PATHOPHYSIOLOGY EXAM 2 ACTUAL QUESTIONS

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PATHOPHYSIOLOGY EXAM 2| ACTUAL QUESTIONS

AND ANSWERS |ALREADY GRADED A+

An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a constant cough. she is anxious and is complaining of a dry mouth. Which intervention should the nurse implement?

• Administer a prescribed sedative
• Apply a high flow venturi mask
• Assist her to an upright position
• Encourage client to drink water
• Assist her to an upright position

A client with history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough with thickened, tenacious mucus, and the inability to walk up a flight of stairs without experiencing breathlessness.What action is most important for the nurse to instruct the client about self-care?

• Increase the daily intake of oral fluids to liquefy secretions
• Avoid crowded enclosed areas to reduce pathogen exposure
• Teach anxiety reduction methods for feelings of suffocation
• Call the clinic if undesirable side effects of medications occur
• Increase the daily intake of oral fluids to liquefy secretions
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A client who is newly diagnosed with emphysema is being discharged. What instruction is best for the nurse to provide to assist the client in self- management of dyspnea?

• Use a humidifier to increase home air quality humidity between 30% to 50%
• Practice inhaling through the mouth and exhaling slowly through pursed lips
• Strengthen abdominal muscles by alternating leg raises during exhalation
• Allow additional time to complete physical activities to reduce oxygen demand
• Allow additional time to complete physical activities to reduce oxygen

demand

The nurse is caring for a client with cor-pulmonale. The nurse should monitor the client for which expected finding.

• Ascites and hepatomegaly
• Elevated temperature and respiratory rate
• Complaints of chest pain and confusion
• Clubbing of the fingers and cyanosis of mucous membrane
• Ascites and hepatomegaly

The nurse teaches pursed lip breathing to a client who is newly diagnosed with chronic obstructive pulmonary disease (COPD). The nurse reinforces that this technique will assist respiration by which mechanism?

• promoting maximal inhalation 2 / 3

• increasing the respiratory rate and giving the client control of respiratory

patterns

• loosening secretions so that they may be coughed up more easily
• preventing bronchial collapse and air trapping in the lungs during exhalation
• preventing bronchial collapse and air trapping in the lungs during exhalation

The nurse is caring for a client who underwent rhinoplasty and monitoring for signs of postoperative bleeding. Which of the following should the nurse do first to detect

signs of postoperative bleeding:

• Assess the oropharynx for excessive swallowing, which may indicate bleeding &

draining into oropharynx

• Check CBC
• Check the vital sings
• Teach the client to sleep on one pillow and check the SpO2
• Assess the oropharynx for excessive swallowing, which may indicate bleeding &

draining into oropharynx

The nurse is caring for the client diagnosed with bacterial pneumonia. When developing a plan of care for the client, which action should the nurse do first?

• provide for adequate rest period
• teach slow abdominal breathing
• assess respiratory rate and depth
• administer oxygen as prescribed
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