NRS 4111 med surg 2 Exam 1 practice
Questions And Answers
What is the effect of age related decreased skeletal muscle strength
on the effectiveness of gas exchange?
A. Reduced gas exchange as a result of alveolar surface
B. Reduced gas exchange as a result of longer relaxation of
bronchiolar smooth muscles
C. Reduced gas exchange as a result of decreased changes in
pressures in the chest cavity
D. Reduced gas exchange as a result of failure of pulmonary
circulation to fully perfuse lung tissue -
correct answer ✅C. Reduced gas exchange as a result of decreased
changes in pressures in the chest cavity
ch 27 p 500
For which problem does the nurse assess the client who cannot
breathe through the nose because of a severe septal deviation?
A. Dry respiratory tract membranes
B. Frequent episodes of tonsillitis
C. Development of nasal polyps
,NRS 4111 med surg 2 Exam 1 practice
Questions And Answers
D. Difficulty swallowing -
correct answer ✅A. Dry respiratory tract membranes
ch. 27 p. 503
When auscultating the client's breath sounds, the nurse hears soft
rustling sounds at the lung edges. What is the nurse's best action?
A.Listen again with the bell of the stethoscope rather than the
diaphragm
B. Ask the client to cough and spit out any collected mucus
C. Document the finding as the only action
D. Notify the health care provider -
correct answer ✅C. Document the finding as the only action
ch 27 p. 506
Which manifestations in a client receiving oxygen therapy at 60%
for more than 24 h alert the nurse to the possibility of oxygen
toxicity?
,NRS 4111 med surg 2 Exam 1 practice
Questions And Answers
A. Oxygen saturation greater than 100%
B. Decreased rate and depth of respiration
C. Wheezing on inhalation and exhalation
D. Discomfort or pain under the sternum -
correct answer ✅D. Discomfort or pain under the sternum
ch 28 p. 516
For which activity does the nurse teach the client who is receiving
oxygen by a transtracheal oxygen (TTO) delivery system to switch to
a nasal cannula oxygen delivery system?
A. Eating a meal
B. Sleeping at night
C. Cleaning the catheter
D. Performing mouth care -
correct answer ✅C. Cleaning the catheter
ch 28 p. 522
, NRS 4111 med surg 2 Exam 1 practice
Questions And Answers
During nasotracheal suctioning the client's heart rate changes from
78 BPM to 48 BPM. What is the nurse's best action?
A. Immediately stop suctioning
B. Gently pinch the client's cheek
C. Administer oxygen by mask at 2L/min
D. Document the change as the only action -
correct answer ✅A. Immediately stop suctioning
ch 28 p. 527
Which precaution is the most important for the nurse to teach a
client who is secretary and just had nasal tubes removed after a
posterior nose bleed?
A. Avoid NSAIDS for at least a week
B. Wait 4 weeks before returning to work
C. If bleeding recurs, call 911 immediately
Questions And Answers
What is the effect of age related decreased skeletal muscle strength
on the effectiveness of gas exchange?
A. Reduced gas exchange as a result of alveolar surface
B. Reduced gas exchange as a result of longer relaxation of
bronchiolar smooth muscles
C. Reduced gas exchange as a result of decreased changes in
pressures in the chest cavity
D. Reduced gas exchange as a result of failure of pulmonary
circulation to fully perfuse lung tissue -
correct answer ✅C. Reduced gas exchange as a result of decreased
changes in pressures in the chest cavity
ch 27 p 500
For which problem does the nurse assess the client who cannot
breathe through the nose because of a severe septal deviation?
A. Dry respiratory tract membranes
B. Frequent episodes of tonsillitis
C. Development of nasal polyps
,NRS 4111 med surg 2 Exam 1 practice
Questions And Answers
D. Difficulty swallowing -
correct answer ✅A. Dry respiratory tract membranes
ch. 27 p. 503
When auscultating the client's breath sounds, the nurse hears soft
rustling sounds at the lung edges. What is the nurse's best action?
A.Listen again with the bell of the stethoscope rather than the
diaphragm
B. Ask the client to cough and spit out any collected mucus
C. Document the finding as the only action
D. Notify the health care provider -
correct answer ✅C. Document the finding as the only action
ch 27 p. 506
Which manifestations in a client receiving oxygen therapy at 60%
for more than 24 h alert the nurse to the possibility of oxygen
toxicity?
,NRS 4111 med surg 2 Exam 1 practice
Questions And Answers
A. Oxygen saturation greater than 100%
B. Decreased rate and depth of respiration
C. Wheezing on inhalation and exhalation
D. Discomfort or pain under the sternum -
correct answer ✅D. Discomfort or pain under the sternum
ch 28 p. 516
For which activity does the nurse teach the client who is receiving
oxygen by a transtracheal oxygen (TTO) delivery system to switch to
a nasal cannula oxygen delivery system?
A. Eating a meal
B. Sleeping at night
C. Cleaning the catheter
D. Performing mouth care -
correct answer ✅C. Cleaning the catheter
ch 28 p. 522
, NRS 4111 med surg 2 Exam 1 practice
Questions And Answers
During nasotracheal suctioning the client's heart rate changes from
78 BPM to 48 BPM. What is the nurse's best action?
A. Immediately stop suctioning
B. Gently pinch the client's cheek
C. Administer oxygen by mask at 2L/min
D. Document the change as the only action -
correct answer ✅A. Immediately stop suctioning
ch 28 p. 527
Which precaution is the most important for the nurse to teach a
client who is secretary and just had nasal tubes removed after a
posterior nose bleed?
A. Avoid NSAIDS for at least a week
B. Wait 4 weeks before returning to work
C. If bleeding recurs, call 911 immediately
