RESPIRATORY SYSTEM IMPORTANT QUESTION

1. A client is admitted with suspected atelectasis. Which clini­cal manifestation does the nurse expect to identify when assessing this client?

1. Slow, deep respirations

2. Normal oral temperature

3. Dry, unproductive cough

        4. Diminished breath sounds

Ans 4

2. What nursing action will most help a client obtain maximum benefits after postural drainage?

1. Administer prn oxygen.

2. Encourage coughing deeply.

3. Place the client in a sitting position.

          4. Encourage the client to rest for a half hour.

Ans 2

3. A client is diagnosed with emphysema. For what long-term problem should the nurse monitor this client?

1. Localized tissue necrosis

2. Carbon dioxide retention

3. Increased respiratory rate

          4. Saturated hemoglobin molecules

Ans 2

4.A client who is taking rifampin (Rifadin) tells the nurse, “My urine looks orange.” What action should the nurse take?

1. Explain this is expected.

2. Check the liver enzymes.

3. Strain the urine for stones.

           4. Ask what foods were eaten.

Ans 1

5. The arterial blood gases of a client with chronic obstructive pulmonary disease (COPD) deteriorate, and respiratory failure is impending. For which clinical indicator should the nurse assess first?

1. Cyanosis

2. Bradycardia

3. Mental confusion

         4. Distended neck veins

Ans 3

6. A client has chest tubes attached to a chest tube drainage system. What should the nurse do when caring for this client?

1. Clamp the chest tubes when suctioning.

2. Palpate the surrounding area for crepitus.

3. Change the dressing daily using aseptic technique.

               4. Empty the drainage chamber at the end of the shift.

ANS 2

7. A nurse identifies that a client’s hemoglobin level is decreas­ing and is concerned about tissue hypoxia. An increase in what diagnostic test result indicates an acceleration in oxygen dissociation from hemoglobin?

1. pH

2. PO2

3. PCO2

          4. HCO3

ANS 3

8. A nurse repositions a client who is diagnosed with emphy­sema to facilitate breathing. Which position facilitates maximum air exchange?

1. Supine

2. Orthopneic

3. Low-Fowler

          4. Semi-Fowler

ANS 2

9. What must the nurse determine before discontinuing airborne precautions for a client with pulmonary tuber-culosis?

1. Client no longer is infected.

2. Tuberculin skin test is negative.

3. Sputum is free of acid-fast bacteria.

          4. Client’s temperature has returned to normal.

Ans 3

10. A client is admitted to the intensive care unit with acute pulmonary edema. Which rapidly acting intravenous diuretic should the nurse anticipate will be prescribed?

1. Furosemide (Lasix)

2. Chlorothiazide (Diuril)

3. Spironolactone (Aldactone)

         4. AcetaZOLAMIDE (Diamox)

ANS 1

AIIMS Jodhpur Special Important Question

1 Which of the following acts committed by a nurse is an intentional tort?
 A. Battery
 B. Breach of confidentiality
 C. Negligence
 D. Abandonment
Correct answer: A

2 A patient became seriously ill after a nurse gave him the wrong medication.
After his recovery, he files a lawsuit. Who is most likely to be held liable?
 A. No one because it was an accident
 B. The hospital
 C. The nurse
 D. The nurse and the hospital
Correct answer: D
Nurses are always responsible for their actions. The hospital is liable for negligent conduct of its employees within the scope of employment. Consequently, the nurse and the hospital are liable. Therefore, options B and C are incorrect. Option A is incorrect because although the mistake wasn’t intentional, standard procedure wasn’t follow
3. In the stages of death and dying as defined by Elizabeth Kübler-Ross, loss,
grief, and intense sadness are symptoms of:
A. depression.
B. denial.
C. anger.
D. acceptance.
Correct answer: A
 Loss, grief, and intense sadness indicate depression. Denial (option B) is indicated by the refusal to admit the truth or reality. Anger
(option C) is manifested by rage and resentment. Acceptance (option D) is
evidenced by a gradual, peaceful withdrawal from life.

4. The nurse is assessing the laboratory values of a patient with an abdominal
wound healing by secondary intention. Which of the following laboratory values
indicates that the patient is receiving adequate nutrition?
A. Serum albumin level of 2.5 g/dl
 B. Prealbumin level of 18 mg/dl
C. Transferrin level of 244 mg/dl
D. Total lymphocyte count of 1,900 l
Correct answer: D
 A total lymphocyte count greater than 1,800 l indicates
adequate nutrition. Options A, B, and C are incorrect because these laboratory values indicate poor nutrition.

5. A 55-year-old black male is found to have a blood pressure of 150/90 mm Hg
during a work site health screening. What should the nurse do?
A. Consider this to be a normal finding for his age and race.
 B. Recommend he have his blood pressure rechecked in 1 year.
 C. Recommend he have his blood pressure rechecked within 2 weeks.
 D. Recommend he see his practitioner immediately for further evaluation.
Correct answer: C

6. The nurse is administering warfarin (Coumadin) to a patient with deep vein
thrombophlebitis. Which laboratory value indicates warfarin is at therapeutic
levels?
 A. PTT 11⁄2 to 2 times the control
 B. PT 11⁄2 to 2 times the control
 C. INR of 3 to 4
 D. Hematocrit of 32%
Correct answer: B

7 . A patient is receiving captopril for heart failure. The nurse should notify the
practitioner that the medication therapy is ineffective if an assessment reveals:
 A. a skin rash.
 B. peripheral edema.
 C. a dry cough.
 D. postural hypotension.
Correct answer: B
Peripheral edema is a sign of fluid volume overload
and worsening heart failure. The other options (a skin rash, dry cough, and
postural hypotension) are adverse reactions to captopril, but they don’t indicate
that therapy isn’t effective

8. When teaching safety precautions to a patient with thrombocytopenia, the
nurse should include which of the following directives?
 A. Eat foods high in iron.
 B. Avoid products that contain aspirin.
 C. Avoid people with respiratory tract infections.
 D. Eat only cooked vegetables.
Correct answer: B
9 . When assessing the patient, the nurse knows the body system that’s least affected
by multiple myeloma is:
 A. Skeletal system
 B. Renal system
 C. Nervous system
 D. Cardiovascular system
Correct answer: D
Multiple myeloma usually doesn’t have a direct effect
on the heart. Options A, B, and C are incorrect because multiple myeloma
usually affects the skeletal, renal, and nervous systems.

10. A patient has chronic bronchitis. The nurse is teaching him breathing exercises.
Which point should the nurse include in her teaching?
 A. Make inhalation longer than exhalation.
 B. Exhale through an open mouth.
 C. Use diaphragmatic breathing.
 D. Use chest breathing.
Correct answer: C