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MEDICAL-SURGICAL: RESPIRATORY EXAM QUESTIONS WITH CORRECT ANSWERS, Exams of Nursing

MEDICAL-SURGICAL: RESPIRATORY EXAM QUESTIONS WITH CORRECT ANSWERS

Typology: Exams

2024/2025

Available from 12/08/2024

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MEDICAL-SURGICAL:
RESPIRATORY EXAM
QUESTIONS WITH CORRECT ANSWERS
1.A nurse is assisting with the care for a client who had a chest tube inserted 12 hr ago.
The nurse notes a crackling sensation upon palpation of the skin on the right side of the
client's chest. The nurse should notify the charge nurse that the client is demonstrating
a clinical manifestation of....................................................................crepitus
2.Tactile fremitus: vibration of the chest wall
3.Crackles: (rales) wet popping sounds
4.Friction rub: scratching or squeaking sound
5.A nurse is assisting with the development of a teaching plan about how to prevent
an acute asthma attack for a young adult client. What point shoudl the nurse plan to
discuss?: Determine the client's preception of the disease process and
what might hace triggered the current attack
6. A nurse on a med-surg unit is caring for a client who is postop following a hip
replacement. The client reports feeling apprehensive and restless. The
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MEDICAL-SURGICAL: RESPIRATORY EXAM

QUESTIONS WITH CORRECT ANSWERS

  1. A nurse is assisting with the care for a client who had a chest tube inserted 12 hr ago. The nurse notes a crackling sensation upon palpation of the skin on the right side of the client's chest. The nurse should notify the charge nurse that the client is demonstrating a clinical manifestation of....................................................................crepitus 2.Tactile fremitus: vibration of the chest wall 3.Crackles: (rales) wet popping sounds 4.Friction rub: scratching or squeaking sound
  2. A nurse is assisting with the development of a teaching plan about how to prevent an acute asthma attack for a young adult client. What point shoudl the nurse plan to discuss?: Determine the client's preception of the disease process and what might hace triggered the current attack 6. A nurse on a med-surg unit is caring for a client who is postop following a hip replacement. The client reports feeling apprehensive and restless. The

nurse collects additional data from the client. What finding is an indication of pulmonary embolism?: Sudden onset of dyspnea

  1. A nurse is a provider's office collecting data from a client who states he was recently exposed to TB. What finding is a clinical manifestation of pulmonary TB?: Night sweats
  2. A nurse is assisting with the plan of care for a client who has chronic ob- structive pulmonary disease and is malnourished. What recommendation to promote nutritional intake should the nurse include in the plan?: Eat high-calo- rie foods first
  3. A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afriad it will hurt to cough after surgery." What statement should the nurse make?: 'I will show you how to splint you incision while coughing" 10.A nurse is reinforcing teaching with a client about pulmonary function tests. What test measures the volume of air the lungs can hold at the end of max inhalation: Total lung capacity 11.A nurse is preparing to assist a provider to withdrawl arterial blood from a client's radial artery for measurment of ABG. What action should the nurse plan to take?:

what is the purpose of these treatments?: To mobilize secretions in the airways 18.A nurse in a clinic is reinforcing teaching with a client who is to have a tuberculin skin test. What information should the nurse include?: "you must return to the clinic to have the test read in 2-3 days" 19.A nurse on a medical unit is assisting with the care of a client who aspirated gastric contents prior to admission. The provider prescribed 100% oxygen by nonrebreather mask after the client reported severe dyspnea. What finding is a clinical manifestation of acute respiratory distress syndrome (ARDS)?: PaO2 50 mm Hg 20.A nurse is in an urgent care clinic is collecting data from a cleint who reports exposure to anthrax. What finding is an indication of the prodromal stage of inhalation anthrax?: Dry cough 21.A nurse is assisting with the plan of care for a client following placement of a chest tube 1 hr ago. What action should the nurse include in the plan of care?: Tape all connections between the chest tube and drainage system 22.A nurse is caring for an older adult who has chronic obstructive pul- monary disease and pneumonia. The nurse should monitor the client for what acid-base imbalance?: Respiratory acidosis is a common complication of COPD

23. A nurse on medical unit is assissting with the care of a client who has a possible closed pneumothorax and significant brusing of the left chest following a motor-vehicle crash. The client reports severe left chest pain on inspiration. The nurse should hear what finding when auscultating the clients lungs?: Absence of breath sounds 24.A nurse is reinforcing teaching about pursed-lip breathing for a client who has chronic obstructive pulmonary disease and emphysema. The nurse should explain that this breathing technqiue does what?: Keeps the airways open on exhalation 25.Influenza: Viral infection of respiratory tract

  • Droplet and Contact transmission
  • S/S: abrupt onset, fever, chills, myalgia, sore throat, cough, malaise, headache, 2-5 days intense symptoms
  • SNC: Nasal swab, symptom treatment, no curative treatment, medication, increase fluids, rest, respiratory assessment 26.Sinusitis: inflammation of sinus mucosa -Acute/Chronic , bacterial infection, viral illness, allergies, NG tube
  • S/S: local pain, purulent nasal drainage, fever fould breath

32.Tracheotomy: surgical opening into trachea 33.Tracheostomy: tube to maintain patency (cancer, trauma, tumor, prolonged ventilation, excessive secretions) 34.Tonsillitis: Strep throat

  • Infection of tonsil tissue
  • Viral (most common) or bacterial
  • S/S: sore throat, fever, chills, dysphagia, pain, myalgia, red, swollen, exudate
  • SNC: Throat culture, medications, increase fluids, rest, saline gargles, tonsillecto- my 35.Epistaxis: Nose bleed -Anterior/Posterior -S/S: Dry/cracked mucous membranes, trauma, nose picking, blowing, disease process -SNC: lean forward, pressure, ice packs (vasoconstriction), packing, airway obstruc- tion, avoid bending over