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Name _________________________________________________________________________________ Date____________ Instructions: Write the correct answer before the number. Use capital letter only.

1. 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 c. Asking the client to spit into the collection container b. Having the client take deep breaths d. Asking the client to obtain the specimen after eating 2. 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. Hermaturia c. Bronchospasm d. Blood-streaked sputum 3. 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 c. Stop the procedure and reoxygenate the client b. Notify the physician immediately d. Ensure that the suction is limited to 15 seconds 4. 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 5. A nurse 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 c. a few basilar lung crackles on the right b. occasional pink-tinged sputum d. respiratory rate of 24 bpm 6. A clinic nurse reads the results of a Mantoux test on a 3-year old child. The results indicate an area of induration measuring 10 mm. The nurse interpret this results as: a) positive b) negative c) inconclusive d) definitive and requiring a repeat test 7. A nurse provides home care instructions to the parents of a child hospitalized with pertussis. The child is in convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instructions? a) we need to encourage our child to drink fluids b) coughing spells may be triggered by dust or smoke c) vomiting may occur when our child has coughing episodes d) we need to maintain droplet precautions and a quiet environment for at least 2 weeks 8. A nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous 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 9. 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 c. Decreased hearing acuity b. Increased urinary frequency d. Increased appetite 10. 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 doesnt 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. 11. The nurse assesses a male clients respiratory status. Which observation indicates that the client is experiencing difficulty breathing? a. Diaphragmatic breathing c. Pursed-lip breathing b. Use of accessory muscles d. Controlled breathing 12. At 11 p.m., a male client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. Hes anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At 11:30 p.m., the clients arterial blood oxygen saturation is 86% and hes still wheezing. The nurse should plan to administer: a. Alprazolam (Xanax) b. Propranolol (Inderal) c. Morphine. d. Albuterol (Proventil). 13. 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. c. It decreases use of accessory breathing muscles. b. It increases inspiratory muscle strength. 14. 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. c. Eating a hig-protien snack at bedtime b. Being overweight. d. Eating more than three large meals a day 15. Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug, the nurse should explain that it may cause: a. Nasal congestion b. Nervousness c. Lethargy d. Hyperkalemia 16. 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 a acute rhinitis, nasal drainage normally is: a. Yellow b. Green c. Clear d. Gray 17. 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 c. Keep the tracheostomy cuff fully inflated b. Develop an alternative communication method d. Keep the patient flat in bed 18. For a patient with advance 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-fowlers position c. Using a high-flow venture mask to deliver oxygen as prescribe d. Administering a sedative, as prescribed 19. 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

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