NURS 221 – ADULT HEALTH II TEST 1 EXAM PREP | FULL
QUESTION BANK WITH ACCURATE SOLUTIONS |
CARDIOVASCULAR, RESPIRATORY & CRITICAL CARE FOCUS |
NGN-STYLE QUESTIONS | DETAILED RATIONALES | 2026/2027
EDITION
1. A NURSE OBTAINS THE HEALTH HISTORY OF A CLIENT WHO IS RECENTLY DIAGNOSED WITH
LUNG CANCER AND IDENTIFIES THAT THE CLIENT HAS A 60PACK-YEAR SMOKING HISTORY.
WHICH ACTION IS MOST IMPORTANT FOR THE NURSE TO TAKE WHEN INTERVIEWING THIS
CLIENT?
A. TELL THE CLIENT THAT HE NEEDS TO QUIT SMOKING TO STOP FURTHER CANCER
DEVELOPMENT.
B. ENCOURAGE THE CLIENT TO BE COMPLETELY HONEST ABOUT BOTH TOBACCO AND
MARIJUANA USE.
C. MAINTAIN A NONJUDGMENTAL ATTITUDE TO AVOID CAUSING THE CLIENT TO FEEL GUILTY.
D. AVOID GIVING THE CLIENT FALSE HOPE REGARDING CANCER TREATMENT AND PROGNOSIS.
CORRECT ANS: C
SMOKING HISTORY INCLUDES THE USE OF CIGARETTES, CIGARS, PIPE TOBACCO, MARIJUANA,
AND OTHER CONTROLLED SUBSTANCES. BECAUSE THE CLIENT MAY HAVE GUILT OR DENIAL
ABOUT THIS HABIT, ASSUME A NONJUDGMENTAL ATTITUDE DURING THE INTERVIEW. THIS WILL
ENCOURAGE THE CLIENT TO BE HONEST ABOUT THE EXPOSURE. ASK THE CLIENT WHETHER ANY
OF THESE SUBSTANCES ARE USED NOW OR WERE USED IN THE PAST. ASSESS WHETHER THE
CLIENT HAS PASSIVE EXPOSURE TO SMOKE IN THE HOME OR WORKPLACE. IF THE CLIENT
SMOKES, ASK FOR HOW LONG, HOW MANY PACKS PER DAY, AND WHETHER HE OR SHE HAS
QUIT SMOKING (AND HOW LONG AGO). DOCUMENT THE SMOKING HISTORY IN PACK-YEARS
(NUMBER OF PACKS SMOKED DAILY MULTIPLIED BY THE NUMBER OF YEARS THE CLIENT HAS
SMOKED). QUITTING SMOKING MAY NOT STOP FURTHER CANCER DEVELOPMENT. THIS
STATEMENT WOULD BE GIVING THE CLIENT FALSE HOPE, WHICH SHOULD BE AVOIDED, BUT IS
NOT AS IMPORTANT AS MAINTAINING A NONJUDGMENTAL ATTITUDE.
DIF: APPLYING
, 2. A NURSE ASSESSES A CLIENT AFTER AN OPEN LUNG BIOPSY. WHICH ASSESSMENT FINDING IS
MATCHED WITH THE CORRECT INTERVENTION?
A. CLIENT STATES HE IS DIZZY. NURSE APPLIES OXYGEN AND PULSE OXIMETRY.
B. CLIENTS HEART RATE IS 55 BEATSMIN. NURSE WITHHOLDS PAIN MEDICATION.
C. CLIENT HAS REDUCED BREATH SOUNDS. NURSE CALLS PHYSICIAN IMMEDIATELY.
D. CLIENTS RESPIRATORY RATE IS 18 BREATHS MIN. NURSE DECREASES OXYGEN FLOW RATE.
CORRECT ANS: C
A POTENTIALLY SERIOUS COMPLICATION AFTER BIOPSY IS PNEUMOTHORAX, WHICH IS
INDICATED BY DECREASED OR ABSENT BREATH SOUNDS. THE PHYSICIAN NEEDS TO BE NOTIFIED
IMMEDIATELY. DIZZINESS AFTER THE PROCEDURE IS NOT AN EXPECTED FINDING. IF THE CLIENTS
HEART RATE IS 55 BEATS MIN, NO REASON IS KNOWN TO WITHHOLD PAIN MEDICATION. A
RESPIRATORY RATE OF 18 BREATHS
3. A NURSE ASSESSES A CLIENTS RESPIRATORY STATUS. WHICH INFORMATION IS OF HIGHEST
PRIORITY FOR THE NURSE TO OBTAIN?
A. AVERAGE DAILY FLUID INTAKE
B. NECK CIRCUMFERENCE
C. HEIGHT AND WEIGHT
D. OCCUPATION AND HOBBIES
CORRECT ANS: D
MANY RESPIRATORY PROBLEMS OCCUR AS A RESULT OF CHRONIC EXPOSURE TO INHALATION
IRRITANTS USED IN A CLIENTS OCCUPATION AND HOBBIES. ALTHOUGH IT WILL BE IMPORTANT
FOR THE NURSE TO ASSESS THE CLIENTS FLUID INTAKE, HEIGHT, AND WEIGHT, THESE WILL NOT
BE AS IMPORTANT AS DETERMINING HIS OCCUPATION AND HOBBIES. DETERMINING THE
CLIENTS NECK CIRCUMFERENCE WILL NOT BE AN IMPORTANT PART OF A RESPIRATORY
ASSESSMENT.
QUESTION BANK WITH ACCURATE SOLUTIONS |
CARDIOVASCULAR, RESPIRATORY & CRITICAL CARE FOCUS |
NGN-STYLE QUESTIONS | DETAILED RATIONALES | 2026/2027
EDITION
1. A NURSE OBTAINS THE HEALTH HISTORY OF A CLIENT WHO IS RECENTLY DIAGNOSED WITH
LUNG CANCER AND IDENTIFIES THAT THE CLIENT HAS A 60PACK-YEAR SMOKING HISTORY.
WHICH ACTION IS MOST IMPORTANT FOR THE NURSE TO TAKE WHEN INTERVIEWING THIS
CLIENT?
A. TELL THE CLIENT THAT HE NEEDS TO QUIT SMOKING TO STOP FURTHER CANCER
DEVELOPMENT.
B. ENCOURAGE THE CLIENT TO BE COMPLETELY HONEST ABOUT BOTH TOBACCO AND
MARIJUANA USE.
C. MAINTAIN A NONJUDGMENTAL ATTITUDE TO AVOID CAUSING THE CLIENT TO FEEL GUILTY.
D. AVOID GIVING THE CLIENT FALSE HOPE REGARDING CANCER TREATMENT AND PROGNOSIS.
CORRECT ANS: C
SMOKING HISTORY INCLUDES THE USE OF CIGARETTES, CIGARS, PIPE TOBACCO, MARIJUANA,
AND OTHER CONTROLLED SUBSTANCES. BECAUSE THE CLIENT MAY HAVE GUILT OR DENIAL
ABOUT THIS HABIT, ASSUME A NONJUDGMENTAL ATTITUDE DURING THE INTERVIEW. THIS WILL
ENCOURAGE THE CLIENT TO BE HONEST ABOUT THE EXPOSURE. ASK THE CLIENT WHETHER ANY
OF THESE SUBSTANCES ARE USED NOW OR WERE USED IN THE PAST. ASSESS WHETHER THE
CLIENT HAS PASSIVE EXPOSURE TO SMOKE IN THE HOME OR WORKPLACE. IF THE CLIENT
SMOKES, ASK FOR HOW LONG, HOW MANY PACKS PER DAY, AND WHETHER HE OR SHE HAS
QUIT SMOKING (AND HOW LONG AGO). DOCUMENT THE SMOKING HISTORY IN PACK-YEARS
(NUMBER OF PACKS SMOKED DAILY MULTIPLIED BY THE NUMBER OF YEARS THE CLIENT HAS
SMOKED). QUITTING SMOKING MAY NOT STOP FURTHER CANCER DEVELOPMENT. THIS
STATEMENT WOULD BE GIVING THE CLIENT FALSE HOPE, WHICH SHOULD BE AVOIDED, BUT IS
NOT AS IMPORTANT AS MAINTAINING A NONJUDGMENTAL ATTITUDE.
DIF: APPLYING
, 2. A NURSE ASSESSES A CLIENT AFTER AN OPEN LUNG BIOPSY. WHICH ASSESSMENT FINDING IS
MATCHED WITH THE CORRECT INTERVENTION?
A. CLIENT STATES HE IS DIZZY. NURSE APPLIES OXYGEN AND PULSE OXIMETRY.
B. CLIENTS HEART RATE IS 55 BEATSMIN. NURSE WITHHOLDS PAIN MEDICATION.
C. CLIENT HAS REDUCED BREATH SOUNDS. NURSE CALLS PHYSICIAN IMMEDIATELY.
D. CLIENTS RESPIRATORY RATE IS 18 BREATHS MIN. NURSE DECREASES OXYGEN FLOW RATE.
CORRECT ANS: C
A POTENTIALLY SERIOUS COMPLICATION AFTER BIOPSY IS PNEUMOTHORAX, WHICH IS
INDICATED BY DECREASED OR ABSENT BREATH SOUNDS. THE PHYSICIAN NEEDS TO BE NOTIFIED
IMMEDIATELY. DIZZINESS AFTER THE PROCEDURE IS NOT AN EXPECTED FINDING. IF THE CLIENTS
HEART RATE IS 55 BEATS MIN, NO REASON IS KNOWN TO WITHHOLD PAIN MEDICATION. A
RESPIRATORY RATE OF 18 BREATHS
3. A NURSE ASSESSES A CLIENTS RESPIRATORY STATUS. WHICH INFORMATION IS OF HIGHEST
PRIORITY FOR THE NURSE TO OBTAIN?
A. AVERAGE DAILY FLUID INTAKE
B. NECK CIRCUMFERENCE
C. HEIGHT AND WEIGHT
D. OCCUPATION AND HOBBIES
CORRECT ANS: D
MANY RESPIRATORY PROBLEMS OCCUR AS A RESULT OF CHRONIC EXPOSURE TO INHALATION
IRRITANTS USED IN A CLIENTS OCCUPATION AND HOBBIES. ALTHOUGH IT WILL BE IMPORTANT
FOR THE NURSE TO ASSESS THE CLIENTS FLUID INTAKE, HEIGHT, AND WEIGHT, THESE WILL NOT
BE AS IMPORTANT AS DETERMINING HIS OCCUPATION AND HOBBIES. DETERMINING THE
CLIENTS NECK CIRCUMFERENCE WILL NOT BE AN IMPORTANT PART OF A RESPIRATORY
ASSESSMENT.
