TEST 1 NEWEST UPDATE
(2024) QUESTION AND
VERIFIED ANSWERS
GUARANTEED A+SCORE
The nurse is assessing a patient who frequently
coughs after eating or drinking. How should the
nurse best follow up this assessment finding?
A) Obtain a sputum sample.
B) Perform a swallowing assessment.
C) Inspect the patient's tongue and mouth.
D) Assess the patient's nutritional status. -
ANSWER-B) Perform a swallowing assessment.
,A nurse is caring for a patient with cancer of the liver
whose condition has required the insertion of a
percutaneous biliary drainage system. The nurse's
most recent assessment reveals the presence of
dark green fluid in the collection container. What is
the nurse's best response to this assessment
finding?
A) Document the presence of normal bile output.
B) Irrigate the drainage system with normal saline as
ordered.
C) Aspirate a sample of the drainage for culture.
D) Promptly report this assessment finding to the
primary care provider. - ANSWER-A) Document the
presence of normal bile output.
A patient who has undergone liver transplantation is
ready to be discharged home. Which outcome of
health education should the nurse prioritize?
A) The patient will obtain measurement of drainage
from the T-tube.
B) The patient will exercise three times a week.
C) The patient will take immunosuppressive agents
as required.
D) The patient will monitor for signs of liver
dysfunction. - ANSWER-C) The patient will take
immunosuppressive agents as required.
,The ED nurse is assessing a patient complaining of
dyspnea. The nurse auscultates the patient's chest
and hears wheezing throughout the lung fields. What
might this indicate?
A) The patient has a narrowed airway.
B) The patient has pneumonia.
C) The patient needs physiotherapy.
D) The patient has a hemothorax. - ANSWER-A)
The patient has a narrowed airway.
The nurse is caring for a patient admitted with an
acute exacerbation of chronic obstructive pulmonary
disease. During assessment, the nurse finds that the
patient is experiencing increased dyspnea. What is
the most accurate measurement of the
concentration of oxygen in the patient's blood?
A) A capillary blood sample
B) Pulse oximetry
C) An arterial blood gas (ABG) study
D) A complete blood count (CBC) - ANSWER-C) An
arterial blood gas (ABG) study
The nurse is caring for a patient who has returned to
the unit following a bronchoscopy. The patient is
asking for something to drink. Which criterion will
determine when the nurse should allow the patient
to drink fluids?
A) Presence of a cough and gag reflex
, B) Absence of nausea
C) Ability to demonstrate deep inspiration
D) Oxygen saturation of 92% - ANSWER-A)
Presence of a cough and gag reflex
A patient with chronic lung disease is undergoing
lung function testing. What test result denotes the
volume of air inspired and expired with a normal
breath?
A) Total lung capacity
B) Forced vital capacity
C) Tidal volume
D) Residual volume - ANSWER-C) Tidal volume
In addition to heart rate, blood pressure, respiratory
rate, and temperature, the nurse needs to assess a
patient's arterial oxygen saturation (SaO2). What
procedure will best accomplish this?
A) Incentive spirometry
B) Arterial blood gas (ABG) measurement
C) Peak flow measurement
D) Pulse oximetry - ANSWER-D) Pulse oximetry
A patient asks the nurse why an infection in his
upper respiratory system is affecting the clarity of his
speech. Which structure serves as the patient's
resonating chamber in speech?
A) Trachea