NUR 211 EXAM 3 QUESTIONS
AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
A home health nurse is teaching a client who has active
TB. The provider has prescribed the following medication
regimen: Isoniazid 250mg PO daily, Rifampin 500mg PO
daily, Pyrazinamide 750 mg PO daily, and Ethambutol 1mg
PO daily. Which of the follwoing client statements
indicate the client understands the teaching? Select all
that apply
A. "I can substitute one medication for another if I run out
because they all fight infection."
B. " I will wash my hands each time I cough."
C. "I will wear a mask when I am in a public area."
D. "I am glad I don't have to have any more sputum
specimens."
E. "I don't need to worry where I go once I start taking my
medications." - CORRECT ANSWER - B. The client
,should was her hands each time she coughs to prevent
spreading the infection
C. The client should wear a mask while in public areas to
prevent spreading the infection. The client has active TB,
which is transmitted through the airborne route.
pg 140
A nurse in a clinic is assessing a client who has sinusitis.
Which of the following techniques should the nurse use to
identify manifestations of this disorder?
A. Percussion of posterior lobes of the lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - CORRECT ANSWER -
D. Palpation of the orbital, frontal, and facial areas will
elicit a report of tenderness, which is a manifestation in a
client who has sinusitis.
pg 124
,A nurse in a clinic is caring for a client whose partner
states the client woke up this morning, did not recognize
him, and did not know where she was. The client reports
chills and chest pain that is worse upon inspiration. Which
of the following actions is the nursing priority?
A. Obtain baseline vital signs and oxygen saturation
B. Obtain a sputum culture
C. Obtains a complete history from the client.
D. Provide a pneumococcal vaccine - CORRECT ANSWER
- A. The first action the nurse should take using the
nursing process is the assess the client, which is essential
in the planning client-centered care.
pg. 124
A nurse in the ED is caring for a client who is having an
acute asthma attack. Which of the following assessments
indicates that the respiratory status is declining? Select all
that apply
A. SaO2 95%
, B. Wheezing
C. Retraction of sternal muscles
D. Pink Mucous membranes
E. Premature ventricular complexes (PVCs) - CORRECT
ANSWER - B. Wheezing is a manifestation indicating the
client's respiratory status is declining.
C. Retraction of sternal muscles is the manifestation that
the client's respiratory status is declining.
E. PVCs are a manifestation that the client's respiratory
status is declining.
pg 128
A nurse in the emergency department is assessing a client
who has a suspected flail chest. Which of the following
findings should the nurse expect? Select all that apply
A. Bradycardia
B. Cyanosis
C. Hypotension
D. Dyspnea
AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
A home health nurse is teaching a client who has active
TB. The provider has prescribed the following medication
regimen: Isoniazid 250mg PO daily, Rifampin 500mg PO
daily, Pyrazinamide 750 mg PO daily, and Ethambutol 1mg
PO daily. Which of the follwoing client statements
indicate the client understands the teaching? Select all
that apply
A. "I can substitute one medication for another if I run out
because they all fight infection."
B. " I will wash my hands each time I cough."
C. "I will wear a mask when I am in a public area."
D. "I am glad I don't have to have any more sputum
specimens."
E. "I don't need to worry where I go once I start taking my
medications." - CORRECT ANSWER - B. The client
,should was her hands each time she coughs to prevent
spreading the infection
C. The client should wear a mask while in public areas to
prevent spreading the infection. The client has active TB,
which is transmitted through the airborne route.
pg 140
A nurse in a clinic is assessing a client who has sinusitis.
Which of the following techniques should the nurse use to
identify manifestations of this disorder?
A. Percussion of posterior lobes of the lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - CORRECT ANSWER -
D. Palpation of the orbital, frontal, and facial areas will
elicit a report of tenderness, which is a manifestation in a
client who has sinusitis.
pg 124
,A nurse in a clinic is caring for a client whose partner
states the client woke up this morning, did not recognize
him, and did not know where she was. The client reports
chills and chest pain that is worse upon inspiration. Which
of the following actions is the nursing priority?
A. Obtain baseline vital signs and oxygen saturation
B. Obtain a sputum culture
C. Obtains a complete history from the client.
D. Provide a pneumococcal vaccine - CORRECT ANSWER
- A. The first action the nurse should take using the
nursing process is the assess the client, which is essential
in the planning client-centered care.
pg. 124
A nurse in the ED is caring for a client who is having an
acute asthma attack. Which of the following assessments
indicates that the respiratory status is declining? Select all
that apply
A. SaO2 95%
, B. Wheezing
C. Retraction of sternal muscles
D. Pink Mucous membranes
E. Premature ventricular complexes (PVCs) - CORRECT
ANSWER - B. Wheezing is a manifestation indicating the
client's respiratory status is declining.
C. Retraction of sternal muscles is the manifestation that
the client's respiratory status is declining.
E. PVCs are a manifestation that the client's respiratory
status is declining.
pg 128
A nurse in the emergency department is assessing a client
who has a suspected flail chest. Which of the following
findings should the nurse expect? Select all that apply
A. Bradycardia
B. Cyanosis
C. Hypotension
D. Dyspnea
