Respiratory System | Asthma & COPD NCLEX Quiz 37

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  • 1/10 Questions

    A nurse is examining a patient who has developed atelectasis postoperatively. What is she most likely to find?

    • A red face
    • Dyspnea and pain
    • Decreased temperature
    • Severe cough and no pain.
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About This Quiz

Here is an interesting 'Respiratory System | Asthma and COPD NCLEX Quiz' for you. In this quiz, we will ask you a few questions based on the respiratory system and its related concepts. This quiz will give you the chance to test your knowledge as well as learn new terms about the respiration process. All questions will be shown, but the results will only be given after you’ve finished the quiz. You can also download your score certificate at the end. So, let's get started with it. Good luck!

Respiratory System | Asthma & COPD NCLEX Quiz 37 - Quiz

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  • 2. 

    A patient states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. The nurse should tell him that the tidal volume is the amount of air that is ____________. 

    • Exhaled forcibly after a normal expiration

    • Exhaled after there is a normal inspiration

    • Trapped in the alveoli that cannot be exhaled

    • Forcibly inspired over and above a normal respiration.

    Correct Answer
    A. Exhaled after there is a normal inspiration
    Explanation
    The nurse should tell the patient that the tidal volume is the amount of air that is exhaled after there is a normal inspiration. This means that it is the volume of air that is breathed in during a normal breath and then exhaled out. It is a measure of the amount of air exchanged in each breath and can be slightly diminished in certain conditions.

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  • 3. 

    A patient with COPD has developed secondary polycythemia. Name the nursing diagnosis that should be included in the plan of care because of the polycythemia. 

    • Fluid volume deficit related to blood loss.

    • Impaired tissue perfusion related to thrombosis

    • Activity intolerance related to dyspnea

    • Risk for infection related to suppressed immune response.

    Correct Answer
    A. Impaired tissue perfusion related to thrombosis
    Explanation
    Impaired tissue perfusion related to thrombosis is the correct nursing diagnosis that should be included in the plan of care because of the polycythemia. Polycythemia is a condition characterized by an increased number of red blood cells, which can lead to the formation of blood clots (thrombosis). Thrombosis can impair blood flow and cause inadequate perfusion to tissues, leading to tissue damage or dysfunction. Therefore, addressing impaired tissue perfusion is essential in the plan of care for a patient with polycythemia.

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  • 4. 

    The auscultation of a patient’s lungs reveals crackles in the left posterior base. What should be the nursing intervention here? 

    • Repeat auscultation after asking the client to deep breathe and cough.

    • Instruct the client to limit fluid intake to less than 2000 ml/day.

    • Inspect the client’s ankles and sacrum for the presence of edema

    • Place the client on bedrest in a semi-Fowlers position.

    Correct Answer
    A. Repeat auscultation after asking the client to deep breathe and cough.
    Explanation
    The presence of crackles in the left posterior base of the lungs indicates the possibility of fluid accumulation or congestion in the lungs, which can be a sign of pulmonary edema or heart failure. Deep breathing and coughing can help to clear the airways and improve lung function. Therefore, repeating auscultation after asking the client to deep breathe and cough would be an appropriate nursing intervention to assess for any changes in lung sounds and to promote lung clearance.

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  • 5. 

    The physician has scheduled a client for a left pneumonectomy. The position that will most likely be ordered postoperatively for him is the: 

    • Nonoperative side or back

    • Operative side or back

    • Back only

    • Back or either side.

    Correct Answer
    A. Operative side or back
    Explanation
    After a left pneumonectomy, the client will have undergone surgery on the left lung. To promote optimal lung expansion and prevent complications, it is common for the client to be positioned on the operative side or back. This position helps to facilitate drainage and prevent pooling of fluids in the surgical site, as well as promote lung expansion on the unaffected side. Therefore, the most likely postoperative position for the client would be the operative side or back.

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  • 6. 

    The BEST method of oxygen administration for client with COPD uses:

    • Cannula

    • Simple Face mask

    • Non-rebreather mask

    • Venturi mask

    Correct Answer
    A. Venturi mask
    Explanation
    The Venturi mask is the best method of oxygen administration for a client with COPD. This is because it delivers a precise and controlled amount of oxygen, allowing for a more accurate oxygen concentration to be delivered to the client. The Venturi mask also provides a high flow rate, which is important for clients with COPD who may have difficulty breathing. Additionally, the Venturi mask allows for the dilution of oxygen with room air, which helps to prevent oxygen toxicity.

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  • 7. 

    What is the reason behind the acceleration in oxygen dissociation from hemoglobin and thus oxygen delivery to the tissues? 

    • A decreasing oxygen pressure in the blood

    • An increasing carbon dioxide pressure in the blood

    • A decreasing oxygen pressure and/or an increasing carbon dioxide pressure in the blood.

    • An increasing oxygen pressure and/or a decreasing carbon dioxide pressure in the blood.

    Correct Answer
    A. A decreasing oxygen pressure and/or an increasing carbon dioxide pressure in the blood.
    Explanation
    The reason behind the acceleration in oxygen dissociation from hemoglobin and thus oxygen delivery to the tissues is a decreasing oxygen pressure and/or an increasing carbon dioxide pressure in the blood. This means that as the oxygen pressure decreases and/or the carbon dioxide pressure increases, the affinity of hemoglobin for oxygen decreases, allowing oxygen to be released more readily to the tissues. This helps to ensure that oxygen is delivered to the tissues where it is needed for cellular respiration.

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  • 8. 

    A patient with acute bronchitis is admitted to the hospital. Upon his examination, the nurse notices he has an irregular pulse. The nurse understands that cardiac arrhythmias in chronic respiratory distress can happen due to ___________.  

    • Respiratory acidosis

    • A build-up of carbon dioxide

    • A build-up of oxygen without adequate expelling of carbon dioxide.

    • An acute respiratory infection.

    Correct Answer
    A. A build-up of carbon dioxide
    Explanation
    In chronic respiratory distress, the patient may have difficulty exhaling carbon dioxide effectively, leading to a build-up of carbon dioxide in the body. This can result in respiratory acidosis, which can cause cardiac arrhythmias. The irregular pulse observed in the patient with acute bronchitis is likely due to the accumulation of carbon dioxide, leading to respiratory acidosis and subsequent cardiac arrhythmias.

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  • 9. 

    Which of these is the most reliable index for determining the respiratory status of a patient? 

    • Observe the chest rising and falling

    • Observe the skin and mucous membrane color.

    • Listen and feel the air movement.

    • Determine the presence of a femoral pulse.

    Correct Answer
    A. Listen and feel the air movement.
    Explanation
    Listening and feeling the air movement is the most reliable index for determining the respiratory status of a patient because it allows for direct assessment of the patient's breathing. By listening to the sounds of the patient's breath and feeling the movement of air, healthcare professionals can gather information about the rate, depth, and quality of the patient's breathing. This can help identify any abnormalities or signs of respiratory distress, such as wheezing, stridor, or decreased breath sounds, which are important indicators of the patient's respiratory status.

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  • 10. 

    A sixty-five-year-old patient has a tracheostomy and requires tracheal suctioning. What should be the first intervention in completing this procedure? 

    • Change the tracheostomy dressing

    • Provide humidity with a trach mask

    • Apply oral or nasal suction

    • Deflate the tracheal cuff

    Correct Answer
    A. Apply oral or nasal suction
    Explanation
    The first intervention in completing the tracheal suctioning procedure should be to apply oral or nasal suction. This is because suctioning helps to remove secretions and maintain a clear airway in patients with a tracheostomy. This intervention helps to prevent complications such as blockage or infection in the tracheostomy tube. Changing the tracheostomy dressing, providing humidity with a trach mask, and deflating the tracheal cuff may be necessary steps during the procedure, but they should be performed after applying oral or nasal suction.

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  • Current Version
  • Apr 04, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 26, 2017
    Quiz Created by
    Santepro
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