Concepts of Medical-Surgical Nursing | Verified
Questions & Answers Grade A +– Galen College
The home health nurse is assigned to visit these clients when a change in agency staffing requires
that one of the clients be rescheduled for a visit on the following day. Which client will be best to
reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2 levels of 91%
to 93%
A client is admitted to the medical floor with a new diagnosis of lung cancer. How will the nurse
initially assist the client in managing the anxiety associated with the new diagnosis?
Encourage the client to ask questions and verbalize concerns.
Encourage the client to ask questions and verbalize concerns.
When caring for a client who has just undergone thoracentesis, which of these interventions does
the nurse perform first?
Schedule an immediate chest x-ray.
A client has returned to the medical surgical unit after a bronchoscopy. Which nursing task is
best for the charge nurse to delegate to the experienced unlicensed assistive personnel (UAP)?
Monitor blood pressure and pulse.
The nurse is preparing the client for a diagnostic bronchoscopy. Which nursing intervention is
essential for the nurse to perform prior to the procedure?
,Ensure the client has had nothing by mouth.
The RN has received report about four clients. Which client needs the most immediate
assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
Which assessment finding in the client with exacerbation of emphysema requires intervention by
the nurse?
Bronchial breath sounds heard at the bases
A client with asthma reports shortness of breath. Which of these findings does the nurse
anticipate when assessing this client's chest?
Expiratory wheezing not cleared by coughing
The RN and the LPN/LVN are working together to provide care for a group of clients on a
medical surgical unit. Which of these actions is most appropriate for the RN to perform?
Plan client and family teaching regarding upcoming pulmonary function testing.
The nurse is assessing a client with chronic bronchitis who smoked 3 packs of cigarettes daily for
32 years. How does the nurse document pack-year history of smoking in the medical record?
Client has a 96 pack-year history
,The nurse is caring for a client with heart failure and acute kidney injury. For which of these
breath sounds will the nurse assess?
Crackles
The nurse in the outpatient clinic is scheduling a client for pulmonary function tests. When
teaching the client about pulmonary function testing (PFT), which point is essential for the nurse
to emphasize?
Ensure the client does not smoke for 6 hours before the test.
The nurse in a life care community for geriatric clients is providing education to a group of
residents on expected changes during aging. Which of these activities does the nurse encourage
the older adult to perform to maintain respiratory function?
Walk as tolerated each day.
A client is admitted to the surgical floor with chest pain, shortness of breath, and hypoxemia after
having a knee replacement. What primary assessment will the nurse make while preparing the
client for a computed tomography (CT) scan?
"Are you allergic to iodine or shellfish?"
, The nurse is caring for four clients who came to the emergency department with a productive
cough. Which of these clients requires immediate intervention by the nurse?
The client with pink, frothy sputum
Which client does the charge nurse on the medical-surgical unit assign to an RN who has floated
from the postanesthesia care unit (PACU)?
Client who had 1200 mL of pleural fluid removed by thoracentesis
The nurse is providing education on preventing pulmonary disorders at a community health fair.
Which of these groups does the nurse target?
Bakers
Coal miners
Furniture refinishers
Potters
The emergency department nurse is assessing a client who believes he has sustained a
pneumothorax after an outpatient thoracentesis earlier today. For which of these symptoms will
the nurse assess?
Sensation of air hunger
Tracheal deviation
Blue discoloration of the lips
Questions & Answers Grade A +– Galen College
The home health nurse is assigned to visit these clients when a change in agency staffing requires
that one of the clients be rescheduled for a visit on the following day. Which client will be best to
reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2 levels of 91%
to 93%
A client is admitted to the medical floor with a new diagnosis of lung cancer. How will the nurse
initially assist the client in managing the anxiety associated with the new diagnosis?
Encourage the client to ask questions and verbalize concerns.
Encourage the client to ask questions and verbalize concerns.
When caring for a client who has just undergone thoracentesis, which of these interventions does
the nurse perform first?
Schedule an immediate chest x-ray.
A client has returned to the medical surgical unit after a bronchoscopy. Which nursing task is
best for the charge nurse to delegate to the experienced unlicensed assistive personnel (UAP)?
Monitor blood pressure and pulse.
The nurse is preparing the client for a diagnostic bronchoscopy. Which nursing intervention is
essential for the nurse to perform prior to the procedure?
,Ensure the client has had nothing by mouth.
The RN has received report about four clients. Which client needs the most immediate
assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
Which assessment finding in the client with exacerbation of emphysema requires intervention by
the nurse?
Bronchial breath sounds heard at the bases
A client with asthma reports shortness of breath. Which of these findings does the nurse
anticipate when assessing this client's chest?
Expiratory wheezing not cleared by coughing
The RN and the LPN/LVN are working together to provide care for a group of clients on a
medical surgical unit. Which of these actions is most appropriate for the RN to perform?
Plan client and family teaching regarding upcoming pulmonary function testing.
The nurse is assessing a client with chronic bronchitis who smoked 3 packs of cigarettes daily for
32 years. How does the nurse document pack-year history of smoking in the medical record?
Client has a 96 pack-year history
,The nurse is caring for a client with heart failure and acute kidney injury. For which of these
breath sounds will the nurse assess?
Crackles
The nurse in the outpatient clinic is scheduling a client for pulmonary function tests. When
teaching the client about pulmonary function testing (PFT), which point is essential for the nurse
to emphasize?
Ensure the client does not smoke for 6 hours before the test.
The nurse in a life care community for geriatric clients is providing education to a group of
residents on expected changes during aging. Which of these activities does the nurse encourage
the older adult to perform to maintain respiratory function?
Walk as tolerated each day.
A client is admitted to the surgical floor with chest pain, shortness of breath, and hypoxemia after
having a knee replacement. What primary assessment will the nurse make while preparing the
client for a computed tomography (CT) scan?
"Are you allergic to iodine or shellfish?"
, The nurse is caring for four clients who came to the emergency department with a productive
cough. Which of these clients requires immediate intervention by the nurse?
The client with pink, frothy sputum
Which client does the charge nurse on the medical-surgical unit assign to an RN who has floated
from the postanesthesia care unit (PACU)?
Client who had 1200 mL of pleural fluid removed by thoracentesis
The nurse is providing education on preventing pulmonary disorders at a community health fair.
Which of these groups does the nurse target?
Bakers
Coal miners
Furniture refinishers
Potters
The emergency department nurse is assessing a client who believes he has sustained a
pneumothorax after an outpatient thoracentesis earlier today. For which of these symptoms will
the nurse assess?
Sensation of air hunger
Tracheal deviation
Blue discoloration of the lips
