Q1. A client with acute bronchitis presents with productive cough, wheezing, and chest discomfort. Which finding would require immediate nursing intervention?
a) Expelling thick yellow sputum
b) Respiratory rate of 32/min with use of accessory muscles
c) Complaining of fatigue and malaise
d) Scattered rhonchi on auscultation
Q2. Which of the following nursing actions is the priority when caring for a patient with chronic bronchitis and oxygen saturation of 88%?
a) Increase oxygen to 6 L/min via nasal cannula
b) Encourage pursed-lip breathing
c) Place the patient in supine position for comfort
d) Withhold fluids to prevent aspiration
Q3. A patient with chronic bronchitis is prescribed Theophylline. Which assessment finding should alert the nurse that the patient may be experiencing toxicity?
a) Productive cough with green sputum
b) Restlessness and tachycardia
c) Night sweats and weight loss
d) Clubbing of fingers
Q4. A nurse is teaching a patient with chronic bronchitis about smoking cessation. Which statement indicates the patient requires further teaching?
a) “Even one cigarette a day can worsen my condition.”
b) “Nicotine replacement therapy may help reduce cravings.”
c) “If I stop smoking, my cilia will start to recover.”
d) “Once I quit smoking, my chronic bronchitis will be completely cured.”
Q5. Which arterial blood gas (ABG) result is most consistent with chronic bronchitis?
a) pH 7.52, PaCO₂ 28 mmHg, HCO₃ 23 mEq/L
b) pH 7.35, PaCO₂ 58 mmHg, HCO₃ 32 mEq/L
c) pH 7.47, PaCO₂ 35 mmHg, HCO₃ 25 mEq/L
d) pH 7.30, PaCO₂ 20 mmHg, HCO₃ 15 mEq/L
Q6. A patient with chronic bronchitis is prescribed long-term low-flow oxygen therapy. The nurse knows the therapy is effective when which finding is observed?
a) The patient’s PaCO₂ decreases to 35 mmHg
b) The patient’s SaO₂ remains above 90% during rest and activity
c) The patient no longer produces sputum
d) The patient reports resolution of wheezing
Q7. In chronic bronchitis, which pathophysiological change is responsible for cyanosis and hypoxemia?
a) Loss of alveolar surface area
b) Hypertrophy of mucus-secreting glands and airway obstruction
c) Overdistention of alveoli and loss of elastic recoil
d) Reduced surfactant production
Q8. A nurse is assessing a patient with suspected chronic bronchitis. Which finding best differentiates chronic bronchitis from emphysema?
a) Barrel-shaped chest
b) Dyspnea on exertion
c) Productive cough lasting at least 3 months in 2 consecutive years
d) Clubbing of fingers
Q9. A patient with chronic bronchitis reports difficulty sleeping due to coughing at night. Which nursing intervention is most appropriate?
a) Advise the patient to avoid fluid intake before bedtime
b) Elevate the head of the bed with extra pillows
c) Restrict the use of bronchodilators at night
d) Encourage lying flat to promote drainage
Q10. The nurse is reviewing discharge instructions for a client with chronic bronchitis. Which teaching point should the nurse emphasize most to reduce risk of infection?
a) Receive annual influenza and pneumococcal vaccines
b) Avoid excessive exercise during cold weather
c) Maintain fluid restriction to decrease sputum
d) Use sedatives to control nighttime couhing