ACTUAL EXAM ALL 130 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY GRADED
A+
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no significant
medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
,NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal
cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the nurse collects
from the supply room? SATA
A) humidifier bottle.
B) Suction canister.
C) Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are dry.
He has a productive cough with thick, yellow secretions. His capillary refill is
four seconds. Vital signs, temperature
100.2. Heart rate 101 bpm, respiratory rate 28 breaths per minute, blood pressure
145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates
hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure
145/89. Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough.
Cardiovascular: capillary refill for seconds, blood pressure
145/89. Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
,NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no significant
medical or surgical history.
The nurse should place the client in a _______________ position to promote __ _.
Semi-Fowler , lung expansion.
, NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a PIV, start oxygen 3L via nasal cannula, normal saline 150 ML per
hour, acetaminophen 350mg PO every six hours for temp greater than 101F,
chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation greater
than 94%.
(mark whether the statements by the new grad nurse indicate understanding or
no understanding of the use of facemask in the care of this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for expiration.
-I should place the mask first over the nose and then cover the mouth.
-I should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2 minute break from the facemask each hour. (NOT
UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT UNDERSTANDING
????)
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for expiration.
(NOT UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth.
(UNDERSTANDING)