A nurse is caring for a client who has shortness of breath and a chronic cough. The client has smoked one pack of cigarettes per day for the last 20 years. Which finding on the client's chest x-ray would be consistent with a diagnosis of advanced COPD?

Pneumothorax

Hyperinflation

Masses

Atelectasis

Answer and Explanation

The Correct Answer is B

A.   A pneumothorax, or collapsed lung, occurs when air enters the pleural space, leading to lung collapse. While a pneumothorax can be a serious issue, it is not a typical finding associated with advanced COPD.
B.   Hyperinflation is a hallmark finding of advanced COPD. It occurs when air becomes trapped in the lungs due to obstructed airways and damaged alveoli, leading to increased lung volumes and overexpansion of the lungs. On a chest X-ray, hyperinflation appears as an increased retrosternal air space, flattened diaphragm, and possibly increased lung volumes.
C.   The presence of masses on a chest X-ray might suggest malignancies or other lung pathologies, but it is not a typical finding in COPD. While lung cancer can co-occur with COPD, masses themselves are not a direct indicator of COPD but rather a potential separate issue that would need further evaluation.
D.   Atelectasis refers to the collapse of lung tissue due to loss of air in the alveoli, which can occur from various causes including obstruction or compression of the lung. While atelectasis can be seen in various pulmonary conditions, it is not specific to advanced COPD.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Increased sensitivity to cold is not typically associated with Bell's Palsy or ptosis but might be a general sensation change related to nerve involvement.
B. Drooling from the corner of the mouth is a result of facial weakness affecting the muscles responsible for controlling saliva and mouth closure. While drooling is a common symptom of Bell's Palsy due to impaired muscle control, it is not a description of ptosis. Ptosis specifically refers to the drooping of the upper eyelid.
C. Ringing in the ear, or tinnitus, is not a direct symptom of ptosis. Tinnitus might be associated with various conditions affecting the ear or cranial nerves but is not specifically indicative of ptosis, which is related to eyelid drooping.
D. Ptosis refers to the drooping or sagging of the upper eyelid. In the context of Bell's Palsy, this drooping occurs on the affected side due to weakness or paralysis of the muscles that normally help elevate the eyelid.

A. The client is of Asian descent. B. The client's water source comes from a well. C. The client worked in agriculture. D. The client is military veteran.

Correct Answer is D

Explanation

A. Ethnicity alone is not a known risk factor for ALS. ALS has a relatively uniform incidence across different ethnic groups. Studies have not demonstrated a significant correlation between ALS and being of Asian descent specifically.

B. There is limited evidence suggesting that consuming well water could be associated with an increased risk of ALS, particularly if the well water is contaminated with certain toxins or heavy metals. However, this is not a widely established risk factor and is less directly linked to ALS compared to other known risk factors.
C. Working in agriculture has been identified as a potential risk factor for ALS. Agricultural workers are often exposed to various environmental toxins, pesticides, and herbicides, which have been associated with an increased risk of developing ALS. This occupational exposure is considered a significant risk factor for the disease.
D. Military veterans are known to have an increased risk of developing ALS. Several studies have shown that veterans, particularly those who served in combat or were exposed to specific environmental hazards during their service, have a higher incidence of ALS compared to the general population.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has shortness of breath and a chronic cough. The client has smoked one pack of cigarettes per day for the last 20 years. Which finding on the client's chest x-ray would be consistent with a diagnosis of advanced COPD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has ptosis resulting from Bell's Palsy. Which assessment finding describes ptosis?

Correct Answer is D

Explanation

A client is admitted to the hospital with a diagnosis of Amyotrophic Lateral Sclerosis (ALS). Which finding is consistent with known risk factors for this disease?

Correct Answer is D

Explanation

A nurse is preparing to administer heparin 2,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse in the emergency department is admitting a client. Exhibits For each of the following findings in the client's medical record, click to specify if they are consistent with unstable angina or a myocardial infarction (MI). Each finding may support more than one disease process.

A client diagnosed with acute glomerulonephritis has pitting edema in both feet, and has had 300 mL of urine output in the last 24 hours. The nurse should monitor this client for which complication associated with this finding?

A nurse is assigned to care for a client on a medical-surgical unit. Exhibits Complete the following sentence by using the list of options. Based on the information provided, the client is likely experiencing which is caused by

The nurse is providing care for a geriatric patient with loss of hearing acuity over the past several years. Which statement by the nurse is most accurate?

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

A client with multiple complaints has been referred to a neurologist for further evaluation. Which of the following complaints are common manifestations of amyotrophic lateral sclerosis? (Select all that apply.)

A miotic medication has been prescribed for a client with acute angle-closure glaucoma. The client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client?