Eval exam
1. Karla,16 years old, comes to the ER with acute asthma attack with a RR of 46/min.
Which of the following should you do 1st? *
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a. Administer bronchodilator by nebulizer
b. Suction the client every 30 minutes
c. Promote emotional support
d. Administer oxygen at 6l/min
Correct answer
d. Administer oxygen at 6l/min
2. Jackie, a 13 years old teenager has been diagnosed with asthma since he is 5
years old. Which of the following medications is an effective management for the
control of persistent asthma? *
0/1
a. Corticosteroids ( Cromolyn Sodium)
b. Beta 2 adrenergic (Theophylline)
c. Leukotriene modifiers (Montelukast)
d. Beta 2 adrenergic (Albuterol)
Correct answer
c. Leukotriene modifiers (Montelukast)
3. The part that prevents food from entering the trachea (aspiration). *
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a. Larynx
b. glottis
c. Pharynx
d. epiglottis
4. A condition characterized by the reduction of oxygen in the blood. *
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a. Hypoxia
b. hypoxemia
c. Hypocarbia
d. acinus
5. An examination which identifies cancer cells. *
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a. C & S test
b. cytologic test
c. Sputum test
d. cancer screening test
6. Client Picnic is to undergo computed tomography. The priority nursing intervention
should be focused on: *
1/1
a. Proper positioning to lateral
b. Auscultating adventitious breath sounds prior to procedure
c. Asking about sensitivity to sea foods
d. Explaining the procedure and getting the consent
7. Approach considerations in the management of TB are strictly implemented. Even
possible tuberculosis TB infected clients must be isolated. The following are
management implemented to suspected TB and TB patient's except: *
1/1
a. patient must be in a private room with positive pressure
b. do the precautionary universal technique measures
c. all medical staff must wear high efficiency mask
d. none of the above
8. A nurse is giving her health education to a patient with TB. What instance would the
nurse identify that the patient will need further instruction? *
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a. I will increase intake of foods rich in iron, protein, & vitamin C
b. I will need sputum culture every 2-4 weeks once my medication therapy is initiated
c. I will cover my mouth and nose when coughing or sneezing and place my tissue in plastic bag
d. I will tell my family that they also have to isolate themselves from me so that I won't be infected
Correct answer
d. I will tell my family that they also have to isolate themselves from me so that I won't be infected
9. This test indicates previous exposure to TB or the presence of inactive (dormant)
disease and does not mean that active disease is present: *
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a. Quantiferon – TB gold test
b. Mantoux test
c. sputum cultures
d. chest x-ray
Correct answer
b. Mantoux test
10. A nurse knows that evaluation of the client having a mantoux test (PPD) is done
after how many hours post-injection? *
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a. 6-12 hours
b. 12-24 hours
c. 24-48 hours
d. 48-72 hours
11. Which of the following best describes pleural effusion? *
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a. Collapse of the alveoli
b. Collapse of the bronchioles
c. Accumulation of fluids in the alveolar space
d. Accumulation of fluid between the lining of the pleural space
12. A 32 year old client comes into the clinic complaining of a right sided chest pain
and shortness of breath. He reports that it started suddenly. Which of the following
intervention should be performed first? *
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a. Auscultation of breath sounds
b. ECG
c. Chest x-ray
d. 2D echo
13. A patient with acute bronchitis has a priority of which of the following nursing
diagnosis? *
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a. Fluid volume deficit
b. Impaired gas exchange
c. Ineffective airway clearance
d. ineffective breathing pattern
Correct answer
b. Impaired gas exchange
14. Three days after an abdominal aneurysm repair, the client develops a pulmonary
embolism. Which nursing diagnosis takes priority? *
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a. Ineffective tissue perfusion
b. ineffective airway clearance
c. Impaired physical mobility
d. risk for aspiration
Correct answer
a. Ineffective tissue perfusion
15. Bronchiectasis is a complication of chronic bronchitis, which of the following is a
priority nursing diagnosis for this problem? *
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a. Risk for infection related to presence of mucus in the dilated airway
b. Ineffective airway clearance related to presence of pulmonary secretions
c. Anxiety related to disease prognosis
d. Ineffective myocardial tissue perfusion related to imbalance ventilation and perfusion ratio
Correct answer
b. Ineffective airway clearance related to presence of pulmonary secretions
16. The nurse prepares which of the following in a client with acute exacerbation of
bronchial asthma? *
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a. Bronchodilator
b. antibiotics
c. Steroids inhalant
d. O2 therapy
17. Nurse Kyle is aware that the client t the highest risk for developing nosocomial
pneumonia is the one who: *
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a. Has bronchospasms
b. Is intubated and on a ventilator
c. Hs pleural chest tubes
d. Is receiving feedings through a jejunostomy tube
18. The nurse is assessing the patient, an assessment finding that would help confirm
a diagnosis of asthma in a client suspected of having the disorder includes? *
1/1
a. Circumoral cyanosis
b. Inspiratory and expiratory wheezing
c. Bronchovesicular breath sound
d. Crackles upon inspiration
19. The nurse on duty explains to patient A that the primary physiological alteration in
the development of asthma is: *
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a. Bronchiolar inflammation and dyspnea
b. Hypersecretion of abnormally viscous mucus
c. Spasm of bronchiolar smooth muscles
d. Infectious processes causing mucosal edema
Correct answer
c. Spasm of bronchiolar smooth muscles
20. Patient A is prescribed bronchodilator therapy 15 mins apart times 3 doses. Aside
from monitoring RR and respiratory status, what will the nurse assess for? *
1/1
a. Tachycardia and tremors
b. Color and size/ amount of sputum
c. Serum levels of electrolyte
d. Bradycardia and tremors
21. The nurse inspects the thorax of a patient with advance emphysema. The nurse
expects chest configuration change consistent with deformity known as: *
1/1
a. Barrel chest
b. Funnel chest
c. Pigeon chest
d. Kyphoscoliosis
22. The nurse administers theophylline to the client. To evaluate the effectiveness of
this medication, which of the following drug actions would the nurse anticipate? *
1/1
a. Suppression of the client’s respiratory infection
b. Decrease in bronchial secretion
c. Relaxation of bronchial smooth muscles
d. Thinning of tenacious, purulent sputum
23. The nurse would anticipate which of the following arterial blood gas results in a
client experiencing a prolonged severe asthma attack? *
1/1
a. Decreased PaCO2, increased PaO2
b. Increased PaCO2, decreased PaO2
c. Increased PaCO2, increased PaO2
d. Decreased PaCO2, decreased PaO2
24. A client with acute asthma is prescribed short-term steroid therapy. What is the
rationale for the use of steroids in clients with asthma? *
1/1
a. It promotes bronchodilation
b. It acts as an expectorant
c. It has an anti-inflammatory effect
d. It prevents development of respiratory infections
25. Which of the following health promotion activities should the nurse include in the
discharge teaching plans for a client with asthma? *
0/1
a. Incorporate physical exercise tolerated into the daily routine
b. Monitor peak flow numbers after meals and at bedtime
c. Eliminate stressors in the work and home environment
d. Use sedatives to ensure uninterrupted sleep at night
Correct answer
a. Incorporate physical exercise tolerated into the daily routine
26. A client begins to expectorate blood. The nurse describes this episode as: *
1/1
a. Hematuria
b. hemoptysis
c. Hematoma
d. hematemesis
27. The position in which a client with dyspnea should be placed is: *
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a. Sim’s
b. orthopneic
c. Supine
d. trendelenburg
Correct answer
b. orthopneic
28. The nurse assesses a college-age client complaining of shortness of breath after
jogging and tightness in his chest. Upon further questioning, the client denies a sore
throat, fever or productive cough. The nurse notifies the physician that this client’s
clinical manifestations are most likely related to: *
1/1
a. Emphysema
b. chronic airflow limitation
c. Bronchitis
d. asthma
29. The nurse is aware that when emphysema is present there is a decreased oxygen
supply because of: *
1/1
a. Pleural effusion
b. loss of aerating surfaces
c. Infectious obstructions
d. respiratory muscle paralysis
30. A student nurse was studying both the right and left segments of the lungs. He
would be correct if he identified that the right lobe contains how many segments? *
1/1
a. 5
b. 4
c. 2
d. 3
31. A nurse is doing an assessment to a patient in the ER. The patient is experiencing
labored breathing. With the cardinal S/S of respiratory dysfunction, the patient is
having: *
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a. Orthopnea
b. cyanosis
c. Dyspnea
d. chest pain
Correct answer
c. Dyspnea
32. A nurse in the ER is doing a respiratory assessment. She is assigned to a patient
whose physician asks diagnostic tests that include evaluation of blood flow to the
lungs and patency of pulmonary airways and a test that would detect abnormalities in
ventilation. The nurse identifies this test as: *
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a. Bronchoscopy
b. ventilation-perfusion lung scan
c. ABG analysis
d. pulmonary function test
Correct answer
b. ventilation-perfusion lung scan
33. The nurse is exploring the client’s health history for risk factors associated with
respiratory diseases. The nurse identified that the most significant contributing factor
in lung disease would be: *
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a. Postoperative changes resulting in diminished respiratory excursion
b. Age-related changes in lung capacity and respiratory function
c. Occupational exposure to allergens
d. Smoking
Correct answer
d. Smoking
34. A nurse is being endorsed with a chronic bronchitis patient. She identifies the
different signs and symptoms including common terms to efface the description of the
disease. Chronic bronchitis patients are known as “blue bloaters” because it is the
result of: *
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a. Ensuing hypercapnia
b. respiratory acidosis
c. Respiratory alkalosis
d. muscle wasting and weight loss
Correct answer
b. respiratory acidosis
35. The following are correct interventions for COPD except: *
1/1
a. Administration of oxygen
b. Providing a low calorie and high protein diet
c. Suctioning clients lungs if necessary
d. Monitoring pulse oximetry
36. A nurse is giving health education to a patient with COPD. An indication that the
patient has fully understood the health education when he says: *
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a. “I will adhere to activity limitations alternating rest period with activity.”
b. “I will have my routine shopping once in a while.”
c. “I will start tapering my smoking habit.”
d. “I will do dusting.”
Correct answer
c. “I will start tapering my smoking habit.”
37. A client with COPD reports steady weight loss and being “is too tired from just
breathing to eat.” Which of the following nursing diagnosis would be most appropriate
when planning nutritional interventions for this client? *
1/1
a. Altered nutrition: less than body requirements related to fatigue
b. Activity intolerance related to dyspnea
c. Weight loss related to COPD
d. Ineffective breathing pattern related to alveolar hypoventilation
38. Which of the following physical assessment findings would the nurse expect to find
in a client with advance COPD? *
1/1
a. Increased anteroposterior chest diameter
b. Underdeveloped neck muscles
c. Collapsed neck veins
d. Increased chest excursions with respirations
39. When instructing clients on how to decrease the risk of COPD, the nurse should
emphasize which of the following behaviors? *
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a. Participate regularly in aerobic exercises
b. Maintain a high protein diet
c. Avoid exposure to people with known respiratory infections
d. Abstain from cigarette smoking
40. Which of the following is the primary reason to teach pursed-lip breathing to clients
with emphysema? *
1/1
a. To promote oxygen intake
b. To strengthen the diaphragm
c. To strengthen the intercostal muscles
d. To promote carbon dioxide elimination
41. When performing postural drainage, which of the following factors promotes the
movement of secretions from the lower to the upper respiratory tract? *
1/1
a. Friction between the cilia
b. Force of gravity
c. Sweeping motion of cilia
d. Involuntary muscle contractions
42. Which of the following blood gas abnormalities should the nurse anticipate in a
client with an advance COPD? *
1/1
a. Increased PaCO2
b. increased pH
c. Increased PaO2
d. Increased oxygen saturation
43. Which of the following diets would be most appropriate for a client with COPD? *
1/1
a. Low fat, low cholesterol
b. low sodium
c. Bland, soft
d. high calorie, high protein
44. The nurse administers theophylline to the client. To evaluate the effectiveness of
this medication, which of the following drug actions would the nurse anticipate? *
1/1
a. Suppression of the client’s respiratory infection
b. Decrease in bronchial secretion
c. Relaxation of bronchial smooth muscles
d. Thinning of tenacious, purulent sputum
45. The nurse would anticipate which of the following arterial blood gas results in a
client experiencing a prolonged severe asthma attack? *
1/1
a. Decreased PaCO2, increased PaO2
b. Increased PaCO2, decreased PaO2
c. Increased PaCO2, increased PaO2
d. Decreased PaCO2, decreased PaO2
46. A client with acute asthma is prescribed short-term steroid therapy. What is the
rationale for the use of steroids in clients with asthma? *
1/1
a. It promotes bronchodilation
b. It acts as an expectorant
c. It has an anti-inflammatory effect
d. It prevents development of respiratory infections
47. Which of the following health promotion activities should the nurse include in the
discharge teaching plans for a client with asthma? *
0/1
a. Incorporate physical exercise tolerated into the daily routine
b. Monitor peak flow numbers after meals and at bedtime
c. Eliminate stressors in the work and home environment
d. Use sedatives to ensure uninterrupted sleep at night
Correct answer
a. Incorporate physical exercise tolerated into the daily routine
48. Patient Berry admitted in the ER has the following manifestations: RR of 25 cpm,
rusty blood-tinged sputum, diaphoretic, and has a temperature of 38.5 C. He has been
complaining of being short of breath that’s why he has to assume a sitting position
always. Based from the manifestations, he is likely suffering from: *
0/1
a. Tuberculosis
b. empyema
c. Pneumonia
d. bronchiectasis
Correct answer
c. Pneumonia
49. A vitamin supplementation given to TB patients who are taking INH to prevent INH
associated peripheral neuropathy. *
1/1
a. Vitamin A
b. vitamin C
c. Vitamin B
d. Vitamin E
50. Patient Aladdin was admitted with the diagnosis of pneumothorax. The nurse
expects to assess the following manifestations except which one: *
1/1
a. Restless and irritable
b. trachea at midline
c. CR of 115 bpm/min
d. absence of breath sounds
