MDC4 Exam 2 Questions with 100% Correct
Answers
A perioperative nurse is caring for a postoperative client. The client has a shallow
respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should
address the client's increased risk for what complication?
Atelectasis
A critical-care nurse is caring for a client diagnosed with pneumonia as a surgical
complication. The nurse's assessment reveals that the client has an increased work of
breathing due to copious tracheobronchial secretions. What should the nurse encourage
the client to do?
Increase oral fluids unless contraindicated.
The nurse is caring for a client who has been in a motor vehicle accident and is
suspected of having developed pleurisy. Which assessment finding would best
corroborate this diagnosis?
The client's pain intensifies when the client coughs or takes a deep breath.
The nurse caring for a client recently diagnosed with lung disease encourages theclient
not to smoke. What is the primary rationale behind this nursing action?
Smoking damages the ciliary cleansing mechanism.
The nurse is caring for a client who is scheduled for a lobectomy for lung cancer. While
assisting with a subclavian vein central line insertion, the nurse notes that the client's
oxygen saturation is rapidly dropping. The client reports shortness of breath and
,becomes tachypneic. The nurse suspects a pneumothorax has developed. Which further
assessment finding would support the presence of a pneumothorax?
Diminished or absent breath sounds on the affected side
The nurse in the intensive care unit is caring for a client with pulmonary hypertension.
Which finding should the nurse expect to assess?
Dyspnea at rest
A new employee asks the occupational health nurse about measures to prevent
inhalation exposure to toxic substances. What should the nurse recommend?
"Wear protective attire and devices when working with a toxic substance."
An x-ray of a trauma client reveals rib fractures, and the client is diagnosed with a
small flail chest injury. Which intervention should the nurse include in the client's plan
of
care?
Initiate chest physiotherapy.
A client has tested positive for tuberculosis (TB). While providing client teaching, which
information should the nurse prioritize?
The importance of adhering closely to the prescribed medication regimen
The nurse is assessing an adult client following a motor vehicle accident. The nurse
observes that the client has an increased use of accessory muscles and is reporting chest
pain and shortness of breath. The nurse should recognize the possibility of which
condition?
Pneumothorax
, The nurse is caring for a client suspected of having acute respiratory distress
syndrome (ARDS). What is the most likely diagnostic test ordered in the early stages of
this disease to differentiate the client's symptoms from those of a cardiac etiology?
Brain natriuretic peptide (BNP) level
The nurse is caring for a client at risk for atelectasis. The nurse implements a first-line
measure to prevent atelectasis development in the client. What is an example of a
first-line measure to minimize atelectasis?
Incentive spirometry
While planning a client's care, the nurse identifies nursing actions to minimize the
client's pleuritic pain. Which intervention should the nurse include in the plan of care?
Administer an analgesic before coughing and deep breathing
The perioperative nurse is writing a care plan for a client who has returned from
surgery 2 hours ago. Which measure should the nurse implement to most decrease the
client's risk of developing pulmonary emboli (PE)?
Early ambulation
The school nurse is presenting a class on smoking cessation at the local high school. A
participant in the class asks the nurse about the risk of lung cancer in those who smoke.
What response related to risk for lung cancer in smokers is most accurate?
"The younger you are when you start smoking, the higher your risk of lung cancer."
Answers
A perioperative nurse is caring for a postoperative client. The client has a shallow
respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should
address the client's increased risk for what complication?
Atelectasis
A critical-care nurse is caring for a client diagnosed with pneumonia as a surgical
complication. The nurse's assessment reveals that the client has an increased work of
breathing due to copious tracheobronchial secretions. What should the nurse encourage
the client to do?
Increase oral fluids unless contraindicated.
The nurse is caring for a client who has been in a motor vehicle accident and is
suspected of having developed pleurisy. Which assessment finding would best
corroborate this diagnosis?
The client's pain intensifies when the client coughs or takes a deep breath.
The nurse caring for a client recently diagnosed with lung disease encourages theclient
not to smoke. What is the primary rationale behind this nursing action?
Smoking damages the ciliary cleansing mechanism.
The nurse is caring for a client who is scheduled for a lobectomy for lung cancer. While
assisting with a subclavian vein central line insertion, the nurse notes that the client's
oxygen saturation is rapidly dropping. The client reports shortness of breath and
,becomes tachypneic. The nurse suspects a pneumothorax has developed. Which further
assessment finding would support the presence of a pneumothorax?
Diminished or absent breath sounds on the affected side
The nurse in the intensive care unit is caring for a client with pulmonary hypertension.
Which finding should the nurse expect to assess?
Dyspnea at rest
A new employee asks the occupational health nurse about measures to prevent
inhalation exposure to toxic substances. What should the nurse recommend?
"Wear protective attire and devices when working with a toxic substance."
An x-ray of a trauma client reveals rib fractures, and the client is diagnosed with a
small flail chest injury. Which intervention should the nurse include in the client's plan
of
care?
Initiate chest physiotherapy.
A client has tested positive for tuberculosis (TB). While providing client teaching, which
information should the nurse prioritize?
The importance of adhering closely to the prescribed medication regimen
The nurse is assessing an adult client following a motor vehicle accident. The nurse
observes that the client has an increased use of accessory muscles and is reporting chest
pain and shortness of breath. The nurse should recognize the possibility of which
condition?
Pneumothorax
, The nurse is caring for a client suspected of having acute respiratory distress
syndrome (ARDS). What is the most likely diagnostic test ordered in the early stages of
this disease to differentiate the client's symptoms from those of a cardiac etiology?
Brain natriuretic peptide (BNP) level
The nurse is caring for a client at risk for atelectasis. The nurse implements a first-line
measure to prevent atelectasis development in the client. What is an example of a
first-line measure to minimize atelectasis?
Incentive spirometry
While planning a client's care, the nurse identifies nursing actions to minimize the
client's pleuritic pain. Which intervention should the nurse include in the plan of care?
Administer an analgesic before coughing and deep breathing
The perioperative nurse is writing a care plan for a client who has returned from
surgery 2 hours ago. Which measure should the nurse implement to most decrease the
client's risk of developing pulmonary emboli (PE)?
Early ambulation
The school nurse is presenting a class on smoking cessation at the local high school. A
participant in the class asks the nurse about the risk of lung cancer in those who smoke.
What response related to risk for lung cancer in smokers is most accurate?
"The younger you are when you start smoking, the higher your risk of lung cancer."
