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Question: A 25-year-old male presents to the emergency department with sudden-onset sharp chest pain and dyspnea after a motor vehicle accident. On physical examination, the nurse notes decreased breath sounds and hyperresonance on percussion over the affected lung. The patient’s trachea is deviated away from the affected side. Which of the following interventions should the nurse anticipate?
A) Administering supplemental oxygen via nasal cannula
B) Initiating immediate chest tube insertion
C) Providing pain medication and reassurance
D) Requesting a chest X-ray to confirm the diagnosis
E) Placing the patient in a high Fowler’s position

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Question: A 65-year-old male patient with a history of chronic obstructive pulmonary disease (COPD) is admitted to the hospital with symptoms of pneumonia. The nurse is assessing the patient’s respiratory status. Which of the following findings would indicate a complication of pneumonia in this patient?

A) Increased breath sounds over the affected lung.
B) Decreased tactile fremitus over the affected lung.
C) Bilateral breath sounds over the lungs.
D) Bronchial breath sounds or rhonchi over the affected lung.

Question: A 42-year-old female patient is diagnosed with community-acquired pneumonia and is prescribed oral antibiotics. The nurse provides discharge teaching to the patient. Which of the following statements by the patient indicates a need for further education?

A) “I will take my antibiotics with a full glass of water.”
B) “I will complete the full course of antibiotics as prescribed.”
C) “I will avoid drinking alcohol while taking these medications.”
D) “I will monitor my body temperature regularly.”
E) “I will increase my fluid intake to help thin and loosen mucus.
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Question: A 78-year-old male patient is admitted to the hospital with pneumonia. The nurse is preparing to administer oxygen therapy to the patient. Which oxygen delivery method would be most appropriate for this patient?

A) Nasal cannula
B) Non-rebreather mask
C) Venturi mask
D) Simple face mask
E) Transtracheal catheter

Question: A 10-year-old child with a history of asthma is brought to the emergency department with acute respiratory distress. The nurse assesses the child and notes the use of accessory muscles, nasal flaring, and a prolonged expiratory phase. The child’s peak expiratory flow rate (PEFR) is 50% of the predicted value. Which medication should the nurse anticipate administering first?

A) Albuterol via metered-dose inhaler (MDI) with spacer
B) Beclomethasone via dry powder inhaler (DPI)
C) Ipratropium bromide via nebulizer
D) Montelukast (Singulair) orally
E) Prednisone orally

Question: A 30-year-old patient with a diagnosis of asthma is receiving long-term control therapy with an inhaled corticosteroid (ICS). The nurse is providing education about the medication. Which statement by the patient indicates an understanding of the teaching?

A) “I will rinse my mouth with water after each use to prevent thrush.”
B) “I will use my inhaler as needed during an asthma attack.”
C) “I will stop taking the medication once my symptoms improve.”
D) “I will take the medication on an empty stomach for better absorption.”
E) “I will switch to a different brand of inhaler if I experience any side effects.”

Question: A 50-year-old patient with asthma is prescribed a combination inhaler containing both a long-acting beta-agonist (LABA) and an inhaled corticosteroid (ICS). The nurse provides education on the proper use of the inhaler. Which instruction should the nurse prioritize?

A) “Rinse your mouth with water after each use.”
B) “Take a deep breath and hold it for 10 seconds after inhaling.”
C) “Prime the inhaler by shaking it vigorously before each use.”
D) “Use a spacer device to improve drug delivery to your lungs.”
E) “Clean the inhaler with warm soapy water once a week.”

Question: A 40-year-old patient presents to the clinic with a persistent cough that has lasted for three weeks. The cough is productive with yellowish-green sputum and is accompanied by mild chest discomfort. The patient denies any history of smoking. Which of the following interventions is most appropriate for managing the patient’s symptoms?

A) Administering an antibiotic course
B) Prescribing an inhaled corticosteroid
C) Recommending over-the-counter cough suppressants
D) Encouraging increased fluid intake
E) Scheduling a chest X-ray

Question: A 55-year-old male patient with a history of chronic bronchitis presents to the emergency department with increased shortness of breath, wheezing, and cyanosis. The nurse suspects an acute exacerbation of chronic bronchitis. Which of the following interventions should be the nurse’s priority?

A) Administering supplemental oxygen
B) Performing a pulmonary function test
C) Initiating antibiotic therapy
D) Administering a short-acting bronchodilator
E) Requesting a chest X-ray

Question: A 30-year-old female patient is diagnosed with acute bronchitis and prescribed a short course of oral corticosteroids. The patient expresses concerns about potential side effects. Which response by the nurse is most appropriate?

A) “Oral corticosteroids are generally safe and have minimal side effects.” B) “Side effects are rare with short-term use of oral corticosteroids.”
B) “Side effects are rare with short term steroids”
C) “You may experience temporary side effects such as increased appetite or difficulty sleeping.”
D) “There are no side effects associated with oral corticosteroid use.”
E) “Side effects are only common when corticosteroids are used for long periods.