PRN Client Centered Care Final Exam Verified 2023

PRN Client Centered Care Final Exam Verified 2023. The nurse places their stethoscope over the anterior third of the chest near the sternum and hears breath sounds that have inspiration and expiration of equal duration. What type of breath sounds is the nurse hearing ? A. Bronchial B. Vesicular C. Bronchovesicular D. Tracheovesicular 5. A client needs IV fluids. The order reads. “Infuse 0.9% NS 1000 ml over 4 hours.” How may mL’s/hour should be given ? ( round the answer to the nearest whole number. Do not use a trailing zero. Do not label your answer. ) 250 mL/hr 6. On entering the clients room, the nurse notes the client's oxygen saturation is 85%. Which actions should the nurse take first ? A. Initiate humidification therapy B. Raise the head of the bed C. Encourage the client to cough and deep breathe D. Increase the client's fluid intake 7. Which of the following mechanisms are involved in the protection of the respiratory system ? A. Snoring helps to protect the airway while sleeping B. Sneezing helps to expel foreign particles C. Surfactant reduces surface tension and helps to keep alveoli open D. Mucus produced by goblet cells helps to trap foreign particles E. Coughing is a respiratory defense mechanism used to keep the airway open 8. The nurse is performing a respiratory assessment on her client and hears an abnormal sound in the lower, posterior lobe of the right lung on inspiration that sounds like a fine snap and popping sound. She recognizes the adventitious breath should be which of the following ? A. Rhonchi B. Crackles C. Wheezing D. Apnea 9. A client with a known DVT reports a sudden onset of dyspnea. What is the priority action in this situation ? A. Conduct a full head to toe assessment B. Contact the provider C. Administer oxygen D. Reposition the client 10. The nurse receives a lab report on a resident in long term care. Which positive result requires immediate intervention ? A. Candida albicans B. Pseudomonas C. staphylococcus D. Acid-fast bacillus 11. Which of the following are signs and symptoms of sinusitis ? A. Purulent nasal drainage, epistaxis B. Clear nasal drainage, tenderness over the sinuses C. Epistaxes, nasal stuffiness D. Tenderness over the sinus, tooth pain 12. A client diagnosed with the flu asks the nurse why he was not given an antibiotic. What is the best response by the nurse ? A. “T will speak to the provider about this.” B. “ Antibiotics are only given for flu A.” C. “ Antibiotics are only helpful if started within 48 hours of the onset of symptoms.” D. “ Flu is a viral illness, so antibiotics will not help.” 13. Which of the following conditions is most likely to result in a barrel-shaped chest ? A. Influenza B. Tuberculosis C. Pneumonia D. COPD 14. What is the best way to avoid the cold virus ? A. Wear a surgical mask B. Do not touch any surfaces C. Take high doses of vitamin c D. Frequent hand washing 15. 1 cup = 8 ounces 16. If medication for primary pulmonary hypertensions fails, what is the best option for the client? A. Heart transplantation B. There is no further treatment C. Lung reduction surgery D. Lung transplantation 17. The nurse is preparing to instruct the client with pneumonia on managing the disease after discharge from the hospital. Which of the following is consistent with appropriate discharge planning for this client ? A. Take all prescribed antibiotics until they are finished B. Maintain a supine position when sleeping. C. Continue to eat three main meals a day and do not worry about fluid intake D. Avoid contact with all family members for one week 18. 19. A client with tuberculosis tells the nurse that he has not been taking his prescribed medication. What is the next most appropriate action of the nurse ? A. Notify the clients provider immediately B. Notify the department of health C. Explore the clients reasons for nothing the medication D. Place the client in contact isolation 20. The LPN is performing data collection on a client. The pulse oximeter reads 79% on room air. The client is speaking normally with no complaints of shortness of breath. What is the priority intervention by the nurse ? A. Repostions the sensor B. Consult the charge nurse C. Apply oxygen D. Call a rapid response 21. A client presents to the urgent care clinic with a nose bleed (epistaxis). The nurse is aware that this condition could be minor or could lead to hypovolemic shock if significant blood loss has occurred. Select the correct answer below that is the main goal of treatment for nosebleeds. A. Do not be concerned with aspiration at this point B. Stop the bleeding C. Type and cross two units of blood D. Pinch the nose with two finger for one minute 22. The nurse is performing a focused respiratory assessment on a client with an asthma exacerbation. What sound would the nurse expect to hear ? A. Rhonchi B. Stridor C. Crackles D. wheezes 23. “Barrel chest” in emphysema clients occurs as the result of which of the following ? A. Chronic overdistension of the lungs B. Chronically high hematocrit C. Chronic use of oxygen D. Chronic rapid respirations 24. A client comes to urgent care with a family member who reports that the client is having an asthma attack. On auscultation, the nurse hears absent sounds. Which of the following actions should the nurse do next ? A. Start CPR B. Alert the provider immediately C. Lie the client down and keep calm D. Tell the client to puff his inhaler 25. Which of the following disorders is more common in clients with COPD than the general population ? A. B. C. Gastroesophageal reflux disease D. Peptic ulcer disorder ANSWER: it can be either colds, flu or pneumonia 26. The major risk factor for cancer of the larynx is which of the following ? A. Tonsillectomy B. Recurrent strep infection C. Smoking D. Hot liquids