Health Assessment For Nursing Practice 5th Edition by Wilson
Health Assessment For Nursing Practice 5th Edition by Wilson
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Chapter 11: Lungs and Respiratory System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | 10 |
| b. | 20 |
| c. | 40 |
| d. | 60 |
ANS: C
| Feedback | |
| A | This incorrect calculation was made by dividing 20 years by 2 packs. |
| B | This is correct if the patient smoked 1 pack per day for 20 years. |
| C | Two packs of cigarettes ´ 20 years = 40 pack-years. |
| D | This is correct if the patient smoked 3 packs per day for 20 years or 2 packs a day for 30 years. |
DIF: Cognitive Level: Apply REF: 197, Box 11-1
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Reduction of Risk Potential: System Specific Assessments
| a. | A male who works as a painter |
| b. | A male who plays basketball and hockey |
| c. | A female who recently moved into a college dormitory |
| d. | A female who has a history of gout |
ANS: A
| Feedback | |
| A | The fumes and chemicals from the paint may expose the patient to respiratory irritants. A baseline pulmonary assessment needs to be documented. |
| B | This patient is not at risk for pulmonary disease. |
| C | This patient is not at risk for pulmonary disease. |
| D | This patient is not at risk for pulmonary disease. |
DIF: Cognitive Level: Apply REF: 198
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
| a. | Virus |
| b. | Allergy |
| c. | Fungus |
| d. | Bacteria |
ANS: D
| Feedback | |
| A | A virus usually produces a nonproductive cough. |
| B | An allergy usually produces clear sputum. |
| C | A fungus usually produces few symptoms. The sputum used to diagnose the fungus is obtained from tracheal aspiration rather than the patient coughing up the sputum. |
| D | Bacteria usually produce sputum that is yellow or green in color. |
DIF: Cognitive Level: Apply REF: 198
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Physiologic Adaptation: Alterations in Body Systems
| a. | “Does the sputum have an odor?” |
| b. | “Do you have chest pain when you take a deep breath?” |
| c. | “Have you also experienced tightness in your chest?” |
| d. | “Have you coughed up any blood?” |
ANS: A
| Feedback | |
| A | Sputum with odor and sputum production with change of position is associated with lung abscess or bronchiectasis. |
| B | Chest pain on deep breathing is associated with pleural lining irritation. |
| C | Tightness in the chest is associated with asthma. |
| D | Coughing up rust-colored sputum is associated with pneumonia, but coughing up blood may be associated with lung cancer. |
DIF: Cognitive Level: Apply REF: 198
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Physiologic Adaptation: Alterations in Body Systems
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