Respiratory Disorders Management: Online Learning Quizzes

Question 1

In the management of COPD, what is the primary function of bronchodilators?

Accepted Answer

Relax the smooth muscles of the airways

Answer

Reduce inflammation in the airways

Answer

Increase mucus production in the airways

Answer

Enhance the immune response in the lungs

Question 2

For a patient with acute bronchitis, which nursing intervention is crucial?

Accepted Answer

Promote frequent coughing

Answer

Administer antibiotics

Answer

Limit fluid intake

Answer

Provide bronchodilators

Question 3

Which of the following oxygen delivery devices is most appropriate for a patient with severe hypoxemia?

Accepted Answer

Non-rebreather mask

Answer

Nasal cannula

Answer

Simple face mask

Answer

Partial rebreather mask

Question 4

Which of the following medications is used to treat pulmonary hypertension associated with COPD?

Accepted Answer

Sildenafil

Answer

Amiodarone

Answer

Digoxin

Answer

Warfarin

Question 5

When caring for a patient with influenza, the nurse should implement which isolation precautions?

Accepted Answer

Droplet precautions

Answer

Standard precautions

Answer

Contact precautions

Answer

Airborne precautions

Question 6

Which of the following is NOT an indication for oxygen therapy?

Accepted Answer

Hypercapnia** (Corrected to remove confusion as hypercapnia is an indication for oxygen therapy)**

Answer

Hypoxemia

Answer

COPD exacerbation

Answer

Pneumonia

Question 7

What is the primary purpose of administering bronchodilators in respiratory disorders?

Accepted Answer

To dilate the airways** (Simplified language and clarified the primary purpose)**

Answer

To reduce inflammation

Answer

To clear mucus

Answer

To prevent infection

Question 8

What is the role of chest physiotherapy in the management of respiratory disorders?

Accepted Answer

All of the above **(Corrected to provide a single, comprehensive correct answer)**

Answer

To mobilize secretions

Answer

To improve ventilation

Answer

To reduce pain

Question 9

What is the nursing priority for a patient with acute respiratory failure?

Accepted Answer

Maintaining airway patency** (Corrected to prioritize the most critical intervention)**

Answer

Administering oxygen

Answer

Monitoring vital signs

Answer

Providing emotional support

Question 10

Which of the following respiratory disorders is characterized by chronic inflammation of the airways, leading to recurrent episodes of wheezing, coughing, and shortness of breath?

Accepted Answer

Asthma

Answer

COPD

Answer

Pneumonia

Answer

Influenza

Question 11

The primary objective of oxygen therapy in respiratory disorders is to:

Accepted Answer

Augment tissue oxygenation by increasing the partial pressure of oxygen in the blood

Answer

Reduce airway inflammation and bronchospasm

Answer

Stimulate respiratory effort and ventilation

Answer

Enhance mucus production and mucociliary clearance

Question 12

The primary clinical indicator that necessitates mechanical ventilation in respiratory disorders is:

Accepted Answer

Hypoxemia, defined as a persistently low partial pressure of oxygen in the blood

Answer

Hypercapnia, characterized by elevated levels of carbon dioxide in the blood

Answer

Tachycardia, an abnormally rapid heart rate

Answer

Hypotension, a dangerously low blood pressure

Question 13

The primary therapeutic effect of corticosteroids in the management of asthma is:

Accepted Answer

Reducing inflammation and bronchospasm in the airways

Answer

Dilating the airways and improving airflow

Answer

Stimulating mucus production to facilitate airway clearance

Answer

Enhancing the immune response to combat infection

Question 14

In mechanical ventilation, the peak inspiratory pressure (PIP) is a parameter used to:

Accepted Answer

Measure the pressure required to inflate the lungs and overcome airway resistance

Answer

Determine the volume of air delivered to the patient's lungs

Answer

Evaluate the patient's respiratory effort and spontaneous breathing

Answer

Monitor the patient's oxygen saturation levels

Question 15

The primary purpose of chest percussion and postural drainage in the management of respiratory disorders is to:

Accepted Answer

Mobilize and dislodge secretions from the lungs, promoting airway clearance

Answer

Improve ventilation and gas exchange by expanding the airways

Answer

Prevent respiratory complications by reducing the risk of infection

Answer

Relieve discomfort and promote relaxation in patients with respiratory distress

Question 16

Which of the following medications is a first-line bronchodilator for acute asthma exacerbations?

Accepted Answer

Albuterol

Answer

Salmeterol

Answer

Fluticasone

Answer

Montelukast

Question 17

What is the main goal of chest physiotherapy in patients with atelectasis?

Accepted Answer

To mobilize airway secretions

Answer

To promote sputum production

Answer

To improve ventilation-perfusion matching

Answer

To prevent lung collapse

Question 18

What is the most common complication associated with tracheostomy?

Accepted Answer

Infection

Answer

Bleeding

Answer

Pneumothorax

Answer

Laryngeal edema

Question 19

Which of the following nursing interventions is essential in managing a patient with a chest tube?

Accepted Answer

Monitoring for air leaks

Answer

Clamping the tube for extended periods

Answer

Encouraging deep breathing exercises

Answer

Administering pain medication every 4 hours

Question 20

The primary goal of oxygen therapy is to:

Accepted Answer

Increase tissue oxygenation

Answer

Reduce dyspnea

Answer

Prevent atelectasis

Answer

Relieve pain

Question 21

For a patient with COPD, the most appropriate teaching regarding inhaled bronchodilators is to:

Accepted Answer

Use the inhaler consistently, as prescribed, regardless of symptoms

Answer

Use the inhaler only when experiencing shortness of breath

Answer

Avoid using the inhaler more than twice daily

Answer

Discontinue the inhaler if symptoms improve

Question 22

An indication to initiate mechanical ventilation in a patient with pneumonia is:

Accepted Answer

Respiratory rate exceeding 30 breaths per minute

Answer

Oxygen saturation above 92% on room air

Answer

Absence of fever

Answer

Improved white blood cell count

Question 23

The primary nursing intervention for a patient with acute respiratory distress syndrome (ARDS) is:

Accepted Answer

Positioning and suctioning

Answer

Administration of bronchodilators

Answer

Diuretic administration

Answer

Intravenous fluid resuscitation

Question 24

When suctioning a patient with a tracheostomy, it is appropriate to:

Accepted Answer

Suction for no longer than 10 seconds

Answer

Use a high-pressure suction device

Answer

Insert the suction catheter deeper than 8 inches

Answer

Irrigate the tracheostomy with sterile saline

Question 25

The most common complication associated with mechanical ventilation is:

Accepted Answer

Ventilator-associated pneumonia (VAP)

Answer

Atelectasis

Answer

Pneumonia

Answer

Pneumothorax

Question 26

The purpose of incentive spirometry is primarily to:

Accepted Answer

Prevent atelectasis

Answer

Improve oxygenation

Answer

Decrease airway resistance

Answer

Promote expectoration

Question 27

Which of the following is a non-modifiable risk factor for developing asthma?

Accepted Answer

Genetics

Answer

Smoking

Answer

Exposure to allergens

Answer

Air pollution

Question 28

What is a primary mechanism of action for chest physiotherapy in managing respiratory disorders?

Accepted Answer

Breaking down of secretions

Answer

Promoting bronchodilation

Answer

Causing vasoconstriction

Question 29

Which of the following accurately describes the function of anticholinergics in respiratory management?

Accepted Answer

They block the action of acetylcholine in the airways.

Answer

They cause airway narrowing.

Answer

They thin and loosen mucus secretions.

Answer

They promote coughing.

Question 30

To treat acute bronchospasm during an asthma exacerbation, which medication class is typically used?

Accepted Answer

Beta-agonists

Answer

Anticholinergics

Answer

Leukotriene modifiers

Answer

Mast cell stabilizers

Question 31

What is the recommended oxygen saturation target range for individuals with chronic obstructive pulmonary disease (COPD)?

Accepted Answer

92-96%

Answer

88-92%

Answer

96-100%

Answer

100-104%

Question 32

In cases of acute respiratory distress syndrome (ARDS), which type of mechanical ventilation mode is commonly employed?

Accepted Answer

Volume-cycled ventilation

Answer

Pressure-cycled ventilation

Answer

Assist-control ventilation

Answer

Continuous positive airway pressure (CPAP)

Question 33

To reduce inflammation in chronic respiratory disorders like asthma, which medication class is commonly used?

Accepted Answer

Inhaled corticosteroids

Answer

Leukotriene inhibitors

Answer

Anticholinergics

Answer

Mucolytics

Question 34

What is the primary function of medications delivered via nebulizer?

Accepted Answer

Deliver medications directly to the lungs

Answer

Reduce inflammation in the airways

Answer

Prevent bronchospasm

Answer

Increase oxygen saturation levels

Question 35

For acute asthma exacerbation, which medication is considered the first-line treatment for bronchospasm reversal?

Accepted Answer

Albuterol

Answer

Salmeterol

Answer

Ipratropium

Answer

Budesonide

Question 36

Which set of arterial blood gas values is indicative of respiratory alkalosis?

Accepted Answer

pH 7.50, PaCO2 30 mmHg

Answer

pH 7.30, PaCO2 45 mmHg

Answer

pH 7.40, PaCO2 55 mmHg

Answer

pH 7.20, PaCO2 60 mmHg

Question 37

During mechanical ventilation, which parameter requires the most diligent monitoring?

Accepted Answer

Tidal volume

Answer

Oxygen saturation

Answer

Heart rate

Answer

Blood pressure

Question 38

Which signs and symptoms are most commonly associated with pneumonia?

Accepted Answer

Cough and fever

Answer

Cyanosis and edema

Answer

Dyspnea and wheezing

Answer

Hemoptysis and weight loss

Question 39

What is the primary purpose of incentive spirometry?

Accepted Answer

To prevent atelectasis by promoting deep breathing

Answer

To monitor respiratory depth and rate

Answer

To measure lung volume and capacity

Answer

To administer oxygen therapy

Question 40

What is the most common cause of pulmonary embolism?

Accepted Answer

Deep venous thrombosis

Answer

Pneumonia

Answer

Atrial fibrillation

Answer

Myocardial infarction

Question 41

Regarding oxygen therapy in chronic obstructive pulmonary disease (COPD), which nursing action is of utmost importance?

Accepted Answer

Continuously monitor the patient's oxygen saturation levels.

Answer

Administer oxygen at the highest possible flow rate.

Answer

Secure the patient's comfort with the oxygen delivery device.

Question 42

An acute asthma exacerbation necessitates prompt medication administration. Which of the following medications should the nurse anticipate administering first?

Accepted Answer

Albuterol (a short-acting beta-agonist).

Answer

Theophylline (a bronchodilator).

Answer

Montelukast (a leukotriene modifier).

Answer

Fluticasone (an inhaled corticosteroid).

Question 43

A cystic fibrosis patient experiences increased sputum production. Which nursing intervention is most appropriate to assist in sputum clearance?

Accepted Answer

Assist the patient with chest physiotherapy, such as postural drainage and percussion.

Answer

Encourage increased fluid intake to thin secretions.

Answer

Administer supplemental oxygen to improve oxygenation.

Question 44

A patient being discharged after treatment for tuberculosis (TB) requires thorough instructions to prevent disease spread. Which instruction should the nurse emphasize?

Accepted Answer

Adhere strictly to the prescribed medication regimen.

Answer

Wear a mask in public settings to prevent droplet transmission.

Answer

Avoid social interactions to minimize exposure to others.

Question 45

A patient with a tracheostomy encounters thick, tenacious mucus buildup. Which nursing intervention is most effective for clearing the airway?

Accepted Answer

Perform suctioning of the tracheostomy tube to remove secretions.

Answer

Encourage deep breathing exercises to promote lung expansion.

Answer

Provide humidified oxygen to moisten secretions.

Answer

Perform chest physiotherapy to loosen mucus.

Question 46

A patient with emphysema experiences dyspnea. Which positioning is most beneficial for optimizing gas exchange?

Accepted Answer

Elevate the patient to a high Fowler's position (45-60 degrees).

Answer

Place the patient in a Trendelenburg position (head lower than feet).

Answer

Position the patient in a Sims' position (lying on one side).

Answer

Keep the patient in a supine position (lying flat).

Question 47

A patient with a pneumothorax is receiving chest tube drainage. Which observation warrants immediate medical attention?

Accepted Answer

Continuous bubbling in the water seal chamber, indicating an air leak.

Answer

Tidaling in the water seal chamber, which is a normal rhythmic movement.

Answer

Fluctuation of the water level in the water seal chamber, which is expected.

Answer

Drainage output of less than 100 mL per hour, which may be normal.

Question 48

A patient with chronic bronchitis is prone to frequent respiratory infections. Which nursing intervention is most crucial for infection prevention?

Accepted Answer

Emphasize regular and thorough hand hygiene to reduce pathogen transmission.

Answer

Monitor the patient vigilantly for signs of respiratory distress.

Answer

Administer antibiotics as prescribed to treat active infections.

Question 49

Chest physiotherapy is a vital intervention for patients with cystic fibrosis. Which technique is the mainstay of secretion mobilization?

Accepted Answer

Postural drainage and percussion, which utilizes gravity and vibrations to loosen mucus.

Answer

Incentive spirometry, which promotes deep breathing but does not directly mobilize secretions.

Answer

Continuous positive airway pressure (CPAP), which is primarily used for respiratory support.

Answer

Nasal suctioning, which removes secretions from the nasal passages but not the lower airways.

Question 50

When encountering a patient experiencing respiratory distress, which nursing action should be the immediate priority?

Accepted Answer

Swiftly assess the patient's airway, breathing, and circulation (ABCs) to identify any life-threatening issues.

Answer

Administer oxygen to improve oxygenation.

Answer

Establish an intravenous (IV) line for medication administration.