Lippincott Respiratory Practice Exam

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• What is the primary reason for infusing blood at a controlled rate of 60 mL/hour?
• A chest tube is inserted in a pneumothorax patient to achieve which of the following?
• For a client recovering from an upper respiratory tract infection, which is an expected outcome?
• For a client taking antihistamines, what is an important action regarding fluid intake?
• For a client with blunt chest trauma, what is the primary goal of care upon arrival at the emergency department?
• Which symptom may indicate bleeding after nasal surgery even if the nasal drip pad is dry?
• Which client report would require immediate intervention after a chest tube placement?
• Under what condition should the nurse discontinue prone positioning for a client with ARDS?
• How should a client manage a nosebleed effectively?
• Which sign should the nurse include when teaching about right-sided heart failure in COPD patients?
• For a client diagnosed with carbon monoxide poisoning, what is the nurse's first action?
• Which finding would most likely indicate the presence of a respiratory infection in a client with asthma?
• A client with pneumonia is very diaphoretic. What should the nurse prioritize in response?
• Which group is considered at elevated risk for contracting tuberculosis?
• What is the expected outcome of short-term corticosteroid therapy in clients with asthma?
• What areas of education should the nurse provide to employees in factories causing respiratory irritation to reduce laryngeal cancer risk?
• In a patient with ARDS, what indicates a need for suctioning due to increased respiratory secretions?
• In discharging a client with tuberculosis, which nursing intervention should be prioritized?
• When caring for a client receiving bronchodilators, the most important nursing assessment should focus on?
• What dietary consideration should be emphasized for clients taking isoniazid?
• When monitoring a client on aminoglycoside antibiotics, which lab value is most important?
• Which risk factor is most closely associated with acute respiratory failure indicated by a low PaO2?
• Which measure is likely most effective in reducing pleuritic chest pain in a client with pneumonia?
• In the Chronic Care Model (CCM), what is a key area of focus for improving quality of care for COPD patients?
• In the context of COPD, which area should NOT be prioritized for improvement?
• Which of the following is a complication tied to untreated pneumonia?
• What is the priority postoperative nursing management for a client following a radical neck dissection for laryngeal cancer?
• What should be readily available at the bedside of a client with a chest tube in place to ensure safety?
• Which symptom is commonly assessed in a client suspected of having a pneumothorax?
• What is the expected outcome of using a bronchodilator in COPD patients?
• Which action does NOT fall under standard precautions in infection control?
• What should a client taking Isoniazid (INH) do to help prevent peripheral neuropathies?
• Which health promotion activity should the nurse include in the discharge teaching plan for a client with asthma?
• To assess for potential damage to the eighth cranial nerve, a nurse should observe the client receiving streptomycin for what symptom?
• When caring for a client with cellulitis, what is a primary concern for the nurse?
• Who has the highest priority for receiving seasonal influenza vaccination?
• What is one of the "five rights" of drug administration that should always be followed?
• How many milliliters of morphine sulfate should be administered to achieve a dose of 10 mg if the concentration is 15 mg/mL?
• What is the best response for a nurse when a client expresses fear of cancer related to their smoking history?
• Which complication is most associated with untreated bacterial pneumonia?
• What type of isolation should a nurse place a client with suspected tuberculosis on?
• What is an important nursing consideration when treating pneumonia in the elderly?
• What is the primary cause of chronic obstructive pulmonary disease (COPD)?
• For a client expressing that he finds the opening in his throat disgusting after laryngectomy, which nursing diagnosis is most appropriate?
• What is the most accurate response a nurse can give a client asking why Echinacea is not helping their head cold?
• What is the primary intention of droplet precautions in a healthcare setting?
• Which of the following statements regarding exercise and COPD is accurate?
• What assessment should be prioritized immediately after nasal surgery?
• What symptom is commonly associated with tuberculosis that clients should be educated about?
• In a client experiencing an acute asthma attack, which nursing action is considered a priority?
• To instruct a client on effective deep breathing after a lobectomy, what method should be emphasized?
• During the evaluation of a chest tube system, what indicates that the chest tube is not functioning effectively?
• What should a nurse do for a confused client with carbon monoxide poisoning who experiences dizziness when trying to ambulate?
• What indicates a client has understood discharge instructions for nasal surgery?
• What intervention should a nurse anticipate for a client diagnosed with acute respiratory distress syndrome (ARDS)?
• How should a nurse interpret a tuberculin skin test with a firm, raised area greater than 15 mm in diameter?
• Upon noticing respiratory distress, what should a nurse prioritize for a client in a tension pneumothorax situation?
• Which symptom is typically not associated with pneumonia?
• Which statement reflects a common concern when using prescription and herbal products?
• For a client with COPD, what is a priority goal of care?
• Which exercise should a nurse teach to a client who underwent chest surgery to prevent shoulder ankylosis?
• After treatment for bacterial pneumonia, what outcome should the nurse expect for an elderly client?
• For a client with pneumonia experiencing diaphoresis, what care measure should be prioritized?
• What factor is NOT recommended for patients with chronic sinusitis?
• What symptom might indicate high carbon dioxide levels in a client?
• When is it appropriate to start oral intake for a client post-laryngectomy?
• How long will it take to transfuse one unit of packed red blood cells at a rate of 60 mL/hour?
• What action should the nurse take if a client on antibiotics shows signs of an allergic reaction?
• Which intervention is significant in helping to prevent lung cancer?
• What is one of the most common precipitating factors of an acute asthma attack?
• What is a key nursing intervention for managing symptoms of COPD?
• What outcome would indicate successful pain management for a client with rib fractures and a pneumothorax?
• What is a key expected outcome for a client recovering from a total laryngectomy?
• What nursing intervention promotes adequate chest expansion in patients with ARDS?
• What intervention is crucial for monitoring a patient with ARDS in relation to renal function?
• What should the nurse assess when monitoring a mechanically ventilated patient for potential complications?
• What is the maximum recommended suctioning time for a client who has had a laryngectomy?
• Which home care instruction is appropriate for a client with a laryngectomy?
• Which data is significant to gather from a client diagnosed with pneumonia?
• What is the primary benefit of early detection for lung cancer?
• What should a nurse advise a client with COPD when developing a discharge plan?
• What should the nurse do first for a client with deep vein thrombosis who suddenly develops dyspnea?
• What complication can arise from the too-rapid infusion of intravenous fluids?
• Which complication should be closely monitored in an ARDS patient due to potential renal failure?
• What is the priority nursing intervention for a client with an arterial blood gas indicating respiratory acidosis during an asthma attack?
• Which client statement indicates understanding of how to avoid spreading tuberculosis?
• What item should the nurse have ready to place directly over the wound after a chest tube is removed?
• What action should a nurse take first upon feeling crackling under the fingertips in a thoracotomy incision area?
• What does fluctuation of fluid in the water-seal column of a chest tube indicate?
• Which technique is correct for instilling nose drops?
• When returning an incorrect medication to the pharmacy, what is the reason for this action?
• Which position should be taken for a client with a low PaO2/FIO2 ratio in ARDS?
• Which client should receive priority assessment by the nurse?
• When teaching post-operative clients about effective lung expansion, which method should be avoided?
• When is it safe to blow the nose after nasal surgery?
• Docusate sodium (Colace) is administered to a client with pneumonia for what purpose?
• What is the primary rationale for using multidrug treatment in clients with tuberculosis?
• What is an appropriate instruction for a client with allergic rhinitis to decrease symptoms?
• Which technique is the most effective for a client with chronic obstructive pulmonary disease to cough?
• What is the first step a client should take before using a metered-dose inhaler (MDI)?
• When a pharmacy sends an incorrect medication, what is the first action a nurse should take?
• In a clinical situation, which sign is most crucial to monitor in a patient who has had chest surgery related to lung repair?
• What diet is most appropriate for a client with COPD?
• Which statement indicates a client with COPD understands their care plan?
• What is an appropriate nursing intervention for a patient with allergic rhinitis during acute management?
• What is a possible adverse effect of Pseudoephedrine (Sudafed)?
• What physiological response would likely occur if a patient with ARDS is becoming restless and anxious?
• In assessing a client with COPD, what should the nurse do first after reviewing their arterial blood gas report?
• What is the primary purpose of deep-breathing exercises after thoracic surgery?
• If a client has experienced hoarseness for more than 2 weeks, what is the nurse’s priority action?
• If a patient becomes restless and tachypneic after a central line insertion, what should the nurse do first?
• Which sign is considered an early indicator of a tension pneumothorax in a client with chest trauma?
• During an asthma attack, what action should a nurse take first based on assessment findings of diminished breath sounds?
• Which technique is correct for administering the Mantoux test?
• What does constant bubbling in the water-seal column of a chest drainage system indicate?
• Which finding would strongly suggest pneumothorax in a trauma victim?
• What symptom should a client with a chest tube be instructed to report to the physician?
• Which intervention can help prevent the development of ARDS in at-risk clients?
• How should the nurse respond if a patient with lung cancer expresses feelings of guilt related to their smoking history?
• What primarily causes cyanosis in patients with bacterial pneumonia?
• What caution should be given to sexually active female clients taking Isoniazid (INH)?
• What statement about oxygen administration to COPD patients is true?
• Which client condition is considered high-risk and warrants priority for influenza vaccination?
• What complication is most commonly associated with mechanical ventilation?
• What should a nurse include in the teaching plan for a client with chronic sinusitis?
• What should a nurse first check if a client with a chest tube is breathing with increased effort?
• How often should a nurse assess the vital signs of a postoperative client?
• A nurse should assess a client receiving streptomycin for which potential complication?
• Which of the following is a possible symptom of an upper respiratory tract infection?
• When caring for a client with a chest tube, where should the drainage apparatus always be positioned?
• Which symptom is commonly associated with clients suffering from active tuberculosis?
• What should a client do after the removal of nasal packing on the second postoperative day?
• In the event of asthma management, which order of steps is most appropriate when using an MDI?
• Which symptom should prompt immediate assessment in a client recovering from lung surgery?
• What is an appropriate non-pharmacological measure to control swelling post nasal surgery?
• What is the most effective way to reduce the risk of developing drug-resistant tuberculosis?
• If a nurse notices that fluid in a chest tube has stopped fluctuating, what should be concluded?
• How can the effectiveness of bed rest for a patient with pneumonia be assessed?
• Which strategy is most effective for managing severe pain in a client post-thoracotomy?
• If subcutaneous emphysema is found during an incision assessment, what should the nurse initially mark?
• What is the primary action of theophylline in the management of respiratory conditions?
• Which family member exposed to tuberculosis is at the highest risk for contracting the disease?
• Which behavior is important to promote effective healing after nasal surgery?
• What should the nurse prioritize when planning discharge for a client post-lobectomy?
• What is the most common route of transmitting tubercle bacilli?
• Which of the following professionals serves as a check to ensure clients receive the right medication?
• Which instruction would best help decrease pain and swelling after nasal surgery?
• What is the body's primary response to tissue anoxia caused by carbon monoxide poisoning?
• Based on arterial blood gas values of pH 7.52 and PaO2 50 mm Hg, what is an accurate conclusion about the client's condition?
• What should a nurse instruct a client who has nasal packing inserted for epistaxis?
• When assessing a patient with ARDS, what is the priority intervention the nurse should perform?
• In the case of a client experiencing a decreased chest tube output, what is the first step?
• Which action following a thoracotomy pain assessment is the most critical for effective pain management?
• Which nursing intervention would best promote effective airway clearance in a client with acute respiratory distress?
• Which factor promotes the movement of secretions during postural drainage?
• What potential adverse effect should a client on metaproterenol report to their healthcare provider?
• What does pursed-lip breathing primarily promote in clients with emphysema?
• Which physical assessment finding is typical for advanced COPD?
• What initial treatment is crucial for clients with carbon monoxide poisoning to alleviate symptoms?
• In which geographic area is the incidence of tuberculosis highest?
• Which of the following is not a priority assessment for a client with pneumonia?
• To best support client adherence to tuberculosis treatment, the nurse should recommend what approach?
• In clients with pneumonia, which of the following should not be prioritized as a treatment goal?
• A positive Mantoux test suggests the client has:
• What is the key reason for rinsing the mouth after using a corticosteroid inhaler?
• When suctioning a tracheostomy or laryngectomy tube, what is the best practice for catheter use?
• What is a priority nursing action for a client with tuberculosis who is noncompliant with medication?
• What is the priority nursing intervention for a client with kyphosis and muscle atrophy?
• Which improvement should a nurse encourage for a client post-laryngectomy to minimize body image concerns?
• What is an important preoperative consideration for a patient with lung cancer?
• Which client should the nurse assess first based on priority?
• What is one key discharge instruction for a client with nasal packing after surgery?
• Before starting IV antibiotics for pneumonia, which diagnostic test is necessary?
• Which client behavior indicates a need for further instruction on the use of a metered-dose inhaler (MDI)?
• Which assessment finding is the most indicative of lung cancer in a client?
• If Guaifenesin (Robitussin) 300 mg is prescribed, how many milliliters should the nurse administer for each dose?
• Which dietary change would support recovery in a patient with pneumonia?
• Which condition is a risk factor for developing acute respiratory distress syndrome (ARDS)?
• What mental status change is typical for a client with pneumonia experiencing hypoxia?
• What is a major cause of hypoxia in clients with severe pneumonia?
• When teaching energy conservation to a client with COPD, which method is recommended for lifting objects?
• Which outcome should the nurse evaluate after administering aspirin to a client with pneumonia?
• When assessing a client with a connected water-seal chest tube drainage system, what action is necessary for optimal drainage?
• A client with pneumonia is experiencing pleuritic chest pain. What should the nurse assess the client for?
• What is the recommended action for a client with nasal packing during discharge?
• Which of the following is NOT a correct practice for someone using a metered-dose inhaler (MDI)?
• What is an expected outcome for a client with pulmonary disease regarding ventilation-to-perfusion ratio?
• What should a nurse assess first in a client who just had a nasal surgical procedure?
• Why might a client with tuberculosis be advised against using regular household items?
• What condition significantly increases the risk of tuberculosis recurrence?
• If a client who underwent a lobectomy reports pain while coughing after 48 hours, what should the nurse do?
• A client on flunisolide reports painful, white patches in their mouth. What is the most appropriate nurse response?
• What is the primary expected outcome of deep-breathing exercises following a thoracotomy?
• Which action indicates correct usage of a metered-dose inhaler for corticosteroid administration?
• After posterior packing for a severe nosebleed, what complication should an elderly client be monitored for?
• Which activity should be avoided to prevent complications after nasal surgery?
• What factor increases the risk of developing postoperative pulmonary complications in a client undergoing lobectomy?
• What characteristic indicates a worsening condition in clients with COPD?
• Clients on rifampin should be instructed that their urine may turn what color?
• What is a common complication of COPD relating to heart function?
• Which of the following should a nurse include in the teaching plan for a client on rifampin?
• What should be monitored regularly for clients on rifampin to prevent liver toxicity?
• What is the expected effect of using incentive spirometry in a client with pneumonia?
• When teaching a client about isoniazid and rifampin therapy, which instruction is essential to include?
• What is an early sign of ARDS in a client at risk?
• What is the most appropriate assessment for verifying the placement of an endotracheal tube?
• Which instruction should a nurse include when teaching a client about taking antihistamines?
• In cases of respiratory alkalosis, what blood gas value is likely to be low?
• For a client recovering from a total laryngectomy, potent communication support includes:
• Which preoperative instruction is essential for a client undergoing rhinoplasty?
• Which nursing intervention is most appropriate for a client who has undergone a total laryngectomy and appears withdrawn?
• Given the arterial blood gas values, what is a possible cause for a PaO2 of 50 mm Hg?
• Following a laryngectomy, what position should the client be maintained in to promote recovery?
• What respiratory finding is expected during an exacerbation of COPD?
• What is the appropriate order for teaching pursed-lip breathing?
• Which intervention is important for a nurse to teach a client regarding tuberculosis?
• What is a common feature of standard precautions?
• What is an appropriate expected outcome for an adult client with well-controlled asthma?
• What recommendation might the nurse give to the physician if a client on a ventilator shows increased peak inspiratory pressures?
• What dietary recommendation is appropriate for a client post-laryngectomy?
• Which factor poses the greatest risk for pneumonia in an elderly client?
• What demonstrates a client's understanding of using an intranasal inhaler?