Nurs 221 – Adult Health 2 – Test 1 Comprehensive Exam Study
Guide | Complete Practice Questions & 100% Verified Answers
| In-Depth Rationales | Med-Surg Ii High-Yield Concepts |
Latest 2026 Updated | A+ Guaranteed
1. A Nurse Obtains The Health History Of A Client Who Is Recently Diagnosed With Lung Cancer
And Identifies That The Client Has A 60pack-Year Smoking History. Which Action Is Most
Important For The Nurse To Take When Interviewing This Client?
A. Tell The Client That He Needs To Quit Smoking To Stop Further Cancer Development.
B. Encourage The Client To Be Completely Honest About Both Tobacco And Marijuana Use. C.
Maintain A Nonjudgmental Attitude To Avoid Causing The Client To Feel Guilty.
D. Avoid Giving The Client False Hope Regarding Cancer Treatment And Prognosis.
ANS: C
Smoking History Includes The Use Of Cigarettes, Cigars, Pipe Tobacco, Marijuana, And Other
Controlled Substances. Because The Client May Have Guilt Or Denial About This Habit, Assume
A Nonjudgmental Attitude During The Interview. This Will Encourage The Client To Be Honest
About The Exposure. Ask The Client Whether Any Of These Substances Are Used Now Or Were
Used In The Past. Assess Whether The Client Has Passive Exposure To Smoke In The Home Or
Workplace. If The Client Smokes, Ask For How Long, How Many Packs Per Day, And Whether He
Or She Has Quit Smoking (And How Long Ago). Document The Smoking History In Pack-Years
(Number Of Packs Smoked Daily Multiplied By The Number Of Years The Client Has Smoked).
Quitting Smoking May Not Stop Further Cancer Development. This Statement Would Be Giving
The Client False Hope, Which Should Be Avoided, But Is Not As Important As Maintaining A
Nonjudgmental Attitude.
Dif: Applying
2. A Nurse Assesses A Client After An Open Lung Biopsy. Which Assessment Finding Is Matched
With The Correct Intervention?
A. Client States He Is Dizzy. Nurse Applies Oxygen And Pulse Oximetry.
B. Clients Heart Rate Is 55 Beatsmin. Nurse Withholds Pain Medication.
, C. Client Has Reduced Breath Sounds. Nurse Calls Physician Immediately.
D. Clients Respiratory Rate Is 18 Breaths Min. Nurse Decreases Oxygen Flow Rate.
ANS: C
A Potentially Serious Complication After Biopsy Is Pneumothorax, Which Is Indicated By
Decreased Or Absent Breath Sounds. The Physician Needs To Be Notified Immediately. Dizziness
After The Procedure Is Not An Expected Finding. If The Clients Heart Rate Is 55 Beats Min, No
Reason Is Known To Withhold Pain Medication. A Respiratory Rate Of 18 Breaths
3. A Nurse Assesses A Clients Respiratory Status. Which Information Is Of Highest Priority For
The Nurse To Obtain? A. Average Daily Fluid Intake
B. Neck Circumference
C. Height And Weight
D. Occupation And Hobbies
ANS: D
Many Respiratory Problems Occur As A Result Of Chronic Exposure To Inhalation Irritants Used
In A Clients Occupation And Hobbies. Although It Will Be Important For The Nurse To Assess The
Clients Fluid Intake, Height, And Weight, These Will Not Be As Important As Determining His
Occupation And Hobbies. Determining The Clients Neck Circumference Will Not Be An
Important Part Of A Respiratory Assessment.
Test Bank - Medical-Surgical Nursing: Concepts For Interprofessional Collaborative Care 9e 214
Dif: Applying
4. A Nurse Is Caring For An Older Adult Client Who Has A Pulmonary Infection. Which Action
Should The Nurse Take First?
A. Encourage The Client To Increase Fluid Intake.
B. Assess The Clients Level Of Consciousness.
Guide | Complete Practice Questions & 100% Verified Answers
| In-Depth Rationales | Med-Surg Ii High-Yield Concepts |
Latest 2026 Updated | A+ Guaranteed
1. A Nurse Obtains The Health History Of A Client Who Is Recently Diagnosed With Lung Cancer
And Identifies That The Client Has A 60pack-Year Smoking History. Which Action Is Most
Important For The Nurse To Take When Interviewing This Client?
A. Tell The Client That He Needs To Quit Smoking To Stop Further Cancer Development.
B. Encourage The Client To Be Completely Honest About Both Tobacco And Marijuana Use. C.
Maintain A Nonjudgmental Attitude To Avoid Causing The Client To Feel Guilty.
D. Avoid Giving The Client False Hope Regarding Cancer Treatment And Prognosis.
ANS: C
Smoking History Includes The Use Of Cigarettes, Cigars, Pipe Tobacco, Marijuana, And Other
Controlled Substances. Because The Client May Have Guilt Or Denial About This Habit, Assume
A Nonjudgmental Attitude During The Interview. This Will Encourage The Client To Be Honest
About The Exposure. Ask The Client Whether Any Of These Substances Are Used Now Or Were
Used In The Past. Assess Whether The Client Has Passive Exposure To Smoke In The Home Or
Workplace. If The Client Smokes, Ask For How Long, How Many Packs Per Day, And Whether He
Or She Has Quit Smoking (And How Long Ago). Document The Smoking History In Pack-Years
(Number Of Packs Smoked Daily Multiplied By The Number Of Years The Client Has Smoked).
Quitting Smoking May Not Stop Further Cancer Development. This Statement Would Be Giving
The Client False Hope, Which Should Be Avoided, But Is Not As Important As Maintaining A
Nonjudgmental Attitude.
Dif: Applying
2. A Nurse Assesses A Client After An Open Lung Biopsy. Which Assessment Finding Is Matched
With The Correct Intervention?
A. Client States He Is Dizzy. Nurse Applies Oxygen And Pulse Oximetry.
B. Clients Heart Rate Is 55 Beatsmin. Nurse Withholds Pain Medication.
, C. Client Has Reduced Breath Sounds. Nurse Calls Physician Immediately.
D. Clients Respiratory Rate Is 18 Breaths Min. Nurse Decreases Oxygen Flow Rate.
ANS: C
A Potentially Serious Complication After Biopsy Is Pneumothorax, Which Is Indicated By
Decreased Or Absent Breath Sounds. The Physician Needs To Be Notified Immediately. Dizziness
After The Procedure Is Not An Expected Finding. If The Clients Heart Rate Is 55 Beats Min, No
Reason Is Known To Withhold Pain Medication. A Respiratory Rate Of 18 Breaths
3. A Nurse Assesses A Clients Respiratory Status. Which Information Is Of Highest Priority For
The Nurse To Obtain? A. Average Daily Fluid Intake
B. Neck Circumference
C. Height And Weight
D. Occupation And Hobbies
ANS: D
Many Respiratory Problems Occur As A Result Of Chronic Exposure To Inhalation Irritants Used
In A Clients Occupation And Hobbies. Although It Will Be Important For The Nurse To Assess The
Clients Fluid Intake, Height, And Weight, These Will Not Be As Important As Determining His
Occupation And Hobbies. Determining The Clients Neck Circumference Will Not Be An
Important Part Of A Respiratory Assessment.
Test Bank - Medical-Surgical Nursing: Concepts For Interprofessional Collaborative Care 9e 214
Dif: Applying
4. A Nurse Is Caring For An Older Adult Client Who Has A Pulmonary Infection. Which Action
Should The Nurse Take First?
A. Encourage The Client To Increase Fluid Intake.
B. Assess The Clients Level Of Consciousness.
