1.

A nurse is assessing a client with chronic airflow limitation and notes that the client has a
“barrel chest.” The nurse interprets that this client has which of the following forms of
chronic airflow limitation?
a. Chronic obstructive bronchitis
b. Emphysema
c. Bronchial asthma
d. Bronchial asthma and bronchitis
2. Which of the following would be an expected outcome for a client recovering from an
upper respiratory tract infection? The client will:
a. Maintain a fluid intake of 800 ml every 24 hours.
b. Experience chills only once a day
c. Cough productively without chest discomfort.
d. Experience less nasal obstruction and discharge.
3. A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms.
Which of the following instructions would be appropriate for the nurse to give the client?
a. “Use your nasal decongestant spray regularly to help clear your nasal passages.”
b. “Ask the doctor for antibiotics. Antibiotics will help decrease the secretion.”
c. “It is important to increase your activity. A daily brisk walk will help promote drainage.”
d. “Keep a diary if when your symptoms occur. This can help you identify what
precipitates your attacks.”
4. A patient visits the clinic and is diagnosed with acute sinusitis. To promote sinus
drainage, the nurse instructs the patient to:

A) Apply a cold pack to the affected area.

B) Apply a mustard poultice to the forehead.

C) Perform postural drainage.

D) Increase fluid intake.

5. The patient has been prescribed an antibiotic for tonsillitis and has been instructed to
take the antibiotic for 10 days. The patient informs the nurse that she is feeling better
and is stopping the medication because she has taken it for 4 days. What information
should the nurse provide to this patient?

A) Keep the remaining tablets for an infection at a later time.

B) Discontinue the medications if the fever is gone.

C) Dispose of the remainder of the medication in a biohazard receptacle.

D) Antibiotics must be completed to eliminate the organism.

6. Which of the following patients is at greater risk for developing chronic pharyngitis?

A) Habitual use of alcohol and tobacco C) Diet of spicy foods

B) Caffeine use D) Type A personality

7. The nurse has performed the initial assessments of 4 clients admitted with an acute episode of
asthma. Which assessment finding would cause the nurse to call the provider immediately?

A) prolonged inspiration with each breath

B) expiratory wheezes that are suddenly absent in 1 lobe

C) expectoration of large amounts of purulent mucous

D) appearance of the use of abdominal muscles for breathing

8. A client is admitted to the emergency room following an acute asthma attack. Which of the
following assessments would be expected by the nurse?

A) Diffuse expiratory wheezing

B) Loose, productive cough

C) No relief from inhalant

D) Fever and chills

9. When interviewing the parents of a child with asthma, it is most important to assess the child's
environment for what factor?

A) Household pets

B) New furniture

C) Lead based paint

D) Plants such as cactus