Exam 4: NSG3130 / NSG 3130
Fundamental Concepts & Skills for
Nursing Practice II |
Galen
Question:
A patient admitted with a history of chronic obstructive pulmonary disease
(COPD) admits to smoking 1 pack of cigarettes per day for the last 40
years. When developing a plan of care for the patient, the nurse includes
smoking cessation as a priority education goal. Which interventions would
the nurse include in the patient education? (Select all that apply.)
A. Alternative therapies
B. Nicotine replacements
C. Support groups
D. Switching to e-cigarettes
E. Counseling
F. Decreasing the number of cigarettes smoked by half
G. Educating about the risks of smoking
Answer:
A, B, C, E, G
,Question:
The nurse understands that which of the following is most likely occurring
when caring for a pulmonary patient that has bluish discoloration around
the lips?
A. Increased PaCO2 levels
B. Hemoglobin that is not saturated with oxygen
C. Elevated white blood cell count
D. Decreased PaCO2 levels
Answer:
B
Question:
During handoff to the oncoming shift, the nurse includes in the SBAR
report that the patient needs to be evaluated by speech therapy for which
of the following reasons?
A. Persistent aspiration of liquids
B. Hypoventilation due to smoking
C. Hyperventilation due to anxiety
D. Decreased respiratory effort due to scoliosis
Answer:
A
,Question:
A patient with chronic obstructive pulmonary disease (COPD) uses which
drive to breathe?
A. Increased PaCO2
B. Decreased hemoglobin
C. Decreased PaO2 levels
D. Increased PaO2 levels
Answer:
C
Question:
Which questions would be included during a focused history on a cardiac
patient to help the nurse determine the significance of the cues? (Select all
that apply.)
A. Are you having pain?
B. Where is the pain located?
C. Do you attend religious services regularly?
D. Do you have increased fatigue?
E. Do you have any episodes of dizziness?
Answer:
A, B, D, E
, Question:
How do we assess oxygenation status in patients?
A. Only by SpO2
B. By monitoring SpO2, respiratory rate, work of breathing, lung sounds,
LOC, cyanosis, and ABGs
C. By temperature and heart rhythm only
D. By CBC and CMP labs alone
Answer:
B
Question:
Key patient teaching points for promoting oxygenation include all except:
A. Turn, cough, deep breathe q2h
B. High Fowler's positioning
C. Avoid hydration to reduce secretions
D. Use incentive spirometry regularly
Answer:
C
Fundamental Concepts & Skills for
Nursing Practice II |
Galen
Question:
A patient admitted with a history of chronic obstructive pulmonary disease
(COPD) admits to smoking 1 pack of cigarettes per day for the last 40
years. When developing a plan of care for the patient, the nurse includes
smoking cessation as a priority education goal. Which interventions would
the nurse include in the patient education? (Select all that apply.)
A. Alternative therapies
B. Nicotine replacements
C. Support groups
D. Switching to e-cigarettes
E. Counseling
F. Decreasing the number of cigarettes smoked by half
G. Educating about the risks of smoking
Answer:
A, B, C, E, G
,Question:
The nurse understands that which of the following is most likely occurring
when caring for a pulmonary patient that has bluish discoloration around
the lips?
A. Increased PaCO2 levels
B. Hemoglobin that is not saturated with oxygen
C. Elevated white blood cell count
D. Decreased PaCO2 levels
Answer:
B
Question:
During handoff to the oncoming shift, the nurse includes in the SBAR
report that the patient needs to be evaluated by speech therapy for which
of the following reasons?
A. Persistent aspiration of liquids
B. Hypoventilation due to smoking
C. Hyperventilation due to anxiety
D. Decreased respiratory effort due to scoliosis
Answer:
A
,Question:
A patient with chronic obstructive pulmonary disease (COPD) uses which
drive to breathe?
A. Increased PaCO2
B. Decreased hemoglobin
C. Decreased PaO2 levels
D. Increased PaO2 levels
Answer:
C
Question:
Which questions would be included during a focused history on a cardiac
patient to help the nurse determine the significance of the cues? (Select all
that apply.)
A. Are you having pain?
B. Where is the pain located?
C. Do you attend religious services regularly?
D. Do you have increased fatigue?
E. Do you have any episodes of dizziness?
Answer:
A, B, D, E
, Question:
How do we assess oxygenation status in patients?
A. Only by SpO2
B. By monitoring SpO2, respiratory rate, work of breathing, lung sounds,
LOC, cyanosis, and ABGs
C. By temperature and heart rhythm only
D. By CBC and CMP labs alone
Answer:
B
Question:
Key patient teaching points for promoting oxygenation include all except:
A. Turn, cough, deep breathe q2h
B. High Fowler's positioning
C. Avoid hydration to reduce secretions
D. Use incentive spirometry regularly
Answer:
C
