Respiratory Disorders in Medical-Surgical Nursing: Online Quizzes

Question 1

In a patient with pneumonia, the characteristic finding on chest X-ray is:

Accepted Answer

Infiltration

Answer

Hyperinflation

Answer

Nodular opacities

Answer

Pleural effusion

Question 2

Which pathogen is the primary cause of community-acquired pneumonia (CAP)?

Accepted Answer

Streptococcus pneumoniae

Answer

Haemophilus influenzae

Answer

Moraxella catarrhalis

Answer

Pseudomonas aeruginosa

Question 3

Which medication is a long-acting beta-agonist (LABA) commonly used to treat asthma?

Accepted Answer

Salmeterol

Answer

Albuterol

Answer

Budesonide

Question 4

A patient with severe hyperventilation develops respiratory alkalosis. Which electrolyte imbalance is a potential complication?

Accepted Answer

Hypokalemia

Answer

Hypocalcemia

Answer

Hypernatremia

Question 5

In pneumonia, the sputum characteristic most suggestive of the condition is:

Accepted Answer

Yellowish-green and thick

Answer

Clear and frothy

Answer

Pink and frothy

Answer

White and frothy

Question 6

A common complication of chronic obstructive pulmonary disease (COPD) includes:

Accepted Answer

Heart failure

Answer

Diabetes

Answer

Stroke

Answer

Obesity

Question 7

In an acute asthma exacerbation, the most appropriate intervention is:

Accepted Answer

Bronchodilator administration

Answer

Oxygen administration

Answer

Nasogastric tube insertion

Answer

Chest physiotherapy

Question 8

In a patient with a chest tube, the initial nursing action to address pain and discomfort is to:

Accepted Answer

Assess the chest tube insertion site

Answer

Aspirate the chest tube

Answer

Administer pain medication

Answer

Adjust the chest tube drainage system

Question 9

To treat the underlying inflammation in asthma, which medication is typically used?

Accepted Answer

Fluticasone

Answer

Albuterol

Answer

Salmeterol

Answer

Theophylline

Question 10

When a patient with a tracheostomy exhibits respiratory distress, the nurse's initial action should be to:

Accepted Answer

Suction the tracheostomy tube

Answer

Call for respiratory therapy

Answer

Administer oxygen

Answer

Monitor vital signs

Question 11

Which of the following factors significantly increases the risk for developing pneumonia?

Accepted Answer

Smoking

Answer

Diabetes

Answer

Influenza immunization

Answer

Regular exercise

Question 12

Inhaled corticosteroids, commonly used to treat COPD, can potentially lead to which adverse effect?

Accepted Answer

Oral candidiasis

Answer

Hypertension

Answer

Diarrhea

Answer

Headaches

Question 13

When caring for a patient with a pleural effusion, which nursing action is crucial?

Accepted Answer

Observing and recording respiratory status

Answer

Restricting fluid intake

Answer

Inserting a chest tube

Answer

Prescribing antibiotics

Question 14

Which clinical manifestation is most indicative of a pulmonary embolism in a patient presenting with sudden, sharp chest pain?

Accepted Answer

Sharp, pleuritic chest pain

Answer

Cough with sputum production

Answer

Wheezing

Answer

Coughing up blood

Question 15

For a patient experiencing acute respiratory failure and receiving mechanical ventilation, which nursing intervention is most crucial?

Accepted Answer

Monitoring the patient's oxygen saturation

Answer

Maintaining the patient's body temperature

Answer

Providing the patient with emotional support

Answer

Changing the patient's position every 2 hours

Question 16

A patient experiencing an acute asthma attack is prescribed a short-acting beta-agonist inhaler. Which instruction regarding the inhaler's use should the nurse emphasize?

Accepted Answer

Use 2-4 puffs as needed to relieve shortness of breath.

Answer

Rinse your mouth after each use to prevent oral candidiasis.

Answer

Use the inhaler every 4 hours, regardless of symptoms.

Answer

Avoid using the inhaler more than three times daily.

Question 17

When managing a patient with a chest tube, which nursing intervention is most important?

Accepted Answer

Monitoring for potential air leaks

Answer

Clamping the chest tube during suctioning

Answer

Changing the chest tube dressing every day

Answer

Irrigating the chest tube with sterile saline

Question 18

For a patient using continuous positive airway pressure (CPAP) therapy to treat obstructive sleep apnea, which teaching point is most crucial?

Accepted Answer

Regular use of the CPAP mask, even when feeling well-rested

Answer

Adjusting the CPAP pressure to the maximum tolerated level

Answer

Reporting any skin irritation caused by the CPAP mask

Answer

Avoiding CPAP use during periods of cold or sinus congestion

Question 19

Which condition is a contraindication to oxygen therapy?

Accepted Answer

Cardiac arrest

Answer

COPD

Answer

Severe pneumonia

Answer

Anaphylaxis

Question 20

When caring for a patient with a pneumothorax who has had a chest tube inserted and is on suction, which nursing assessment requires the highest priority?

Accepted Answer

Ensuring proper functioning of the chest tube drainage system

Answer

Monitoring respiratory rate and effort

Answer

Assessing the patient's level of discomfort

Answer

Observing the patient's skin for any changes in color or temperature

Question 21

In the evaluation of a patient with cystic fibrosis for a lung transplant, which factor is NOT typically considered?

Accepted Answer

Chronological age

Answer

Pulmonary function tests

Answer

Nutritional status

Answer

Social support system

Question 22

What is the predominant clinical manifestation of COPD?

Accepted Answer

Dyspnea

Answer

Wheezing

Answer

Chest pain

Answer

Cough

Question 23

Which medication is frequently used in the treatment of acute asthma exacerbations?

Accepted Answer

Albuterol

Answer

Montelukast

Answer

Budesonide

Answer

Salmeterol

Question 24

In a patient with respiratory distress, what nursing intervention should be prioritized?

Accepted Answer

Administration of oxygen

Answer

Monitoring of vital signs

Answer

Positioning of the patient upright

Answer

Reassurance of the patient

Question 25

What is the predominant cause of respiratory failure among adults?

Accepted Answer

Chronic obstructive pulmonary disease (COPD)

Answer

Pneumonia

Answer

Asthma

Answer

Pulmonary embolism

Question 26

A patient presenting with a productive cough, fever, and pleuritic chest pain is suspected of having pneumonia. Which diagnostic test is most appropriate for confirming the diagnosis?

Accepted Answer

Chest X-ray

Answer

Sputum culture

Answer

Pulmonary function test

Answer

Cardiac catheterization

Question 27

Which of the following is a significant risk factor for developing chronic obstructive pulmonary disease (COPD)?

Accepted Answer

Tobacco smoking

Answer

Air pollution

Answer

Obesity

Answer

Alcohol consumption

Question 28

For a patient experiencing an acute asthma exacerbation, which medication would be most effective in providing immediate relief from bronchospasm?

Accepted Answer

Salbutamol

Answer

Prednisone

Answer

Montelukast

Answer

N-acetylcysteine

Question 29

When caring for a patient on mechanical ventilation, which nursing intervention is of utmost importance?

Accepted Answer

Continuously monitoring ventilator alarms and settings

Answer

Assessing for signs of infection

Answer

Providing emotional support to the patient

Answer

Encouraging the patient to participate in self-care activities

Question 30

Which respiratory disorder is characterized by the classic triad of cough, wheezing, and shortness of breath?

Accepted Answer

Asthma

Answer

Pneumonia

Answer

COPD

Answer

Emphysema

Question 31

Which patient teaching strategy is most effective for educating patients about managing their asthma?

Accepted Answer

Interactive group discussions

Answer

Traditional lecture-based instruction

Answer

Written handouts

Answer

Media-assisted learning

Question 32

To reduce the risk of further aspiration in a patient diagnosed with aspiration pneumonia, which nursing intervention is MOST important?

Accepted Answer

Keep the patient's head of the bed raised 30-45 degrees.

Answer

Give the patient a straw for drinking.

Answer

Provide the patient with a soft diet.

Answer

Give prescribed antibiotics to treat the infection.

Question 33

Which non-pharmacological interventions are crucial for managing asthma symptoms?

Accepted Answer

Avoiding tobacco smoke

Accepted Answer

Practicing deep breathing techniques

Answer

Using vapor rub

Question 34

In spirometry, which parameters are used together to evaluate the severity of airway obstruction and its potential reversibility?

Accepted Answer

Forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1)

Answer

Peak expiratory flow rate (PEFR) and maximal mid-expiratory flow (MMEF)

Answer

Inspiratory capacity (IC) and expiratory reserve volume (ERV)

Answer

Total lung capacity (TLC) and functional residual capacity (FRC)

Question 35

Which of the following is the most common cause of community-acquired pneumonia in adults?

Accepted Answer

Streptococcus pneumoniae

Answer

Pseudomonas aeruginosa

Answer

Haemophilus influenzae

Answer

Staphylococcus aureus

Question 36

A patient with an acute exacerbation of COPD presents with wheezing and shortness of breath. Which of the following medications is the most appropriate for immediate symptom relief?

Accepted Answer

Short-acting beta-agonist

Answer

Long-acting anticholinergic

Answer

Systemic antibiotic

Answer

Oral corticosteroid

Question 37

A patient with a suspected pulmonary embolism is being evaluated. Which of the following diagnostic tests is typically most appropriate to confirm the diagnosis?

Accepted Answer

Ventilation-perfusion scan

Answer

Electrocardiogram

Answer

Chest X-ray

Answer

Complete blood count

Question 38

Which of the following nursing interventions is crucial in managing a patient with acute respiratory distress syndrome (ARDS)?

Accepted Answer

Mechanical ventilation

Answer

Nasal cannula oxygen therapy

Answer

Chest physiotherapy

Answer

Intravenous antibiotics

Question 39

A patient with a tracheostomy is experiencing increased secretions and difficulty breathing. Which of the following suctioning techniques should the nurse prioritize?

Accepted Answer

Closed suctioning system

Answer

Intermittent suctioning

Answer

Continuous suctioning

Answer

Open suctioning system

Question 40

A patient with obstructive sleep apnea (OSA) is prescribed continuous positive airway pressure (CPAP) therapy. What is the primary goal of this treatment?

Accepted Answer

Maintain upper airway patency during sleep

Answer

Improve lung function

Answer

Reduce snoring

Answer

Decrease oxygen saturation

Question 41

Which of the following is a common complication associated with lung transplantation?

Accepted Answer

Bronchiolitis obliterans syndrome

Answer

Kidney failure

Answer

Stroke

Answer

Myocardial infarction

Question 42

Which of the following respiratory distress signals is NOT typically observed in infants?

Accepted Answer

Protruding tongue

Answer

Nasal flaring

Answer

Cyanosis

Answer

Grunting respirations

Question 43

The priority nursing intervention for a patient with an exacerbation of chronic obstructive pulmonary disease (COPD) is to:

Accepted Answer

Administer oxygen therapy as prescribed.

Answer

Administer antibiotics to prevent infection.

Answer

Monitor the patient's arterial blood gases frequently.

Answer

Encourage the patient to quit smoking.

Question 44

During the assessment of a patient with pneumonia, which physical examination technique is most essential in evaluating lung function?

Accepted Answer

Auscultation of lung sounds

Answer

Measurement of blood pressure

Answer

Examination of the tympanic membrane

Answer

Palpation of lymph nodes

Question 45

Which clinical finding is characteristic of emphysema?

Accepted Answer

Barrel chest

Answer

Wheezing

Answer

Cyanosis

Answer

Cough with thick, purulent sputum

Question 46

During the recovery phase of a respiratory infection, which observation suggests improvement in the patient's condition?

Accepted Answer

Decreased sputum production

Answer

Purulent nasal discharge

Answer

Increased body temperature

Answer

Wheezing respirations

Question 47

Which nursing intervention is essential in the management of acute bronchitis?

Accepted Answer

Encourage frequent coughing and deep breathing exercises.

Answer

Restrict fluids to prevent airway secretions.

Answer

Administer antibiotics to treat the infection.

Question 48

Which medication is commonly used as a bronchodilator in the treatment of asthma?

Accepted Answer

Albuterol

Answer

Amoxicillin

Answer

Digoxin

Answer

Metoprolol

Question 49

When teaching a patient with COPD the pursed-lip breathing technique, which instruction is accurate?

Accepted Answer

Inhale slowly through your nose and exhale slowly through pursed lips.

Answer

Inhale and exhale quickly through pursed lips.

Answer

Inhale through your mouth and exhale through your nose.

Question 50

Which of the following is NOT typically a symptom of pneumonia?

Accepted Answer

Wheezing

Answer

Productive cough

Answer

Fever

Answer

Chest pain

Question 51

The primary goal of medical management for COPD is to:

Accepted Answer

Reduce airway inflammation

Answer

Eradicate the underlying infection

Answer

Clear airway secretions

Question 52

Which type of pneumonia is most commonly caused by the bacterium Streptococcus pneumoniae?

Accepted Answer

Community-acquired pneumonia

Answer

Aspiration pneumonia

Answer

Hospital-acquired pneumonia

Question 53

The hallmark symptom of COPD is:

Accepted Answer

Progressive shortness of breath

Answer

Chest pain

Answer

Wheezing

Answer

Cough

Question 54

Which of the following conditions is a contraindication to the use of inhaled corticosteroids for the management of asthma?

Accepted Answer

Active pulmonary tuberculosis

Answer

History of smoking

Answer

Advanced age

Answer

Concurrent use of bronchodilators

Question 55

The leading cause of death in patients with COPD is:

Accepted Answer

Respiratory failure

Answer

Cardiac arrest

Answer

Pneumonia

Answer

Lung cancer

Question 56

The characteristic abnormal sound produced during respiration in a patient with asthma is:

Accepted Answer

Wheezing

Answer

Crackles

Answer

Rhonchi

Answer

Stridor

Question 57

The preferred method for administering inhaled bronchodilators is using a:

Accepted Answer

Metered-dose inhaler with spacer device

Answer

Intravenous injection

Answer

Dry powder inhaler

Answer

Nebulizer