NSG 210 Exam 2 Perfusion and Gas Exchange Questions
With Complete Solutions
4 stages of heart failure Correct Answer Class 1: at risk
Class 2/3: current/prior symptoms
Class 4: end stage
A 15-year-old client with cystic fibrosis asks why she has not
started her menstrual period yet. Which response by the nurse is
correct?
A) "Usually girls with cystic fibrosis start menstruating earlier
than their peers."
B) "It is normal for girls with cystic fibrosis to start their period
at age 16. Just be patient."
C) "Some girls with cystic fibrosis do not experience
menstruation due to nutritional problems."
D) "Because secretions are thicker in people with cystic fibrosis,
your period will be very heavy once it starts." Correct Answer
C) "Some girls with cystic fibrosis do not experience
menstruation due to nutritional problems."
A 7-year-old client is hospitalized due to complications related
to cystic fibrosis. The nurse is responsible for administering
medications and performing chest physical therapy. In which
order should the nurse perform these actions?
A) Place the client in a position for postural drainage
B) Administer inhaled albuterol
C) Administer inhaled hypertonic saline
D) Perform percussion on the client's back and chest
E) Administer oxygen by nasal cannula Correct Answer B)
Administer inhaled albuterol
,C) Administer inhaled hypertonic saline
A) Place the client in a position for postural drainage
D) Perform percussion on the client's back and chest
E) Administer oxygen by nasal cannula
A client has been diagnosed with tuberculosis (TB). What action
by the nurse takes highest priority? a. Educating the client on
adherence to the treatment regimen b. Encouraging the client to
eat a well-balanced diet c. Informing the client about follow-up
sputum cultures d. Teaching the client ways to balance rest with
activity Correct Answer a. Educating the client on adherence
to the treatment regimen
A client has been hospitalized with tuberculosis (TB). The
client's spouse is fearful of entering the room where the client is
in isolation and refuses to visit. What action by the nurse is best?
a. Ask the spouse to explain the fear of visiting in further detail.
b. Inform the spouse that the precautions are meant to keep other
clients safe. c. Show the spouse how to follow the Isolation
Precautions to avoid illness. d. Tell the spouse that he or she has
already been exposed, so it's safe to visit. Correct Answer a.
Ask the spouse to explain the fear of visiting in further detail.
A client has been taking isoniazid for tuberculosis for 3 weeks.
What laboratory results need to be reported to the primary health
care provider immediately? a. Albumin: 5.1 g/dL (7.4 mcmol/L)
b. Alanine aminotransferase (ALT): 180 U/L c. Red blood cell
(RBC) count: 5.2/million/µL (5.2 1012/L) d. White blood cell
(WBC) count: 12,500/mm3 (12.5 109 /L) Correct Answer b.
Alanine aminotransferase (ALT): 180 U/L
, A client in the emergency department is taking rifampin for
tuberculosis. The client reports yellowing of the sclera and skin
and bleeding after minor trauma. What laboratory results
correlate to this condition? (Select all that apply.)
a. Blood urea nitrogen (BUN): 19 mg/dL (6.7 mmol/L)
b. International normalized ratio (INR): 6.3
c. Prothrombin time: 35 seconds
d. Serum sodium: 130 mEq/L (130 mmol/L)
e. White blood cell (WBC) count: 72,000/mm3 (72 109 /L)
Correct Answer b. International normalized ratio (INR): 6.3
c. Prothrombin time: 35 seconds
A client is admitted with suspected pneumonia from the
emergency department. The client went to the primary health
care provider a "few days ago" and shows the nurse the results
of what the client calls "an allergy test." The reddened area in
the inner arm is firm. What action by the nurse is best?
a. Assess the client for possible items to which he or she is
allergic. b. Call the primary health care provider's office to
request records. c. Immediately place the client on Airborne
Precautions. d. Prepare to begin administration of intravenous
antibiotics. Correct Answer c. Immediately place the client on
Airborne Precautions
A client is being admitted with suspected tuberculosis (TB).
What actions by the nurse are best? (Select all that apply.) a.
Admit the client to a negative-airflow room. b. Maintain a
distance of 3 feet (1 m) from the client at all times. c. Obtain
specialized respirators for caregiving. d. Other than wearing
gloves, no special actions are needed. e. Wash hands with
chlorhexidine after providing care. f. Assure client has a
With Complete Solutions
4 stages of heart failure Correct Answer Class 1: at risk
Class 2/3: current/prior symptoms
Class 4: end stage
A 15-year-old client with cystic fibrosis asks why she has not
started her menstrual period yet. Which response by the nurse is
correct?
A) "Usually girls with cystic fibrosis start menstruating earlier
than their peers."
B) "It is normal for girls with cystic fibrosis to start their period
at age 16. Just be patient."
C) "Some girls with cystic fibrosis do not experience
menstruation due to nutritional problems."
D) "Because secretions are thicker in people with cystic fibrosis,
your period will be very heavy once it starts." Correct Answer
C) "Some girls with cystic fibrosis do not experience
menstruation due to nutritional problems."
A 7-year-old client is hospitalized due to complications related
to cystic fibrosis. The nurse is responsible for administering
medications and performing chest physical therapy. In which
order should the nurse perform these actions?
A) Place the client in a position for postural drainage
B) Administer inhaled albuterol
C) Administer inhaled hypertonic saline
D) Perform percussion on the client's back and chest
E) Administer oxygen by nasal cannula Correct Answer B)
Administer inhaled albuterol
,C) Administer inhaled hypertonic saline
A) Place the client in a position for postural drainage
D) Perform percussion on the client's back and chest
E) Administer oxygen by nasal cannula
A client has been diagnosed with tuberculosis (TB). What action
by the nurse takes highest priority? a. Educating the client on
adherence to the treatment regimen b. Encouraging the client to
eat a well-balanced diet c. Informing the client about follow-up
sputum cultures d. Teaching the client ways to balance rest with
activity Correct Answer a. Educating the client on adherence
to the treatment regimen
A client has been hospitalized with tuberculosis (TB). The
client's spouse is fearful of entering the room where the client is
in isolation and refuses to visit. What action by the nurse is best?
a. Ask the spouse to explain the fear of visiting in further detail.
b. Inform the spouse that the precautions are meant to keep other
clients safe. c. Show the spouse how to follow the Isolation
Precautions to avoid illness. d. Tell the spouse that he or she has
already been exposed, so it's safe to visit. Correct Answer a.
Ask the spouse to explain the fear of visiting in further detail.
A client has been taking isoniazid for tuberculosis for 3 weeks.
What laboratory results need to be reported to the primary health
care provider immediately? a. Albumin: 5.1 g/dL (7.4 mcmol/L)
b. Alanine aminotransferase (ALT): 180 U/L c. Red blood cell
(RBC) count: 5.2/million/µL (5.2 1012/L) d. White blood cell
(WBC) count: 12,500/mm3 (12.5 109 /L) Correct Answer b.
Alanine aminotransferase (ALT): 180 U/L
, A client in the emergency department is taking rifampin for
tuberculosis. The client reports yellowing of the sclera and skin
and bleeding after minor trauma. What laboratory results
correlate to this condition? (Select all that apply.)
a. Blood urea nitrogen (BUN): 19 mg/dL (6.7 mmol/L)
b. International normalized ratio (INR): 6.3
c. Prothrombin time: 35 seconds
d. Serum sodium: 130 mEq/L (130 mmol/L)
e. White blood cell (WBC) count: 72,000/mm3 (72 109 /L)
Correct Answer b. International normalized ratio (INR): 6.3
c. Prothrombin time: 35 seconds
A client is admitted with suspected pneumonia from the
emergency department. The client went to the primary health
care provider a "few days ago" and shows the nurse the results
of what the client calls "an allergy test." The reddened area in
the inner arm is firm. What action by the nurse is best?
a. Assess the client for possible items to which he or she is
allergic. b. Call the primary health care provider's office to
request records. c. Immediately place the client on Airborne
Precautions. d. Prepare to begin administration of intravenous
antibiotics. Correct Answer c. Immediately place the client on
Airborne Precautions
A client is being admitted with suspected tuberculosis (TB).
What actions by the nurse are best? (Select all that apply.) a.
Admit the client to a negative-airflow room. b. Maintain a
distance of 3 feet (1 m) from the client at all times. c. Obtain
specialized respirators for caregiving. d. Other than wearing
gloves, no special actions are needed. e. Wash hands with
chlorhexidine after providing care. f. Assure client has a
