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100

In which disorder do the upper airways close during sleep?

  • Obstructive sleep apnea 

100

A child frequently forgets to take his asthma medications and frequently has mild asthma attacks. Which of the following is an appropriate response?

  • Prevention of mild asthma attacks is important because even mild attacks can cause changes in the pulmonary structures.

100

A patient is scheduled for lung volume resection surgery (LVRS). Which disorder does the patient most likely have?

Emphysema

100

A teenager believes she may have scoliosis. Which of the following does she point out that may be indicative of scoliosis?

  • One hip and shoulder higher than the other 

100

A patient with suspected idiopathic pulmonary fibrosis is scheduled for a chest X-ray. If this condition is present, what will appear on the chest X-ray?

  • “Ground-glass” appearance 

200

A nurse educator is speaking to students about a pulmonary condition that results in chronic bronchodilation. Which of the following conditions is he speaking about?

bronchiectasis

200

A patient is taking a medication for asthma, which is a beta-2 agonist. The patient wants to know the purpose of the medication. Which of the following is the appropriate response by the nurse?

  • It dilates your airways

200

A patient with emphysema is being assessed. Which of the following is an expected finding?

  • Hyperresonance on percussion of the lungs 

200

Which arterial blood gas values are indicative of an adult respiratory distress syndrome?

  • Partial pressure of oxygen 50 mmHG and partial pressure of carbon dioxide 50 mmHg

200

A patient’s file reports the presence of mesothelioma. Which substance may the patient have been exposed to?

  • Asbestos 

300

“Use of accessory muscles to breathe” is noted in a patient’s file. Which of the following is a correct interpretation?

  • The patient is using additional muscles with each breath

300

A clinician is educating a patient who was recently diagnosed with chronic obstructive pulmonary disease (COPD). The clinician states that COPD is a collection of disorders. Which of the following contribute to the development of COPD? Select all that apply

  • Chronic bronchitis 

  • Hypersensitive airways

  • Emphysema

300

A patient has a collapsed lung due to a stab wound. What type of pneumothorax would this injury be classified as?

Traumatic

300

A patient is scheduled for bronchial thermoplasty. Which condition does the patient most likely have?

Asthma

300

A nurse notices the asymmetry of a patient’s chest wall and absent breath sounds on the affected side. Which of the following does she suspect?

Pneumothorax

400

A patient wants to know what “apnea” means, because he has been diagnosed with sleep apnea. Which of the following response by the nurse is appropriate?

  • Apnea is reduction of airflow, which you experience during your sleep for brief moments.

400

A chest x-ray reveals hyperinflation of the lungs, increased anterior-posterior chest wall dimensions, and flattened diaphragm. Which of the following conditions does a nurse suspect?

  • Chronic Obstructive pulmonary disease (COPD)


400

A patient has developed pleural effusion. What is likely to be present?

  • Dullness to percussion over affected area 

400

A patient’s chest X-ray reveals nodular infiltrates. The patient is experiencing immune system-mediated inflammatory response to an inhaled substance. Which condition is present?

  • Hypersensitivity pneumonitis 

400

Which are the major restrictive lung diseases? Select all that apply.

  • Pneumothorax

  • Pulmonary fibrosis 

500

A patient has been scheduled for a sleep study for obstructive sleep apnea. The patient wants to know what they will be looking for during the test. Which of the following is appropriate for the nurse to share?

  • “We will be looking to see whether you stop breathing, even briefly, during the night.

500

A clinician has ordered an assessment of alpha-antitrypsin (AAT)-1 levels. The values came back much lower than normal. What condition may the patient have increased risk of developing?

COPD

500

A nursing student is to help evaluate a patient with pneumoconiosis. Which of the following may the student consider to be part of the patient profile? Select all that apply.

  • Asbestosis 

  • Silicosis 

500

A patient has suffered a pneumothorax. His parents wonder what this means. What terms may the nurse use that may be familiar to the parents to explain their son’s condition?

  • It means the suffered a collapsed lung.

500

An abnormal level of fluid in the pleural space is known as which disorder?

  • Pleural effusion 

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