NCLEX CRUSADE ACADEMY TEST - 2 COPD

1. What is the primary pathophysiologic problem in COPD?. Fluid accumulation in alveoli. Air trapping due to obstructed airflow. Lung tumor formation. Pleural inflammation.

2. COPD is primarily composed of which two diseases?. Asthma and pneumonia. Bronchitis and pulmonary fibrosis. Emphysema and chronic bronchitis. Tuberculosis and asthma.

3. In COPD, what structural change occurs in the bronchioles?. Increased lumen diameter. Narrowed lumen with mucus plugs. Complete airway closure. Bronchial dilation.

4. The key pathophysiologic concept in COPD is: Pulmonary edema. Air trapping. Pleural effusion. Lung infarction.

5. Chronic hypercapnia in COPD causes the brain to: Increase CO2 sensitivity. Stop breathing. Become desensitized to CO2. Increase oxygen demand.

6. When CO2 sensitivity decreases, the respiratory drive depends on: Blood glucose. Low oxygen levels. Heart rate. Blood pressure.

7. According to the COPD oxygen rule, oxygen delivery via nasal cannula should generally not exceed: 1 L/min. 2 L/min. 4 L/min. 6 L/min.

8. Which sign is commonly seen in COPD patients during assessment?. Barrel chest. Sunken chest. Narrow thorax. Flattened ribs.

9. COPD patients often sit in which position to improve breathing?. Supine. Tripod position. Trendelenburg. Lateral.

10. Pursed Iip breathing helps COPD patients by: Increasing airway collapse. Creating back pressure to keep alveoli open. Decreasing oxygen levels. Slowing heart rate.

11. Which ABG pattern is typical for chronic COPD patients?. Respiratory alkalosis. Metabolic acidosis. Fully compensated respiratory acidosis. Metabolic alkalosis.

12. If ABG results show pH 7.35, CO2 62, and HCO3 34 in a COPD patient, this indicates: Acute respiratory failure. Fully compensated respiratory acidosis. Metabolic alkalosis. Respiratory alkalosis.

13. According to COPD nursing priorities, when ABGs appear compensated the nurse should: Immediately intubate. Administer high flow oxygen. Treat the patient not the number. Give diuretics.

14. Which intervention helps reduce the work of breathing in COPD?. Flat positioning. Orthopneic position. Fluid restriction. Sedation.

15. Which therapy helps mobilize secretions in COPD?. Chest physiotherapy. Bed rest. Oxygen restriction. Isolation.

16. Which medication class is commonly used to treat COPD?. Beta blockers. Bronchodilators. Insulin. Anticoagulants.

17. COPD patients should eat: Large meals twice daily. Small frequent meals. High carbohydrate meals. Large evening meals.

18. Which diet is recommended for COPD patients?. Low protein. High calorie high protein. Low calorie diet. High sugar diet.

19. COPD patients should avoid which foods?. Fruits. Gas forming foods. Vegetables. Dairy.

20. Which lifestyle change most slows COPD progression?. Increased exercise. Smoking cessation. Fluid restriction. Oxygen therapy.

21. COPD patients receiving home oxygen should avoid: Cotton clothing. Smoking. Walking. Vaccinations.

22. Which vaccine is recommended annually for COPD patients?. Tetanus. Influenza. Hepatitis. Varicella.

23. Pneumococcal vaccination should generally be administered: Every year. Every 5 years. Once in lifetime. Monthly.

24. When evaluating COPD medication effectiveness, the best indicator is: Increased sputum production. Improved ability to perform ADLs. Increased heart rate. Increased cough.

25. In triage, which patient should receive immediate priority?. COPD patient ready for discharge. Asthma patient with silent chest. COPD patient requesting medications. Patient with mild cough.