Question 1

The nurse is assessing a client for decreased fremitus. Which of the following conditions are associated with decreased fremitus? (Select all that apply.)

Accepted Answer

A)   Atelectasis
B)   Emphysema
C)   Pneumonia
D)   Pneumothorax
E)   Pulmonary fibrosisF)  Pulmonary infarctionG) B) and F)
H) A) and E) A,C,E,F

Question 2

A client is demonstrating a crescendo-decrescendo pattern of breathing with periods of apnea. The nurse would document this breathing pattern as being:

Accepted Answer

A)   Cheyne-Stokes.
B)   apnea.
C)   bradypnea.
D)   Kussmaul.E) All of the above
F) A) and B)

Question 3

A client is determined to be a candidate for a low-flow oxygen delivery system. Which of the following will the nurse most likely assess in this client?

Accepted Answer

A)   Active bleeding
B)   Change in level of consciousness
C)   Cardiac arrhythmias
D)   Respiratory rate of 16, unlabored breathingE) C) and D)
F) A) and D)

Question 4

The nurse is assessing a client diagnosed with emphysema. Which of the following will most likely be assessed during the client's physical examination?

Accepted Answer

A)   Barrel chest
B)   Pectus carinatum
C)   Pectus excavatum
D)   ScoliosisE) None of the above
F) A) and B)

Question 5

The nurse is assessing an adult patient experiencing hypoxia. Which of the following findings would be considered a late sign of hypoxia?

Accepted Answer

A)   Confusion
B)   Cyanosis
C)   Drowsiness
D)   HeadacheE) None of the above
F) B) and C)

Question 6

The nurse is documenting that a client has adventitious breath sounds. Which of the following would be considered this type of sound? (Select all that apply.)

Accepted Answer

A)   Rales
B)   Vesicular
C)   Rhonchi
D)   Wheeze
E)   BronchovesicularF)  Pleural friction rubG) B) and D)
H) D) and F)

Question 7

A client has a slight shift to the left on the oxygen-hemoglobin dissociation curve. Which of the following assessment findings will support this curve configuration?

Accepted Answer

A)   Arterial pH less than 7.35
B)   Increased levels of 2,3-diphosphoglycerate
C)   Hyperthermia
D)   HypothermiaE) None of the above
F) A) and B)

Question 8

A client has a productive cough that produces green sputum with a musty odor. The nurse realizes that the client may be experiencing:

Accepted Answer

A)   emphysema.
B)   pneumococcal pneumonia.
C)   Pseudomonas infection.
D)   pulmonary edema.E) None of the above
F) B) and D) C

Question 9

A client, experiencing an acid-base imbalance, demonstrates signs of full compensation within 3 days. The nurse realizes that the full compensation was accomplished by which of the following systems?

Accepted Answer

A)   Extracellular buffer
B)   Intracellular buffer
C)   Pulmonary
D)   RenalE) None of the above
F) A) and B)

Question 10

A client is demonstrating signs of respiratory alkalosis. The nurse realizes that this alteration is least likely caused by which of the following?

Accepted Answer

A)   Diarrhea
B)   Fever
C)   Pain
D)   Severe anemiaE) A) and C)
F) B) and D)

Question 11

The nurse, assessing a client's breath sounds, has the stethoscope placed over the second intercostal space next to the sternum. The sound the nurse is most likely going to hear would be:

Accepted Answer

A)   vesicular.
B)   bronchovesicular.
C)   bronchial.
D)   absent.E) A) and B)
F) B) and C) B

Question 12

A client is scheduled for a ventilation-perfusion scan. The nurse realizes that this diagnostic test is used to diagnose which of the following? (Select all that apply.)

Accepted Answer

A)   Pulmonary emboli
B)   Congestive heart failure
C)   Bronchitis
D)   Asthma
E)   PneumoniaF)  COPDG) D) and E)
H) B) and C)

Question 13

A client is experiencing the ventilation-perfusion mismatch termed shunting. The nurse realizes that the client most likely is not experiencing which of the following disorders?

Accepted Answer

A)   Hemothorax
B)   Intrapulmonary fistulas
C)   Pneumothorax
D)   Pulmonary embolusE) None of the above
F) B) and C)

Question 14

A client is experiencing a gradual increase of pleuritic pain. In which of the following pulmonary conditions would the nurse expect to see this type of pain?

Accepted Answer

A)   Pneumococcal pneumonia
B)   Pneumothorax
C)   Pulmonary embolism
D)   TuberculosisE) A) and D)
F) B) and D)

Question 15

A client with a nasogastric tube connected to low continuous suction has the following arterial blood gas (ABG)  results: pH 7.49, PaO2 91, PaCO2 42, and HCO3

Accepted Answer

A)   metabolic acidosis.
B)   metabolic alkalosis.
C)   respiratory acidosis.31)  Interpreting these result, the nurse concludes that the client is in:
D)   respiratory alkalosis.E) All of the above
F) None of the above

Question 16

A client is prescribed a bedside diagnostic test to assess pulmonary status. The nurse will prepare to administer which of the following to the client? (Select all that apply.)

Accepted Answer

A)   Capnography
B)   Thoracentesis
C)   Oximetry
D)   Bronchoscopy
E)   PolysomnographyF)  Lung biopsyG) D) and E)
H) A) and E)

Question 17

A client is diagnosed with a large pneumothorax. The percussion note the nurse would expect to find is:

Accepted Answer

A)   dullness.
B)   flatness.
C)   resonant.
D)   tympany.E) A) and B)
F) None of the above

Question 18

The nurse is assessing the thorax of an elderly client. Which of the following would be considered normal age-related changes in this client's respiratory system? (Select all that apply.)

Accepted Answer

A)   Hyperresonance
B)   Pain with inspiration
C)   Vital capacity reduced
D)   Hemoptysis
E)   Productive coughF)  WheezesG) B) and E)
H) D) and F)

Exam 30: Assessment of Respiratory Function

The nurse is assessing a client for decreased fremitus. Which of the following conditions are associated with decreased fremitus? (Select all that apply.)

Correct Answer
verified
A,C,E,F

A client is demonstrating a crescendo-decrescendo pattern of breathing with periods of apnea. The nurse would document this breathing pattern as being:

Correct Answer
verified

A client is determined to be a candidate for a low-flow oxygen delivery system. Which of the following will the nurse most likely assess in this client?

Correct Answer
verified

The nurse is assessing a client diagnosed with emphysema. Which of the following will most likely be assessed during the client's physical examination?

Correct Answer
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The nurse is assessing an adult patient experiencing hypoxia. Which of the following findings would be considered a late sign of hypoxia?

Correct Answer
verified

The nurse is documenting that a client has adventitious breath sounds. Which of the following would be considered this type of sound? (Select all that apply.)

Correct Answer
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A client has a slight shift to the left on the oxygen-hemoglobin dissociation curve. Which of the following assessment findings will support this curve configuration?

Correct Answer
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A client has a productive cough that produces green sputum with a musty odor. The nurse realizes that the client may be experiencing:

Correct Answer
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C

A client, experiencing an acid-base imbalance, demonstrates signs of full compensation within 3 days. The nurse realizes that the full compensation was accomplished by which of the following systems?

Correct Answer
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A client is demonstrating signs of respiratory alkalosis. The nurse realizes that this alteration is least likely caused by which of the following?

Correct Answer
verified

The nurse, assessing a client's breath sounds, has the stethoscope placed over the second intercostal space next to the sternum. The sound the nurse is most likely going to hear would be:

Correct Answer
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B

A client is scheduled for a ventilation-perfusion scan. The nurse realizes that this diagnostic test is used to diagnose which of the following? (Select all that apply.)

Correct Answer
verified

A client is experiencing the ventilation-perfusion mismatch termed shunting. The nurse realizes that the client most likely is not experiencing which of the following disorders?

Correct Answer
verified

A client is experiencing a gradual increase of pleuritic pain. In which of the following pulmonary conditions would the nurse expect to see this type of pain?

Correct Answer
verified

A client with a nasogastric tube connected to low continuous suction has the following arterial blood gas (ABG) results: pH 7.49, PaO₂ 91, PaCO₂ 42, and HCO₃

Correct Answer
verified

A client is prescribed a bedside diagnostic test to assess pulmonary status. The nurse will prepare to administer which of the following to the client? (Select all that apply.)

Correct Answer
verified

A client is diagnosed with a large pneumothorax. The percussion note the nurse would expect to find is:

Correct Answer
verified

The nurse is assessing the thorax of an elderly client. Which of the following would be considered normal age-related changes in this client's respiratory system? (Select all that apply.)

Correct Answer
verified

Exam 30: Assessment of Respiratory Function

The nurse is assessing a client for decreased fremitus. Which of the following conditions are associated with decreased fremitus? (Select all that apply.)

Correct AnswerverifiedA,C,E,F

A client is demonstrating a crescendo-decrescendo pattern of breathing with periods of apnea. The nurse would document this breathing pattern as being:

Correct AnswerverifiedShow Answer

A client is determined to be a candidate for a low-flow oxygen delivery system. Which of the following will the nurse most likely assess in this client?

Correct AnswerverifiedShow Answer

The nurse is assessing a client diagnosed with emphysema. Which of the following will most likely be assessed during the client's physical examination?

Correct AnswerverifiedShow Answer

The nurse is assessing an adult patient experiencing hypoxia. Which of the following findings would be considered a late sign of hypoxia?

Correct AnswerverifiedShow Answer

The nurse is documenting that a client has adventitious breath sounds. Which of the following would be considered this type of sound? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client has a slight shift to the left on the oxygen-hemoglobin dissociation curve. Which of the following assessment findings will support this curve configuration?

Correct AnswerverifiedShow Answer

A client has a productive cough that produces green sputum with a musty odor. The nurse realizes that the client may be experiencing:

Correct AnswerverifiedC

A client, experiencing an acid-base imbalance, demonstrates signs of full compensation within 3 days. The nurse realizes that the full compensation was accomplished by which of the following systems?

Correct AnswerverifiedShow Answer

A client is demonstrating signs of respiratory alkalosis. The nurse realizes that this alteration is least likely caused by which of the following?

Correct AnswerverifiedShow Answer

The nurse, assessing a client's breath sounds, has the stethoscope placed over the second intercostal space next to the sternum. The sound the nurse is most likely going to hear would be:

Correct AnswerverifiedB

A client is scheduled for a ventilation-perfusion scan. The nurse realizes that this diagnostic test is used to diagnose which of the following? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client is experiencing the ventilation-perfusion mismatch termed shunting. The nurse realizes that the client most likely is not experiencing which of the following disorders?

Correct AnswerverifiedShow Answer

A client is experiencing a gradual increase of pleuritic pain. In which of the following pulmonary conditions would the nurse expect to see this type of pain?

Correct AnswerverifiedShow Answer

A client with a nasogastric tube connected to low continuous suction has the following arterial blood gas (ABG) results: pH 7.49, PaO2 91, PaCO2 42, and HCO3

Correct AnswerverifiedShow Answer

A client is prescribed a bedside diagnostic test to assess pulmonary status. The nurse will prepare to administer which of the following to the client? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client is diagnosed with a large pneumothorax. The percussion note the nurse would expect to find is:

Correct AnswerverifiedShow Answer

The nurse is assessing the thorax of an elderly client. Which of the following would be considered normal age-related changes in this client's respiratory system? (Select all that apply.)

Correct AnswerverifiedShow Answer

Correct Answer
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A,C,E,F

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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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C

Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
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A client with a nasogastric tube connected to low continuous suction has the following arterial blood gas (ABG) results: pH 7.49, PaO₂ 91, PaCO₂ 42, and HCO₃

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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