A nurse works on an interdisciplinary team to provide care for a client with lung cancer. The client is unable to effectively clear their airway. The nurse should ensure that which interdisciplinary team member is present to provide professional input?

A nurse should be most concerned about which of the following assessment findings?

A nurse is caring for a client who is 68-years-old and has been diagnosed with chronic lung disease. The client already has a diagnosis of heart failure and has been in the hospital for breathing difficulties. The nurse wants to gather an interdisciplinary team to talk about this client’s care. In this situation, the most likely reason for meeting with an interdisciplinary team is which of the following?

The nurse assesses a client and notices that the lungs have coarse crackles and the client is struggling to breath, and the client’s legs are edematous. Which of the following actions should the nurse take first?

A client is admitted to the emergency room and the nurse is performing an assessment and notes there to be decreased breath sounds to one side of the chest. The nurse knows this is indicative of which of the following?

A 47-year-old client has been brought to the emergency department after falling from a roof. He has absent breath sounds on his right side, crepitus, and sharp chest pain with tracheal deviation to the left. Which of the following nursing interventions is appropriate?

A nurse needs to assess posterior lung sounds in a client. In which position would it be most appropriate to place this client?

An ambulance arrives at the emergency department with a client who has audible sucking noises on both inspiration and expiration and diminished breath sounds on one side. Which of the following procedures should the nurse anticipate?

A nurse is caring for a client with pneumonia who has just had their endotracheal tube removed. Which of the following breath sounds would be the MOST concerning at this time?

A client who had a bronchospasm was given ipratropium for treatment. The client asks the nurse how the medication works. Which of the following responses is accurate?

During shift report, the oncoming nurse is told that an assigned client has atelectasis. The nurse knows this could be caused by which of the following? Select all that apply.

A female client presents to the ER reporting difficulty breathing. Upon assessment, the client reports “it feels like it’s squeezing all around my ribs when I try to take a deep breath and it’s making me nauseous.” What is the priority nursing intervention for this patient?

The nurse is assessing a client with atelectasis. Which of the following are expected findings? Select all that apply.

A nursing student is demonstrating to a client how to use the incentive spirometer (IS). Which of the following statements by the client indicates correct understanding of how to use the IS?

A client is recovering from surgery for an abdominal resection and has developed atelectasis after spending a significant period of time in bed. Atelectasis is best described as which of the following?

A 23-year-old client requires chest physiotherapy while in the hospital for treatment for cystic fibrosis. The nurse assists the respiratory therapist by helping the client with postural drainage. Which of the following actions best describes this process?

The nurse is caring for a client after surgery. The client’s lung sounds are clear on the left and soft, distant crackles on the right side. The nurse reviews the image above on the morning chest x-ray. Which intervention would be most appropriate for this client?

A nurse is teaching a client how to take a deep breath and cough during postoperative care after abdominal surgery. The nurse has helped the client to a sitting position. What step should the nurse have the client perform next?

A preceptor asks a student nurse where carbon dioxide and oxygen exchange occurs in the lungs. Which response is correct?

The nurse is assessing a client who presented to the emergency room for shortness of breath. The client states, “I just cannot breath deeply, it feels like there is someone holding my ribs tight.” What is the priority for this client?

A nurse is caring for a client with pulmonary edema. Which of the following factors can predispose a client to developing this condition? Select all that apply.

A nurse is caring for a 35-year-old client who suffered a pulmonary embolism (PE) an hour after she delivered a baby. The nurse knows that a pulmonary embolism is the result of a clot that lodges in the pulmonary artery after breaking off from a thrombus in another location. Which of the following are the most common sites of formation of the initial thrombus?

A client comes into the emergency room with an asthma attack. The nurse reads over the orders and notes a breathing treatment and a steroid are ordered. Which of the following medications is the steroid for this client?

A nurse demonstrates how to use a metered-dose inhaler to a client with asthma. Which of the following elements should the nurse include as part of this teaching? Select all that apply.

A client with asthma has started a new prescription for albuterol (Proventil HFA). What side effects are associated with use of this drug? Select all that apply.

A 20-year-old client with asthma is being seen for acute exacerbation of symptoms. The nurse talks with the client about their lifestyle and what medications they take at home. Which medication would warrant the nurse providing further teaching about the client’s condition?

A client who is newly diagnosed with asthma is learning about how to use a metered dose inhaler. Which information from the nurse is correct to use the inhaler correctly and to avoid medication errors?

A nurse is caring for a client diagnosed with asthma. The nurse administers the client’s most recent dose of theophylline. Which of the following must the nurse consider when administering this medication?

A nurse is teaching a home health client with severe asthma about the best methods of staying well at home. The nurse is reviewing potential sources of indoor air pollution. Which of the following is a potential source of indoor air pollution? Select all that apply.

A client presents to the ER complaining of shortness of breath. The client is able to get 2-3 words at a time between breaths. They are in the tripod position and keep saying, “Help me.” What is the priority nursing intervention for this client?

Which of the following are risk factors for asthma exacerbation? Select all that apply.

The nurse administers the first dose of terbutaline to a client with asthma. The nurse educates the client on common side effects of the medication. Which of the following is an adverse effect for which this client must seek immediate medical attention?

The nurse is caring for a client with COPD who is admitted with pneumonia. Which of the following nursing considerations is most appropriate for this client?

A 60-year-old client is going through pulmonary rehabilitation for COPD. The nurse understands that an expected outcome of pulmonary rehabilitation is which of the following?

The nurse is assessing a client with COPD at the healthcare clinic. Which of the following would most likely increase this client’s risk of suicide?

A client with COPD is receiving care at the primary provider’s clinic with worsening of symptoms of emphysema. The provider orders an outpatient chest x-ray to determine if there have been any changes in lung structure. Which best describes what would show on a chest x-ray in the later stages of emphysema?

A nurse is preparing to enter the room of a 13-year-old client with influenza. The nurse is gathering all supplies and medications for the client before entering the room. Which medication would be appropriate for the nurse to retrieve?

The nurse is administering a pneumococcal conjugate vaccine to a client. Which of the following is true regarding this type of vaccine? Select all that apply.

A nurse is caring for a client with influenza who requires droplet precautions. Which of the following activities is part of maintaining droplet precautions?

You are the nurse of a child who has been diagnosed with Influenza type C and the parents ask what this means. As the nurse, you accurately explain influenza C with which of the following statements?

The parent of a 12-year-old who has been diagnosed with Influenza type A demonstrates understanding of the benefits of the child taking oseltamivir (Tamiflu) with which of the following statements?

After developing influenza, a 75-year-old client is suffering from severe diarrhea and dehydration. The nurse is providing help and guidance over the phone to the client’s family. Which information should the nurse give to the family that would best help this client?

The nurse providing care to a child with influenza knows to give top priority to which of the following interventions?

The nurse is providing education to the parents of a 10-year-old who has been diagnosed with the flu and is experiencing high temperatures. The nurse knows to include which of the following in teaching regarding how to treat the fever? Select all that apply.

A nurse who works in an infectious disease unit is assigned to manage the care of several clients who are all staying in the facility. Categorize each of the following clients according to the type of infection control they would require for their condition: Client A: Tuberculosis infection. Client B: Clostridium difficile infection. Client C: influenza infection.

A healthcare office provides immunizations for children and adults in the community. The nurse is preparing vaccine information sheets (VIS) to give to clients about the vaccines. Another nurse says, “Those forms are optional. You do not have to give those out if you do not want to.” Which response from the nurse is accurate?

A nurse is caring for a client who has tuberculosis. The client is just completing a 9-month regimen of medication as part of treatment for the condition in which she responded well. Which of the following choices describes how follow-up is handled for the client who was treated successfully?

A nurse is working with a new staff member who has just been hired as a nurse on the surgical unit. A client has been brought in for care who has an infection with tuberculosis. The nurse instructs the new staff nurse that the client needs airborne precautions. Which is the correct action for this type of precaution that the nurse would observe in the new staff member?

A client is being admitted to the hospital from home with complications of tuberculosis. When making a room assignment, the nurse would most likely consider which of the following factors?

Which of the following is a true statement regarding tuberculosis?

The nurse is discharging a client with tuberculosis. The client asks if it is possible to stop taking the tuberculosis medication once she feels better. Which of the following is the most appropriate response?

A school is offering tuberculosis testing for all of its employees. The health nurse administers the injections to each of the employees using a tuberculin syringe. At which angle does the nurse administer the injections into the skin?

A nurse must use a N95 respirator for protection against tuberculosis with a client. Which of the following considerations should be used while the nurse is utilizing this mask?

The nurse is caring for a client with tuberculosis and is giving report to the oncoming nurse. Which of the following statements is most appropriate?

While caring for a client who is recovering from surgery, the nurse finds out that the client is infected with active tuberculosis. Prior to this discovery, the nurse had only been using standard precautions. Which action of the nurse is most appropriate for providing proper precautions in this situation?

A nurse is providing discharge education to a client who was diagnosed with tuberculosis 2 months ago. Which of the following client statements indicates more teaching is necessary?

The nurse is caring for a client who was admitted with pneumonia 2 weeks ago. The client had been intubated and sedated for the first 48 hours. The client has a Foley catheter and a central venous catheter with fluids running at 75 ml/hr and intermittent IV antibiotics. The client also began working with PT/OT and gets up to the chair for meals. With which of the following is the nurse most concerned?

The nurse is admitting a client with pneumonia. The client’s ABCs are intact. Which is the priority for this client?

A 69-year-old client has been diagnosed with aspiration pneumonia after suffering from a chronic illness. The nurse is teaching the client about how to best perform exercises for pulmonary hygiene. Which of the following should the nurse include as part of teaching?

A nurse checks a client’s oxygen saturation by using a bedside sensory probe. The client has pneumonia that is currently being treated with antibiotics. When the nurse places the pulse oximeter probe on the client, the first reading she notes is 89 percent. Which of the following actions should the nurse perform first?

The nurse is caring for a client whose chest x-ray shows pneumonia. The provider has placed the following orders: vancomycin IV, piperacillin/tazobactam IV, blood and sputum cultures, vitals now and every 4 hours. Which order needs to be completed first?

A 28-year-old woman arrives at the hospital in active labor. The client stayed at home as long as possible because she also has pneumonia. In addition to caring for the client during her delivery, which of the following interventions would the nurse also need to apply in this situation?

A nurse works in a rehabilitation facility that cares for clients of various ages and medical backgrounds. Which of the following situations would the nurse encounter as the biggest risk for aspiration?

A nurse has orders to insert a nasogastric feeding tube for a client to receive enteral feedings. Which intervention from the nurse would most likely prevent aspiration in this client?

A nurse is admitting a client with pneumonia. Which of the following orders should be implemented first?

The nurse is caring for a 70-year-old female with osteoporosis admitted for pneumonia. The nurse knows to implement which of the following precautions?

A client is admitted to the floor after having a tracheostomy placed 72 hours ago. Which of the following pieces of equipment is the priority to keep at the bedside at all times?

After his endotracheal tube has been removed, a client develops breathing difficulties. He has wheezes upon auscultation and exhibits intercostal retractions with each breath. The nurse suspects post-extubation swelling in the airway. Which medication would most likely be administered to correct this situation?

A nurse is caring for a client who experienced a head injury and is being cared for in the ICU on a ventilator. At one point during the shift, the client becomes very agitated, opens his eyes, and tries to talk. Which intervention should the nurse perform first?

A nurse is assisting a provider with rapid sequence intubation (RSI). Which of the following explains the difference between RSI and standard endotracheal intubation? Select all that apply.

Select the location where the tip of the endotracheal tube should sit when a client is intubated.

The nurse is caring for the following clients. Which client should be seen first?

A nurse is educating a client who had a tracheostomy placed yesterday about the need for humidified oxygen. Which statement by the client reflects appropriate education was provided?

A tornado warning has been issued in the hospital where a nurse is employed. The nurse works in the neonatal intensive care unit and is caring for a baby who is on a ventilator and uses nitrous oxide. Which response of the nurse would best protect this infant?

The provider has just ordered for a client to be removed from mechanical ventilation. What is a priority nursing intervention before extubation?

A client is in need of an emergency tracheostomy. Which of the following scenarios does this involve?

A nurse is caring for a client with right-sided paralysis who has excess oral secretions. The nurse must frequently use a suction catheter to clear the client’s secretions. Which action best demonstrates that the nurse is using suction safely?

A client is recovering from surgery in the ICU and requires a ventilator for breathing assistance. The nurse performs suctioning of the endotracheal tube to clear secretions. Which of the following practice essentials does the nurse employ regarding suctioning of the client’s airway?

Which of the following steps should the nurse include as part of tracheostomy suctioning?

A nurse is caring for a client who is unconscious after a head injury. The client is breathing on his own but has increased oral secretions that require frequent suctioning. The nurse prepares to suction secretions from his mouth and nose. Before starting the suction process, the nurse turns on the suction machine and sets the pressure at which of the following?

A nurse has used evidence-based practice to identify a new method of endotracheal suctioning that can be implemented into practice standards on a hospital unit. Which of the following actions best demonstrates that the nurse is utilizing performance improvement principles when implementing this new standard?

A nurse is orienting a new graduate nurse on a cardiopulmonary nursing unit, caring for a client with a chest tube. Which of the follow actions by the new graduate nurse requires immediate intervention?

The nurse is caring for a client with a chest tube. While assessing the tubing, the nurse notes a clot in the tubing. What action is appropriate in order to remove the clot from the tubing?

A client has fluid in the pleural space and the nurse is preparing for a chest tube insertion. The nurse knows that the insertion site will be located at which of the following locations?

A nurse is caring for a client who has a chest tube because of a pneumothorax. The nurse can tell the certified nursing assistant to check which of the following?

A client has had a chest tube placed for 10 hours and the nurse is assessing the color of the drainage. Which color would be most concerning to the nurse?

A nurse is caring for a client who has a chest tube. While turning the client in bed, the tube is accidentally removed. Which of the following should be the nurse’s first response?

The provider writes an order for a client to have a chest tube removed. Which of the following are appropriate reasons to discontinue a chest tube? Select all that apply.

If a pneumothorax is present and the client has a chest tube, what type of bubbling would be expected in the water chamber?

A nurse is caring for a client with a chest tube. He notes that the dressing around the client’s tube insertion site is wet and there is some crepitus with mild palpation. Which actions by the nurse are most appropriate in this situation? Select all that apply.

The nurse is caring for a client with a chest tube. The nurse will refrain from clamping the chest tube because which of the following could happen?