NR 324 Exam 3
NR 324 Adult Health Exam 3 Questions with
Verified Answers Graded A+ 2025
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the
procedure, which of the following actions should the nurse take?
(a) Position the client in an upright position, leaning over the bedside table.
(b) Explain the procedure.
(c) Obtain ABGs.
(d) Administer benzocaine spray. -Correct Answer ✔(a) Positioning the client in an
upright position, leaning over the bedside table.
This widens the intercostal space for the provider to access the pleural fluid. It is the
responsibility of the provider, not the nurse, to explain the procedure. It is not indicated
that the client needs ABGs drawn. Benzocaine spray is administered for a
bronchoscopy, not a thoracentesis.
A nurse at a provider's office is reviewing information with a client scheduled for
pulmonary function tests (PFTs). Which of the following information should the nurse
include?
(a) "Do not use inhaler medications for 6hrs following the test."
(b) "Do not smoke tobacco for 6 to 8hrs prior to the test."
(c) "You will be asked to bear down and hold your breath during the test."
(d) "The arterial blood glow to your hand will be evaluated as part of the test." -Correct
Answer ✔(b) "Do not smoke tobacco for 6 to 8hrs prior to the test."
A nurse is assessing a client following a bronchoscopy. Which of the following findings
should the nurse report to the provider?
(a) Blood-tinged sputum
(b) Dry, nonproductive cough
(c) Sore throat
(d) Bronchospasms -Correct Answer ✔(d) Bronchospasms
Bronchospasms can indicate the client is having difficulty maintaining a patent airway.
The nurse should notify the provider immediately.
A nurse is caring for a client who is scheduled for a thoracentesis. Which of the
following supplies should the nurse ensure are in the client's room? (SATA)
(a) Oxygen equipment
(b) Incentive spirometer
(c) Pulse oximeter
(d) Sterile dressing
(e) Suture removal kit -Correct Answer ✔(a), (c), (d)
NR 324 Exam 3
,NR 324 Exam 3
An incentive spirometer is indicated for a client following thoracic surgery to promote
improved oxygenation and pulmonary function. A suture removal kit is needed to
remove sutures following surgery.
A nurse is caring for a client following a thoracentesis. Which of the following
manifestations should the nurse recognize as risks for complications? (SATA)
(a) Dyspnea
(b) Localized bloody drainage on the dressing
(c) Fever
(d) Hypotension
(e) Report of pain at the puncture site -Correct Answer ✔(a), (c), (d)
A nurse is providing teaching to a client about pulmonary function testing. Which of the
following tests measures the volume of air the lungs can hold at the end of maximum
inhalation?
(a) Total lung capacity
(b) Vital lung capacity
(c) Functional residual capacity
(d) Residual volume -Correct Answer ✔(a) Total lung capacity
Pulmonary function tests are used to examine the effectiveness of the lungs and to
identify lung problems. Total lung capacity measures the amount of air the lungs can
hold after maximum inhalation. Vital lung capacity measures the amount of air the client
can exhale after maximum inhalation. Functional residual capacity measures the
amount of air in the lungs after normal expiration. Residual volume measures the
amount of air in the lungs after forced expiration.
A nurse in the ED is assessing a client who has deep, rapid respirations. Arterial blood
gas analysis includes the following values: pH 7.25, PaCO2 40, and HCO3- 18. Which
of the following acid-base imbalances should the nurse identify and report to the
provider?
(a) Respiratory alkalosis
(b) Metabolic alkalosis
(c) Respiratory acidosis
(d) Metabolic acidosis -Correct Answer ✔(d) Metabolic acidosis
A pH of 7.25 indicates acidosis. If the cause is respiratory, pH and PaCo2 values will
deviate in opposite directions. Since PaCO2 is within the expected reference range,
despite the low pH, the cause must be metabolic. Therefore, the nurse should report to
the provider that the client has metabolic acidosis.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy
tube and has a gastronomy tube for enteral feedings. Which pieces of information are
critical to communicate to the next nurse who will be caring for this client? (SATA)
(a) Room temperature
(b) New prescriptions
NR 324 Exam 3
, NR 324 Exam 3
(c) Number of visitors
(d) ABG result
(e) Tracheal secretion characteristics -Correct Answer ✔(b), (d), (e)
A nurse is preparing to assist a provider with an arterial blood withdrawal from a client's
radial artery for ABG measurement. Which of the following actions should the nurse
plan to take?
(a) Hyperventilate the client with 100% oxygen prior to obtaining the specimen
(b) Apply ice to the site after obtaining the specimen
(c) Perform an Allen's test prior to obtaining the specimen
(d) Release the pressure applied to the puncture site 1 minute after the needle is
withdrawn -Correct Answer ✔(c) Perform an Allen's test prior to obtaining the specimen
A nurse is preparing a client for a bronchoscopy. Which of the following actions should
the nurse take? (SATA)
(a) Explain that the client will receive sedation and will not remember the procedure.
(b) Verify that the client understands the purpose and nature of the procedure.
(c) Offer the client sips of clear liquids until 1hr before the test.
(d) Obtain a pre-procedural sputum specimen.
(e) Instruct the client to keep his neck in a neutral position. -Correct Answer ✔(a), (b)
For a bronchoscopy, clients typically receive premedication with a benzodiazepine or an
opioid to ensure sedation and amnesia. The client will have signed a consent form, so
the nurse should verify that the provider explained the procedure and that the client
understands it. The client should remain NPO for 4-8hrs prior to the procedure to
minimize aspiration risk. The provider can obtain any necessary sputum specimens
during the procedure. The client's neck will be hyperextended to bring the pharynx into
alignment with the trachea and allow insertion of the scope without trauma.
A nurse is preparing a client for discharge following a bronchoscopy. Which of the
following assessments is the nurse's monitoring priority?
(a) Measuring heart rate
(b) Palpating peripheral pulses
(c) Observing sputum for blood
(d) Confirming the gag reflex -Correct Answer ✔(d) Confirming the gag reflex
The greatest risk to the client's safety is aspiration resulting from a depressed gag
reflex. The nurse's priority is to make sure the client's gag reflex has returned before
discharge so that the client can maintain hydration and nutrition without risk.
A nurse is providing teaching to a client who has a chronic cough and is scheduled for a
bronchoscopy. Which of the following client statements indicates an understanding of
the teaching?
(a) "I can keep my dentures in during the procedure."
(b) "I am allowed only clear liquids prior to the procedure."
(c) "A tissue sample might be obtained during the procedure."
NR 324 Exam 3
NR 324 Adult Health Exam 3 Questions with
Verified Answers Graded A+ 2025
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the
procedure, which of the following actions should the nurse take?
(a) Position the client in an upright position, leaning over the bedside table.
(b) Explain the procedure.
(c) Obtain ABGs.
(d) Administer benzocaine spray. -Correct Answer ✔(a) Positioning the client in an
upright position, leaning over the bedside table.
This widens the intercostal space for the provider to access the pleural fluid. It is the
responsibility of the provider, not the nurse, to explain the procedure. It is not indicated
that the client needs ABGs drawn. Benzocaine spray is administered for a
bronchoscopy, not a thoracentesis.
A nurse at a provider's office is reviewing information with a client scheduled for
pulmonary function tests (PFTs). Which of the following information should the nurse
include?
(a) "Do not use inhaler medications for 6hrs following the test."
(b) "Do not smoke tobacco for 6 to 8hrs prior to the test."
(c) "You will be asked to bear down and hold your breath during the test."
(d) "The arterial blood glow to your hand will be evaluated as part of the test." -Correct
Answer ✔(b) "Do not smoke tobacco for 6 to 8hrs prior to the test."
A nurse is assessing a client following a bronchoscopy. Which of the following findings
should the nurse report to the provider?
(a) Blood-tinged sputum
(b) Dry, nonproductive cough
(c) Sore throat
(d) Bronchospasms -Correct Answer ✔(d) Bronchospasms
Bronchospasms can indicate the client is having difficulty maintaining a patent airway.
The nurse should notify the provider immediately.
A nurse is caring for a client who is scheduled for a thoracentesis. Which of the
following supplies should the nurse ensure are in the client's room? (SATA)
(a) Oxygen equipment
(b) Incentive spirometer
(c) Pulse oximeter
(d) Sterile dressing
(e) Suture removal kit -Correct Answer ✔(a), (c), (d)
NR 324 Exam 3
,NR 324 Exam 3
An incentive spirometer is indicated for a client following thoracic surgery to promote
improved oxygenation and pulmonary function. A suture removal kit is needed to
remove sutures following surgery.
A nurse is caring for a client following a thoracentesis. Which of the following
manifestations should the nurse recognize as risks for complications? (SATA)
(a) Dyspnea
(b) Localized bloody drainage on the dressing
(c) Fever
(d) Hypotension
(e) Report of pain at the puncture site -Correct Answer ✔(a), (c), (d)
A nurse is providing teaching to a client about pulmonary function testing. Which of the
following tests measures the volume of air the lungs can hold at the end of maximum
inhalation?
(a) Total lung capacity
(b) Vital lung capacity
(c) Functional residual capacity
(d) Residual volume -Correct Answer ✔(a) Total lung capacity
Pulmonary function tests are used to examine the effectiveness of the lungs and to
identify lung problems. Total lung capacity measures the amount of air the lungs can
hold after maximum inhalation. Vital lung capacity measures the amount of air the client
can exhale after maximum inhalation. Functional residual capacity measures the
amount of air in the lungs after normal expiration. Residual volume measures the
amount of air in the lungs after forced expiration.
A nurse in the ED is assessing a client who has deep, rapid respirations. Arterial blood
gas analysis includes the following values: pH 7.25, PaCO2 40, and HCO3- 18. Which
of the following acid-base imbalances should the nurse identify and report to the
provider?
(a) Respiratory alkalosis
(b) Metabolic alkalosis
(c) Respiratory acidosis
(d) Metabolic acidosis -Correct Answer ✔(d) Metabolic acidosis
A pH of 7.25 indicates acidosis. If the cause is respiratory, pH and PaCo2 values will
deviate in opposite directions. Since PaCO2 is within the expected reference range,
despite the low pH, the cause must be metabolic. Therefore, the nurse should report to
the provider that the client has metabolic acidosis.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy
tube and has a gastronomy tube for enteral feedings. Which pieces of information are
critical to communicate to the next nurse who will be caring for this client? (SATA)
(a) Room temperature
(b) New prescriptions
NR 324 Exam 3
, NR 324 Exam 3
(c) Number of visitors
(d) ABG result
(e) Tracheal secretion characteristics -Correct Answer ✔(b), (d), (e)
A nurse is preparing to assist a provider with an arterial blood withdrawal from a client's
radial artery for ABG measurement. Which of the following actions should the nurse
plan to take?
(a) Hyperventilate the client with 100% oxygen prior to obtaining the specimen
(b) Apply ice to the site after obtaining the specimen
(c) Perform an Allen's test prior to obtaining the specimen
(d) Release the pressure applied to the puncture site 1 minute after the needle is
withdrawn -Correct Answer ✔(c) Perform an Allen's test prior to obtaining the specimen
A nurse is preparing a client for a bronchoscopy. Which of the following actions should
the nurse take? (SATA)
(a) Explain that the client will receive sedation and will not remember the procedure.
(b) Verify that the client understands the purpose and nature of the procedure.
(c) Offer the client sips of clear liquids until 1hr before the test.
(d) Obtain a pre-procedural sputum specimen.
(e) Instruct the client to keep his neck in a neutral position. -Correct Answer ✔(a), (b)
For a bronchoscopy, clients typically receive premedication with a benzodiazepine or an
opioid to ensure sedation and amnesia. The client will have signed a consent form, so
the nurse should verify that the provider explained the procedure and that the client
understands it. The client should remain NPO for 4-8hrs prior to the procedure to
minimize aspiration risk. The provider can obtain any necessary sputum specimens
during the procedure. The client's neck will be hyperextended to bring the pharynx into
alignment with the trachea and allow insertion of the scope without trauma.
A nurse is preparing a client for discharge following a bronchoscopy. Which of the
following assessments is the nurse's monitoring priority?
(a) Measuring heart rate
(b) Palpating peripheral pulses
(c) Observing sputum for blood
(d) Confirming the gag reflex -Correct Answer ✔(d) Confirming the gag reflex
The greatest risk to the client's safety is aspiration resulting from a depressed gag
reflex. The nurse's priority is to make sure the client's gag reflex has returned before
discharge so that the client can maintain hydration and nutrition without risk.
A nurse is providing teaching to a client who has a chronic cough and is scheduled for a
bronchoscopy. Which of the following client statements indicates an understanding of
the teaching?
(a) "I can keep my dentures in during the procedure."
(b) "I am allowed only clear liquids prior to the procedure."
(c) "A tissue sample might be obtained during the procedure."
NR 324 Exam 3
