PQ-200T: Respiratory P1
1. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a prescription for
a chest x-ray. Which of the following actions should the nurse plan to take?
A. Have the transport personnel wea an N-95 mask when taking the client to radiology.
B. Contact the provider to prescribe a different test.
C. Cover a wheelchair with a sterile drape for the client so sit on.
D. Place a surgical mask on the client prior to exiting the rom
Answer: D
Rationale:
Clients who have TB can infect others because the bacteria travel into the air through normal
respiration or by cough. Therefore, to protect others from harm the nurse should place a surgical
mask on the client anytime that the client is preparing to exit his room.
2. A school nurse is reinforcing teaching to young students to cover their cough to prevent
disease transmission. The nurse should identify that this intervention breaks which of the
following links in the chain of transmission?
A. Portal of exit
B. Reservoir
C. Susceptible Host
D. Portal of entry
Answer: A
Rationale: When taking the action of reinforcing teaching about breaking the chain of
transmission, the nurse should identify that covering a cough blocks the portal of exit and breaks
this link in the chain of transmission.
3. A nurse is caring for a 4-year-old child who is postoperative following abdominal surgery.
Which of the following statements should the nurse make to encourage the child to take deep
breaths?
A. “You can’t go to the playroom until you finish doing your deep breathing.”
B. “Let’s play a game of blowing cotton balls across your table.”
C. “Do you want to take deep breaths for me now.”
D. “This will not be painful, just a little uncomfortable.”
Answer: B
Rationale: By engaging the child in a form of play, the nurse can distract him from the discomfort
of deep breathing. Therefore, this is an appropriate statement for the nurse to make.
4. A nurse is collecting data from a client who has a respiratory disorder and displays
manifestations of hypoxia. Which of the following findings should the nurse expect?
A. Bradycardia
B. Bradypnea
C. Pallor
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