Posted: August 17th, 2022

The client reports having thick and sticky sputum

1. The client reports having thick and sticky sputum. What’s the greatest motion the nurse can take to Help the shoppers secretions ?
A. ambulate extra usually
B. use the motivation spirometer
C. cough and deep breaths
D. drink extra fluids

2. When managing the care of shoppers with situations akin to emphysema, the nurse ought to acknowledge which one of many following info as being extra necessary ?
A. The drive to breathe could also be depending on low ranges of oxygen within the blood
B. Lung stretch receptors could fail to watch the patterns of respiratory
C. Respiratory price could elevated a big however fail to loosen up throughout expiration
D. Intercostal muscle mass contract throughout inspiration reason behind COPD
three. Which of the next is the commonest reason behind COPD ?
A. Repeated respiratory infections
B. Alcohol abuse
C. Genetic
D. Smoking

four. The nurse locations their stethoscope over the anterior third of the chest close to the sternum and hears breath sounds which have inspiration and expiration of equal length. What sort of breath sounds is the nurse listening to ?
A. Bronchial
B. Vesicular
C. Bronchovesicular
D. Tracheovesicular

5. A client wants IV fluids. The order reads. “Infuse zero.9% NS 1000 ml over four hours.” How could mL’s/hout needs to be given ? ( spherical the reply to the closest complete quantity. Don’t use a trailing zero. Don’t label your reply. )

__________

6. On coming into the shoppers room, the nurse notes the client’s oxygen saturation is 85%. Which actions ought to the nurse take first ?
A. Provoke humidification remedy
B. Elevate the pinnacle of the mattress
C. Encourage the client to cough and deep breathe
D. Improve the client’s fluid consumption

7. Which of the next mechanisms are concerned within the safety of the respiratory system ?
A. Loud night breathing helps to guard the airway whereas sleeping
B. Sneezing helps to expel overseas particles
C. Surfactant reduces floor rigidity and helps to maintain alveoli open
D. Mucus produced by goblet cells helps to entice overseas particles
E. Coughing is a respiratory protection mechanism used to maintain the airway open

eight. The nurse is performing a respiratory Assessment on her client and hears an irregular sound within the decrease, posterior lobe of the fitting lung on inspiration that seems like a superb snap and popping sound. She acknowledges the adventitious breath needs to be which of the next ?
A. Rhonchi
B. Crackles
C. Wheezing
D. Apnea

9. A client with a identified DVT reports a sudden onset of dyspnea. What’s the precedence motion on this scenario ?
A. Conduct a full head to toe Assessment
B. Contact the supplier
C. Administer oxygen
D. Reposition the client

10. The nurse receives a lab report on a resident in long run care. Which optimistic end result requires speedy intervention ?
A. Candida albicans
B. Pseudomonas
C. staphylococcus
D. Acid-fast bacillus

11. Which of the next are indicators and signs of sinusitis ?
A. Purulent nasal drainage, epistaxis
B. Clear nasal drainage, tenderness over the sinuses
C. Epistaxes, nasal stuffiness
D. Tenderness over the sinus, tooth ache

12. A client recognized with the flu asks the nurse why he was not given an antibiotic. What’s the greatest response by the nurse ?
A. “T will converse to the supplier about this.”
B. “ Antibiotics are solely given for flu A.”
C. “ Antibiotics are solely useful if began inside 48 hours of the onset of signs.”
D. “ Flu is a viral sickness, so antibiotics won’t Help.”

13. Which of the next situations is most certainly to lead to a barrel-shaped chest ?
A. Influenza
B. Tuberculosis
C. Pneumonia
D. COPD

14. What’s one of the simplest ways to keep away from the chilly virus ?
A. Put on a surgical masks
B. Don’t contact any surfaces
C. Take excessive doses of vitamin c
D. Frequent hand washing

15. 1 cup = ____ ounces

16. If remedy for main pulmonary hypertensions fails, what’s the most suitable choice for the client?
A. Coronary heart transplantation
B. There isn’t any additional therapy
C. Lung discount surgical procedure
D. Lung transplantation

17. The nurse is getting ready to instruct the client with pneumonia on managing the illness after discharge from the hospital. Which of the next is in line with applicable discharge planning for this client ?
A. Take all prescribed antibiotics till they’re completed
B. Preserve a supine place when sleeping.
C. Proceed to eat three important meals a day and don’t worry about fluid consumption
D. Keep away from contact with all members of the family for one week

18.

19. A client with tuberculosis tells the nurse that he has not been taking his prescribed remedy. What’s the subsequent most applicable motion of the nurse ?
A. Notify the shoppers supplier instantly
B. Notify the division of well being
C. Discover the shoppers causes for nothing the remedy
D. Place the client in touch isolation

20. The LPN is performing knowledge assortment on a client. The pulse oximeter reads 79% on room air. The client is talking usually with no complaints of shortness of breath. What’s the precedence intervention by the nurse ?
A. Repostions the sensor
B. Seek the advice of the cost nurse
C. Apply oxygen
D. Name a fast response

21. A client presents to the pressing care clinic with a nostril bleed (epistaxis). The nurse is conscious that this situation might be minor or may result in hypovolemic shock if important blood loss has occurred. Choose the right reply under that’s the important objective of therapy for nosebleeds.
A. Don’t worry with aspiration at this level
B. Cease the bleeding
C. Sort and cross two items of blood
D. Pinch the nostril with two finger for one minute

22. The nurse is performing a targeted respiratory Assessment on a client with an bronchial asthma exacerbation. What sound would the nurse count on to listen to ?
A. Rhonchi
B. Stridor
C. Crackles
D. wheezes

23. “Barrel chest” in emphysema shoppers happens as the results of which of the next ?
A. Power overdistension of the lungs
B. Chronically excessive hematocrit
C. Power use of oxygen
D. Power fast respirations

24. A client involves pressing care with a member of the family who reports that the client is having an bronchial asthma assault. On auscultation, the nurse hears absent sounds. Which of the next actions ought to the nurse do subsequent ?
A. Begin CPR
B. Alert the supplier instantly
C. Lie the client down and hold calm
D. Inform the client to puff his inhaler

25. Which of the next issues is extra widespread in shoppers with COPD than the overall inhabitants ?
A.
B.
C. Gastroesophageal reflux illness
D. Peptic ulcer dysfunction

26. The main danger issue for most cancers of the larynx is which of the next ?
A. Tonsillectomy
B. Recurrent strep an infection
C. Smoking
D. Sizzling liquids

27. When the nurse is gathering subjective knowledge whereas caring for a client with bronchial asthma, which of the next is a very powerful historical past time period to know ?
A. Dairy merchandise are suitable for eating/drink at any time
B. What stimulus triggers the bronchial asthma response ?
C. Fluids aren’t as necessary with bronchial asthma shoppers.
D. Does the client take away all doable triggers ?

28. The nurse is conscious that coarse crackles, sonorous and sibilant wheezes, pleural friction rub, and stridor are examples of which kind of breath sounds ?
A. Bronchial
B. Adventitious
C. Bronchial vesicular
D. Vesicular

29. Which assertion is true concerning the purified protein spinoff (PPD) check for tuberculosis (TB)?
A. It helps distinguish between energetic and latent illness
B. It’s used to display well being care employees
C. It’s administered through the intramuscular route
D. It’s not helpful in screening shoppers who’ve been uncovered to TB.

30. A client has nail polish on their fingernails and toenails. Which of the next areas could be the very best place to use the heartbeat oximeter probe ?
A. Earlobe
B. Toe
C. Finger
D. Brow

31. Which of the next needs to be faraway from the meals tray of a client who had a tonsillectomy ?
A. Ice
B. Ice cream
C. Plastic straw
D. Apple juice

32. The highest precedence for the client with epiglottis is which of the next ?
A. Hydration
B. Antibiotic remedy
C. Ache management
D. Airway safety

33. Which adventitious breath sound signifies an airway obstruction ?
A. Crackles
B. Friction rub
C. Wheezing
D. Stridor
34. Which client under ought to obtain the pneumococcal vaccine ?
A. 60-year previous recovering from the flu
B. 55-year previous wholesome feminine
C. 25-year previous with cystic fibrosis
D. 48-year previous to be admitted for a cardiac catheterization

35. A client with main pulmonary hypertension tells the nurse, “it’s so unfair that I received his illness. I’m so depressed.” What’s the most applicable response by the nurse ?
A. “ Generally life is unfair.”
B. “ Inform me extra about your emotions.”
C. “At the very least you do not have most cancers.”
D. “ I’ll converse to your physician about ordering you one thing for melancholy.”

36. Which client under is in danger for atelectasis ?
A. A client with bronchial asthma exacerbation
B. A client with a hip substitute who’s ambulating
C. A client with tonsillectomy who reports ai with swallowing
D. A client who had chest surgical procedure and reports ache of eight/10

37. A client weighs 109 lbs. What’s the client’s weight in kg ? ( Document reply to the closest tenth. Don’t use a trailing zero. Don’t label your reply )

_______

38. A client with COPD tried to stop smoking however failed. What’s the most applicable subsequent motion by the nurse ?
A. Encourage the client to attempt once more
B. Do nothing the client already has important lung harm
C. Clarify to the client that they’re danger of loss of life
D. Recommend the client use vaping merchandise as a substitute

39. A client on the medical -surgical unit begins having problem respiratory the after admission. A chest X-ray is ordered, and the client is recognized with pneumonia. Which of the next accurately identifies such a pneumonia ?
A. Healthcare-associated pneumonia
B. Hospital-acquired pneumonia
C. Ventilator-associated pneumonia
D. group – acquired pneumonia

40. A drugs order states, administer furosemide oral resolution 20 mg PO stat. Accessible is furosemide 40mg/5 mL oral resolution. What number of mL ought to the nurse administer ? ( report the reply to the closest tenth 25. Use a number one zero if it applies. Don’t use a trailing zero. Don’t label your reply. )

_________

41. The nurse has obtained reports from the off- going shift. Which of the next shoppers would have the best precedence ?
A. A client who’s in need of breath
B. A client whose IV antibiotic dose is due
C. A client with temperature of 101.four F
D. A client who’s requesting ache remedy

42. Which of the next is a identified reason behind bronchial asthma ?
A. Genetics
B. Vitamin deficiency
C. col d climate
D. Allergens

43. Which elements under make aged shoppers extra prone to respiratory issues ? (choose all that apply.)
A. Elevated lung elastic recoil
B. Decreased ciliary motion
C. Senile pneumothorax
D. Muscle atrophy
E. Decreased cough reflex

44. A client within the medical – surgical unit asks the nurse why he should get enoxaparin injections. What’s the most applicable response by the nurse ?
A. “Enoxaparin is given to stop blood clots till you might be extra energetic.”
B. “Enoxaparin will be given as wanted, so you possibly can cease taking if you need.”
C. “Enoxaparin is used to extend your purple blood cells whereas therapeutic.”
D. “Enoxaparin is given to stop hospital-acquired pneumonia.”

45. Which of the next is a typical facet impact of albuterol ?
A. Nausea
B. Heartburn
C. Itching
D. Speedy heartbeat

46. What’s the reason behind cystic fibrosis ?
A. Asbestos
B. Respiratory fumes
C. Smoking
D. Genetic

47. Which of the next actions will not be related to transmission of influenza ?
A. Sharing a beverage with an contaminated individual
B. Contact with an contaminated individual
C. Contact with the virus on inanimate objects
D. Going out within the chilly with no hat

48. A client has been recognized with strep pharyngitis and given antibiotics by the supplier. The client asks when she is going to not be contagious. What’s the greatest response by the nurse ?
A. “ You’ll not be contagious after 48 hours on antibiotics.”
B. “ You’ll not be contagious after 24 hours on antibiotics.”
C. “You’ll not be contagious when your signs are gone .”
D. “You’ll not be contagious when you may have completed the antibiotics .”

49. The nurse is getting a client prepared for a chest computerized axial tomography (CAT) scan with distinction. WHat is the precedence knowledge to gather for this client ?
A. Has the client had a CAT scan prior to now ?
B. Is the client claustrophobic ?
C. Is the client allergic to shellfish ?
D. Is the client ready to perk up ?

50. 1 teaspoon = ____ ML

51. Which of the next statements will not be true about healthcare – related pneumonia ?
A. It’s comparatively simple to deal with
B. It will increase the price of well being care
C. It lengthens the hospital keep for the client
D. It may be prevented by vigilant nursing and respiratory care

52. Which of the next will not be a therapy for epistaxis ?
A. Ice packs
B. Direct strain
C. Tilting the pinnacle again
D. Resting quietly

53. A drugs order states, administer digoxin zero.5 mg PO stat. Accessible is digoxin zero.25 mg/pill. What number of pill(s) ought to the nurse administer ? (report reply as an entire quantity, don’t use a trailing zero. Don’t label your reply.)

________

54. Which of the next shouldn’t be given to a client with s current tonsillectomy ? (choose all that apply.)
A. Pudding
B. Jello – O
C. Orange juice
D. Sizzling tea
E. Toast

55. A drugs order states, administer prednisone 30 mg for acute bronchial asthma. Accessible is prednisone 10 mg tablets. What number of pill(s) ought to the nurse administer ? ( Spherical reply to the closest complete quantity. Don’t use a trailing zero. Don’t label your reply)

___________________

56. The client has an oxygen saturation stage of 82%. Which of the next findings could be most regarding ?
A. Dry pores and skin
B. Confusion
C. Nausea
D. Temp of 100.2 F

57. Which of the next will not be a symptom of throat most cancers ?
A. Sore throat for greater than 2 weeks
B. Enlarged cervical lymph nodes
C. Nasal ache
D. Issue swallowing

58. Which of the next shoppers are in danger for acute respiratory misery syndrome (ARDS) (choose all that apply.)
A. A client who sustained a number of trauma in a motorized vehicle crash
B. A client with sepsis who’s mechanically ventilated
C. A client who has been not too long ago recognized with tuberculosis
D. A client with pneumonia being handled as an outpatient
E. A client with an bronchial asthma exacerbation

59. The LPN is altering the ties round a tracheostomy tube. What’s the precedence motion of the nurse ?
A. Place a nasal cannula on the client whereas altering the tube
B. Have the client maintain his/her breathe till the process is completed
C. Pre-treat the client with 100% oxygen
D. Maintain the tracheostomy tube in place always

60. Untreated strep pharyngitis can result in which of the next ?
A. Throat most cancers
B. Airway obstruction
C. Pneumonia
D. Glomerulonephritis

61. The nurse is caring for a client who simply got here to the ground after having a tonsillectomy. Which symptom under requires speedy intervention ?
A. Ache with swallowing
B. Frequent swallowing
C. Fatigue
D. Sore throat

62. Which of the next units can Help shoppers with bronchial asthma monitor their signs at dwelling?
A. Peak stream meter
B. Nasal cannula
C. Incentive spirometer
D. Pulse oximeter

63. A client is recovering from laryngoscopy. The client asks when he can have one thing to eat. What’s the greatest response by the nurse ?
A. “ You possibly can eat when your gag reflex returns .”
B. “ You possibly can eat when your cough reflex returns.”
C. “ You possibly can eat in 2 hours .”
D. “ You possibly can eat if you end up discharged .”

64. A client involves the clinic, stating that he’s having an “bronchial asthma assault.” Which adventitious breath sound ought to the nurse count on to listen to ?
A. Friction rub
B. Crackles
C. Stridor
D. Pulse oximeter

65. Which of the next measures ought to the nurse take when caring for a client with TB in an acute care facility ?
A. Put on an N95 masks
B. Place in room closest to nurse station
C. Instruct the lenient to all the time put on a surgical masks
D. Comply with contact precautions with the client

66. A 72-year previous feminine client is about to be discharged dwelling after being within the hospital for three days with bronchitis. Which of the next needs to be included in her discharge instructing ?
A. Solely relaxation a few times per day for brief naps
B. Restrict fluid consumption
C. Keep away from respiratory irritants, giant crowds, and people who find themselves coughing
D. Take all of your remedy till you’re feeling higher

67. 1 gram = _____mg

68. A client with energetic tuberculosis can be admitted to a medical surgical flooring. What ought to the nurse do earlier than the client arrives ?
A. Place surgical masks exterior the room
B. Name upkeep to test the negative-pressure room
C. Place robe and gloves exterior the room
D. Alert safety that nobody can go to the client

69. Acute bronchitis is normally attributable to which of the next ?
A. Fungi
B. Viruses
C. Micro organism
D. Smoking

70. A newly admitted client has an audible expiratory wheeze. Which of the next is most liek;y the reason for the wheeze ?
A. Pneumonia
B. Congestive coronary heart failure
C. Bronchial asthma
D. sinusitis

71. The LPN is performing knowledge assortment on a client who has restricted mobility due to bilateral femur fractures. The client reports sudden onset of painful respiration and shortness of breath. Which of the next is the precedence motion for the nurse to take ?
A. Improve the IV fluids
B. Lie the client flat and hold calm
C. Place the client on a 100% non-rebreather masks and name for Help
D. Web page the shoppers supplier

72. A client tells the nurse, “ I do not wish to get the flu shot as a result of I heard it could actually provide the flu.” which under is the very best response by the nurse ?
A. “There a no side- results related with the flu vaccine.”
B. “The flu vaccine is 100% efficient at stopping the flu, so if I have been you, I might get it.”
C. “It’s uncommon however doable to get the flu from the flu vaccine.”
D. “You might get gentle aches and pains , however you’ll not get the flu from the flu vaccine.”

73. Why is early detection of tuberculosis necessary ? (choose all that apply)
A. The unfold to others can be minimized
B. The client will expertise much less side-effects from the remedy
C. Early detection makes therapy more practical
D. The client can have fewer issues
E. The interval of incapacity can be shorter for the client

74. A nurse is discussing diagnostic assessments with the mother and father of a kid who’s suspected of having cystic fibrosis. Which diagnostic textual content can the nurse anticipate the kid will want ?
A. Sweat chloride check
B. Pulmonary perform check
C. Sputum tradition
D. Stoo; fats content material Assessment

75. Which of the next is a typical reason behind pulmonary edema ?
A. Power bronchitis
B. Left ventricular failure
C. Pneumonia
D. Bronchial asthma

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