NRSG 2300 Exam 3 Questions and Correct
Answers
Question 1
A nurse is teaching the client about use of a metered-dose inhaler (MDI). What
instructions should the nurse include in the teaching? Select all that apply.
It is not necessary to hold your breath after using.
Use normal inhalations with the device.
Take a slow, deep inhalation from the device.
The device may increase delivery of the MDI medication.
Activate the MDI once.
Correct Answer
Take a slow, deep inhalation from the device.
The device may increase delivery of the MDI medication.
Activate the MDI once.
The pictured device is a spacer, which is attached to an MDI for client use. The client
activates the MDI once and takes a slow, deep inhalation, not normal inhalations.
The client then holds the breath for 10 seconds. The spacer may increase delivery of
the MDI medication.
Page 1 of 54
,Question 2
A client has a 10-year history of Crohn's disease and is seeing the physician due to
increased diarrhea and fatigue. What is the recommended dietary approach to treat
Crohn's disease?
lactose-rich foods
high-fiber diet
low-fiber diet
dietary approach varies.
Correct Answer
dietary approach varies.
The dietary approach varies. A high-fiber diet may be indicated when it is desirable
to add bulk to loose stools. A low-fiber diet may be indicated in cases of severe
inflammation or stricture. A high-calorie and high-protein diet helps replace
nutritional losses from chronic diarrhea. The client may need nutritional
supplements, depending on the area of the bowel affected. When the small
intestine is inflamed, some clients experience lactose intolerance, requiring
avoidance of lactose-rich foods.
Question 3
In COPD, the body attempts to improve oxygen-carrying capacity by increasing the
amount of red blood cells. Which term refers to this process?
Emphysema
Asthma
Polycythemia
Bronchitis
Correct Answer
Polycythemia
Polycythemia is an increase in the red blood cell concentration in the blood. In
COPD, the body attempts to improve oxygen-carrying capacity by producing
increasing amounts of red blood cells.
Page 2 of 54
,Question 4
postural drainage
Correct Answer
method of positioning a patient so that gravity aids in the drainage of secretions
from the bronchi and lobes of the lungs.
moves secretions from the lower respiratory tract to the upper respiratory tract
Trendelenburg position
Question 5
A nurse is evaluating the diagnostic study data of a client with suspected cystic
fibrosis (CF). Which of the following test results is associated with a diagnosis of cystic
fibrosis?
Elevated sweat chloride concentration
Presence of protein in the urine
Positive phenylketonuria
Decreased tidal volume
Correct Answer
Elevated sweat chloride concentration
Gene mutations affect transport of chloride ions, leading to CF, which is
characterized by thick, viscous secretions in the lungs, pancreas, liver, intestine, and
reproductive tract as well as increased salt content in sweat gland secretions.
Proteinuria, positive phenylketonuria, and decreased tidal volume are not diagnostic
for CF.
Question 6
COPD causes
Correct Answer
smoking, air pollutants, work environment (toxic), infection, asthma, antitrypsin 1
deficiency, second hand smoke
Page 3 of 54
, Question 7
A client has a history of chronic obstructive pulmonary disease (COPD). Following a
coughing episode, the client reports sudden and unrelieved shortness of breath.
Which of the following is the most important for the nurse to assess?
Lung sounds
Respiratory rate
Skin color
Heart rate
Correct Answer
Lung sounds
A client with COPD is at risk for developing pneumothorax. The description given is
consistent with possible pneumothorax. Though the nurse will assess all the data,
auscultating the lung sounds will provide the nurse with the information if the client
has a pneumothorax.
Question 8
During a community health fair, a nurse is teaching a group of seniors about
promoting health and preventing infection. Which intervention would best promote
infection prevention for senior citizens who are at risk of pneumococcal and influenza
infections?
Drink six glasses of water daily
Receive vaccinations
Take all prescribed medications
Exercise daily
Correct Answer
Receive vaccinations
Identifying clients who are at risk for pneumonia provides a means to practice
preventive nursing care. The nurse encourages clients at risk of pneumococcal and
influenza infections to receive vaccinations against these infections.
Page 4 of 54
Answers
Question 1
A nurse is teaching the client about use of a metered-dose inhaler (MDI). What
instructions should the nurse include in the teaching? Select all that apply.
It is not necessary to hold your breath after using.
Use normal inhalations with the device.
Take a slow, deep inhalation from the device.
The device may increase delivery of the MDI medication.
Activate the MDI once.
Correct Answer
Take a slow, deep inhalation from the device.
The device may increase delivery of the MDI medication.
Activate the MDI once.
The pictured device is a spacer, which is attached to an MDI for client use. The client
activates the MDI once and takes a slow, deep inhalation, not normal inhalations.
The client then holds the breath for 10 seconds. The spacer may increase delivery of
the MDI medication.
Page 1 of 54
,Question 2
A client has a 10-year history of Crohn's disease and is seeing the physician due to
increased diarrhea and fatigue. What is the recommended dietary approach to treat
Crohn's disease?
lactose-rich foods
high-fiber diet
low-fiber diet
dietary approach varies.
Correct Answer
dietary approach varies.
The dietary approach varies. A high-fiber diet may be indicated when it is desirable
to add bulk to loose stools. A low-fiber diet may be indicated in cases of severe
inflammation or stricture. A high-calorie and high-protein diet helps replace
nutritional losses from chronic diarrhea. The client may need nutritional
supplements, depending on the area of the bowel affected. When the small
intestine is inflamed, some clients experience lactose intolerance, requiring
avoidance of lactose-rich foods.
Question 3
In COPD, the body attempts to improve oxygen-carrying capacity by increasing the
amount of red blood cells. Which term refers to this process?
Emphysema
Asthma
Polycythemia
Bronchitis
Correct Answer
Polycythemia
Polycythemia is an increase in the red blood cell concentration in the blood. In
COPD, the body attempts to improve oxygen-carrying capacity by producing
increasing amounts of red blood cells.
Page 2 of 54
,Question 4
postural drainage
Correct Answer
method of positioning a patient so that gravity aids in the drainage of secretions
from the bronchi and lobes of the lungs.
moves secretions from the lower respiratory tract to the upper respiratory tract
Trendelenburg position
Question 5
A nurse is evaluating the diagnostic study data of a client with suspected cystic
fibrosis (CF). Which of the following test results is associated with a diagnosis of cystic
fibrosis?
Elevated sweat chloride concentration
Presence of protein in the urine
Positive phenylketonuria
Decreased tidal volume
Correct Answer
Elevated sweat chloride concentration
Gene mutations affect transport of chloride ions, leading to CF, which is
characterized by thick, viscous secretions in the lungs, pancreas, liver, intestine, and
reproductive tract as well as increased salt content in sweat gland secretions.
Proteinuria, positive phenylketonuria, and decreased tidal volume are not diagnostic
for CF.
Question 6
COPD causes
Correct Answer
smoking, air pollutants, work environment (toxic), infection, asthma, antitrypsin 1
deficiency, second hand smoke
Page 3 of 54
, Question 7
A client has a history of chronic obstructive pulmonary disease (COPD). Following a
coughing episode, the client reports sudden and unrelieved shortness of breath.
Which of the following is the most important for the nurse to assess?
Lung sounds
Respiratory rate
Skin color
Heart rate
Correct Answer
Lung sounds
A client with COPD is at risk for developing pneumothorax. The description given is
consistent with possible pneumothorax. Though the nurse will assess all the data,
auscultating the lung sounds will provide the nurse with the information if the client
has a pneumothorax.
Question 8
During a community health fair, a nurse is teaching a group of seniors about
promoting health and preventing infection. Which intervention would best promote
infection prevention for senior citizens who are at risk of pneumococcal and influenza
infections?
Drink six glasses of water daily
Receive vaccinations
Take all prescribed medications
Exercise daily
Correct Answer
Receive vaccinations
Identifying clients who are at risk for pneumonia provides a means to practice
preventive nursing care. The nurse encourages clients at risk of pneumococcal and
influenza infections to receive vaccinations against these infections.
Page 4 of 54
