Adult Health: Lewis's Medical-
Surgical Nursing Practice
Questions (12th Edition) Exam
Questions with Answers
User [Date] [Course title]
, When caring for a patient with
acute bronchitis, the nurse will prioritize interventions by:
a. Auscultating lung sounds.
b. Encouraging fluid restriction.
c. Administering antibiotic therapy.
d. Teaching the patient to avoid cough suppressants. - Correct Answer: a. auscultating lung sounds.
Which patient(s) have the greatest risk for aspiration pneumonia? (Select all that apply).
a. Patient who had thoracic surgery.
b. Patient with acute opioid use.
c. Patient who had a myocardial infarction.
d. Patient who is receiving nasogastric enteral feeding.
e. Patient who has a traumatic brain injury from blunt trauma. - Correct Answer: b. Patient with acute
opioid use.
d. Patient who is receiving nasogastric enteral feeding.
e. Patient who has a traumatic brain injury from blunt trauma.
An appropriate nursing intervention to help a patient with pneumonia manage thick purulent secretions
would be to:
a. Perform postural drainage Q1 hour.
b. Provide analgesics Q3 hours.
c. Administer O2 as prescribed to maintain optimal O2 levels.
d. Teach them how to cough effectively and expectorate secretions. - Correct Answer: d. Teach them
how to cough effectively and expectorate secretions.
,A patient with TB is admitted to the hospital and placed in a single patient room on airborne
precautions. What should the nurse teach the patient? (Select all that apply).
a. No visitors will be allowed while in airborne isolation.
b. Expect regular TB skin testing to evaluate for infection.
c. Adherence to precautions includes coughing into a paper tissue.
d. Take all medications for full length of time to prevent multidrug-resistant TB.
e. Wear a standard isolation mask if leaving the airborne infection isolation room. - Correct Answer: c.
Adherence to precautions includes coughing into a paper tissue.
d. Take all medications for full length of time to prevent multidrug-resistant TB.
e. Wear a standard isolation mask if leaving the airborne infection isolation room.
When caring for a patient with a lung abscess, what is the nurse's priority intervention?
a. Postural drainage
b. Antibiotic administration
c. Obtaining a sputum specimen
d. Asking the patient about a family history of lung cancer - Correct Answer: b. Antibiotic administration
A lung abscess is typically caused by a bacterial infection that leads to localized tissue destruction and
pus formation. The priority intervention in treating a lung abscess is addressing the infection to prevent
further complications, such as sepsis or spreading of the infection. Antibiotics directly target the
causative pathogens and are the most critical initial intervention.
The patient with a right-side pleural effusion has stable vital signs and O2 at 6 L/min via nasal cannula. A
right-side chest tube is attached to straight drainage. Which actions would the nurse include in the plan
of care? (Select all that apply).
a. Placing the patient on NPO status.
b. Administering analgesia as ordered.
, c. Maintaining High-Fowler's position.
d. Encouraging deep breathing and coughing.
e. Monitoring color and amount of chest tube draining - Correct Answer: b. Administering analgesia as
ordered.
c. Maintaining High-Fowler's position.
d. Encouraging deep breathing and coughing.
e. Monitoring color and amount of chest tube draining
You are caring for a patient with several traumatic injuries after a multiple-vehicle accident. Which
assessment finding would lead you to suspect a flail chest?
a. Chest-tube is draining bright red blood.
b. Tracheal deviation to the unaffected side.
c. Paradoxical chest movement during respirations.
d. Limited to no movement of the involved chest wall. - Correct Answer: c. Paradoxical chest movement
during respirations.
When planning care for a patient at high risk for pulmonary embolism, the nurse prioritizes:
a. Maintaining the patient on strict bed rest.
b. Using intermittent pneumatic compression devices.
c. Encouraging the patient to cough and deep breath.
d. Encouraging a fluid intake of 2000 mL per 8-hour shift. - Correct Answer: b. Using intermittent
pneumatic compression devices.
The nurse would closely monitor patients exposed to a chlorine leak from a local factory for:
a. pulmonary edema
b. Anaphylactic shock
c. Respiratory acidosis
Surgical Nursing Practice
Questions (12th Edition) Exam
Questions with Answers
User [Date] [Course title]
, When caring for a patient with
acute bronchitis, the nurse will prioritize interventions by:
a. Auscultating lung sounds.
b. Encouraging fluid restriction.
c. Administering antibiotic therapy.
d. Teaching the patient to avoid cough suppressants. - Correct Answer: a. auscultating lung sounds.
Which patient(s) have the greatest risk for aspiration pneumonia? (Select all that apply).
a. Patient who had thoracic surgery.
b. Patient with acute opioid use.
c. Patient who had a myocardial infarction.
d. Patient who is receiving nasogastric enteral feeding.
e. Patient who has a traumatic brain injury from blunt trauma. - Correct Answer: b. Patient with acute
opioid use.
d. Patient who is receiving nasogastric enteral feeding.
e. Patient who has a traumatic brain injury from blunt trauma.
An appropriate nursing intervention to help a patient with pneumonia manage thick purulent secretions
would be to:
a. Perform postural drainage Q1 hour.
b. Provide analgesics Q3 hours.
c. Administer O2 as prescribed to maintain optimal O2 levels.
d. Teach them how to cough effectively and expectorate secretions. - Correct Answer: d. Teach them
how to cough effectively and expectorate secretions.
,A patient with TB is admitted to the hospital and placed in a single patient room on airborne
precautions. What should the nurse teach the patient? (Select all that apply).
a. No visitors will be allowed while in airborne isolation.
b. Expect regular TB skin testing to evaluate for infection.
c. Adherence to precautions includes coughing into a paper tissue.
d. Take all medications for full length of time to prevent multidrug-resistant TB.
e. Wear a standard isolation mask if leaving the airborne infection isolation room. - Correct Answer: c.
Adherence to precautions includes coughing into a paper tissue.
d. Take all medications for full length of time to prevent multidrug-resistant TB.
e. Wear a standard isolation mask if leaving the airborne infection isolation room.
When caring for a patient with a lung abscess, what is the nurse's priority intervention?
a. Postural drainage
b. Antibiotic administration
c. Obtaining a sputum specimen
d. Asking the patient about a family history of lung cancer - Correct Answer: b. Antibiotic administration
A lung abscess is typically caused by a bacterial infection that leads to localized tissue destruction and
pus formation. The priority intervention in treating a lung abscess is addressing the infection to prevent
further complications, such as sepsis or spreading of the infection. Antibiotics directly target the
causative pathogens and are the most critical initial intervention.
The patient with a right-side pleural effusion has stable vital signs and O2 at 6 L/min via nasal cannula. A
right-side chest tube is attached to straight drainage. Which actions would the nurse include in the plan
of care? (Select all that apply).
a. Placing the patient on NPO status.
b. Administering analgesia as ordered.
, c. Maintaining High-Fowler's position.
d. Encouraging deep breathing and coughing.
e. Monitoring color and amount of chest tube draining - Correct Answer: b. Administering analgesia as
ordered.
c. Maintaining High-Fowler's position.
d. Encouraging deep breathing and coughing.
e. Monitoring color and amount of chest tube draining
You are caring for a patient with several traumatic injuries after a multiple-vehicle accident. Which
assessment finding would lead you to suspect a flail chest?
a. Chest-tube is draining bright red blood.
b. Tracheal deviation to the unaffected side.
c. Paradoxical chest movement during respirations.
d. Limited to no movement of the involved chest wall. - Correct Answer: c. Paradoxical chest movement
during respirations.
When planning care for a patient at high risk for pulmonary embolism, the nurse prioritizes:
a. Maintaining the patient on strict bed rest.
b. Using intermittent pneumatic compression devices.
c. Encouraging the patient to cough and deep breath.
d. Encouraging a fluid intake of 2000 mL per 8-hour shift. - Correct Answer: b. Using intermittent
pneumatic compression devices.
The nurse would closely monitor patients exposed to a chlorine leak from a local factory for:
a. pulmonary edema
b. Anaphylactic shock
c. Respiratory acidosis
