NUR 146 Exam Questions And 100% Correct Answers
A nurse is monitoring a group of clients for increased risk for developing pneumonia.
Which of the following clients should the nurse expect to be at risk? SATA
A.) Client who has dysphagia
B.) Client who has AIDS
C.) Client who was vaccinated for pneumococcus and influenza 6 months ago
D.) Client who is postoperative and has received local anesthesia
E.) Client who has a closed head injury and is receiving mechanical ventilation
F.) Client with myasthenia gravis - ANSWER A.) Client with dysphagia
B.) Client with AIDS
E.) Client with a closed head injury and receiving mechanical ventilation
F.) Client with myasthenia gravis
A nurse is performing an assessment on a client who, upon awakening, was confused to
person, place, and time. The client reports chills and chest pain, worsened by
inspiration of breaths. Which of the following actions is the nursing priority?
A.) Obtain baseline vital signs and oxygen saturation
B.) Obtain a sputum culture
C.) Obtain a complete history from the client
D.) Educate client about prescribed pneumococcal vaccine - ANSWER A.) Obtain
baseline vital signs and oxygen saturation
The initial nursing process the nurse should implement for the client is assessment,
which describes the subsequent nursing intervention to be undertaken in the provision
of appropriate and safe care to the client.
, A nurse is caring for a client who has pneumonia. Assessment findings include
temperature (100°F), respirations 30/min, blood pressure 130/76, heart rate 100/min,
and SpO2 91% on room air. Prioritize the following nursing interventions:
Administer antibiotics
Administer oxygen therapy
Perform a sputum culture
Instruct the client to obtain a yearly influenza vaccination ANSWER Administer oxygen
therapy
Perform a sputum culture
Administer antibiotics
Instruct the client to obtain a yearly influenza vaccination
ABC priority framework would identify the provision of oxygen as the first intervention.
Obtaining a sputum culture should be done before providing oral antibiotics to obtain an
appropriate specimen.
A nurse is assessing a client who has a history of asthma. The nurse should identify
which of the following as being susceptible to asthma?
A.) Males
B.) Environmental allergies
C.) Alcohol use
D.) History of Diabetes - ANSWER D.) Environmental allergies
The nurse is caring for the client in the emergency department who is experiencing an
acute asthma attack. Which of the following findings indicates the client's respiratory
status is worsening? SATA
A nurse is monitoring a group of clients for increased risk for developing pneumonia.
Which of the following clients should the nurse expect to be at risk? SATA
A.) Client who has dysphagia
B.) Client who has AIDS
C.) Client who was vaccinated for pneumococcus and influenza 6 months ago
D.) Client who is postoperative and has received local anesthesia
E.) Client who has a closed head injury and is receiving mechanical ventilation
F.) Client with myasthenia gravis - ANSWER A.) Client with dysphagia
B.) Client with AIDS
E.) Client with a closed head injury and receiving mechanical ventilation
F.) Client with myasthenia gravis
A nurse is performing an assessment on a client who, upon awakening, was confused to
person, place, and time. The client reports chills and chest pain, worsened by
inspiration of breaths. Which of the following actions is the nursing priority?
A.) Obtain baseline vital signs and oxygen saturation
B.) Obtain a sputum culture
C.) Obtain a complete history from the client
D.) Educate client about prescribed pneumococcal vaccine - ANSWER A.) Obtain
baseline vital signs and oxygen saturation
The initial nursing process the nurse should implement for the client is assessment,
which describes the subsequent nursing intervention to be undertaken in the provision
of appropriate and safe care to the client.
, A nurse is caring for a client who has pneumonia. Assessment findings include
temperature (100°F), respirations 30/min, blood pressure 130/76, heart rate 100/min,
and SpO2 91% on room air. Prioritize the following nursing interventions:
Administer antibiotics
Administer oxygen therapy
Perform a sputum culture
Instruct the client to obtain a yearly influenza vaccination ANSWER Administer oxygen
therapy
Perform a sputum culture
Administer antibiotics
Instruct the client to obtain a yearly influenza vaccination
ABC priority framework would identify the provision of oxygen as the first intervention.
Obtaining a sputum culture should be done before providing oral antibiotics to obtain an
appropriate specimen.
A nurse is assessing a client who has a history of asthma. The nurse should identify
which of the following as being susceptible to asthma?
A.) Males
B.) Environmental allergies
C.) Alcohol use
D.) History of Diabetes - ANSWER D.) Environmental allergies
The nurse is caring for the client in the emergency department who is experiencing an
acute asthma attack. Which of the following findings indicates the client's respiratory
status is worsening? SATA
