NURS 444 SURGERY (Sherpath) EXAM
Questions and Answers A+ Graded.
The nurse, when auscultating the lower lungs of the patient, hears these
breath sounds. How should the nurse document these sounds?
1. stridor
2. vesicular
3. coarse crackles
4. bronchovesicular
Correct Answer -coarse crackles
The patient is hospitalized with pneumonia. Which diagnostic test should
be used to measure the efficiency of gas exchange in the lung and tissue
oxygenation?
1. Thoracentesis
2. Bronchoscopy
3. Arterial blood gases
4. Pulmonary function tests
Correct Answer -Arterial blood gases
After assisting at the bedside with a thoracentesis, the nurse should
continue to assess the patient for signs and symptoms of what?
1. Bronchospasm
2. Pneumothorax
3. Pulmonary edema
4. Respiratory acidosis
Correct Answer -Pneumothorax
,The patient is calling the clinic with a cough. What assessment should be
made first before the nurse advises the patient?
1. Frequency, family history, hematemesis
2. Weight loss, activity tolerance, orthopnea
3. Cough sound, sputum production, pattern
4. Smoking status, medications, residence location
Correct Answer -Cough sound, sputum production, pattern
What should the nurse inspect when assessing a patient with shortness of
breath for evidence of long-standing hypoxemia?
1. fingernails
2. chest excursion
3. spinal curvatures
4. respiratory pattern
Correct Answer -fingernais
What is an epistaxis?
Correct Answer -bleeding from the nose
A patient with a history of tonsillitis reports difficulty breathing. Which
patient assessment data warrants emergency interventions by the nurse?
1. Bilateral erythema of especially large tonsils
2. Temperature 102.2°F, diaphoresis, and chills
3. Contraction of neck muscles during inspiration
4. β-hemolytic streptococcus in the throat culture
Correct Answer -Contraction of neck muscles during inspiration
, The nurse observes clear nasal drainage in a patient newly admitted with
facial trauma with a nasal fracture. What is the nurse's priority action?
1. Test the drainage for the presence of glucose.
2. Suction the nose to maintain airway clearance.
3. Document the findings and continue monitoring.
4. Apply a drip pad and reassure the patient this is normal.
Correct Answer -Test the drainage for the presence of glucose.
A patient is being discharged from the emergency department after being
treated for epistaxis. In teaching first aid measures in the event the
epistaxis would recur, what measures should the nurse suggest (select all
that apply.)?
1. Tilt patient's head backwards.
2. Apply ice compresses to the nose.
3. Tilt head forward while lying down.
4. Pinch the entire soft lower portion of the nose.
5. Partially insert a small gauze pad into the bleeding nostril.
Correct Answer --Apply ice compresses to the nose.
-Pinch the entire soft lower portion of the nose.
-Partially insert a small gauze pad into the bleeding nostril.
When initially teaching a patient the supraglottic swallow after a radical
neck dissection, with which food or fluid should the nurse begin?
1. cola
2. applesauce
3. french fries
Questions and Answers A+ Graded.
The nurse, when auscultating the lower lungs of the patient, hears these
breath sounds. How should the nurse document these sounds?
1. stridor
2. vesicular
3. coarse crackles
4. bronchovesicular
Correct Answer -coarse crackles
The patient is hospitalized with pneumonia. Which diagnostic test should
be used to measure the efficiency of gas exchange in the lung and tissue
oxygenation?
1. Thoracentesis
2. Bronchoscopy
3. Arterial blood gases
4. Pulmonary function tests
Correct Answer -Arterial blood gases
After assisting at the bedside with a thoracentesis, the nurse should
continue to assess the patient for signs and symptoms of what?
1. Bronchospasm
2. Pneumothorax
3. Pulmonary edema
4. Respiratory acidosis
Correct Answer -Pneumothorax
,The patient is calling the clinic with a cough. What assessment should be
made first before the nurse advises the patient?
1. Frequency, family history, hematemesis
2. Weight loss, activity tolerance, orthopnea
3. Cough sound, sputum production, pattern
4. Smoking status, medications, residence location
Correct Answer -Cough sound, sputum production, pattern
What should the nurse inspect when assessing a patient with shortness of
breath for evidence of long-standing hypoxemia?
1. fingernails
2. chest excursion
3. spinal curvatures
4. respiratory pattern
Correct Answer -fingernais
What is an epistaxis?
Correct Answer -bleeding from the nose
A patient with a history of tonsillitis reports difficulty breathing. Which
patient assessment data warrants emergency interventions by the nurse?
1. Bilateral erythema of especially large tonsils
2. Temperature 102.2°F, diaphoresis, and chills
3. Contraction of neck muscles during inspiration
4. β-hemolytic streptococcus in the throat culture
Correct Answer -Contraction of neck muscles during inspiration
, The nurse observes clear nasal drainage in a patient newly admitted with
facial trauma with a nasal fracture. What is the nurse's priority action?
1. Test the drainage for the presence of glucose.
2. Suction the nose to maintain airway clearance.
3. Document the findings and continue monitoring.
4. Apply a drip pad and reassure the patient this is normal.
Correct Answer -Test the drainage for the presence of glucose.
A patient is being discharged from the emergency department after being
treated for epistaxis. In teaching first aid measures in the event the
epistaxis would recur, what measures should the nurse suggest (select all
that apply.)?
1. Tilt patient's head backwards.
2. Apply ice compresses to the nose.
3. Tilt head forward while lying down.
4. Pinch the entire soft lower portion of the nose.
5. Partially insert a small gauze pad into the bleeding nostril.
Correct Answer --Apply ice compresses to the nose.
-Pinch the entire soft lower portion of the nose.
-Partially insert a small gauze pad into the bleeding nostril.
When initially teaching a patient the supraglottic swallow after a radical
neck dissection, with which food or fluid should the nurse begin?
1. cola
2. applesauce
3. french fries
