FSCJ 1460C Exam 2: Module 3 & Module
4 Questions And Answers
Which oxygen delivery setting places a patient in danger of receiving inadequate oxygen?
a. Nasal cannula at a flow rate of 2 L/min
b. Nasal cannula at a rate of 5 L/min
c. Simple mask at a flow rate of 5 L/min
d. Nonrebreather mask at a flow rate of 5 L/min - ANSWER d. Nonrebreather mask at a flow
rate of 5 L/min
Which action does a nurse anticipate when suctioning a patient with excessive secretions?
a. Decrease the patient's oxygen flow rate before beginning the deep suctioning.
b. Avoid lubricating the catheter tip to prevent getting the substance in the lung tissues.
c. Limit the time that the catheter is suctioning to prevent excessive loss of oxygen during the
process.
d. Flush the artificial airway with 3 mL of tap water to loosen secretions before suctioning. -
ANSWER c. Limit the time that the catheter is suctioning to prevent excessive loss of oxygen
during the process.
Which of the chambers of the heart becomes enlarged when mitral valve stenosis occurs?
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle - ANSWER c. Left atrium
Which situation contributes to cyanosis in the pulmonary patient?
a. Increased PaCO2 levels
b. Hemoglobin that is not saturated with oxygen
c. Elevated white blood cell count
d. Decreased PaCO2 levels - ANSWER b. Hemoglobin that is not saturated with oxygen
A patient with chronic pneumonia may be evaluated by a speech therapist for which cause?
a. Persistent aspiration of liquids
b. Hypoventilation due to smoking
c. Hyperventilation due to anxiety
d. Decreased respiratory effort due to scoliosis - ANSWER a. Persistent aspiration of liquids
, A patient with chronic obstructive pulmonary disease (COPD) uses which drive to breathe?
a. Increased PaCO2
b. Decreased hemoglobin
c. Decreased PaO2 levels
d. Increased PaO2 levels - ANSWER c. Decreased PaO2 levels
Which questions are included in a focused history for a cardiac patient? (Select all that apply.)
a. Are you having pain?
b. Where is the pain located?
c. Do you attend religious services regularly?
d. Do you have increased fatigue?
e. Do you have any episodes of dizziness? - ANSWER a. Are you having pain?
b. Where is the pain located?
d. Do you have increased fatigue?
e. Do you have any episodes of dizziness?
A client who was bitten by a spider develops cellulitis of the left lower arm. What assessment
findings will the nurse expect when caring for this client? Select all that apply.
A. Fever
B. Pain
C. Redness around the spider bite
D. Warmth in the affected arm
E. Swelling of the affected arm - ANSWER A. Fever
B. Pain
C. Redness around the spider bite
D. Warmth in the affected arm
E. Swelling of the affected arm
A client is diagnosed with C. difficile infection. What nursing action is the priority for the
client?
A. Provide meticulous skin care.
B. Place the client on Contact Precautions.
C. Give the client an antipyretic medication.
D. Encourage the client to drink extra fluids. - ANSWER B. Place the client on Contact
Precautions.
Which statements by assistive personnel indicate understanding regarding infection control
measures needed to care for a client who has possible Clostridium difficile infection? Select all
that apply.
A. "I'll wear an isolation gown when providing direct care."
,B. "I'll wear gloves when providing direct care."
C. "I'll wear a mask each time I enter the client's room."
D. "I'll use a hand sanitizer when I can't wash my hands."
E. "I'll wear goggles to protect my eyes." - ANSWER A. "I'll wear an isolation gown when
providing direct care."
B. "I'll wear gloves when providing direct care."
D. "I'll use a hand sanitizer when I can't wash my hands."
The nurse assesses a patient with chronic obstructive pulmonary disease (COPD). Which finding
does the nurse anticipate when inspecting the chest?
a. A ratio of 1 : 2 when comparing the side and front views of the chest
b. A barrel chest
c. A concave shape to the sternum
d. A severe lateral curvature of the spine - ANSWER b. A barrel chest
Which is a goal for a patient with the nursing diagnosis of Impaired Airway Clearance?
a. Patient's respiratory secretions will become thicker so they are not moved when coughing.
b. Patient's respiratory secretions will have a thinner consistency after being given a mucolytic
agent.
c. Patient will have improved range of motion while in bed.
d. Patient's respiratory rate will increase to 28 breaths/min during hospitalization. - ANSWER b.
Patient's respiratory secretions will have a thinner consistency after being given a mucolytic
agent.
Which position is the priority for a patient experiencing acute shortness of breath?
a. Supine position
b. Reverse Trendelenburg position
c. Face-down position
d. Upright position - ANSWER d. Upright position
The nurse takes a history for a client admitted to the hospital. Which factors in the nursing
history indicate that the client is at risk for infection? Select all that apply.
A. Diabetes mellitus type 2 for 20 years
B. 52-pack year history of cigarette smoking
C. Admitted from a long-term care facility
D. Has a history of multiple urinary tract infections
E. Is 84 years of age - ANSWER A. Diabetes mellitus type 2 for 20 years
B. 52-pack year history of cigarette smoking
, C. Admitted from a long-term care facility
D. Has a history of multiple urinary tract infections
E. Is 84 years of age
Which respiratory side effect does the nurse teach the client who is now prescribed an
angiotensin-converting enzyme (ACE) inhibitor to expect?
A. Wheezing on exertion
B. Increased secretions
C. Persistent dry cough
D. Orthopnea - ANSWER C. Persistent dry cough
While responding to questions in a health history, the client reports that he usually expectorates
about 2 ounces of thin, clear, colorless sputum daily, usually on getting up in the morning. What
is the nurse's best action related to this finding?
A. Document the report as the only action.
B. Arrange for the client to have tuberculosis testing.
C. Collect a sputum specimen for laboratory analysis.
D. Alert the primary health care provider about this funding. - ANSWER A. Document the report
as the only action.
Why are the terminal bronchioles more prone to collapse than are the other airways? Select all
that apply.
A. The cartilage is an incomplete C shape rather than a true ring.
B. The mucous membrane lining contains minimal active cilia.
C. Lung elastic recoil is the only force that keeps them patent.
D. Their walls are too thick to permit gas exchange.
E. They are surrounded by capillaries.
F. The lumens have a small diameter.
G. Their walls contain no cartilage. - ANSWER C. Lung elastic recoil is the only force that
keeps them patent.
F. The lumens have a small diameter.
G. Their walls contain no cartilage.
The nurse assessing an 88-year-old client notices a severe kyphosis that curves the client's spine
to the right and bends her forward. Which change in respiratory function does the nurse expect as
a result of this age-related change?
A. Decreased gas exchange as a result of reduced airway elasticity
B. Decreased gas exchange as a result of ineffective chest movement
C. Reduced pulmonary perfusion as a result of decreased alveolar diffusion capacity
4 Questions And Answers
Which oxygen delivery setting places a patient in danger of receiving inadequate oxygen?
a. Nasal cannula at a flow rate of 2 L/min
b. Nasal cannula at a rate of 5 L/min
c. Simple mask at a flow rate of 5 L/min
d. Nonrebreather mask at a flow rate of 5 L/min - ANSWER d. Nonrebreather mask at a flow
rate of 5 L/min
Which action does a nurse anticipate when suctioning a patient with excessive secretions?
a. Decrease the patient's oxygen flow rate before beginning the deep suctioning.
b. Avoid lubricating the catheter tip to prevent getting the substance in the lung tissues.
c. Limit the time that the catheter is suctioning to prevent excessive loss of oxygen during the
process.
d. Flush the artificial airway with 3 mL of tap water to loosen secretions before suctioning. -
ANSWER c. Limit the time that the catheter is suctioning to prevent excessive loss of oxygen
during the process.
Which of the chambers of the heart becomes enlarged when mitral valve stenosis occurs?
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle - ANSWER c. Left atrium
Which situation contributes to cyanosis in the pulmonary patient?
a. Increased PaCO2 levels
b. Hemoglobin that is not saturated with oxygen
c. Elevated white blood cell count
d. Decreased PaCO2 levels - ANSWER b. Hemoglobin that is not saturated with oxygen
A patient with chronic pneumonia may be evaluated by a speech therapist for which cause?
a. Persistent aspiration of liquids
b. Hypoventilation due to smoking
c. Hyperventilation due to anxiety
d. Decreased respiratory effort due to scoliosis - ANSWER a. Persistent aspiration of liquids
, A patient with chronic obstructive pulmonary disease (COPD) uses which drive to breathe?
a. Increased PaCO2
b. Decreased hemoglobin
c. Decreased PaO2 levels
d. Increased PaO2 levels - ANSWER c. Decreased PaO2 levels
Which questions are included in a focused history for a cardiac patient? (Select all that apply.)
a. Are you having pain?
b. Where is the pain located?
c. Do you attend religious services regularly?
d. Do you have increased fatigue?
e. Do you have any episodes of dizziness? - ANSWER a. Are you having pain?
b. Where is the pain located?
d. Do you have increased fatigue?
e. Do you have any episodes of dizziness?
A client who was bitten by a spider develops cellulitis of the left lower arm. What assessment
findings will the nurse expect when caring for this client? Select all that apply.
A. Fever
B. Pain
C. Redness around the spider bite
D. Warmth in the affected arm
E. Swelling of the affected arm - ANSWER A. Fever
B. Pain
C. Redness around the spider bite
D. Warmth in the affected arm
E. Swelling of the affected arm
A client is diagnosed with C. difficile infection. What nursing action is the priority for the
client?
A. Provide meticulous skin care.
B. Place the client on Contact Precautions.
C. Give the client an antipyretic medication.
D. Encourage the client to drink extra fluids. - ANSWER B. Place the client on Contact
Precautions.
Which statements by assistive personnel indicate understanding regarding infection control
measures needed to care for a client who has possible Clostridium difficile infection? Select all
that apply.
A. "I'll wear an isolation gown when providing direct care."
,B. "I'll wear gloves when providing direct care."
C. "I'll wear a mask each time I enter the client's room."
D. "I'll use a hand sanitizer when I can't wash my hands."
E. "I'll wear goggles to protect my eyes." - ANSWER A. "I'll wear an isolation gown when
providing direct care."
B. "I'll wear gloves when providing direct care."
D. "I'll use a hand sanitizer when I can't wash my hands."
The nurse assesses a patient with chronic obstructive pulmonary disease (COPD). Which finding
does the nurse anticipate when inspecting the chest?
a. A ratio of 1 : 2 when comparing the side and front views of the chest
b. A barrel chest
c. A concave shape to the sternum
d. A severe lateral curvature of the spine - ANSWER b. A barrel chest
Which is a goal for a patient with the nursing diagnosis of Impaired Airway Clearance?
a. Patient's respiratory secretions will become thicker so they are not moved when coughing.
b. Patient's respiratory secretions will have a thinner consistency after being given a mucolytic
agent.
c. Patient will have improved range of motion while in bed.
d. Patient's respiratory rate will increase to 28 breaths/min during hospitalization. - ANSWER b.
Patient's respiratory secretions will have a thinner consistency after being given a mucolytic
agent.
Which position is the priority for a patient experiencing acute shortness of breath?
a. Supine position
b. Reverse Trendelenburg position
c. Face-down position
d. Upright position - ANSWER d. Upright position
The nurse takes a history for a client admitted to the hospital. Which factors in the nursing
history indicate that the client is at risk for infection? Select all that apply.
A. Diabetes mellitus type 2 for 20 years
B. 52-pack year history of cigarette smoking
C. Admitted from a long-term care facility
D. Has a history of multiple urinary tract infections
E. Is 84 years of age - ANSWER A. Diabetes mellitus type 2 for 20 years
B. 52-pack year history of cigarette smoking
, C. Admitted from a long-term care facility
D. Has a history of multiple urinary tract infections
E. Is 84 years of age
Which respiratory side effect does the nurse teach the client who is now prescribed an
angiotensin-converting enzyme (ACE) inhibitor to expect?
A. Wheezing on exertion
B. Increased secretions
C. Persistent dry cough
D. Orthopnea - ANSWER C. Persistent dry cough
While responding to questions in a health history, the client reports that he usually expectorates
about 2 ounces of thin, clear, colorless sputum daily, usually on getting up in the morning. What
is the nurse's best action related to this finding?
A. Document the report as the only action.
B. Arrange for the client to have tuberculosis testing.
C. Collect a sputum specimen for laboratory analysis.
D. Alert the primary health care provider about this funding. - ANSWER A. Document the report
as the only action.
Why are the terminal bronchioles more prone to collapse than are the other airways? Select all
that apply.
A. The cartilage is an incomplete C shape rather than a true ring.
B. The mucous membrane lining contains minimal active cilia.
C. Lung elastic recoil is the only force that keeps them patent.
D. Their walls are too thick to permit gas exchange.
E. They are surrounded by capillaries.
F. The lumens have a small diameter.
G. Their walls contain no cartilage. - ANSWER C. Lung elastic recoil is the only force that
keeps them patent.
F. The lumens have a small diameter.
G. Their walls contain no cartilage.
The nurse assessing an 88-year-old client notices a severe kyphosis that curves the client's spine
to the right and bends her forward. Which change in respiratory function does the nurse expect as
a result of this age-related change?
A. Decreased gas exchange as a result of reduced airway elasticity
B. Decreased gas exchange as a result of ineffective chest movement
C. Reduced pulmonary perfusion as a result of decreased alveolar diffusion capacity
