Respiratory Disorders Assessment: Online Quizzes for Nursing Students

Question 1

When assessing a patient with respiratory concerns, which component of the respiratory history is crucial for identifying potential risk factors for respiratory disorders?

Accepted Answer

Smoking history, occupational exposures, and environmental triggers

Answer

Allergies

Answer

Family history of respiratory conditions

Question 2

Which physical examination finding is a hallmark of asthma?

Accepted Answer

Wheezing

Answer

Crackles

Answer

Reduced breath sounds

Answer

Absent breath sounds

Question 3

Which of the following assessment findings is a characteristic sign of restrictive lung disease?

Accepted Answer

Increased anteroposterior diameter of the chest

Answer

Use of accessory muscles of respiration

Answer

Wheezing

Answer

Prolonged expiratory phase

Question 4

A patient with chronic obstructive pulmonary disease (COPD) presents with acute dyspnea, wheezing, and increased sputum production. Which of the following is the most likely diagnosis?

Accepted Answer

COPD exacerbation

Answer

Asthma attack

Answer

Cardiac dysrhythmia

Answer

Pneumonia

Question 5

Which diagnostic test is most useful in distinguishing between transudative and exudative pleural effusions?

Accepted Answer

Pleural fluid analysis

Answer

Chest X-ray

Answer

Computed tomography (CT) scan

Answer

Magnetic resonance imaging (MRI) scan

Question 6

Which medication class is a mainstay of treatment for chronic obstructive pulmonary disease (COPD)?

Accepted Answer

Beta-agonists

Answer

Corticosteroids

Answer

Mucolytics

Answer

Antibiotics

Question 7

A patient receiving antibiotics for a respiratory infection experiences diarrhea. Which of the following is a potential adverse effect of antibiotic therapy?

Accepted Answer

Clostridioides difficile infection

Answer

Anaphylaxis

Answer

Hyperkalemia

Answer

Neurotoxicity

Question 8

Which lifestyle modification can significantly improve outcomes for patients with chronic respiratory conditions?

Accepted Answer

Smoking cessation

Answer

Regular exercise

Answer

Healthy diet

Answer

Stress management

Question 9

Which nursing diagnosis is most appropriate for a patient with a respiratory infection characterized by purulent sputum production?

Accepted Answer

Ineffective airway clearance

Answer

Risk for impaired gas exchange

Answer

Deficient fluid volume

Answer

Impaired skin integrity

Question 10

Which of the following is NOT a typical symptom of acute bronchitis?

Accepted Answer

Blood-streaked sputum

Answer

Persistent cough

Answer

Low-grade fever

Answer

Wheezing

Question 11

When interpreting arterial blood gas (ABG) results, what finding is characteristic of acute respiratory alkalosis?

Accepted Answer

Increased pH, decreased PaCO2

Answer

Decreased pH, increased PaCO2

Answer

Increased pH, increased PaCO2

Answer

Decreased pH, decreased PaCO2

Question 12

When assessing a patient with respiratory distress, which parameter should be monitored most closely?

Accepted Answer

Respiratory rate

Answer

Heart rate

Answer

Blood pressure

Answer

Temperature

Question 13

Which physical examination finding is most characteristic of pneumothorax?

Accepted Answer

Hyperresonance to percussion over the affected hemithorax

Answer

Decreased breath sounds on the affected side

Answer

Increased tactile fremitus on the affected side

Answer

Bilateral wheezing

Question 14

When obtaining a history from a patient with suspected asthma, which factor is least likely to trigger an asthma attack?

Accepted Answer

Alcohol consumption

Answer

Exposure to allergens

Answer

Exercise

Answer

Inhalation of cold air

Question 15

Which diagnostic test is considered the most sensitive and specific for confirming a diagnosis of tuberculosis?

Accepted Answer

Sputum culture

Answer

Chest X-ray

Answer

Tuberculin skin test

Answer

Bronchoscopy

Question 16

Which medication is a bronchodilator commonly used to treat asthma?

Accepted Answer

Salmeterol

Answer

Montelukast

Answer

Budesonide

Answer

Tiotropium

Question 17

When assessing a patient with a suspected respiratory infection, which question is most crucial to ask?

Accepted Answer

When did your symptoms start?

Answer

Do you have any known allergies?

Answer

Are you currently taking any medications?

Answer

Have you traveled outside the country recently?

Question 18

What is the main reason for performing an arterial blood gas (ABG) analysis?

Accepted Answer

To assess acid-base balance and oxygen levels

Answer

To view lung structures and identify abnormalities

Answer

To measure lung capacity and airflow patterns

Question 19

How does Cultural Sensitivity impact the assessment of Respiratory Disorders?

Accepted Answer

Language barriers can hinder communication and lead to inaccurate findings.

Accepted Answer

Cultural beliefs may influence patients' understanding of healthcare and assessment procedures.

Answer

Confidentiality is crucial for patient privacy.

Question 20

What is the main goal of pulmonary rehabilitation for patients with chronic respiratory conditions?

Accepted Answer

Improve quality of life

Answer

Cure respiratory diseases

Answer

Prevent disease progression

Question 21

When making decisions about withdrawing or withholding mechanical ventilation for patients with end-stage respiratory disease, which ethical principles should be considered?

Accepted Answer

Respecting the patient's wishes and autonomy

Accepted Answer

Relieving suffering and promoting comfort

Answer

Preserving life regardless of the patient's wishes

Answer

Following the doctor's orders without question

Question 22

During auscultation of the lungs, which breath sound is indicative of an airway obstruction?

Accepted Answer

Wheezes

Answer

Rhonchi

Answer

Pleural friction rub

Answer

Rales

Question 23

Which of the following pulse oximetry readings represents the highest level of oxygenation?

Accepted Answer

98%

Answer

88%

Answer

90%

Answer

95%

Question 24

Which laboratory test result strongly suggests the presence of a respiratory infection?

Accepted Answer

Elevated white blood cell count

Answer

Elevated blood sugar

Answer

Increased hemoglobin

Answer

Decreased platelets

Question 25

Which assessment finding is most indicative of a pneumothorax (collapsed lung)?

Accepted Answer

Unilateral decreased breath sounds

Answer

Bilateral wheezes

Answer

Increased pulse rate

Answer

Hypertension

Question 26

Which diagnostic test is most useful for confirming a diagnosis of asthma?

Accepted Answer

Spirometry (lung function test)

Answer

Chest X-ray

Answer

Electrocardiogram (ECG)

Answer

Arterial blood gas analysis

Question 27

Which factor significantly increases an individual's risk of developing pneumonia?

Accepted Answer

Immunosuppression

Answer

Regular moderate exercise

Answer

Female gender

Answer

Young age

Question 28

In the respiratory assessment of a patient with shortness of breath, which question is crucial to ask?

Accepted Answer

Does your shortness of breath worsen when lying down?

Answer

What medications are you currently taking?

Answer

Is there associated chest pain?

Question 29

Which auscultatory finding during lung examination is indicative of a pleural effusion?

Accepted Answer

Diminished breath sounds

Answer

Increased breath sounds

Answer

Wheezes

Question 30

Among the listed blood tests, which one is most useful for assessing gas exchange in respiratory patients?

Accepted Answer

Arterial Blood Gas (ABG)

Answer

Electrolyte panel

Answer

Liver Function Test (LFT)

Answer

Complete Blood Count (CBC)

Question 31

For a COPD patient experiencing worsening dyspnea and hypoxia, which intervention should be prioritized by the nurse?

Accepted Answer

Administer supplemental oxygen

Answer

Perform chest physiotherapy

Answer

Encourage increased fluid intake

Answer

Prescribe antibiotics

Question 32

In the interpretation of a chest X-ray, which radiographic finding is most suggestive of pneumonia?

Accepted Answer

Pulmonary infiltrates

Answer

Pleural effusion

Answer

Atelectasis

Answer

Cardiomegaly

Question 33

When evaluating a patient in respiratory distress, which sign warrants urgent endotracheal intubation?

Accepted Answer

Unresponsiveness to verbal or tactile stimuli

Answer

Tachycardia

Answer

Cyanosis

Answer

Rapid respiratory rate

Question 34

Which factor is NOT considered a contributor to the development of respiratory disorders?

Accepted Answer

Maintaining a nutritious diet

Answer

Occupational exposures

Answer

Smoking

Answer

Exposure to air pollution

Question 35

In pulmonary function testing, which finding indicates airflow limitation?

Accepted Answer

Reduced FEV1/FVC ratio

Answer

Elevated FEV1

Answer

Increased residual volume

Answer

Diminished lung volumes

Question 36

When assessing a patient with asthma, which finding is indicative of an acute exacerbation?

Accepted Answer

Persistent wheezing resistant to bronchodilator therapy

Answer

Mild shortness of breath with exertion

Answer

Intermittent wheezing triggered by exercise

Question 37

When obtaining a respiratory history, which of the following is the most important question to ask?

Accepted Answer

Do you experience shortness of breath, especially with exertion or at rest?

Answer

Have you noticed any recent changes in your sputum?

Answer

What is your smoking history?

Answer

Have you had any recent respiratory infections or exposures?

Question 38

Which physical examination technique is most helpful in assessing respiratory rate accurately?

Accepted Answer

Observation and counting respiratory movements for one minute

Answer

Listening to breath sounds through auscultation

Answer

Palpating the chest for respiratory excursions

Answer

Percussing the chest for areas of resonance or dullness

Question 39

What is the primary purpose of pulse oximetry in respiratory assessment?

Accepted Answer

To measure oxygen saturation levels in arterial blood

Answer

To measure lung function

Answer

To measure carbon dioxide levels in arterial blood

Answer

To detect respiratory infections

Question 40

Which of the following is a common clinical sign indicating respiratory distress?

Accepted Answer

Use of accessory muscles, such as the sternocleidomastoid and intercostal muscles

Answer

Increased oxygen saturation levels

Answer

Absence of adventitious lung sounds

Answer

Normal respiratory rate and depth

Question 41

When interpreting a chest X-ray, which of the following findings would be most indicative of pneumonia?

Accepted Answer

Infiltrates or areas of consolidation within the lung parenchyma

Answer

Hyperinflated lungs, indicating conditions like emphysema

Answer

Pleural effusion, indicating fluid accumulation in the pleural space

Question 42

In the management of acute respiratory failure, which nursing intervention takes the highest priority?

Accepted Answer

Administering oxygen to improve oxygenation

Answer

Providing pain relief to promote comfort

Answer

Administering antibiotics to treat potential infections

Answer

Monitoring fluid balance and electrolytes

Question 43

What is the most common modifiable risk factor for developing COPD?

Accepted Answer

Tobacco smoking

Answer

Exposure to secondhand smoke

Answer

Occupational dust and fumes

Answer

Air pollution

Question 44

What is the primary goal of nursing care for a patient with a pulmonary embolism?

Accepted Answer

Preventing further embolism formation and ensuring adequate oxygenation

Answer

Relieving pain and discomfort

Answer

Reducing anxiety and providing emotional support

Answer

Improving oxygenation by increasing oxygen flow rate

Question 45

On auscultation of the lungs, bilateral fine crackles heard at the lung bases primarily suggest:

Accepted Answer

Alveolar or interstitial fluid

Answer

Airway obstruction

Answer

Alveolar collapse

Answer

Pleural thickening

Question 46

Which of the following arterial blood gas findings is indicative of a respiratory acidosis?

Accepted Answer

Decreased pH and increased PaCO2

Answer

Decreased pH and decreased PaCO2

Answer

Increased pH and increased PaCO2

Answer

Increased pH and decreased PaCO2

Question 47

A patient with a history of asthma is experiencing an exacerbation. Which of the following findings on physical examination is most likely?

Accepted Answer

Wheezing and prolonged expiratory phase during breathing

Answer

Crackles and reduced breath sounds

Answer

Dullness to percussion and decreased vocal fremitus

Answer

Stridor and paradoxical chest wall movement

Question 48

The most common cause of pleural effusion in a patient with heart failure is:

Accepted Answer

Elevated hydrostatic pressure in the pulmonary capillaries

Answer

Malignancy

Answer

Infection

Answer

Pulmonary embolism

Question 49

Which of the following tests is most useful for evaluating pulmonary nodules?

Accepted Answer

High-resolution computed tomography (HRCT)

Answer

Chest X-ray

Answer

Bronchoscopy

Answer

Pulmonary function tests

Question 50

In a patient with pneumonia, which of the following characteristics of the sputum is indicative of a bacterial infection?

Accepted Answer

Yellow or green color and thick consistency

Answer

Hemoptysis

Answer

Clear and watery

Answer

Pink or frothy

Question 51

Which of the following radiographic signs is associated with a pneumothorax?

Accepted Answer

Presence of air within the pleural space

Answer

Consolidation

Answer

Interstitial infiltrates

Answer

Pleural effusion

Question 52

The most common cause of acute respiratory distress syndrome (ARDS) is:

Accepted Answer

Sepsis

Answer

Pneumonia

Answer

Trauma

Answer

Aspiration

Question 53

Which of the following nursing interventions is an initial priority in the care of a patient experiencing acute respiratory distress?

Accepted Answer

Monitoring vital signs, oxygen saturation, and respiratory status

Answer

Providing respiratory therapy

Answer

Performing tracheostomy care

Answer

Administering antibiotics