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PRE-TEST

1. A client underwent bronchoscopy using conscious sedation. Which of the following


outcomes is most important to be met prior to discharging the client?
a)
b)
c)
d)

The client verbalizes symptoms to report to the physician following discharge.


The clients has an intact gag reflex
The client is Afebrile
The client is taking oral fluids

2. A client is admitted to the hospital with the medical diagnosis of traumatic brain injury.
From the assessment finding of slow, shallow respirations the nurse concludes that which
area of the brain is affected by the injury?
a)
b)
c)
d)

Anterior pituitary
Hypothalamus
Medulla
Cerebral cortex

3. In the client with right lung pneumonia the nurse should encourage which position to
facilitate optimal oxygenation?
a)
b)
c)
d)

Prone
Supine position with head elevated 30 degrees
Positioned with the right side dependent
Positioned with the left side dependent

4. The nurse is making a home visit to a 70 year old client with emphysema which
assessment finding has the most serious implications for this clients nursing care?
a)
b)
c)
d)

Increased anterior posterior diameter of the chest


Bilateral crackels throughout the lung field
Pursed lip breathing
Circumoral cyanosis

5.A postoperative client with emphysema is receiving oxygen at 2L/MIN via nasal cannula
when he/she complaints of feeling dyspneic .The spouse asks the nurse to increase the
oxygen intake to help him/her breathe easier .which response by the nurse is appropriate?
a)
b)
c)
d)

Switch the oxygen to a 100% non breathing mask


Explian to the spouse the high concentration of oxygen may depress breathing
Ask the spouse to leave the room t let the client get some sleep
Administer pain medication

6. For the client with bacterial pneumonia, the nurse assess for which of the following
findings?
a)
b)
c)
d)

Normal white blood cell count


Atelectasis
Productive cough
Unremarkable chest x-ray

7. The occupational health nurse teaches a group of employees to follow all safety polices
because irreversible lung damage can result from occupational exposure to substances such as
coal, asbestos or glass ,because of:
a)
b)
c)
d)

Chronic inflammation of lung disease


Frequent antigen-antibody reaction to foreign substances
Chronic air trapping
Surfactant deficiency

8.In developing the care plan for a client with pulmonary mycobacterium tuberculosis ,what
primary precaution should be included?
a)
b)
c)
d)

Contact skin precautions


Use special mask to avoid in inhaling infected airborne droplets
Avoidance of blood contamination
Containment of draining wounds

9. The family of a client with emphysema asks the nurse about the disease process. The nurse
explains that the disorder results from a decreased oxygen supply because of:
a)
b)
c)
d)

Paralysis of respiratory muscles


Infectious obstructions
Pleural effusions
Loss of surface area for gas exchange

10. In the client with new rib fractures ,which assessment finding would best alert the nurse
to the possible development of a pneumothorax?
a)
b)
c)
d)

Pink, frothy sputum


Hoarseness
Decreased Breath sounds on affected side
Dullness to percussion on the unaffected side.