1.

A male adult patient hospitalized for treatment of a pulmonary embolism develops

2. On auscultation, which finding Suggests a right pneumothorax?

3. Nurse Ruth assessing a patient for tracheal displacement should know that the trachea
will deviate toward the
i. Contralateral side hemothorax

4. After undergoing a left pneumonectomy, a female patient has a chest tube in place for
drainage. When caring for this patient. the nurse must
i. Encourage coughing and deep breathing

5. A main patient has a sucking stab wound to the chest. Which action should the nurse
take first?
i. Applying a dressing over the wound and taping it on three sides

6. A male patient's X-ray result reveals bilateral white-outs. indicating adult respiratory
distress syndrome (ARDS), This syndrome results from
i. Increased pulmonary capillary permeability

7. Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted
notes continues gentle bubbling in the suction control chamber. What action is
appropriate?
i. Do nothing, because this is an expected finding

8. Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse
monitors the client and notes fluctuation of the fluid level in the water seal chamber after
the tube is Inserted. Based on this assessment, which action would be appropriate?
i. Continue to monitor the client

9. Nurse Ryan caring for a client with a chest tube turns the client to the side, and the chest
tube accidentally disconnects. The initial nursing action is to:
i. Place the tube in bottle of sterile water

10. A nurse is assisting a physician with the removal of a chest tube. The nurse should
instruct the client to:
i. Perform the Valsalva maneuver
11. An emergency room nurse is assessing a male client who has sustained a blunt injury to
the chest wall. Which of these signs would indicate the presence of a pneumothorax in
this client?
i. Diminished breath sounds

12. A nurse is assessing the respiratory status of a male client who has suffered a fractured
rib. The nurse would expect to note which of the following?
i. Pain, especially with inspiration

13. A female client with chest injury has suffered flail chest. A nurse assesses the client for
which most distinctive sign of flail chest?
i. Paradoxical chest movement

14. A nurse is assessing a female client with multiple trauma who is at risk for developing
acute respiratory distress syndrome. The nurse assesses for which earliest sign of acute
respiratory distress syndrome?
i. Increased respiratory rate

15. Which of the following findings should concern the nurse that the oxygen saturation
monitor is not working?
i. there is no sensor light on the probe

16. The client had left chest injury. The nurse can feel air going in and out of injured site
during breathing. Which of the following should the nurse do initially?
i. apply petrolatum jelly dressing at the site

17. The client had been subjected to thoracentesis without written consent. What offense
are the health care providers liable for?
i. Battery

18. Which of the following findings should be reported to the physician?

19. A client who had vehicular accident was admitted to the emergency department. His
trachea is deviated to the left. What does the nurse anticipate to be done to the client?
i. the client will have thoracentesis

20. To help Ms. Teevee determine whether your patient has orthopnea, she would ask
which of the following?
i. "Do you need to use extra pillows behind your head and back to keep
from getting short of breath when you sleep?"
21. Nina Sta. Ana has distended external jugular veins, even though her head and body are
raised 45 degrees above her legs. This would indicate that Nina Sta. Ana:
i. Is fluid overloaded

22. Irvy is called to start a new aerosolized medication treatment. After reading the
physician's order, she notice that the drug dosage is outside the normal department
guidelines. She should do which of the following?
i. Contact the physician to confirm that the order is indeed correct.

23. A nurse is caring for a male client 1/1 with acute respiratory distress syndrome. Which of
the following would the nurse expect to note in the client?
i. Low arterial Pa02

24. A male adult client is suspected 1/1 of having a pulmonary embolus. A nurse assesses
the client, knowing that which of the following is a common clinical manifestation of
pulmonary embolism?
i. Dyspnea

25. The nurse assesses a male client's1/1 respiratory status. Which observation indicates
that the client is experiencing difficulty breathing?
i. Use of accessory muscles

26. A female client is undergoing a 1/1 complete physical examination as a requirement for
college. When checking the client's respiratory status, the nurse observes respiratory
excursion to help assess:
i. chest movements

27. A black client with asthma seeks 1/1 emergency care for acute respiratory distress.
Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the
i. Mucous membranes

28. At 11 p.m., a male client is admitted to the emergency department. He has a respiratory
rate of 44 breaths/minute. He's anxious, and wheezes are audible. The client is
immediately given oxygen by face mask and methylprednisolone (Depo- Medrol) I.V. At
11:30 p.m., the client's arterial blood oxygen saturation is 86% and he's still wheezing.
The nurse should plan to administer:
i. Albuterol (Proventil)

29. The nurse in charge formulates a nursing diagnosis of Activity intolerance related to
inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize
this problem, the nurse instructs the client to avoid conditions that increase oxygen
demands. Such conditions include:
i. Being overweight
30. After undergoing a thoracotomy, 1/1 a male client is receiving epidural analgesia. Which
assessment finding indicates that the client has developed the most serious complication
of epidural analgesia?
i. Respiratory depression