Question 1

The nurse is caring for a patient who has been in a motor vehicle accident and the care team suspects that the patient has developed pleurisy. Which of the nurses assessment findings would best corroborate this diagnosis?

Accepted Answer

A)   The patient is experiencing painless hemoptysis.
B)   The patients arterial blood gases (ABGs)  are normal, but he demonstrates increased work of breathing.
C)   The patients oxygen saturation level is below  88%88 \%88% , but he denies shortness of breath.
D)   The patients pain intensifies when he coughs or takes a deep breath.

Question 2

A patient has just been diagnosed with lung cancer. After the physician discusses treatment options and leaves the room, the patient asks the nurse how the treatment is decided upon. What would be the nurses best response?

Accepted Answer

A)   The type of treatment depends on the patients age and health status.
B)   The type of treatment depends on what the patient wants when given the options.
C)   The type of treatment depends on the cell type of the cancer, the stage of the cancer, and the patients health status.
D)   The type of treatment depends on the discussion between the patient and the physician of which treatment is best.

Question 3

An adult patient has tested positive for tuberculosis (TB) . While providing patient teaching, what information should the nurse prioritize?

Accepted Answer

A)   The importance of adhering closely to the prescribed medication regimen
B)   The fact that the disease is a lifelong, chronic condition that will affect ADLs
C)   The fact that TB is self-limiting, but can take up to 2 years to resolve
D)   The need to work closely with the occupational and physical therapists

Question 4

The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. While assisting with a subclavian vein central line insertion, the nurse notes the clients oxygen saturation rapidly dropping. The patient complains of shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further assessment findings supporting the presence of a pneumothorax include what?

Accepted Answer

A)   Diminished or absent breath sounds on the affected side
B)   Paradoxical chest wall movement with respirations
C)   Sudden loss of consciousness
D)   Muffled heart sounds

Question 5

A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP) . What is an important measure for the prevention of HAP?

Accepted Answer

A)   Administration of prophylactic antibiotics
B)   Administration of pneumococcal vaccine to vulnerable individuals
C)   Obtaining culture and sensitivity swabs from all newly admitted patients
D)   Administration of antiretroviral medications to patients over age 65

Question 6

The school nurse is presenting a class on smoking cessation at the local high school. A participant in the class asks the nurse about the risk of lung cancer in those who smoke. What response related to risk for lung cancer in smokers is most accurate?

Accepted Answer

A)   The younger you are when you start smoking, the higher your risk of lung cancer.
B)   The risk for lung cancer never decreases once you have smoked, which is why smokers need annual chest  x\mathrm{x}x -rays.
C)   The risk for lung cancer is determined mostly by what type of cigarettes you smoke.
D)   The risk for lung cancer depends primarily on the other risk factors for cancer that you have.

Question 7

The nurse at a long-term care facility is assessing each of the residents. Which resident most likely faces the greatest risk for aspiration?

Accepted Answer

A)   A resident who suffered a severe stroke several weeks ago
B)   A resident with mid-stage Alzheimers disease
C)   A 92-year-old resident who needs extensive help with ADLs
D)   A resident with severe and deforming rheumatoid arthritis

Question 8

An 87-year-old patient has been hospitalized with pneumonia. Which nursing action would be a priority in this patients plan of care?

Accepted Answer

A)   Nasogastric intubation
B)   Administration of probiotic supplements
C)   Bedrest
D)   Cautious hydration

Question 9

The nurse is assessing an adult patient following a motor vehicle accident. The nurse observes that the patient has an increased use of accessory muscles and is complaining of chest pain and shortness of breath. The nurse should recognize the possibility of what condition?

Accepted Answer

A)   Pneumothorax
B)   Anxiety
C)   Acute bronchitis
D)   Aspiration

Question 10

A patient presents to the ED stating she was in a boating accident about 3 hours ago. Now the patient has complaints of headache, fatigue, and the feeling that he just cant breathe enough. The nurse notes that the patient is restless and tachycardic with an elevated blood pressure. This patient may be in the early stages of what respiratory problem?

Accepted Answer

A)   Pneumoconiosis
B)   Pleural effusion
C)   Acute respiratory failure
D)   Pneumonia

Question 11

A new employee asks the occupational health nurse about measures to prevent inhalation exposure of the substances. Which statement by the nurse will decrease the patients exposure risk to toxic substances?

Accepted Answer

A)   Position a fan blowing on the toxic substances to prevent the substance from becoming stagnant in the air.
B)   Wear protective attire and devices when working with a toxic substance.
C)   Make sure that you keep your immunizations up to date to prevent respiratory diseases resulting from toxins.
D)   Always wear a disposable paper face mask when you are working with inhalable toxins.

Question 12

A patient is brought to the ED by ambulance after a motor vehicle accident in which the patient received blunt trauma to the chest. The patient is in acute respiratory failure, is intubated, and is transferred to the ICU. What parameters of care should the nurse monitor most closely? Select all that apply.

Accepted Answer

A)   Coping
B)   Level of consciousness
C)   Oral intake
D)   Arterial blood gases
E)   Vital signs

Question 13

A perioperative nurse is caring for a postoperative patient. The patient has a shallow respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should address the patients increased risk for what complication?

Accepted Answer

A)   Acute respiratory distress syndrome (ARDS) 
B)   Atelectasis
C)   Aspiration
D)   Pulmonary embolism

Question 14

A client presents to the walk-in clinic complaining of a dry, irritating cough and production of a minute amount of mucus-like sputum. The patient complains of soreness in her chest in the sternal area. The nurse should suspect that the primary care provider will assess the patient for what health problem?

Accepted Answer

A)   Pleural effusion
B)   Pulmonary embolism
C)   Tracheobronchitis
D)   Tuberculosis

Question 15

The nurse is caring for a patient who is receiving oxygen therapy for pneumonia. How should the nurse best assess whether the patient is hypoxemic?

Accepted Answer

A)   Assess the patients level of consciousness (LO
C)  .
B)   Assess the patients extremities for signs of cyanosis.
C)   Assess the patients oxygen saturation level.
D)   Review the patients hemoglobin, hematocrit, and red blood cell levels.

Question 16

The home care nurse is monitoring a patient discharged home after resolution of a pulmonary embolus. For what potential complication would the home care nurse be most closely monitoring this patient?

Accepted Answer

A)   Signs and symptoms of pulmonary infection
B)   Swallowing ability and signs of aspiration
C)   Activity level and role performance
D)   Residual effects of compromised oxygenation

Question 17

The nurse is caring for a 46-year-old patient recently diagnosed with the early stages of lung cancer. The nurse is aware that the preferred method of treating patients with nonsmall cell tumors is what?

Accepted Answer

A)   Chemotherapy
B)   Radiation
C)   Surgical resection
D)   Bronchoscopic opening of the airway

Question 18

The nurse is providing discharge teaching for a patient who developed a pulmonary embolism after total knee surgery. The patient has been converted from heparin to sodium warfarin (Coumadin)  anticoagulant therapy. What should the nurse teach the client?

Accepted Answer

A)   Coumadin will continue to break up the clot over a period of weeks
B)   Coumadin must be taken concurrent with ASA to achieve anticoagulation.
C)   Anticoagulant therapy usually lasts between 3 and 6 months.
D)   He should take a vitamin supplement containing vitamin  K\mathrm{K}K

Question 19

A 54-year-old man has just been diagnosed with small cell lung cancer. The patient asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What fact about lung cancer treatment should inform the nurses response?

Accepted Answer

A)   The cells in small cell cancer of the lung are not large enough to visualize in surgery.
B)   Small cell lung cancer is self-limiting in many patients and surgery should be delayed.
C)   Patients with small cell lung cancer are not normally stable enough to survive surgery.
D)   Small cell cancer of the lung grows rapidly and metastasizes early and extensively.

Question 20

The nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the primary rationale behind this nursing action?

Accepted Answer

A)   Smoking decreases the amount of mucus production.
B)   Smoke particles compete for binding sites on hemoglobin.
C)   Smoking causes atrophy of the alveoli.
D)   Smoking damages the ciliary cleansing mechanism.

Exam 23: Management of Patients With Chest and Lower Respiratory Tract Disorders

The nurse is assessing an adult patient following a motor vehicle accident. The nurse observes that the patient has an increased use of accessory muscles and is complaining of chest pain and shortness of breath. The nurse should recognize the possibility of what condition?

Correct Answer
verified

An adult patient has tested positive for tuberculosis (TB) . While providing patient teaching, what information should the nurse prioritize?

Correct Answer
verified

An 87-year-old patient has been hospitalized with pneumonia. Which nursing action would be a priority in this patients plan of care?

Correct Answer
verified

A patient has just been diagnosed with lung cancer. After the physician discusses treatment options and leaves the room, the patient asks the nurse how the treatment is decided upon. What would be the nurses best response?

Correct Answer
verified

The nurse is providing discharge teaching for a patient who developed a pulmonary embolism after total knee surgery. The patient has been converted from heparin to sodium warfarin (Coumadin) anticoagulant therapy. What should the nurse teach the client?

Correct Answer
verified

A new employee asks the occupational health nurse about measures to prevent inhalation exposure of the substances. Which statement by the nurse will decrease the patients exposure risk to toxic substances?

Correct Answer
verified

Correct Answer
verified

The nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the primary rationale behind this nursing action?

Correct Answer
verified

The nurse is caring for a patient who has been in a motor vehicle accident and the care team suspects that the patient has developed pleurisy. Which of the nurses assessment findings would best corroborate this diagnosis?

Correct Answer
verified

Correct Answer
verified

A perioperative nurse is caring for a postoperative patient. The patient has a shallow respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should address the patients increased risk for what complication?

Correct Answer
verified

The home care nurse is monitoring a patient discharged home after resolution of a pulmonary embolus. For what potential complication would the home care nurse be most closely monitoring this patient?

Correct Answer
verified

A 54-year-old man has just been diagnosed with small cell lung cancer. The patient asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What fact about lung cancer treatment should inform the nurses response?

Correct Answer
verified

Correct Answer
verified

A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP) . What is an important measure for the prevention of HAP?

Correct Answer
verified

Correct Answer
verified

The school nurse is presenting a class on smoking cessation at the local high school. A participant in the class asks the nurse about the risk of lung cancer in those who smoke. What response related to risk for lung cancer in smokers is most accurate?

Correct Answer
verified

The nurse at a long-term care facility is assessing each of the residents. Which resident most likely faces the greatest risk for aspiration?

Correct Answer
verified

The nurse is caring for a patient who is receiving oxygen therapy for pneumonia. How should the nurse best assess whether the patient is hypoxemic?

Correct Answer
verified

The nurse is caring for a 46-year-old patient recently diagnosed with the early stages of lung cancer. The nurse is aware that the preferred method of treating patients with nonsmall cell tumors is what?

Correct Answer
verified

Exam 23: Management of Patients With Chest and Lower Respiratory Tract Disorders

The nurse is assessing an adult patient following a motor vehicle accident. The nurse observes that the patient has an increased use of accessory muscles and is complaining of chest pain and shortness of breath. The nurse should recognize the possibility of what condition?

Correct AnswerverifiedShow Answer

An adult patient has tested positive for tuberculosis (TB) . While providing patient teaching, what information should the nurse prioritize?

Correct AnswerverifiedShow Answer

An 87-year-old patient has been hospitalized with pneumonia. Which nursing action would be a priority in this patients plan of care?

Correct AnswerverifiedShow Answer

A patient has just been diagnosed with lung cancer. After the physician discusses treatment options and leaves the room, the patient asks the nurse how the treatment is decided upon. What would be the nurses best response?

Correct AnswerverifiedShow Answer

The nurse is providing discharge teaching for a patient who developed a pulmonary embolism after total knee surgery. The patient has been converted from heparin to sodium warfarin (Coumadin) anticoagulant therapy. What should the nurse teach the client?

Correct AnswerverifiedShow Answer

A new employee asks the occupational health nurse about measures to prevent inhalation exposure of the substances. Which statement by the nurse will decrease the patients exposure risk to toxic substances?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the primary rationale behind this nursing action?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who has been in a motor vehicle accident and the care team suspects that the patient has developed pleurisy. Which of the nurses assessment findings would best corroborate this diagnosis?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A perioperative nurse is caring for a postoperative patient. The patient has a shallow respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should address the patients increased risk for what complication?

Correct AnswerverifiedShow Answer

The home care nurse is monitoring a patient discharged home after resolution of a pulmonary embolus. For what potential complication would the home care nurse be most closely monitoring this patient?

Correct AnswerverifiedShow Answer

A 54-year-old man has just been diagnosed with small cell lung cancer. The patient asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What fact about lung cancer treatment should inform the nurses response?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP) . What is an important measure for the prevention of HAP?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The school nurse is presenting a class on smoking cessation at the local high school. A participant in the class asks the nurse about the risk of lung cancer in those who smoke. What response related to risk for lung cancer in smokers is most accurate?

Correct AnswerverifiedShow Answer

The nurse at a long-term care facility is assessing each of the residents. Which resident most likely faces the greatest risk for aspiration?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who is receiving oxygen therapy for pneumonia. How should the nurse best assess whether the patient is hypoxemic?

Correct AnswerverifiedShow Answer

The nurse is caring for a 46-year-old patient recently diagnosed with the early stages of lung cancer. The nurse is aware that the preferred method of treating patients with nonsmall cell tumors is what?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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