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vsim questions and answers with rationalies exam 1 2023/2024

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VSIM QUESTIONS AND ANSWERS
WITH RATIONALIES EXAM 1 2023

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Killey




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VSIM QUESTIONS AND ANSWERS
WITH RATIONALIES EXAM 1 2023
1. Expected assessment findings of a patient with pneumonia may included which of
the following?
select all that apply

a.tachypena
b.malasie
c.enuresis
d.use of accessory muscles
e.fever
fever, malaise, tachy, use of accessory muscles

Rationale: Enuresis is not an assessment finding associated with pneumonia
2. A patient is semi-fowler's position is having difficulty breathing. What is the
priority action of the nurse?

a.conduct a pain assessment
b.raise the head of the bed
c.auscultate the lung
d.call respiratory therapy
raise HOB

rationale: other answer may be appropriate AFTER HOB has been raised
3. patient demonstrate correct use of the incentive spirometer when the patient
places the mouthpiece in the mouth and does which of the following?

a.exhales quickly and forcefully
b.inhales quickly and forcefully
c.inhales slowly and deeply
d.exhales slowly and deeply
inhales slowly and deeply

The patient should then hold the breath for 5 seconds before exhaling.
4. Patient with newly diagnosed pneumonia has an oxygen saturation of 94% room
air, an increased respiratory rate, and an increased pulse. The pt is pale, anxious.
The nurse questions the o2 saturation results and looks up which of the following
lab results?

a.WBC count




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