NURS 201 EXAM 3 2026 UPDATE
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
Which nursing action could the registered nurse (RN) working in a skilled
care hospital unit delegate to an experienced licensed practical/vocational
nurse (LPN/LVN) caring for a patient with a permanent tracheostomy?
a. Assess the patient's risk for aspiration.
b. Suction the tracheostomy when directed.
c. Teach the patient to provide tracheostomy self-care.
d. Determine the need for tracheostomy tube replacement. - ANS-b
The nurse is caring for a patient who has acute pharyngitis caused by
Candida albicans. Which action is appropriate for the nurse to include in
the plan of care?
a. Assess patient for allergies to penicillin antibiotics.
b. Teach the patient to sleep in a warm, dry environment.
c. Avoid giving the patient warm food or warm liquids to drink.
d. Teach patient to "swish and swallow" prescribed oral nystatin - ANS-d
After a laryngectomy, a patient coughs violently during suctioning and
dislodges the tracheostomy tube. Which action should the nurse take
first?
a. Arrange for arterial blood gases to be drawn immediately.
b. Cover stoma with sterile gauze and ventilate through stoma.
c. Attempt to reinsert the tracheostomy tube with the obturator in place.
d. Assess the patient's oxygen saturation and notify the health care
provider. - ANS-c
,A nurse is caring for a patient who has had a total laryngectomy and
radical neck dissection. During the first 24 hours after surgery what is the
priority nursing action?
a. Monitor the incision for bleeding.
b. Maintain adequate IV fluid intake.
c. Keep the patient in semi-Fowler's position.
d. Teach the patient to suction the tracheostomy. - ANS-c
When assessing a patient with a sore throat, the nurse notes anterior
cervical lymph node swelling, a temperature of 101.6° F (38.7° C), and
yellow patches on the tonsils. Which action will the nurse anticipate
taking?
a. Teach the patient about the use of expectorants.
b. Use a swab to obtain a sample for a rapid strep antigen test.
c. Discuss the need to rinse the mouth out after using any inhalers.
d. Teach the patient to avoid nonsteroidal antiinflammatory drugs
(NSAIDs). - ANS-b
A patient with right lower-lobe pneumonia has been treated with IV
antibiotics for 3 days. Which assessment data obtained by the nurse
indicates that the treatment is effective?
a. Bronchial breath sounds are heard at the right base.
b. The patient coughs up small amounts of green mucus.
c. The patient's white blood cell (WBC) count is 9000/µL.
d. Increased tactile fremitus is palpable over the right chest. - ANS-c
The health care provider writes an order for bacteriologic testing for a
patient who has a positive tuberculosis skin test. Which action should the
nurse take?
a. Teach about the reason for the blood tests.
b. Schedule an appointment for a chest x-ray.
c. Teach the patient about providing specimens for 3 consecutive days.
,d. Instruct the patient to collect several separate sputum specimens
today. - ANS-c
A patient is admitted with active tuberculosis (TB). The nurse should
question a health care provider's order to discontinue airborne precautions
unless which assessment finding is documented?
a. Chest x-ray shows no upper lobe infiltrates.
b. TB medications have been taken for 6 months.
c. Mantoux testing shows an induration of 10 mm.
d. Sputum smears for acid-fast bacilli are negative. - ANS-d
The nurse teaches a patient about the transmission of pulmonary
tuberculosis (TB). Which statement, if made by the patient, indicates that
teaching was effective?
a. "I will take the bus instead of driving."
b. "I will stay indoors whenever possible."
c. "My spouse will sleep in another room."
d. "I will keep the windows closed at home." - ANS-c
A patient who is taking rifampin (Rifadin) for tuberculosis calls the clinic
and reports having orange discolored urine and tears. Which response by
the nurse reflects accurate knowledge about the medication and the
patient's illness?
a. Ask the patient about any visual changes in red-green color
discrimination.
b. Question the patient about experiencing shortness of breath, hives, or
itching.
c. Explain that orange discolored urine and tears are normal while taking
this medication.
d. Advise the patient to stop the drug and report the symptoms to the
health care provider. - ANS-c
, The nurse assesses the chest of a patient with pneumococcal pneumonia.
Which finding would the nurse expect?
a. Increased tactile fremitus c. Hyperresonance to percussion
b. Dry, nonproductive cough d. A grating sound on auscultation - ANS-a
A patient with bacterial pneumonia has coarse crackles and thick sputum.
Which action should the nurse plan to promote airway clearance?
a. Restrict oral fluids during the day.
b. Teach pursed-lip breathing technique.
c. Assist the patient to splint the chest when coughing.
d. Encourage the patient to wear the nasal O2 cannula. - ANS-c
The nurse provides discharge instructions to a patient who was
hospitalized for pneumonia. Which statement, if made by the patient,
indicates a good understanding of the instructions?
a. "I will call my health care provider if I still feel tired after a week."
b. "I will continue to do deep breathing and coughing exercises at home."
c. "I will schedule two appointments for the pneumonia and influenza
vaccines."
d. "I will cancel my follow-up chest x-ray appointment if I feel better next
week." - ANS-b
Which action should the nurse plan to prevent aspiration in a high-risk
patient?
a. Turn and reposition an immobile patient at least every 2 hours.
b. Place a patient with altered consciousness in a side-lying position.
c. Insert a nasogastric tube for feeding a patient with high calorie needs.
d. Monitor respiratory symptoms in a patient who is immunosuppressed. -
ANS-b
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
Which nursing action could the registered nurse (RN) working in a skilled
care hospital unit delegate to an experienced licensed practical/vocational
nurse (LPN/LVN) caring for a patient with a permanent tracheostomy?
a. Assess the patient's risk for aspiration.
b. Suction the tracheostomy when directed.
c. Teach the patient to provide tracheostomy self-care.
d. Determine the need for tracheostomy tube replacement. - ANS-b
The nurse is caring for a patient who has acute pharyngitis caused by
Candida albicans. Which action is appropriate for the nurse to include in
the plan of care?
a. Assess patient for allergies to penicillin antibiotics.
b. Teach the patient to sleep in a warm, dry environment.
c. Avoid giving the patient warm food or warm liquids to drink.
d. Teach patient to "swish and swallow" prescribed oral nystatin - ANS-d
After a laryngectomy, a patient coughs violently during suctioning and
dislodges the tracheostomy tube. Which action should the nurse take
first?
a. Arrange for arterial blood gases to be drawn immediately.
b. Cover stoma with sterile gauze and ventilate through stoma.
c. Attempt to reinsert the tracheostomy tube with the obturator in place.
d. Assess the patient's oxygen saturation and notify the health care
provider. - ANS-c
,A nurse is caring for a patient who has had a total laryngectomy and
radical neck dissection. During the first 24 hours after surgery what is the
priority nursing action?
a. Monitor the incision for bleeding.
b. Maintain adequate IV fluid intake.
c. Keep the patient in semi-Fowler's position.
d. Teach the patient to suction the tracheostomy. - ANS-c
When assessing a patient with a sore throat, the nurse notes anterior
cervical lymph node swelling, a temperature of 101.6° F (38.7° C), and
yellow patches on the tonsils. Which action will the nurse anticipate
taking?
a. Teach the patient about the use of expectorants.
b. Use a swab to obtain a sample for a rapid strep antigen test.
c. Discuss the need to rinse the mouth out after using any inhalers.
d. Teach the patient to avoid nonsteroidal antiinflammatory drugs
(NSAIDs). - ANS-b
A patient with right lower-lobe pneumonia has been treated with IV
antibiotics for 3 days. Which assessment data obtained by the nurse
indicates that the treatment is effective?
a. Bronchial breath sounds are heard at the right base.
b. The patient coughs up small amounts of green mucus.
c. The patient's white blood cell (WBC) count is 9000/µL.
d. Increased tactile fremitus is palpable over the right chest. - ANS-c
The health care provider writes an order for bacteriologic testing for a
patient who has a positive tuberculosis skin test. Which action should the
nurse take?
a. Teach about the reason for the blood tests.
b. Schedule an appointment for a chest x-ray.
c. Teach the patient about providing specimens for 3 consecutive days.
,d. Instruct the patient to collect several separate sputum specimens
today. - ANS-c
A patient is admitted with active tuberculosis (TB). The nurse should
question a health care provider's order to discontinue airborne precautions
unless which assessment finding is documented?
a. Chest x-ray shows no upper lobe infiltrates.
b. TB medications have been taken for 6 months.
c. Mantoux testing shows an induration of 10 mm.
d. Sputum smears for acid-fast bacilli are negative. - ANS-d
The nurse teaches a patient about the transmission of pulmonary
tuberculosis (TB). Which statement, if made by the patient, indicates that
teaching was effective?
a. "I will take the bus instead of driving."
b. "I will stay indoors whenever possible."
c. "My spouse will sleep in another room."
d. "I will keep the windows closed at home." - ANS-c
A patient who is taking rifampin (Rifadin) for tuberculosis calls the clinic
and reports having orange discolored urine and tears. Which response by
the nurse reflects accurate knowledge about the medication and the
patient's illness?
a. Ask the patient about any visual changes in red-green color
discrimination.
b. Question the patient about experiencing shortness of breath, hives, or
itching.
c. Explain that orange discolored urine and tears are normal while taking
this medication.
d. Advise the patient to stop the drug and report the symptoms to the
health care provider. - ANS-c
, The nurse assesses the chest of a patient with pneumococcal pneumonia.
Which finding would the nurse expect?
a. Increased tactile fremitus c. Hyperresonance to percussion
b. Dry, nonproductive cough d. A grating sound on auscultation - ANS-a
A patient with bacterial pneumonia has coarse crackles and thick sputum.
Which action should the nurse plan to promote airway clearance?
a. Restrict oral fluids during the day.
b. Teach pursed-lip breathing technique.
c. Assist the patient to splint the chest when coughing.
d. Encourage the patient to wear the nasal O2 cannula. - ANS-c
The nurse provides discharge instructions to a patient who was
hospitalized for pneumonia. Which statement, if made by the patient,
indicates a good understanding of the instructions?
a. "I will call my health care provider if I still feel tired after a week."
b. "I will continue to do deep breathing and coughing exercises at home."
c. "I will schedule two appointments for the pneumonia and influenza
vaccines."
d. "I will cancel my follow-up chest x-ray appointment if I feel better next
week." - ANS-b
Which action should the nurse plan to prevent aspiration in a high-risk
patient?
a. Turn and reposition an immobile patient at least every 2 hours.
b. Place a patient with altered consciousness in a side-lying position.
c. Insert a nasogastric tube for feeding a patient with high calorie needs.
d. Monitor respiratory symptoms in a patient who is immunosuppressed. -
ANS-b
