Question 1

Which statements by a patient with asthma indicates effective teaching?

Accepted Answer

A) "We'll use the fireplace to keep the house warm in the winter." 
B) "We will replace the carpet in our bedroom with tile." 
C) "We'll make sure that we dust our plants frequently." 
D) "We're glad we can keep our dog." 
A) "We'll use the fireplace to keep the house warm in the winter." 
B) "We will replace the carpet in our bedroom with tile." 
C) "We'll make sure that we dust our plants frequently." 
D) "We're glad we can keep our dog."

Question 2

The nurse is providing care to a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which factors in the patient's history support the current diagnosis? Select all that apply.

Accepted Answer

A) Working in an industrial environment 
B) Working in an office setting with air conditioning 
C) History of asthma 
D) Current cigarette smoking 
E) Playing golf several times a week 
A) Working in an industrial environment 
B) Working in an office setting with air conditioning 
C) History of asthma 
D) Current cigarette smoking 
E) Playing golf several times a week

Question 3

Which statements about lung cancer indicate that teaching was effective? Select all that apply.

Accepted Answer

A) "A reclining position allows full lung expansion." 
B) "Controlled breathing reduces shortness of breath." 
C) "I will pace myself when doing things with my family." 
D) "I will eat three large meals a day to ensure I get enough calories." 
E) "Pain medication administered around the clock will improve my comfort." 
A) "A reclining position allows full lung expansion." 
B) "Controlled breathing reduces shortness of breath." 
C) "I will pace myself when doing things with my family." 
D) "I will eat three large meals a day to ensure I get enough calories." 
E) "Pain medication administered around the clock will improve my comfort."

Question 4

The nurse is caring for a patient in a community clinic who wishes to quit smoking. The patient asks the nurse, "If I quit smoking, will my risk of lung cancer be the same as a nonsmoker? " Which is the best response by the nurse?

Accepted Answer

A) "No one knows for sure what the risk is for someone who quits smoking." 
B) "Your risk of lung cancer will be equal to that of a nonsmoker." 
C) "Your risk of lung cancer will decline if you quit, but it will remain higher than a nonsmoker's." 
D) "Your risk of lung cancer will never drop because the damage has already been done." 
A) "No one knows for sure what the risk is for someone who quits smoking." 
B) "Your risk of lung cancer will be equal to that of a nonsmoker." 
C) "Your risk of lung cancer will decline if you quit, but it will remain higher than a nonsmoker's." 
D) "Your risk of lung cancer will never drop because the damage has already been done."

Question 5

The nurse finds a patient admitted with asthma and pneumonia restless, anxious, complaining of increasing difficulty breathing, and stridor. Because of suspected status asthmaticus, an arterial blood gas is ordered. Which result requires an immediate intervention?

Accepted Answer

A) pH 7.30 
B) PaCO2 48 mm Hg 
C) PaO2 50 mm Hg 
D) SpO2 88% 
A) pH 7.30 
B) PaCO2 48 mm Hg 
C) PaO2 50 mm Hg 
D) SpO2 88%

Question 6

The nurse is caring for an older adult patient who is very thin and emaciated. The patient reports new onset of shortness of breath. A chest x-ray examination reveals a spot on the lungs that the physician believes is an inoperable lung cancer. Because of the patient's poor nutritional status, chemotherapy is not an option. The healthcare provider also believes that the location of the cancer would make radiation therapy unsuccessful. In advocating for this patient, what approach does the nurse collaborate with the healthcare team to offer the patient?

Accepted Answer

A) Provide palliative care to keep the patient comfortable without diagnostic testing 
B) Perform any procedure necessary to diagnose the patient properly 
C) Promote the use of blood tests to diagnose the suspected cancer 
D) Determine the patient's and family's wishes regarding diagnostic testing 
A) Provide palliative care to keep the patient comfortable without diagnostic testing 
B) Perform any procedure necessary to diagnose the patient properly 
C) Promote the use of blood tests to diagnose the suspected cancer 
D) Determine the patient's and family's wishes regarding diagnostic testing

Question 7

In administering bronchodilator therapy to a patient with asthma, the nurse correlates the effectiveness of this classification of medication to which mechanism of action?

Accepted Answer

A) Bronchodilators widen the airways because they act on the parasympathetic nervous system. 
B) Bronchodilators widen the airways because they stimulate the sympathetic nervous system. 
C) Bronchodilators decrease inflammation of the airways. 
D) Bronchodilators decrease the production of mucus that narrows the airways. 
A) Bronchodilators widen the airways because they act on the parasympathetic nervous system. 
B) Bronchodilators widen the airways because they stimulate the sympathetic nervous system. 
C) Bronchodilators decrease inflammation of the airways. 
D) Bronchodilators decrease the production of mucus that narrows the airways.

Question 8

The nurse is teaching the patient recently diagnosed with asthma the correct use of the peak flow meter. In which order does the nurse instruct the patient? (Enter the letter of each step in the proper sequence; use capital letters, and do not use punctuation or spaces. Example: ABCDEF)

Accepted Answer

A)  Place the mouthpiece in my mouth. 
B)  Ensure the slide marker is at zero (or lowest marking on the scale). 
C)  Stand up straight. 
D)  Take a deep breath. 
E)  Note/record the marking on the scale.
F) Blow a "fast hard blast." 
A)  Place the mouthpiece in my mouth. 
B)  Ensure the slide marker is at zero (or lowest marking on the scale). 
C)  Stand up straight. 
D)  Take a deep breath. 
E)  Note/record the marking on the scale.
F) Blow a "fast hard blast."

Question 9

The nurse correlates which diagnostic result as consistent with the diagnosis of cystic fibrosis?

Accepted Answer

A) Elevated serum chloride 
B) Elevated sodium levels in sweat 
C) Decreased urine chloride 
D) Decreased urine specific gravity 
A) Elevated serum chloride 
B) Elevated sodium levels in sweat 
C) Decreased urine chloride 
D) Decreased urine specific gravity

Question 10

Friends of a patient hospitalized with asthma would like to bring the patient a gift. Which gift would the nurse recommend for this patient?

Accepted Answer

A) A basket of flowers 
B) A stuffed animal 
C) Fruit and candy 
D) A book 
A) A basket of flowers 
B) A stuffed animal 
C) Fruit and candy 
D) A book

Exam 26: Coordinating Care for Patients With Lower Airway Disorders

Which statements by a patient with asthma indicates effective teaching?

The nurse is providing care to a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which factors in the patient's history support the current diagnosis? Select all that apply.

Which statements about lung cancer indicate that teaching was effective? Select all that apply.

The nurse is caring for a patient in a community clinic who wishes to quit smoking. The patient asks the nurse, "If I quit smoking, will my risk of lung cancer be the same as a nonsmoker? " Which is the best response by the nurse?

The nurse finds a patient admitted with asthma and pneumonia restless, anxious, complaining of increasing difficulty breathing, and stridor. Because of suspected status asthmaticus, an arterial blood gas is ordered. Which result requires an immediate intervention?

In administering bronchodilator therapy to a patient with asthma, the nurse correlates the effectiveness of this classification of medication to which mechanism of action?

The nurse is teaching the patient recently diagnosed with asthma the correct use of the peak flow meter. In which order does the nurse instruct the patient? (Enter the letter of each step in the proper sequence; use capital letters, and do not use punctuation or spaces. Example: ABCDEF)

The nurse correlates which diagnostic result as consistent with the diagnosis of cystic fibrosis?

Friends of a patient hospitalized with asthma would like to bring the patient a gift. Which gift would the nurse recommend for this patient?

Foundations for Medical-Surgical Nursing

Interprofessional Collaboration and Care Coordination

Cultural Considerations

Ethical Concepts

Palliative Care and End-Of-Life Issues

Geriatric Implications for Medical-Surgical Nursing

Oxygen Therapy Management

Fluid and Electrolyte Management

Acidbase Balance

Overview of Infusion Therapies

Pain Management

Complementary and Alternative Care Initiatives

Overview of Cancer Care

Overview of Shock and Sepsis

Priorities for the Preoperative Patient

Priorities for the Intraoperative Patient

Priorities for the Postoperative Patient

Assessment of Immune Function

Coordinating Care for Patients With Immune Disorders

Coordinating Care for Patients With Connective Tissue Disorders

Coordinating Care for Patients With Multidrug-Resistant Organism Infectious Disorders

Coordinating Care for Patients With Hiv

Assessment of Respiratory Function

Coordinating Care for Patients With Infectious Respiratory Disorders

Coordinating Care for Patients With Upper Airway Disorders

Coordinating Care for Critically Ill Patients With Respiratory Dysfunction

Assessment of Cardiovascular Function

Coordinating Care for Patients With Cardiac Dysrhythmia

Coordinating Care for Patients With Cardiac Disorders

Coordinating Care for Patients With Vascular Disorders

Coordinating Care for Critically Ill Patients With Cardiovascular Dysfunction

Assessment of Hematological Function

Coordinating Care for Patients With Hematological Disorders

Assessment of Neurological Function

Coordinating Care for Patients With Brain Disorders

Coordinating Care for Patients With Spinal Cord Disorders

Coordinating Care for Patients With Peripheral Nervous System Disorders

Coordinating Care for Critically Ill Patients With Neurological Dysfunction

Assessment of Endocrine Function

Coordinating Care for Patients With Pituitary Disorders

Coordinating Care for Patients With Adrenal Disorders

Coordinating Care for Patients With Thyroid and Parathyroid Disorders

Coordinating Care for Patients With Diabetes Mellitus

Assessment of Visual Function

Coordinating Care for Patients With Visual Disorders

Assessment of Auditory Function

Coordinating Care for Patients With Hearing Disorders

Assessment of Integumentary Function

Coordinating Care for Patients With Skin Disorders

Coordinating Care for Patients With Burns

Assessment of Musculoskeletal Function

Coordinating Care for Patients With Musculoskeletal Disorders

Coordinating Care for Patients With Musculoskeletal Trauma

Assessment of Gastrointestinal Function

Coordinating Care for Patients With Oral and Esophageal Disorders

Coordinating Care for Patients With Stomach Disorders

Coordinating Care for Patients With Intestinal Disorders

Coordinating Care for Patients With Hepatic Disorders

Coordinating Care for Patients With Biliary and Pancreatic Disorders

Assessment of Renal and Urinary Function

Coordinating Care for Patients With Renal Disorders

Coordinating Care for Patients With Urinary Disorders

Assessment of Reproductive Function

Coordinating Care for Female Patients With Reproductive and Breast Disorders

Coordinating Care for Male Patients With Reproductive and Breast Disorders

Coordinating Care for Patients With Sexually Transmitted Infection

Managing Care for the Adult Patient With Obesity

Substance Use Disorders in the Adult Population

Emergency, Trauma, and Environmental Injuries

Disasters, Mass Casualty Incidents, and Complex Emergencies