CAI quiz 4 with actual solutions 2025.
A nurse is assessing a client who has developed atelectasis postoperatively. Which of
the following findings should the nurse expect? - ANSWER: Increasing dyspnea
A nurse is providing discharge teaching for a client who has pulmonary edema and is
about to start taking furosemide. Which of the following instructions should the nurse
include? - ANSWER: Eat foods that contain plenty of potassium.
A nurse is planning care for a client who has quadriplegia. Which of the following
actions should the nurse take to prevent pulmonary embolism? - ANSWER: Assess legs
for redness
Apply elastic compression stockings
Perform passive ROM
A nurse is caring for a postoperative client who has a chest tube connected to suctions
and water seal drainage system. Which of the following indicates to the nurse that the
chest tube is functioning properly? - ANSWER: Continuous bubbling within the water
seal chamber
A nurse in trauma unit has received report on a client who has multiple injuries following
a motor vehicle crash. Which of the following actions should the nurse plan to take first?
- ANSWER: Evaluate chest expansion
A male client has chronic obstructive pulmonary disease (COPD) and is a smoker. The
nurse notices respiratory distress and no breath sounds over the left chest. Which type
of pneumothorax should the nurse suspect is occurring? - ANSWER: Spontaneous
pneumothorax
A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a
disposable water seal drainage system with suction. The nurse should intervene for
which of the following observations? - ANSWER: Continuous bubbling in the water seal
chamber
A nurse is assessing a client who has developed atelectasis postoperatively. Which of
the following findings should the nurse expect? - ANSWER: Increasing dyspnea
A nurse is providing discharge teaching for a client who has pulmonary edema and is
about to start taking furosemide. Which of the following instructions should the nurse
include? - ANSWER: Eat foods that contain plenty of potassium.
A nurse is planning care for a client who has quadriplegia. Which of the following
actions should the nurse take to prevent pulmonary embolism? - ANSWER: Assess legs
for redness
Apply elastic compression stockings
Perform passive ROM
A nurse is caring for a postoperative client who has a chest tube connected to suctions
and water seal drainage system. Which of the following indicates to the nurse that the
chest tube is functioning properly? - ANSWER: Continuous bubbling within the water
seal chamber
A nurse in trauma unit has received report on a client who has multiple injuries following
a motor vehicle crash. Which of the following actions should the nurse plan to take first?
- ANSWER: Evaluate chest expansion
A male client has chronic obstructive pulmonary disease (COPD) and is a smoker. The
nurse notices respiratory distress and no breath sounds over the left chest. Which type
of pneumothorax should the nurse suspect is occurring? - ANSWER: Spontaneous
pneumothorax
A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a
disposable water seal drainage system with suction. The nurse should intervene for
which of the following observations? - ANSWER: Continuous bubbling in the water seal
chamber
