1 A positive Mantoux skin test indicates that the client has Answer...

Question1 A positive Mantoux skin test indicates that the client has Answer… 1 A positive Mantoux skin test indicates that the client has Answer active PTB. developed resistance to tubercle bacilli. developed passive immunity to tuberculosis had contact with Mycobacterium tuberculosis. 2 Interpret the following ABG results. PH: 7.21 PCO2: 36 HCO3: 16 Answer Metabolic acidosis. Metabolic alkalosis. Respiratory acidosis. Respiratory alkalosis3 3.What are the initial symptoms of lung cancer? Answer Pain with respiratory effort. Orthopnea and central cyanosis. Dyspnea and blood-tinged sputum. None because symptoms develop late in the course of the disease. 4 Which of these nursing diagnoses requires immediate attention for a client with hypernatremia? Answer Anxiety-related to depression. Activity intolerance related to fatigue. Fluid volume deficit related to the use of diuretics. High risk for injury related to possible seizure activity. 5 With severe diarrhea, electrolytes, as well as fluids, are lost. Which of the following would be observed in a client experiencing hypokalaemia? Answer Muscle weakness. Muscle spasms. Fever. Thirst. 6 The following structural and functional changes in the respiratory system may occur in aging. Answer Respiration becomes stronger. Increased mobility of the rib cage. Overall size of the lungs is reduced. Laryngeal reflexes remain the same. 7 Before a client is having a contrast x-ray of the neck examination the nurse should ask about Answer allergies. medications. the last time took meal. the client’s occupation. 8 An unconscious client has been admitted to the emergency department for foreign object lodged in their throat. Which of the following is important to know when treating this client? Answer Initiate the cough reflex. The cough reflex does not work. Object will come out naturally. Perform the Heimlich maneuver. 9 A patient with tented skin turgor, dry mucous membranes, and decreased urinary output. Which nursing intervention should be included in the care plan Mark for his patient? Answer Administering I.V. and oral fluids. Clustering necessary activities throughout the day. Assessing color, odor, and amount of sputum. Monitoring serum albumin and total protein levels. 10 The most commonly used test to identify tubercle bacilli in the sputum of a suspected PTB client would be Answer Acid-fast staining. Sensitivity testing. Agglutination testing Dark-field illumination. 11 Having the patient focus on breathing more slowly would be the most helpful intervention for the problem of one of the following conditions. Answer Respiratory alkalosis. Respiratory acidosis. Metabolic alkalosis. Metabolic acidosis. 12 Which of the following symptoms is common in clients with active Pulmonary Tuberculosis (PTB)? Answer Weight loss. Increased appetite. Dyspnea on exertion. Mental status changes. 13 Which diagnostic tests must be completed before antibiotic therapy begins for a client who has bacterial pneumonia? Answer Urinalysis. Chest x-ray. Sputum culture. Red blood cell count. 14 Which of these terms describes an asthma attack that persists and does not respond to treatment? Answer Asthma crisis. Intrinsic asthma. Persistent asthma. Status asthmaticus. 15 Which of the following methods of breathing taught by the nurse will be most helpful for a client when having asthma? Answer Chest breathing. Pursed -lip breathing. Breathing through the nose. Counting after each breath. 16 Mrs K is admitted to the hospital due to having a lower than normal potassium level in her bloodstream. Her medical history reveals vomiting and diarrhea prior to hospitalization. Which foods should the nurse instruct the client to increase? Answer Whole grains and nuts Milk products and green, leafy vegetables Meat products and canned vegetables Orange juice and bananas 17 Bed rest is prescribed during the acute phase of pneumonia and it serves to Answer Promote safety. Promote clearance of secretions. Decrease the episodes of coughing. Reduce the cellular demand for oxygen. 18 A client is diagnosed with metabolic acidosis, which would the nurse expect the health care provider to order? Answer Potassium Bronchodilator Sodium bicarbonate Serum sodium level 19 Which of the following findings is MOST likely to indicate the presence of respiratory infection in a client with asthma? Answer Chest tightness. Bilateral expiratory wheezing. Cough productive of yellow sputum. Respiratory rate of 30 breaths/minute. 20 The MOST common precipitator of an acute asthma attack is Answer viral respiratory infections. exposure to cigarette smoke. occupational exposure to toxins. exercising in cold temperatures. 21 What is the BEST method for preventing lung cancer? Answer Annual physical examinations. supporting efforts to decrease air pollution. Smoking cessation, including exposure to secondhand smoke. Protecting oneself in the workplace or at school from exposure to carcinogens such as asbestos. 22 The nursing care for a client with respiratory acidosis includes Answer position the client in a supine or side-lying position. encourage deep breathing and coughing exercises. provide between-meal snacks that are high in sodium. encourage bed rest until the cold symptoms are gone. 23 Miss J, a first-year nursing student, was rushed to the clinic department due to hyperventilation. Which nursing intervention is the most appropriate for the client who is subsequently developing respiratory alkalosis? Answer Administering sodium chloride I.V. Encouraging slow, deep breaths. Preparing to administer sodium bicarbonate. Administer low-flow oxygen therapy. 24 Clients diagnosed as having pneumonia is first experiencing hypoxia characteristically exhibit Answer coma. apathy. depression. 25 Clients with acute bronchitis will have the following early symptoms in the course of this condition. Answer Productive cough. Paroxysms of cough Yellow or green sputum. Fever of 39.4OC – 40 OC. 26 Which clinical manifestation would lead the nurse to suspect that a client is experiencing hypermagnesemia? Answer Muscle pain and acute rhabdomyolysis Hot flushed skin and diaphoresis Soft-tissue calcification and hyperreflexia Increased respiratory rate and depth 27 The metabolic component in acid-base analysis represents changes in which of the following? Answer PaO2 HCO3 PaCO2 Base Excess 28 The net diffusion of water from one solution through a semipermeable membrane to another solution containing a lower concentration of water is termed: Answer Diffusion Filtration Osmosis Brownian motion 29 Which of these terms describes a condition in which the pleural exudates become infected? Answer Pleurisy Bronchitis Empyema Emphysema 30 A client is admitted to the hospital for hypocalcemia. Nursing interventions relating to which system would have the highest priority? Answer Renal. Cardiac. Gastrointestinal. Neuromuscular. 31 On auscultation of the chest, which of these findings is indicative of a left pneumothorax? Answer Bilateral rales. Inspiratory crackles to the left chest. Expiratory wheezes to the left chest. Absence breath sounds to the left chest 32 A client with asthma presents with which of these breath sounds? Answer Stridor Crackles Wheezes Pleural friction rub 33 The changes in metabolic buffer, response in which organ? Answer Liver Lung Kidney Stomach 34 The primary function of the respiratory system is to provide the cells of the body with Answer only oxygen. oxygen and to eliminate carbon dioxide. important nutrients and to aid in elimination. carbon dioxide and to eliminate hydrogen ions. 35 A client with COPD is steadily losing weight and feeling lethargic even to eat. The MOST appropriate nursing diagnoses would be Answer Weight Loss Related To COPD. Activity Intolerance Related To Dyspnea. Altered Nutrition: Less Than Body Requirement Related To Fatigue. Ineffective Breathing Pattern Related To Alveolar Hypoventilation. 36 The treatment of choice to reduce hyperkalemia is Answer morphine sulfate. synthetic aldosterone. sodium polystyrene sulfonate. insulin and 50% glucose solution. 37 In the extracellular fluid, chloride is a major: Answer Compound Ion Anion Cation 38 Which of the following is an example that may cause breathing difficulty due to excess mucus in the throat on an initial assessment? Answer Elasticity Surfactant Compliance Airway resistant 39 Treatment of adult respiratory distress syndrome (ARDS) includes Answer clear liquid diet. administration of surfactant therapy. administration of oxygen via a reservoir mask. supportive care until the underlying cause is found and treated. 40 Which electrolyte would the nurse identify as the major electrolyte responsible for determining the concentration of the extracellular fluid? Answer Potassium Chloride Phosphate Sodium 41 Which of the following is NOT presented in metabolic acidosis? Answer Starvation. Renal failure. Respiratory failure. Diabetes ketoacidosis. 42 Which of these conditions can occur if a pleural effusion is left untreated? Answer Pleurisy. Empyema. Atelectasis. Pulmonary oedema. 43 The MOST common complications of pneumococcal pneumonia is Answer pleuritis empyema lung abscess lung necrosis 44 The nurse is observing an elderly client use his metered dose inhaler (MDI) and needs to correct the following technique to improve on administering the MDI is Answer activating the MDI on inspiration. waiting 30 seconds between puffs. shaking the inhaler immediately before use. holding his breath for 10 seconds after inhalation. 45 A Patient’s lab test just revealed that her chloride level is 96 mEq/L. As a nurse, you would interpret this serum chloride level as: Answer High Low Within normal range High normal 46 In chronic obstructive pulmonary disease (COPD) the doctor orders 2 to 3 liters (L) of oxygen to be delivered to the client because Answer the client requests it. no client ever requires more than 2 to 3 L of oxygen. a higher flow rate may suppress the client’s drive to breathe. 2 to 3 L is the maximum flow that a nasal cannula can effectively deliver. 47 Mr. R’s lab test revealed that her serum calcium is 2.5 mEq/L. Which assessment data does the nurse document when a client diagnosed with hypocalcemia develops a carpopedal spasm after the blood-pressure cuff is inflated? Answer Positive Chvostek’s sign Positive Trousseau’s sign Tetany Paresthesia 48 What is the common cause of atelectasis? Answer A bronchiole becomes blocked with secretions, and distal alveoli collapse. Bronchi within the affected portion of the lung become chronically dilated. Alveoli distal to the affected bronchiole become over distended with trapped air and they rupture. The pressure inside the affected portion of the lung has become less than the pressure outside the body. 49 Pleuritic chest pain in pneumonia describes Answer severe midsternal pain. mild but constant aching in the chest. moderate pain that worsens on inspiration. muscle spasm pain that accompanies coughing. 50 Which type of pneumothorax is considered life-threatening? Answer Open. Closed. Tension. Spontaneous. Health ScienceScienceNursingNURSING NRS455Share Question