Exam 2- Module 3 & Module 4- FSCJ
NUR1460C QUESTIONS WITH
ACCURATE SOLUTIONS
The nurse assesses a patient with chronic obstructive pulmonary disease (COPD). Which finding does the
nurse anticipate when inspecting the chest?
a. A ratio of 1 : 2 when comparing the side and front views of the chest
b. A barrel chest
c. A concave shape to the sternum
d. A severe lateral curvature of the spine - CORRECT ANSWER-b. A barrel chest
Which is a goal for a patient with the nursing diagnosis of Impaired Airway Clearance?
a. Patient's respiratory secretions will become thicker so they are not moved when coughing.
b. Patient's respiratory secretions will have a thinner consistency after being given a mucolytic agent.
c. Patient will have improved range of motion while in bed.
d. Patient's respiratory rate will increase to 28 breaths/min during hospitalization. - CORRECT ANSWER-
b. Patient's respiratory secretions will have a thinner consistency after being given a mucolytic agent.
Which position is the priority for a patient experiencing acute shortness of breath?
a. Supine position
b. Reverse Trendelenburg position
c. Face-down position
d. Upright position - CORRECT ANSWER-d. Upright position
Which oxygen delivery setting places a patient in danger of receiving inadequate oxygen?
a. Nasal cannula at a flow rate of 2 L/min
b. Nasal cannula at a rate of 5 L/min
c. Simple mask at a flow rate of 5 L/min
,d. Nonrebreather mask at a flow rate of 5 L/min - CORRECT ANSWER-d. Nonrebreather mask at a flow
rate of 5 L/min
Which action does a nurse anticipate when suctioning a patient with excessive secretions?
a. Decrease the patient's oxygen flow rate before beginning the deep suctioning.
b. Avoid lubricating the catheter tip to prevent getting the substance in the lung tissues.
c. Limit the time that the catheter is suctioning to prevent excessive loss of oxygen during the process.
d. Flush the artificial airway with 3 mL of tap water to loosen secretions before suctioning. - CORRECT
ANSWER-c. Limit the time that the catheter is suctioning to prevent excessive loss of oxygen during the
process.
Which of the chambers of the heart becomes enlarged when mitral valve stenosis occurs?
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle - CORRECT ANSWER-c. Left atrium
Which situation contributes to cyanosis in the pulmonary patient?
a. Increased PaCO2 levels
b. Hemoglobin that is not saturated with oxygen
c. Elevated white blood cell count
d. Decreased PaCO2 levels - CORRECT ANSWER-b. Hemoglobin that is not saturated with oxygen
A patient with chronic pneumonia may be evaluated by a speech therapist for which cause?
a. Persistent aspiration of liquids
b. Hypoventilation due to smoking
c. Hyperventilation due to anxiety
d. Decreased respiratory effort due to scoliosis - CORRECT ANSWER-a. Persistent aspiration of liquids
A patient with chronic obstructive pulmonary disease (COPD) uses which drive to breathe?
,a. Increased PaCO2
b. Decreased hemoglobin
c. Decreased PaO2 levels
d. Increased PaO2 levels - CORRECT ANSWER-c. Decreased PaO2 levels
Which questions are included in a focused history for a cardiac patient? (Select all that apply.)
a. Are you having pain?
b. Where is the pain located?
c. Do you attend religious services regularly?
d. Do you have increased fatigue?
e. Do you have any episodes of dizziness? - CORRECT ANSWER-a. Are you having pain?
b. Where is the pain located?
d. Do you have increased fatigue?
e. Do you have any episodes of dizziness?
A client who was bitten by a spider develops cellulitis of the left lower arm. What assessment findings
will the nurse expect when caring for this client? Select all that apply.
A. Fever
B. Pain
C. Redness around the spider bite
D. Warmth in the affected arm
E. Swelling of the affected arm - CORRECT ANSWER-A. Fever
B. Pain
C. Redness around the spider bite
D. Warmth in the affected arm
E. Swelling of the affected arm
A client is diagnosed with C. difficile infection. What nursing action is the priority for the client?
A. Provide meticulous skin care.
, B. Place the client on Contact Precautions.
C. Give the client an antipyretic medication.
D. Encourage the client to drink extra fluids. - CORRECT ANSWER-B. Place the client on Contact
Precautions.
Which statements by assistive personnel indicate understanding regarding infection control measures
needed to care for a client who has possible Clostridium difficile infection? Select all that apply.
A. "I'll wear an isolation gown when providing direct care."
B. "I'll wear gloves when providing direct care."
C. "I'll wear a mask each time I enter the client's room."
D. "I'll use a hand sanitizer when I can't wash my hands."
E. "I'll wear goggles to protect my eyes." - CORRECT ANSWER-A. "I'll wear an isolation gown when
providing direct care."
B. "I'll wear gloves when providing direct care."
D. "I'll use a hand sanitizer when I can't wash my hands."
The nurse takes a history for a client admitted to the hospital. Which factors in the nursing history
indicate that the client is at risk for infection? Select all that apply.
A. Diabetes mellitus type 2 for 20 years
B. 52-pack year history of cigarette smoking
C. Admitted from a long-term care facility
D. Has a history of multiple urinary tract infections
E. Is 84 years of age - CORRECT ANSWER-A. Diabetes mellitus type 2 for 20 years
B. 52-pack year history of cigarette smoking
C. Admitted from a long-term care facility
D. Has a history of multiple urinary tract infections
E. Is 84 years of age
Which respiratory side effect does the nurse teach the client who is now prescribed an angiotensin-
converting enzyme (ACE) inhibitor to expect?
NUR1460C QUESTIONS WITH
ACCURATE SOLUTIONS
The nurse assesses a patient with chronic obstructive pulmonary disease (COPD). Which finding does the
nurse anticipate when inspecting the chest?
a. A ratio of 1 : 2 when comparing the side and front views of the chest
b. A barrel chest
c. A concave shape to the sternum
d. A severe lateral curvature of the spine - CORRECT ANSWER-b. A barrel chest
Which is a goal for a patient with the nursing diagnosis of Impaired Airway Clearance?
a. Patient's respiratory secretions will become thicker so they are not moved when coughing.
b. Patient's respiratory secretions will have a thinner consistency after being given a mucolytic agent.
c. Patient will have improved range of motion while in bed.
d. Patient's respiratory rate will increase to 28 breaths/min during hospitalization. - CORRECT ANSWER-
b. Patient's respiratory secretions will have a thinner consistency after being given a mucolytic agent.
Which position is the priority for a patient experiencing acute shortness of breath?
a. Supine position
b. Reverse Trendelenburg position
c. Face-down position
d. Upright position - CORRECT ANSWER-d. Upright position
Which oxygen delivery setting places a patient in danger of receiving inadequate oxygen?
a. Nasal cannula at a flow rate of 2 L/min
b. Nasal cannula at a rate of 5 L/min
c. Simple mask at a flow rate of 5 L/min
,d. Nonrebreather mask at a flow rate of 5 L/min - CORRECT ANSWER-d. Nonrebreather mask at a flow
rate of 5 L/min
Which action does a nurse anticipate when suctioning a patient with excessive secretions?
a. Decrease the patient's oxygen flow rate before beginning the deep suctioning.
b. Avoid lubricating the catheter tip to prevent getting the substance in the lung tissues.
c. Limit the time that the catheter is suctioning to prevent excessive loss of oxygen during the process.
d. Flush the artificial airway with 3 mL of tap water to loosen secretions before suctioning. - CORRECT
ANSWER-c. Limit the time that the catheter is suctioning to prevent excessive loss of oxygen during the
process.
Which of the chambers of the heart becomes enlarged when mitral valve stenosis occurs?
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle - CORRECT ANSWER-c. Left atrium
Which situation contributes to cyanosis in the pulmonary patient?
a. Increased PaCO2 levels
b. Hemoglobin that is not saturated with oxygen
c. Elevated white blood cell count
d. Decreased PaCO2 levels - CORRECT ANSWER-b. Hemoglobin that is not saturated with oxygen
A patient with chronic pneumonia may be evaluated by a speech therapist for which cause?
a. Persistent aspiration of liquids
b. Hypoventilation due to smoking
c. Hyperventilation due to anxiety
d. Decreased respiratory effort due to scoliosis - CORRECT ANSWER-a. Persistent aspiration of liquids
A patient with chronic obstructive pulmonary disease (COPD) uses which drive to breathe?
,a. Increased PaCO2
b. Decreased hemoglobin
c. Decreased PaO2 levels
d. Increased PaO2 levels - CORRECT ANSWER-c. Decreased PaO2 levels
Which questions are included in a focused history for a cardiac patient? (Select all that apply.)
a. Are you having pain?
b. Where is the pain located?
c. Do you attend religious services regularly?
d. Do you have increased fatigue?
e. Do you have any episodes of dizziness? - CORRECT ANSWER-a. Are you having pain?
b. Where is the pain located?
d. Do you have increased fatigue?
e. Do you have any episodes of dizziness?
A client who was bitten by a spider develops cellulitis of the left lower arm. What assessment findings
will the nurse expect when caring for this client? Select all that apply.
A. Fever
B. Pain
C. Redness around the spider bite
D. Warmth in the affected arm
E. Swelling of the affected arm - CORRECT ANSWER-A. Fever
B. Pain
C. Redness around the spider bite
D. Warmth in the affected arm
E. Swelling of the affected arm
A client is diagnosed with C. difficile infection. What nursing action is the priority for the client?
A. Provide meticulous skin care.
, B. Place the client on Contact Precautions.
C. Give the client an antipyretic medication.
D. Encourage the client to drink extra fluids. - CORRECT ANSWER-B. Place the client on Contact
Precautions.
Which statements by assistive personnel indicate understanding regarding infection control measures
needed to care for a client who has possible Clostridium difficile infection? Select all that apply.
A. "I'll wear an isolation gown when providing direct care."
B. "I'll wear gloves when providing direct care."
C. "I'll wear a mask each time I enter the client's room."
D. "I'll use a hand sanitizer when I can't wash my hands."
E. "I'll wear goggles to protect my eyes." - CORRECT ANSWER-A. "I'll wear an isolation gown when
providing direct care."
B. "I'll wear gloves when providing direct care."
D. "I'll use a hand sanitizer when I can't wash my hands."
The nurse takes a history for a client admitted to the hospital. Which factors in the nursing history
indicate that the client is at risk for infection? Select all that apply.
A. Diabetes mellitus type 2 for 20 years
B. 52-pack year history of cigarette smoking
C. Admitted from a long-term care facility
D. Has a history of multiple urinary tract infections
E. Is 84 years of age - CORRECT ANSWER-A. Diabetes mellitus type 2 for 20 years
B. 52-pack year history of cigarette smoking
C. Admitted from a long-term care facility
D. Has a history of multiple urinary tract infections
E. Is 84 years of age
Which respiratory side effect does the nurse teach the client who is now prescribed an angiotensin-
converting enzyme (ACE) inhibitor to expect?
