Nurs 400 unit 3 Questions and Answers Latest
Update
Chapter 22 Assessment of Respiratory Function ANS✔✔
1. A patient is having her tonsils removed. The patient asks the nurse what
function the
tonsils normally serve. Which of the following would be the most accurate
response?
A) The tonsils separate your windpipe from your throat when you swallow.
B) The tonsils help to guard the body from invasion of organisms.
C) The tonsils make enzymes that you swallow and which aid with digestion.
D) The tonsils help with regulating the airflow down into your lungs. ANS✔✔
B
2. The nurse is caring for a patient who has just returned to the unit after a
colon resection.
The patient is showing signs of hypoxia. The nurse knows that this is
probably caused by
what?
A) Nitrogen narcosis
B) Infection
C) Impaired diffusion
D) Shunting ANS✔✔ D
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Pepper
3. The nurse is assessing a patient who frequently coughs after eating or
drinking. How
should the nurse best follow up this assessment finding?
A) Obtain a sputum sample.
B) Perform a swallowing assessment.
C) Inspect the patients tongue and mouth.
D) Assess the patients nutritional status. ANS✔✔ B
4. The ED nurse is assessing a patient complaining of dyspnea. The nurse
auscultates the
patients chest and hears wheezing throughout the lung fields. What might
this indicate?
A) The patient has a narrowed airway.
B) The patient has pneumonia.
C) The patient needs physiotherapy.
D) The patient has a hemothorax. ANS✔✔ A
5. The nurse is caring for a patient admitted with an acute exacerbation of
chronic
obstructive pulmonary disease. During assessment, the nurse finds that the
patient is
experiencing increased dyspnea. What is the most accurate measurement
of the
concentration of oxygen in the patients blood?
A) A capillary blood sample
B) Pulse oximetry
, Solution 2024/2025
Pepper
C) An arterial blood gas (ABG) study
D) A complete blood count (CBC) ANS✔✔ C
6. The nurse is caring for a patient who has returned to the unit following a
bronchoscopy.
The patient is asking for something to drink. Which criterion will determine
when the
nurse should allow the patient to drink fluids?
A) Presence of a cough and gag reflex
B) Absence of nausea
C) Ability to demonstrate deep inspiration
D) Oxygen saturation of 92% ANS✔✔ A
7. A patient with chronic lung disease is undergoing lung function testing.
What test result
denotes the volume of air inspired and expired with a normal breath?
A) Total lung capacity
B) Forced vital capacity
C) Tidal volume
D) Residual volume ANS✔✔ C
8. In addition to heart rate, blood pressure, respiratory rate, and
temperature, the nurse
needs to assess a patients arterial oxygen saturation (SaO2). What
procedure will best
, Solution 2024/2025
Pepper
accomplish this?
A) Incentive spirometry
B) Arterial blood gas (ABG) measurement
C) Peak flow measurement
D) Pulse oximetry ANS✔✔ D
9. A patient asks the nurse why an infection in his upper respiratory system
is affecting the
clarity of his speech. Which structure serves as the patients resonating
chamber in
speech?
A) Trachea
B) Pharynx
C) Paranasal sinuses
D) Larynx ANS✔✔ C
10. A patient with a decreased level of consciousness is in a recumbent
position. How should
the nurse best assess the lung fields for a patient in this position?
A) Inform that physician that the patient is in a recumbent position and
anticipate an
order for a portable chest x-ray.
B) Turn the patient to enable assessment of all the patients lung fields.
C) Avoid turning the patient, and assess the accessible breath sounds from
the
anterior chest wall.
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