Post Test Respi Hema Flashcards
1
Q
- Which of these explains why epinephrine is given to patients
having asthma?
A. It increases the patient’s output thereby relieving
the patient’s difficulty of breathing.
B. It dilates the bronchus thereby enabling the patient
to breathe easily.
C. It loosens mucous secretions of the patient.
D. It relieves dilation of the bronchus.
A
B. It dilates the bronchus thereby enabling the patient
to breathe easily.
2
Q
- A 34-year-old patient is brought to an emergency
department with acute pulmonary edema. The patient was
seen in the emergency department 48 hours earlier for a
near-drowning incident. Treatment was provided at that time,
and the patient was monitored and discharged home. Current
chest radiography indicates diffuse bilateral infiltrates. There is
no history of cardiopulmonary disease. Which pulmonary
dysfunctions should a nurse think about when assessing the
patient?
A. Bronchial asthma
B. Emphysema
C. Chronic bronchitis
D. Acute respiratory distress syndrome
A
D. Acute respiratory distress syndrome
3
Q
- A 7-year-old client who’s having epistaxis was brought to the
ER. Which of the following nursing interventions is appropriate
for the client?
A. Let the client sit and tilt the head upwards to
prevent aspiration.
B. Apply warm compress.
C. Tell the client to pinch the bony part of the nose.
D. Apply cold compress.
A
D. Apply cold compress.
4
Q
- The doctor ordered nasal packing with neo-synephrine to
stop the client’s bleeding. Which of the following statements is
true regarding nasal packing?
A. There is no dietary limitation when the nasal
packing is inserted.
B. The client should avoid blowing the nose for 2 days
after the removal of the nasal packing.
C. The nasal packing will be placed for 1 day only.
D. The client should avoid taking axillary temperature.
A
B. The client should avoid blowing the nose for 2 days
after the removal of the nasal packing.
5
Q
- A client with sinusitis comes to the outpatient department
complaining of headache, fever, and nasal congestion. Which
of the following nursing interventions is appropriate for the
client?
A. Give acetaminophen to relieve client’s
decongestion.
B. Apply warm compress to the affected sinus to
relieve swelling.
C. Administer antibiotics to relieve pain.
D. Tell the client to decrease fluid intake to prevent
nasal congestion.
A
B. Apply warm compress to the affected sinus to
relieve swelling.
6
Q
- A client is scheduled for a tonsillectomy. Which of the
following laboratory findings would you report to the
physician?
A. Low BUN
B. Low creatinine
C. Prolonged INR
D. Normal WBC
A
C. Prolonged INR
7
Q
- Which of the following symptoms would indicate that the
client is experiencing an inflamed maxillary sinus?
A. Pain behind or between the eyes.
B. Pain at the forehead.
C. Pain at the vertex of the skull.
D. Pain in the client’s cheek.
A
D. Pain in the client’s cheek.
8
Q
- After tonsillectomy, which of the following findings would
alert the nurse to suspect early hemorrhage in the client?
A. Frequent swallowing or drooling of bright red
secretions.
B. Pulse rate of 95 bpm.
C. BP of 110/70 mmHg
D. Body temperature of 32.2C
A
A. Frequent swallowing or drooling of bright red
secretions.
9
Q
- Which of the following interventions is indicated to a client
who has undergone tonsillectomy?
A. Place the client in a supine position after the
procedure.
B. Give cold beverages like ice cream.
C. Advise the client to avoid cold drinks.
D. Place an ice collar over the client’s neck.
A
D. Place an ice collar over the client’s neck.
10
Q
- Which of the following assessment findings would help
confirm a diagnosis of asthma in a client suspected of having
the disorder?
A. Circumoral cyanosis
B. Increased forced expiratory volume.
C. expiratory wheezing
D. Normal breath sounds
A
C. expiratory wheezing
11
Q
- A nurse observes early manifestations of acute respiratory
distress syndrome (ARDS) in a client being treated for smoke
inhalation. Which signs indicate the possible onset of ARDS in
this client?
A. Hypertension and elevated PaO2.
B. Decrease in both white and red blood cell counts.
C. Cough with blood-tinged sputum and respiratory
alkalosis.
D. Low SaO2 and unresponsive to increased oxygen
administration.
A
D. Low SaO2 and unresponsive to increased oxygen
administration.
12
Q
- A client with acute asthma showing inspiratory and
expiratory wheezes and a decreased expiratory volume should
be treated with which of the following classes of medication
right away?
A. Beta-adrenergic blockers
B. Bronchodilators
C. Inhaled steroids
D. Oral steroids
A
B. Bronchodilators
13
Q
- Which of the following acid-base imbalance is present in
the late stage of asthma?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
A
B. Respiratory acidosis
14
Q
- A 58-year-old client with a 40-year history of smoking one
to two packs of cigarettes a day has a chronic cough producing
thick sputum, peripheral edema, and cyanotic nail beds. Based
on this information, he most likely has which of the following
conditions?
A. Adult respiratory distress syndrome (ARDS)
B. Asthma
C. Chronic obstructive bronchitis
D. Emphysema
A
C. Chronic obstructive bronchitis
15
Q
- A 66-year-old client has marked dyspnea at rest, is thin,
and uses accessory muscles to breathe. He’s tachypneic, with a
prolonged expiratory phase. He has no cough. He leans
forward with his arms braced on his knees to support his chest
and shoulders for breathing. This client has symptoms of which
of the following respiratory disorders?
A. ARDS
B. Asthma
C. Chronic obstructive bronchitis
D. Emphysema
A
D. Emphysema
16
Q
- Its highly recommended that clients with asthma, chronic
bronchitis, and emphysema have Pneumovax and flu
vaccinations for which of the following reasons?
A. All clients are recommended to have these
vaccines.
B. These vaccines produce bronchodilation and
improve oxygenation.
C. These vaccines help reduce the tachypnea these
clients experience.
D. Respiratory infections can cause severe hypoxia
and possibly death in these clients.
A
D. Respiratory infections can cause severe hypoxia
and possibly death in these clients.
17
Q
- Clients with chronic obstructive bronchitis are given diuretic
therapy. Which of the following reasons best explains why?
A. Reducing fluid volume reduces oxygen demand.
B. Reducing fluid volume improves clients’ mobility.
C. Restricting fluid volume reduces sputum
production.
D. Reducing fluid volume improves respiratory
function.
A
A. Reducing fluid volume reduces oxygen demand.
18
Q
- A client with emphysema should receive only 1 to 3
L/minute of oxygen, if needed, or he may lose his hypoxic
drive. Which of the following statements is correct about
hypoxic drive?
A. The client doesn’t notice he needs to breathe.
B. The client breathes only when his oxygen levels
climb above a certain point.
C. The client breathes only when his oxygen levels dip
below a certain point.
D. The client breathes only when his carbon dioxide
A
C. The client breathes only when his oxygen levels dip
below a certain point.
19
Q
- Which of the following statements, if made by the client
about the intake of ferrous sulfate, would indicate a need for
further teaching?
A. “I will increase my fiber and fluid intake when
taking iron supplements.”
B. “I will use an antacid together with iron to prevent
gastric irritation.”
C. “It is better to take iron with vitamin C to increase
absorption.”
D. “My stool may become dark when taking iron.”
A
B. “I will use an antacid together with iron to prevent
gastric irritation.”
20
Q
- The nurse devises a teaching plan for the patient with
aplastic anemia. Which of the following is the most important
concept to teach for health maintenance?
A. Eat animal protein and dark leafy vegetables each
day.
B. Avoid exposure to others with acute infection.
C. Practice yoga and meditation to decrease stress
and anxiety.
D. Get 8 hours of sleep at night and take naps during
the day.
A
B. Avoid exposure to others with acute infection.
21
Q
- A client comes into the health clinic 3 years after
undergoing a resection of the terminal ileum complaining of
weakness, shortness of breath, and a sore tongue. Which
client statement indicates a need for intervention and client
teaching?
A. “I have been drinking plenty of fluids.”
B. “I have been gargling with warm salt water for my
sore tongue.”
C. “I have 3 to 4 loose stools per day.”
D. “I take a vitamin B12 tablet every day.”
A
D. “I take a vitamin B12 tablet every day.”
22
Q
- When a client is diagnosed with aplastic anemia, the nurse
monitors for changes in which of the following physiological
functions?
A. Bleeding tendencies
B. Intake and output
C. Peripheral sensation
D. Bowel function
A
A. Bleeding tendencies
23
Q
- The nurse explains to the parents of a 1-year-old child
admitted to the hospital in a sickle cell crisis that the local
tissue damages the child has on admission is caused by which
of the following?
A. Autoimmune reaction complicated by hypoxia.
B. Lack of oxygen in the white blood cells
C. Obstruction to circulation
D. Elevated serum bilirubin concentration.
A
C. Obstruction to circulation
24
Q
- Which of the following observations of a patient who has
pernicious anemia would indicate that the goal of the care has
been achieve:
A. the patient has no dependent edema.
B. the patient’s skin has no petechiae.
C. the patient has no paresthesia.
D. the patient has good appetite.
A
C. the patient has no paresthesia.
25
Q
- A client who was diagnosed with polycythemia vera was
admitted to the hospital. Which of the following interventions
is inappropriate for the client?
A. Increasing fluid intake
B. Therapeutic phlebotomy
C. Administration of Allopurinol
D. Blood transfusion
A
D. Blood transfusion
