1. A home health nurse is visiting a client with severe chronic obstructive pulmonary disease
(COPD) who is complaining of increased shortness of air. The client is on home oxygen at 2 L/min via an oxygen concentrator with a respiratory rate of 23 breaths/min. The most appropriate nursing action is to

2. The nurse is admitting a client with suspected tuberculosis (TB) to the acute care unit. The nurse places the client in airborne precautions until a confirmed diagnosis of active TB can be made. Which of the following tests is a priority to confirm the diagnosis?

3. A registered nurse is planning the schedule for the day. Which of the following nursing tasks may the nurse delegate to a licensed practical nurse?

4. The nurse assesses fluctuations in the water seal chamber of a client’s closed chest drainage system. The nurse evaluates this finding as indicating

5. The nurse assesses a college-age client complaining of shortness of breath after jogging and tightness in his chest. Upon further questioning, the client denies a sore throat, fever, or productive cough. The nurse notifies the physician that this client’s clinical manifestations are most likely related to

6. Which of the following is a priority to include in the instructions given to a client who has bronchitis?

7. The nurse is admitting a client who complains of fever, chills, chest pain, and dyspnoea. The client has a heart rate of 110, respiratory rate of 28, and a nonproductive hacking cough. A chest x-ray confirms a diagnosis of left lower lobe pneumonia. Upon auscultation of the left lower lobe, the nurse documents which of the following breath sounds?

8. The nurse is preparing a client with empyema for a thoracentesis. Which of the following should the nurse have available in the event that the procedure is ineffective?

9. The nurse is caring for a client following a cardiac bypass surgery. The nurse notes that in the first hour the chest tube drainage measured 90 ml. During the second hour the drainage dropped to 5 ml. The nurse suspects which of the following?

10. The nurse is reviewing the normal limits for a head and neck assessment. Which of the following findings would indicate the need for additional investigation?

11. The nurse is performing an assessment of the thorax and lungs on a 30-year-old client. Which of the following assessments does the nurse evaluate to be a normal adult finding?

12. When preparing a client to collect a sputum specimen, it would be essential for the nurse to explain which of the following aspects of the procedure?

13. The nurse is performing a respiratory assessment of a client with pleurisy and compares the assessment findings with the previous day’s assessment. Currently there is no friction rub, but one was auscultated the previous day. The nurse evaluates this finding as the result of

14. A client with suspected active lung tuberculosis is being scheduled for diagnostic tests. The nurse anticipates that which diagnostic test will most likely be prescribed to confirm the diagnosis?

15. The nurse is instructing a client with moderate persistent asthma on the proper method for using MDI’s (multi-dose inhalers). Which medication should be administered FIRST?

16. The nurse is caring for a client with COPD who becomes dyspneic. The nurse should?

17. The nurse is caring for a client with a chest tube. The nurse knows that this client MUST have what type of dressing?

18. The nurse is caring for a client with a pneumothorax. The nurse expects the client to have a chest tube inserted because?

19. A client in respiratory distress is admitted with arterial blood gas results of: PH 7.30; PO2 58, PCO 34; and HCO3 19. The nurse determines that the client is in?

20. The nurse is caring for a client with a hemopneumothorax. The client has a chest tube. The nurse would EXPECT which of the following color of drainage?

21. When teaching a client with chronic obstructive pulmonary disease about oxygen by cannula, the nurse should also instruct the client’s family to

22. Before using a bronchoscope from one client to the next, the bronchoscope must be cleaned. The nurse knows that minimal cleaning of the bronchoscope includes: