary artery disease. Because of these history findings, the
nurse closely monitors the oxygen flow and the client’s respiratory
status. Which complication may arise if the client receives a high
oxygen concentration?

*A. Apnea
B. Anginal pain
C. Respiratory alkalosis
D. Metabolic acidosis
After undergoing a thoracotomy, a male client is receiving epidural
analgesia. Which assessment finding indicates that the client has
developed the most serious complication of epidural analgesia?

A. Heightened alertness
B. Increased heart rate
C. Numbness and tingling of the extremities
*D. Respiratory depression

The nurse in charge formulates a nursing diagnosis of Activity

intolerance related to inadequate oxygenation and dyspnea for a client
with chronic bronchitis. To minimize this problem, the nurse instructs
the client to avoid conditions that increase oxygen demands. Such
conditions include:

A. Drinking more than 1,500 ml of fluid daily.

*B. Being overweight.
C. Eating a high-protein snack at bedtime.
D. Eating more than three large meals a day.

An elderly client with pneumonia may appear with which of the

following symptoms first?

*1. Altered mental status and dehydration

2. fever and chills
3. Hemoptysis and dyspnea
4. Pleuritic chest pain and cough

Which of the following pathophysiological mechanisms that occur in the

lung parenchyma allows pneumonia to develop?

1. Atelectasis
2. Bronchiectasis
3. Effusion
*4. Inflammation
A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile
and has a respiratory rate of 36 breaths/minute and a nonproductive
cough. He recently had a cold. From his history, the client may have
which of the following?

*1. Acute asthma

2. Bronchial pneumonia
3. Chronic obstructive pulmonary disease (COPD)
4. Emphysema

Which of the following assessment findings would help confirm a

diagnosis of asthma in a client suspected of having the disorder?

1. Circumoral cyanosis
2. Increased forced expiratory volume
*3. Inspiratory and expiratory wheezing
4. Normal breath sounds

Which of the following types of asthma involves an acute asthma attack

brought on by an upper respiratory infection?

1. Emotional
2. Extrinsic
*3. Intrinsic
4. Mediated

A client with acute asthma showing inspiratory and expiratory wheezes

and a decreased expiratory volume should be treated with which of the
following classes of medication right away?

1. Beta-adrenergic blockers
*2. Bronchodilators
3. Inhaled steroids
4. Oral steroids

A 19-year-old comes into the emergency department with acute

asthma. His respiratory rate is 44 breaths/minute, and he appears to be
in acute respiratory distress. Which of the following actions should be
taken first?

1. Take a full medication history

*2. Give a bronchodilator by nebulizer
3. Apply a cardiac monitor to the client
4. Provide emotional support to the client.

A 58-year-old client with a 40-year history of smoking one to two packs

of cigarettes a day has a chronic cough producing thick sputum,
peripheral edema, and cyanotic nail beds. Based on this information, he
most likely has which of the following conditions?

1. Adult respiratory distress syndrome (ARDS)

2. Asthma
*3. Chronic obstructive bronchitis
4. Emphysema

The term “blue bloater” refers to which of the following conditions?

1. Adult respiratory distress syndrome (ARDS)

2. Asthma
*3. Chronic obstructive bronchitis
4. Emphysema

The term “pink puffer” refers to the client with which of the following
conditions?
1. ARDS
2. Asthma
3. Chronic obstructive bronchitis
*4. Emphysema

A 66-year-old client has marked dyspnea at rest, is thin, and uses

accessory muscles to breathe. He’s tachypneic, with a prolonged
expiratory phase. He has no cough. He leans forward with his arms
braced on his knees to support his chest and shoulders for breathing.
This client has symptoms of which of the following respiratory
disorders?

1. ARDS
2. Asthma
3. Chronic obstructive bronchitis
*4. Emphysema

It’s highly recommended that clients with asthma, chronic bronchitis,

and emphysema have Pneumovax and flu vaccinations for which of the
following reasons?

1. All clients are recommended to have these vaccines

2. These vaccines produce bronchodilation and improve oxygenation.
3. These vaccines help reduce the tachypnea these clients experience.
*4. Respiratory infections can cause severe hypoxia and possibly death in these
clients.

Exercise has which of the following effects on clients with asthma,

chronic bronchitis, and emphysema?

*1. It enhances cardiovascular fitness.

2. It improves respiratory muscle strength.
3. It reduces the number of acute attacks.
4. It worsens respiratory function and is discouraged.
Clients with chronic obstructive bronchitis are given diuretic therapy.
Which of the following reasons best explains why?

*1. Reducing fluid volume reduces oxygen demand.

2. Reducing fluid volume improves clients’ mobility.
3. Restricting fluid volume reduces sputum production.
4. Reducing fluid volume improves respiratory function.

A 69-year-old client appears thin and cachectic. He’s short of breath at

rest and his dyspnea increases with the slightest exertion. His breath
sounds are diminished even with deep inspiration. These signs and
symptoms fit which of the following conditions?

1. ARDS
2. Asthma
3. Chronic obstructive bronchitis
*4. Emphysema

A client with emphysema should receive only 1 to 3 L/minute of

oxygen, if needed, or he may lose his hypoxic drive. Which of the
following statements is correct about hypoxic drive?

1. The client doesn’t notice he needs to breathe.

2. The client breathes only when his oxygen levels climb above a certain point.
*3. The client breathes only when his oxygen levels dip below a certain point.
4. The client breathes only when his carbon dioxide level dips below a certain
point.

Teaching for a client with chronic obstructive pulmonary disease

(COPD) should include which of the following topics?

1. How to have his wife learn to listen to his lungs with a stethoscope from Wal-
Mart.
2. How to increase his oxygen therapy.
3. How to treat respiratory infections without going to the physician.
*4. How to recognize the signs of an impending respiratory infection.
Which of the following respiratory disorders is most common in the first
24 to 48 hours after surgery?

*1. Atelectasis
2. Bronchitis
3. Pneumonia
4. Pneumothorax

Which of the following measures can reduce or prevent the incidence of

atelectasis in a post-operative client?

1. Chest physiotherapy
2. Mechanical ventilation
3. Reducing oxygen requirements
*4. Use of an incentive spirometer

Emergency treatment of a client in status asthmaticus includes which of

the following medications?

*1. Inhaled beta-adrenergic agents

2. Inhaled corticosteroids
3. I.V. beta-adrenergic agents
4. Oral corticosteroids

Which of the following treatment goals is best for the client with status
asthmaticus?

*1. Avoiding intubation

2. Determining the cause of the attack
3. Improving exercise tolerance
4. Reducing secretions
Dani was given dilaudid for pain. She’s sleeping and her respiratory
rate is 4 breaths/minute. If action isn’t taken quickly, she might have
which of the following reactions?

1. Asthma attack
*2. Respiratory arrest
3. Be pissed about receiving Narcan
4. Wake up on her own

Which of the following additional assessment data should immediately

be gathered to determine the status of a client with a respiratory rate
of 4 breaths/minute?

1. Arterial blood gas (ABG) and breath sounds

*2. Level of consciousness and a pulse oximetry value.
3. Breath sounds and reflexes
4. Pulse oximetry value and heart sounds

A client is in danger of respiratory arrest following the administration of

a narcotic analgesic. An arterial blood gas value is obtained. The nurse
would expect to PaCO2 to be which of the following values?

1. 15 mm Hg
2. 30 mm Hg
3. 40 mm Hg
*4. 80 mm Hg

A client has started a new drug for hypertension. Thirty minutes after
he takes the drug, he develops chest tightness and becomes short of
breath and tachypneic. He has a decreased level of consciousness.
These signs indicate which of the following conditions?

1. Asthma attack
2. Pulmonary embolism
*3. respiratory failure
4. Rheumatoid arthritis
Emergency treatment for a client with impending anaphylaxis
secondary to hypersensitivity to a drug should include which of the
following actions first?

*1. Administering oxygen

2. Inserting an I.V. catheter
3. Obtaining a complete blood count (CBC)
4. Taking vital signs

Following the initial care of a client with asthma and impending

anaphylaxis from hypersensitivity to a drug, the nurse should take
which of the following steps next?

1. Administer beta-adrenergic blockers

*2. Administer bronchodilators
3. Obtain serum electrolyte levels
4. Have the client lie flat in the bed.

A nurse is preparing to obtain a sputum specimen from a client. Which

of the following nursing actions will facilitate obtaining the specimen?

1. Limiting fluids
*2. Having the client take 3 deep breaths.
3. Asking the client to spit into the collection container.
4. Asking the client to obtain the specimen after eating.

A nurse is caring for a client after a bronchoscopy and biopsy. Which of

the following signs if noted in the client should be reported immediately
to the physician?

1. Blood-streaked sputum
2. Dry cough
3. Hematuria
*4. Bronchospasm
A nurse is suctioning fluids from a client via a tracheostomy tube. When
suctioning, the nurse must limit the suctioning to a maximum of:

1. 5 seconds
*2. 10 seconds
3. 30 seconds
4. 1 minute

A nurse is suctioning fluids from a client through an endotracheal tube.

During the suctioning procedure, the nurse notes on the monitor that
the heart rate decreases. Which of the following is the most appropriate
nursing intervention?

1. Continue to suction
2. Ensure that the suction is limited to 15 seconds
*3. Stop the procedure and reoxygenated the client
4. Notify the physician immediately.

A nurse is caring for a client hospitalized with acute exacerbation of

COPD. Which of the following would the nurse expect to note on
assessment of this client?

1. Increased oxygen saturation with exercise

2. Hypocapnia
*3. A hyperinflated chest on x-ray film
4. A widened diaphragm noted on chest x-ray film

An oxygenated delivery system is prescribed for a client with COPD to

deliver a precise oxygen concentration. Which of the following types of
oxygen delivery systems would the nurse anticipate to be prescribed?

*1. Venturi mask

2. Aerosol mask
3. Face tent
4. Tracheostomy collar
A nurse is caring for a client with emphysema. The client is receiving
oxygen. The nurse assesses the oxygen flow rate to ensure that it does
not exceed

1. 1 L/min
*2. 2 L/min
3. 6 L/min
4. 10 L/min

A nurse instructs a client to use the pursed lip method of breathing. 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:

1. Promote oxygen intake

2. Strengthen the diaphragm
3. Strengthen the intercostal muscles
*4. Promote carbon dioxide elimination

The cyanosis that accompanies bacterial pneumonia is primarily caused

by which of the following?

1. Decreased cardiac output

2. Pleural effusion
3. Inadequate peripheral circulation
*4. Decreased oxygenation of the blood.

Which of the following mental status changes may occur when a client
with pneumonia is first experiencing hypoxia?

1. Coma
2. Apathy
*3. Irritability
4. Depression

A client with pneumonia has a temperature ranging between 101* and

102*F and periods of diaphoresis. Based on this information, which of
the following nursing interventions would be a priority?

1. Maintain complete bedrest

2. Administer oxygen therapy
3. Provide frequent linen changes.
*4. Provide fluid intake of 3 L/day

Which of the following would be an appropriate expected outcome for

an elderly client recovering from bacterial pneumonia?

1. A respiratory rate of 25 to 30 breaths per minute

*2. The ability to perform ADL’s without dyspnea
3. A maximum loss of 5 to 10 pounds of body weight
4. Chest pain that is minimized by splinting the ribcage.

Which of the following symptoms is common in clients with TB?

*1. Weight loss

2. Increased appetite
3. Dyspnea on exertion
4. Mental status changes

The nurse obtains a sputum specimen from a client with suspected TB

for laboratory study. Which of the following laboratory techniques is
most commonly used to identify tubercle bacilli in sputum?

*1. Acid-fast staining

2. Sensitivity testing
3. Agglutination testing
4. Dark-field illumination

Which of the following antituberculosis drugs can cause damage to the

eighth cranial nerve?

*1. Streptomycin
2. Isoniazid
3. Para-amino salicylic acid
4. Ethambutol hydrochloride

The client experiencing eighth cranial nerve damage will most likely
report which of the following symptoms?

*1. Vertigo
2. Facial paralysis
3. Impaired vision
4. Difficulty swallowing

Which of the following family members exposed to TB would be at

highest risk for contracting the disease?

1. 45-year-old mother
2. 17-year-old daughter
3. 8-year-old son
*4. 76-year-old grandmother

The nurse is teaching a client who has been diagnosed with TB how to
avoid spreading the disease to family members. Which statement(s) by
the client indicate(s) that he has understood the nurses instructions?
Select all that apply.
1. “I will need to dispose of my old clothing when I return home.”
*2. “I should always cover my mouth and nose when sneezing.”
3. “It is important that I isolate myself from family when possible.”
*4. “I should use paper tissues to cough in and dispose of them properly.”
*5. “I can use regular plate and utensils whenever I eat.”

A client has a positive reaction to the PPD test. The nurse correctly
interprets this reaction to mean that the client has:

1. Active TB
*2. Had contact with Mycobacterium tuberculosis
3. Developed a resistance to tubercle bacilli
4. Developed passive immunity to TB.

INH treatment is associated with the development of peripheral

neuropathies. Which of the following interventions would the nurse
teach the client to help prevent this complication?

1. Adhere to a low cholesterol diet

*2. Supplement the diet with pyridoxine (vitamin B6)
3. Get extra rest
4. Avoid excessive sun exposure.

The nurse should include which of the following instructions when

developing a teaching plan for clients receiving INH and rifampin for
treatment for TB?

1. Take the medication with antacids

2. Double the dosage if a drug dose is forgotten
3. Increase intake of dairy products
*4. Limit alcohol intake
The public health nurse is providing follow-up care to a client with TB
who does not regularly take his medication. Which nursing action would
be most appropriate for this client?

*1. Ask the client’s spouse to supervise the daily administration of the
medications.
2. Visit the clinic weekly to ask him whether he is taking his medications
regularly.
3. Notify the physician of the client’s non-compliance and request a different
prescription.
4. Remind the client that TB can be fatal if not taken properly.

The Causative agent of Tuberculosis is said to be:

*1. Mycobacterium Tuberculosis

2. Hansen’s Bacilli
3. Bacillus Anthracis
4. Group A Beta Hemolytic Streptococcus