NUR 112 - EXAM 1 Practice Questions and
CORRECT Answers
• A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to
disrupted sleep cycle. Which action should you delegate to the nursing assistant?
A. Discuss weight-loss strategies such as diet and exercise with the patient.
B. Teach the patient how to set up the BiPAP machine before sleeping.
C. Remind the patient to sleep on his side instead of his back.
D. Administer modafinil (Provigil) to promote daytime wakefulness. -✓✓ Correct
Answer: C. Remind the patient to sleep on his side instead of his back.
• After a change of shift, you are assigned to care for the following patients. Which
patient should you assess first?
A. A 60-year old patient on a ventilator for whom a sterile sputum specimen must
be sent to the lab.
B. A 55-year old with COPD and a pulse oximetry reading from the previous shift
of 90% saturation.
C. A 70-year old with pneumonia who needs to be started on intravenous (IV)
antibiotics.
D. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator. -✓✓ Correct Answer: D. A 50-year old with asthma who
complains of shortness of breath after using a bronchodilator.
• After the respiratory therapist performs suctioning on a patient who is intubated,
the nursing assistant measures vital signs for the patient. Which vital sign value
should the nursing assistant report to the registered nurse immediately?
,A. Heart rate of 98 beats/min
B. Respiratory rate of 24 breaths/min
C. Blood pressure of 168/90 mm Hg
D. Tympanic temperature of 101.4ºF (38.6ºC) -✓✓ Correct Answer: D. Tympanic
temperature of 101.4ºF (38.6ºC)
• An experienced LPN, under the supervision of the team leader RN, is providing
nursing care for a patient with a respiratory problem. Which actions are appropriate
to the scope of practice of an experienced LPN? Select all that apply.
A. Auscultate breath sounds
B. Administer medications via metered-dose inhaler (MDI)
C. Complete in-depth admission assessment
D. Initiate the nursing care plan
E. Evaluate the patient's technique for using MDI's -✓✓ Correct Answers: A and
B.
• The charge nurse is making assignments for the next shift. Which patient should
be assigned to the fairly new nurse (6 months experience) pulled from the surgical
unit to the medical unit?
A. A 58-year old on airborne precautions for tuberculosis (TB).
B. A 68-year old just returned from a bronchoscopy and biopsy.
C. A 72-year old who needs teaching about the use of incentive spirometry.
D. A 69-year old with COPD who is ventilator dependent. -✓✓ Correct Answer:
C. A 72-year old who needs teaching about the use of incentive spirometry
, • The nursing assistant tells you that a patient who is receiving oxygen at a flow
rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What
intervention should you suggest to improve the patient's comfort for this problem?
A. Suggest that the patient's oxygen be humidified.
B. Suggest that a simple face mask be used instead of a nasal cannula.
C. Suggest that the patient be provided with an extra pillow.
D. Suggest that the patient sit up in a chair at the bedside. -✓✓ Correct Answer: A.
Suggest that the patient's oxygen be humidified.
• When a patient with TB is being prepared for discharge, which statement by the
patient indicates the need for further teaching?
A. "Everyone in my family needs to go and see the doctor for TB testing."
B. "I will continue to take my isoniazid until I am feeling completely well."
C. "I will cover my mouth and nose when I sneeze or cough and put my used
tissues in a plastic bag."
D. "I will change my diet to include more foods rich in iron, protein, and vitamin
C." -✓✓ Correct Answer: B. "I will continue to take my isoniazid until I am
feeling completely well."
• The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern.
Which is an appropriate action to delegate to the experienced LPN under your
supervision?
A. Observe how well the patient performs pursed-lip breathing.
B. Plan a nursing care regimen that gradually increases activity intolerance.
C. Assist the patient with basic activities of daily living.
CORRECT Answers
• A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to
disrupted sleep cycle. Which action should you delegate to the nursing assistant?
A. Discuss weight-loss strategies such as diet and exercise with the patient.
B. Teach the patient how to set up the BiPAP machine before sleeping.
C. Remind the patient to sleep on his side instead of his back.
D. Administer modafinil (Provigil) to promote daytime wakefulness. -✓✓ Correct
Answer: C. Remind the patient to sleep on his side instead of his back.
• After a change of shift, you are assigned to care for the following patients. Which
patient should you assess first?
A. A 60-year old patient on a ventilator for whom a sterile sputum specimen must
be sent to the lab.
B. A 55-year old with COPD and a pulse oximetry reading from the previous shift
of 90% saturation.
C. A 70-year old with pneumonia who needs to be started on intravenous (IV)
antibiotics.
D. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator. -✓✓ Correct Answer: D. A 50-year old with asthma who
complains of shortness of breath after using a bronchodilator.
• After the respiratory therapist performs suctioning on a patient who is intubated,
the nursing assistant measures vital signs for the patient. Which vital sign value
should the nursing assistant report to the registered nurse immediately?
,A. Heart rate of 98 beats/min
B. Respiratory rate of 24 breaths/min
C. Blood pressure of 168/90 mm Hg
D. Tympanic temperature of 101.4ºF (38.6ºC) -✓✓ Correct Answer: D. Tympanic
temperature of 101.4ºF (38.6ºC)
• An experienced LPN, under the supervision of the team leader RN, is providing
nursing care for a patient with a respiratory problem. Which actions are appropriate
to the scope of practice of an experienced LPN? Select all that apply.
A. Auscultate breath sounds
B. Administer medications via metered-dose inhaler (MDI)
C. Complete in-depth admission assessment
D. Initiate the nursing care plan
E. Evaluate the patient's technique for using MDI's -✓✓ Correct Answers: A and
B.
• The charge nurse is making assignments for the next shift. Which patient should
be assigned to the fairly new nurse (6 months experience) pulled from the surgical
unit to the medical unit?
A. A 58-year old on airborne precautions for tuberculosis (TB).
B. A 68-year old just returned from a bronchoscopy and biopsy.
C. A 72-year old who needs teaching about the use of incentive spirometry.
D. A 69-year old with COPD who is ventilator dependent. -✓✓ Correct Answer:
C. A 72-year old who needs teaching about the use of incentive spirometry
, • The nursing assistant tells you that a patient who is receiving oxygen at a flow
rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What
intervention should you suggest to improve the patient's comfort for this problem?
A. Suggest that the patient's oxygen be humidified.
B. Suggest that a simple face mask be used instead of a nasal cannula.
C. Suggest that the patient be provided with an extra pillow.
D. Suggest that the patient sit up in a chair at the bedside. -✓✓ Correct Answer: A.
Suggest that the patient's oxygen be humidified.
• When a patient with TB is being prepared for discharge, which statement by the
patient indicates the need for further teaching?
A. "Everyone in my family needs to go and see the doctor for TB testing."
B. "I will continue to take my isoniazid until I am feeling completely well."
C. "I will cover my mouth and nose when I sneeze or cough and put my used
tissues in a plastic bag."
D. "I will change my diet to include more foods rich in iron, protein, and vitamin
C." -✓✓ Correct Answer: B. "I will continue to take my isoniazid until I am
feeling completely well."
• The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern.
Which is an appropriate action to delegate to the experienced LPN under your
supervision?
A. Observe how well the patient performs pursed-lip breathing.
B. Plan a nursing care regimen that gradually increases activity intolerance.
C. Assist the patient with basic activities of daily living.
