©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
Fundamentals Adaptive Quiz test 1
Questions And Answers 100% Pass
Which assessment finding is considered the earliest sign of decreased tissue oxygenation? -
answer✔Unexplained restlessness
Which physical assessment maneuver is the nurse performing when instructing the client to
breathe in slowly and a little more deeply than normal through the mouth? -
answer✔Auscultation
Which physical assessment findings of a client suspected of having a respiratory disorder would
be considered normal? Select all that apply. - answer✔Pink nasal mucosa, midline trachea, non
labored breathing of 14/min
What finding would be consistent with long-standing hypoxemia in a client who reports
shortness of breath? - answer✔Clubbing
A client is admitted with a sudden onset of dyspnea and chest pain. What are the interventions in
the order in which the nurse will perform them to provide comfort to the client? - answer✔1.
Notifying the Rapid Response Team
2. Reassuring the client and family members
3. elevate the head of the bed to help the client breathe easier
4. Prepare oxygen therapy and blood gas analysis
5. Monitoring and assessing for other changes
Which would the nurse consider to be a potential respiratory system-related complication of
surgery? - answer✔Atelectasis
, ©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
An older adult client who complains of difficulty breathing after a surgery is found to have
decreased vital capacity on spirometry. Which nursing intervention should be performed in this
situation? - answer✔Teach coughing and deep-breathing exercises.
The nurse finds the respiratory rate is 8 breaths per minute in a client who is on intravenous
morphine sulfate. What should the nurse do immediately in this situation? - answer✔Stop
administering the medication
A child who reports shortness of breath, wheezing, and coughing is found to have pulmonary
edema and is prescribed furosemide. Which nursing interventions would be beneficial to the
client? Select all that apply. - answer✔Checking the child's weight every day
Calculating the dose of drug as carefully as possible
Assessing the child regularly to help prevent electrolyte loss
Continuous high-pitched squeaking or musical sounds that result from rapid vibration of
bronchial walls. They are associated with bronchospasms or airway obstruction -
answer✔Wheezing
Creaking or grating sounds caused by roughened, inflamed pleural surfaces rubbing together.
They are associated with pleurisy, pneumonia, or a pulmonary infarct. - answer✔Pleural friction
rubs
Normal, low-pitched rustling sounds heard over peripheral lung fields - answer✔Vesicular
breath sounds
Normal, harsh, hollow, tubular, blowing sounds heard over the trachea and larynx. -
answer✔Bronchial breath sounds
What condition would a nurse suspect in a client with abnormal respirations with alternating
periods of apnea and rapid breathing? - answer✔Cheyne-Stokes respirations
The normal RBC count for a healthy male - answer✔4.7-6.1 million
A client is transferred to an acute care nursing unit after surgery. Which action of the nurse is
most important and should be performed first? - answer✔Assess the patency of airway.
The nurse is monitoring a client's hemoglobin level. The nurse recalls that the amount of
hemoglobin in the blood has what effect on oxygenation status? - answer✔A low hemoglobin
level causes reduced oxygen-carrying capacity.
10/21/2024 9:24 PM
Fundamentals Adaptive Quiz test 1
Questions And Answers 100% Pass
Which assessment finding is considered the earliest sign of decreased tissue oxygenation? -
answer✔Unexplained restlessness
Which physical assessment maneuver is the nurse performing when instructing the client to
breathe in slowly and a little more deeply than normal through the mouth? -
answer✔Auscultation
Which physical assessment findings of a client suspected of having a respiratory disorder would
be considered normal? Select all that apply. - answer✔Pink nasal mucosa, midline trachea, non
labored breathing of 14/min
What finding would be consistent with long-standing hypoxemia in a client who reports
shortness of breath? - answer✔Clubbing
A client is admitted with a sudden onset of dyspnea and chest pain. What are the interventions in
the order in which the nurse will perform them to provide comfort to the client? - answer✔1.
Notifying the Rapid Response Team
2. Reassuring the client and family members
3. elevate the head of the bed to help the client breathe easier
4. Prepare oxygen therapy and blood gas analysis
5. Monitoring and assessing for other changes
Which would the nurse consider to be a potential respiratory system-related complication of
surgery? - answer✔Atelectasis
, ©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
An older adult client who complains of difficulty breathing after a surgery is found to have
decreased vital capacity on spirometry. Which nursing intervention should be performed in this
situation? - answer✔Teach coughing and deep-breathing exercises.
The nurse finds the respiratory rate is 8 breaths per minute in a client who is on intravenous
morphine sulfate. What should the nurse do immediately in this situation? - answer✔Stop
administering the medication
A child who reports shortness of breath, wheezing, and coughing is found to have pulmonary
edema and is prescribed furosemide. Which nursing interventions would be beneficial to the
client? Select all that apply. - answer✔Checking the child's weight every day
Calculating the dose of drug as carefully as possible
Assessing the child regularly to help prevent electrolyte loss
Continuous high-pitched squeaking or musical sounds that result from rapid vibration of
bronchial walls. They are associated with bronchospasms or airway obstruction -
answer✔Wheezing
Creaking or grating sounds caused by roughened, inflamed pleural surfaces rubbing together.
They are associated with pleurisy, pneumonia, or a pulmonary infarct. - answer✔Pleural friction
rubs
Normal, low-pitched rustling sounds heard over peripheral lung fields - answer✔Vesicular
breath sounds
Normal, harsh, hollow, tubular, blowing sounds heard over the trachea and larynx. -
answer✔Bronchial breath sounds
What condition would a nurse suspect in a client with abnormal respirations with alternating
periods of apnea and rapid breathing? - answer✔Cheyne-Stokes respirations
The normal RBC count for a healthy male - answer✔4.7-6.1 million
A client is transferred to an acute care nursing unit after surgery. Which action of the nurse is
most important and should be performed first? - answer✔Assess the patency of airway.
The nurse is monitoring a client's hemoglobin level. The nurse recalls that the amount of
hemoglobin in the blood has what effect on oxygenation status? - answer✔A low hemoglobin
level causes reduced oxygen-carrying capacity.
