Essay on Respiratory System: Multiple Choice Questions

2079 Words Dec 11th, 2013 9 Pages
Silvestri: Saunders Comprehensive Review for the NCLEX-PN®
Examination, 4th Edition

Chapter 48: Respiratory System

Test Bank

MULTIPLE CHOICE

1. A postoperative client with incisional pain complains to the nurse about completing respiratory exercises. The client is willing to do the deep breathing exercises but states that it hurts to cough. The nurse provides gentle encouragement and appropriate pain management to the client, knowing that coughing is needed to:
1.
Expel mucus from the airways.2.Dilate the terminal bronchioles.3.Provide for increased oxygen tension in the alveoli.4.Exercise the muscles of respiration.

ANS: 1
Rationale: Coughing is one of the protective reflexes. Its purpose is to move mucus that is in
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(2007). Introduction to medical-surgical nursing (4th ed.). Philadelphia: Saunders. OBJ: Client Needs: Physiological Integrity
TOP: Content Area: Adult Health/Respiratory
MSC: Integrated Process: Nursing Process/Data Collection

4. A nurse is observing a nursing student listening to the breath sounds of a client. The nurse intervenes if the student performs which incorrect procedure?
1.Asks the client to sit upright2.Asks the client to breathe slowly and deeply through the mouth3.Places the stethoscope on the client’s gown4.Uses the diaphragm of the stethoscope

ANS: 3
Rationale: To listen to breath sounds, the stethoscope is always placed directly on the client’s skin, and not over a gown or clothing. The nurse asks the client to sit up and breathe slowly and deeply through the mouth. Breath sounds are auscultated using the diaphragm of the stethoscope, which is warmed prior to use.
Test-Taking Strategy: Note the strategic words “incorrect procedure.” Thinking about this data collection procedure and noting the words “on the client’s gown” in option 3 will direct you to this option. Review the correct method for listening to breath sounds if you had difficulty with this question.

DIF: Level of Cognitive Ability: Analysis
REF: Linton, A., & Maebius, N. (2007). Introduction to medical-surgical nursing (4th ed.). Philadelphia: Saunders.
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Content Area: Adult Health/Respiratory
MSC: