COMPLETE 100 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS| ALREADY GRADED A+
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Question 1: A client with chronic bronchitis often shows signs of
hypoxia. Which of the following is the priority to monitor for in
this client?
A. Barrel chest
B. Nutritional status
C. O2 levels
D. Clubbing of fingers
Correct Answer: C. O2 levels
Rationale: In a client with chronic bronchitis, hypoxia is a primary
concern due to chronic airflow limitation and impaired gas
exchange. Monitoring oxygen saturation is the priority because it
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,provides immediate information about the client's oxygenation
status. While barrel chest, nutritional status, and clubbing of
fingers are important assessments, they do not provide the
critical, immediate data needed to prevent complications from
hypoxia .
Question 2: A nurse is assessing a client admitted with status
asthmaticus. Initially, the nurse heard wheezes in the lungs, but
now the lung sounds are inaudible. What is the priority
intervention?
A. Administration of long-acting bronchodilator
B. Measures to reduce anxiety
C. Prepare for immediate intubation and mechanical ventilation
D. Education to prevent future attacks
Correct Answer: C. Prepare for immediate intubation and
mechanical ventilation
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,Rationale: Inaudible lung sounds in a client with status
asthmaticus indicate that airflow is so severely compromised that
wheezing can no longer be heard, which is a medical emergency.
This is often referred to as a "silent chest" and indicates
impending respiratory failure. The priority is to prepare for
intubation and mechanical ventilation to maintain airway and
oxygenation .
Question 3: Which of the following positions offers NO benefit
to relieve dyspnea in a client with chronic airflow limitation?
A. Sitting at the edge of the chair, leaning forward with arms
folded on a table
B. Sitting upright in bed with arms supported on the overbed
table
C. Lying flat in bed with head of bed elevated 15 degrees
D. Standing and leaning against a wall with arms supported
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, Correct Answer: C. Lying flat in bed with head of bed elevated
15 degrees
Rationale: The tripod position (leaning forward with arms
supported) and upright positioning with arm support are
effective positions that maximize lung expansion and accessory
muscle use to relieve dyspnea. Lying flat with only 15 degrees of
elevation does not provide the same benefit and can actually
worsen dyspnea by allowing the abdominal contents to push
against the diaphragm .
Question 4: A client with COPD has an expected alteration in
which laboratory value?
A. Decreased hematocrit
B. Elevated carbon dioxide (PaCO2)
C. Decreased potassium
D. Elevated sodium
Correct Answer: B. Elevated carbon dioxide (PaCO2)
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