Title REF - POST TEST - RESPI HEMA (Mr. Garino) SC ✅

TOP RANK REVIEW ACADEMY, INC. Page 2 | 1 D. Increase fluid intake before exercise 12. A patient with a long history of smoking presents with progressive shortness of breath. Which finding is MOST characteristic of emphysema? A. Chronic cough B. Barrel-shaped chest C. Copious thick sputum D. Frequent lower lung crackles 13. A patient with a long history of smoking reports a persistent productive cough for several months each year. Which finding is MOST characteristic of chronic bronchitis? A. Cyanosis B. Barrel chest C. Dry cough D. Absent breath sounds 14. A patient with COPD reports increasing shortness of breath and difficulty clearing secretions. Which nursing intervention is MOST appropriate to improve respiratory function? A. Encourage fluids B. Teach pursed-lip breathing C. Provide a high-carbohydrate diet D. Administer oxygen at a high flow rate 15. A patient with long-term COPD has a CBC showing an elevated red blood cell (RBC) count. Which explanation BEST describes this finding? A. Acute bleeding B. Viral infection C. Chronic hypoxia D. Nutrient deficiency anemia 16. A patient in the ICU suddenly develops severe respiratory distress. Which finding is considered the CLASSIC sign of acute respiratory distress syndrome (ARDS)? A. Mild wheezing B. Pink frothy sputum C. Refractory hypoxemia D. Productive cough with sputum 17. A patient diagnosed with acute respiratory distress syndrome (ARDS) remains severely hypoxemic despite high levels of oxygen and mechanical ventilation. Which position should the nurse anticipate as MOST effective for improving oxygenation? A. Prone B. Semi-Fowler C. High-Fowler D. Lateral side-lying 18. A patient with ARDS is placed on mechanical ventilation with a high level of positive end-expiratory pressure (PEEP). Which statement BEST explains why PEEP is essential in managing ARDS? A. Keeps airways open B. Prevents fluid buildup C. Reduces respiratory rate D. Prevents alveolar collapse 19. A nurse is assessing a patient suspected of having iron- deficiency anemia. Which finding is NOT typically associated with this condition? A. Pallor B. Spoon nails C. Paresthesia D. Low hemoglobin level 20. A nurse is providing health teaching to a patient diagnosed with iron-deficiency anemia. Which instruction is MOST important to help improve iron absorption? A. Avoid milk B. Take iron with food C. Increase fluid intake D. Take iron with vitamin C 21. A nurse is teaching a patient how to properly take liquid iron. Which instruction is MOST important to prevent common complications? A. Rinse mouth B. Use a straw C. Take with meals D. Mix with cold milk 22. A nurse is preparing to administer iron dextran IM to a patient with severe iron-deficiency anemia who cannot tolerate oral supplements. Which nursing action is MOST appropriate to prevent complications during administration? A. Use Z-track B. Massage site C. Inject quickly D. Use deltoid muscle 23. A patient with newly diagnosed aplastic anemia presents with pallor, frequent infections, and multiple bruises. Based on these findings, which nursing diagnosis is MOST appropriate? A. Fatigue B. Risk for bleeding C. Risk for infection D. Activity intolerance 24. A patient with aplastic anemia asks what foods should be avoided. Which response is MOST appropriate? A. Soft drinks B. Packaged snacks C. Raw fruits and vegetables D. Fully cooked meats and grains 25. A nurse is assessing a patient with suspected megaloblastic anemia caused by vitamin B12 deficiency. Which finding is MOST characteristic of this condition? A. Pallor B. Fatigue C. Numbness D. Shortness of breath