FINAL EXAM 240 ALL QUESTIONS WITH ANSWERS

FINAL EXAM 240 ALL QUESTIONS WITH
ANSWERS


ED nurse asses patient with dyspnea hears wheezes - CORRECT ANSWER-patient
has narrowed airway

nurse cares for patient with acute exacerbation of copd has increased dyspnea, what
most accurately measures 02 in patient s blood - CORRECT ANSWER-ABG study

patient returned from bronchoscopy and asks for something to drink what criteria allows
patient to drink fluid - CORRECT ANSWER-presence of cough/gag reflex

in addition to HR, BP, RR, and Temp asses patient arterial oxygen saturation level -
CORRECT ANSWER-pulse oximetry

patient with decreased LOC in a recumbent position, how to best asses lungs -
CORRECT ANSWER-turn patient to enable all patient lung fields

patient tests for pleural effusion diagnosis - CORRECT ANSWER-lung fields dull to
percussion, absent breath sounds, pleural friction rub

nurse rounds beginning of shift and notices a sputum container sitting on patient table is
four hours old, take what action - CORRECT ANSWER-discard and assist with another
specimen

patient diagnosed with pneumonia and has not responded to treatment, what breath
sounds is heard - CORRECT ANSWER-crackles

while assessing a patient with pneumonia patient repasts E but and A is heard -
CORRECT ANSWER-egophony

nurse caring for patient with pleural effusion that had a thorascopic procedure, prioritize
what - CORRECT ANSWER-SOB

sputum study for patient with coarse crackles and fever, what time do you collect
sample - CORRECT ANSWER-first thing in morning

ED nurse assess's respiratory function of teenage with with acute SOB and continuous
wheezes during inspiration and expiration suggests - CORRECT ANSWER-asthma

,nurse caring for patient with bronchoscopy, prepare patient by - CORRECT ANSWER-
with holding food and fluids for several hours before test

nurse assigned group of patients which finding factor to increase risk for impaired gas
exchange - CORRECT ANSWER-hemoglobin of 8.5 g/dl

nurse identifies patient condition as problem of impaired gas exchange secondary to
perfusion - CORRECT ANSWER-peripheral arterial disease of lower extremities

nurse asses patient differential WBC count what implications would test have on
evaluating adequacy of patient gas exchange - CORRECT ANSWER-an evaluation of
the total white cell count indicates general inflammation

nurse assesses patient for adequacy of ventilation, what finding indicates good
ventilation - CORRECT ANSWER-02 stat is 98% and nail beds pink with good cap refill

nurses best réponse if patient calls clinic to report persistent cough for 2 weeks to
recommend a cough medicine - CORRECT ANSWER-you should come to the clinic to
be evaluated, a cough lasting that long might indicate underlying medical problem

patient at clinic with dry non reproductive cough and diagnosed with bronchitis needs
thinning of sputum for productive couch - CORRECT ANSWER-guiafensin (mucinex)

patient at clinic with symptoms of seasonal allergic rhinitis is prescribed nasal steroid.
two days later patient says wants a new drug - CORRECT ANSWER-it may take up to 2
weeks for full effect, keep using as ordered

nursing instructor discusses administration of decongestant nasal spray - CORRECT
ANSWER-use the spray for less that 3-5 days to prevent rebound congestion

nurse caring for a 38 yr old patient on albuterol advises adverse effect of - CORRECT
ANSWER-Tachycardia

nurse caring for client at clinic with thick white coating on tongue that won't rinse off
from - CORRECT ANSWER-fluticasone

patient with presentation in four hours needs relief of congestion of seasonal rhinitis but
can't be drowsy, suggest - CORRECT ANSWER-loratadine - claritin

nurse caring for patient with hypertension and sever coronary artery disease what
medication is contraindicated - CORRECT ANSWER-pseudoephedrine

patient at ED having acute asthma attack given albuterol, expect - CORRECT
ANSWER-cause dilation of bronchi with increased rate and depth of respirations

, patient at ED in acute respiratory distress and breathing difficulty after taking
Combivent, patient allergic to - CORRECT ANSWER-peanuts

patient exhibits signs of pneumothorax after tracheostomy, surgeon orders chest to -
CORRECT ANSWER-remove air from pleural space

patient plan of care specifies postural drainage to what noninvasive therapy -
CORRECT ANSWER-assist the patient into a position that will allow gravity to move
secretions

acute medical nurse to wean patient form ventilator what assessment is most important
- CORRECT ANSWER-baselien arterial blood gas levels

nurse caring for patient with COPD that relieved high flow 02 therapy for extended time,
what are signs of 02 toxicity - CORRECT ANSWER-dyspnea and substernal pain

medical nurse treats care plan of adult patient with mechanical ventilation, action most
appropriate - CORRECT ANSWER-monitor cuff pressure every 8 hours

while assessing patient observe constant bubbling in water seal chamber of closed
chest drainage system concludes - CORRECT ANSWER-the system has an air leak

patient with severe exacerbation of COPD requires precise 02 delivery, use which mask
- CORRECT ANSWER-venturi mask

nurse carin for client with endotracheal tube what indicates needs to suction -
CORRECT ANSWER-cyanosis, tachypnea, and visual secretions

which can cause low pulse oximetry readings - CORRECT ANSWER-nail polish,
inadequate peripheral circulation, edema

patient with chest tube that has been accidentally removed, do what first - CORRECT
ANSWER-cover insertion site with dry sterile gauze

preoperative nurse caring for post op patient with shallow respiratory pattern and
reluctant to cough and mobilize assess increased risk for - CORRECT ANSWER-
atelectasis

patient diagnosed with pneumonia as surgical complications, patient has increased
work of breathing form copious tracheobronchial recreations encourage patient to -
CORRECT ANSWER-increase oral fluids unless contraindicated

patient receiving 02 therapy for pneumonia, patient hypoxic assessment - CORRECT
ANSWER-assess the patient s 02 saturation levels