MS1 CHAPTER 29, 30,31 EXAM
QUESTIONS AND ANSWERS
An LPN is helping prepare a patient for a thoracentesis. Which of the
following would be included in teaching? (select all that apply)
a. the doctor will collect fluid from the space between your lung and
chest wall
b. you will assume a sitting position at the end of the bed
c. you will need to be NPO for 6 hours
d. you will need to sign a consent form for this procedure
e. you will need to take frequent deep breaths during the procedure
f. This is a sterile procedure, so the site will be covered with a drape -
ANSWER a, b, d, f
an older adult who reports difficulty breathing and productive cough and
has a low-grade fever is admitted to the hospital for diagnosis and
treatment. intervention for which new onset symptoms should take
priority?
a. confusion
b. crackles on lung auscultation
c. blood tinged sputum
d. fatigue - ANSWER a
A nurse is teaching a patient how to avoid contracting influenza and
secondary bacterial infection. Which measures should be included in the
instruction? (Select all that apply)
a. influenza vaccination
b. avoiding crowds during flu season
c. good hand washing
d. prophylactic antibiotics
e. increased intake of vitamin B
f. avoiding sharing of eating or drinking utensils - ANSWER a, b, c, f
a patient asks why the physician wouldnt prescribe antibiotics for
influenza. how should the nurse respond?
, a. antibiotics are not effective against viruses
b. antibiotics have too many serious side effects
c. antibiotics interact with other medications used for the flu
d. most cases of the flu are caused by antibiotic resistant bacteria -
ANSWER a
a patient with pleural effusion is dyspneic. what procedure should be
anticipated?
a. tracheostomy
b. thoracentesis
c. bronchoscopy
d. pericardiocentesis - ANSWER b
a patient returns to the observation area after outpatient submucous
resection for a deviated septum. which of the following observations is
most concerning?
a. blood pressure of 136/88
b. patient complains of tenderness in nasal area
c. patient swallows frequently
d. patients mustace dressing has a 2 cm area of blood on it - ANSWER
c
oxygen saturation is 89%. what has highest priority?
a. raise head of bed
b. no action; normal oxygen saturation
c. call respiratory therapist
d. place patient in supine position - ANSWER a
a patient with lung cancer in the left lung is acutely short of breath. which
position should the patient assume?
a. prone
b. supine
c. left side lying
d. high fowlers - ANSWER d
a summer camp worker reports to camp nurse with complaints of
shortness of breath and audible wheezing. which of the following inhaled
medications would the nurse provide?
QUESTIONS AND ANSWERS
An LPN is helping prepare a patient for a thoracentesis. Which of the
following would be included in teaching? (select all that apply)
a. the doctor will collect fluid from the space between your lung and
chest wall
b. you will assume a sitting position at the end of the bed
c. you will need to be NPO for 6 hours
d. you will need to sign a consent form for this procedure
e. you will need to take frequent deep breaths during the procedure
f. This is a sterile procedure, so the site will be covered with a drape -
ANSWER a, b, d, f
an older adult who reports difficulty breathing and productive cough and
has a low-grade fever is admitted to the hospital for diagnosis and
treatment. intervention for which new onset symptoms should take
priority?
a. confusion
b. crackles on lung auscultation
c. blood tinged sputum
d. fatigue - ANSWER a
A nurse is teaching a patient how to avoid contracting influenza and
secondary bacterial infection. Which measures should be included in the
instruction? (Select all that apply)
a. influenza vaccination
b. avoiding crowds during flu season
c. good hand washing
d. prophylactic antibiotics
e. increased intake of vitamin B
f. avoiding sharing of eating or drinking utensils - ANSWER a, b, c, f
a patient asks why the physician wouldnt prescribe antibiotics for
influenza. how should the nurse respond?
, a. antibiotics are not effective against viruses
b. antibiotics have too many serious side effects
c. antibiotics interact with other medications used for the flu
d. most cases of the flu are caused by antibiotic resistant bacteria -
ANSWER a
a patient with pleural effusion is dyspneic. what procedure should be
anticipated?
a. tracheostomy
b. thoracentesis
c. bronchoscopy
d. pericardiocentesis - ANSWER b
a patient returns to the observation area after outpatient submucous
resection for a deviated septum. which of the following observations is
most concerning?
a. blood pressure of 136/88
b. patient complains of tenderness in nasal area
c. patient swallows frequently
d. patients mustace dressing has a 2 cm area of blood on it - ANSWER
c
oxygen saturation is 89%. what has highest priority?
a. raise head of bed
b. no action; normal oxygen saturation
c. call respiratory therapist
d. place patient in supine position - ANSWER a
a patient with lung cancer in the left lung is acutely short of breath. which
position should the patient assume?
a. prone
b. supine
c. left side lying
d. high fowlers - ANSWER d
a summer camp worker reports to camp nurse with complaints of
shortness of breath and audible wheezing. which of the following inhaled
medications would the nurse provide?