NUR 146 Exam Questions and Answers
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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 who has myasthenia gravis - ✔✔A.) Client who has dysphagia
B.) Client who has AIDS
E.) Client who has a closed head injury and is receiving mechanical
ventilation
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F.) Client who has myasthenia gravis
A nurse is assessing a client who, upon awakening, was disoriented to
person, place, and time. The client reports chills and chest pain that is
worse upon inspiration. Which of the following actions is the nursing
priorities?
A.) Obtain baseline vital signs and oxygen saturation
B.) Obtain a sputum culture
C.) Obtain a complete history from the client
D.) Inform client about recommended pneumococcal vaccine - ✔✔A.)
Obtain baseline vital signs and oxygen saturation
The first action the nurse should take using the nursing process is to
assess the client to determine the next nursing action and provide safe and
effective client care.
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:
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-Administer antibiotics
-Administer oxygen therapy
-Perform a sputum culture
-Instruct the client to obtain a yearly influenza vaccination - ✔✔-Administer
oxygen therapy
-Perform a sputum culture
-Administer antibiotics
-Instruct the client to obtain a yearly influenza vaccination
Using the ABC priority framework, providing oxygen is the first intervention.
Obtaining a sputum culture should be done prior to administering oral
antibiotics to obtain an accurate specimen.
A nurse is assessing a client who has a history of asthma. Which of the
following factors should the nurse identify y as a risk for asthma?
A.) Males
B.) Environmental allergies
C.) Alcohol use
D.) History of Diabetes - ✔✔D.) Environmental allergies