NSG 170 REAL EXAM AND STUDY GUIDE 280
QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST
UPDATE//ALREADY GRADED A+
1. The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates
that the patient may need teaching regarding medication use?
a."I have not had any acute asthma attacks during the last year."
b."I became short of breath an hour before coming to the hospital."
c."I've been taking Tylenol 650 mg every 6 hours for chest-wall pain."
d."I've been using my albuterol inhaler more frequently over the last 4 days." - CORRECT ANSWER-I've
been using my Albuterol inhaler more frequently over the last 4 days
2. The nurse analyzes the results of a patients arterial blood gases (ABGs). Which finding would require
immediate action?
a.The bicarbonate level (HCO3-) is 31 mEq/L.
b.The arterial oxygen saturation (SaO2) is 92%.
c.The partial pressure of CO2 in arterial blood (PaCO2) is 31 mm Hg.
d.The partial pressure of oxygen in arterial blood (PaO2) is 59 mm Hg. - CORRECT ANSWER-The partial
pressure of oxygen in the arterial blood (PaO2) is 59 mmHg
The lab has just called with the arterial bloos gas (ABG) results on four patients. Which result is most
important for the nurse to report immediately?
a.pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97%
b.pH 7.35, PaO2 85 mm Hg, PaCO2 45 mm Hg, and O2 sat 95%
c.pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98%
d.pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96% - CORRECT ANSWER-pH 7.31, PaO2 91
mm Hg, PaCO2 50 mm Hg and O2 sat 96%
The nurse asses a patient with COPD who has been admitted with increasing dyspnea over the last 3
days. Which finding is important for the nurse to report to the healthcare provider?
a.Respirations are 36 breaths/minute.
,b.Anterior-posterior chest ratio is 1:1
.c.Lung expansion is decreased bilaterally.
d.Hyperresonance to percussion is present. - CORRECT ANSWER-Respirations are 36 breaths/min
which information will the nurse include in the asthma teaching plan for a patient being discharged?
a.Use the inhaled corticosteroid when shortness of breath occurs.
b.Inhale slowly and deeply when using the dry powder inhaler (DPI).
c.Hold your breath for 5 seconds after using the bronchodilator inhaler.
d.Tremors are an expected side effect of rapidly acting bronchodilators. - CORRECT ANSWER-Tremors
are an expected side effect of rapidly acting bronchodilators
The ED nurse is evaluating the effectiveness of therapy for a patient who has received treatment during
an asthma attack. Which assessment finding is the BEST indicator that the therapy had been effective?
a.No wheezes are audible.
b.Oxygen saturation is >90%.
c.Accessory muscle use has decreased.
d.Respiratory rate is 16 breaths/minute. - CORRECT ANSWER-O2 saturation is > 90%
A 28 year old patient who denies any history of smoking is seen in the clinic with a new diagnosis of
COPD. The nurse should plan to teach the patient about
a. a1-antitrypsin testing.
b. use of the nicotine patch.
c. continuous pulse oximetry.
d. effects of leukotriene modifiers. - CORRECT ANSWER-a1-antitrypsin testing
the nurse is caring for a patient with COPD. Which information obtained from the patient would prompt
the nurse to consult with the health care provider before administering the prescribed theophylline?
a. The patient reports a recent 15-pound weight gain.
b. The patient denies any shortness of breath at present.
c. The patient takes cimetidine (Tagamet) 150 mg daily.
,d. The patient complains about coughing up green mucus. - CORRECT ANSWER-The patient takes
cimetidine (Tagamet HB) daily.
The home health nurse is visiting a patient with COPD. Which nursing action is appropriate to implement
for a nursing diagnosis of impaired breathing pattern related to anxiety?
Titrate oxygen to keep saturation at least 90%.
b. Discuss a high-protein, high-calorie diet with the patient.
c. Suggest the use of over-the-counter sedative medications.
d. Teach the patient how to effectively use pursed lip breathing. - CORRECT ANSWER-Teach the patient
how to use pursed-lip breathing
a patient with COPD has a nursing diagnosis of imbalanced nutrition: less than body requirements.
Which intervention would be the MOST appropriate for the nurse to include in the plan of care?
a. Encourage increased intake of whole grains.
b. Increase the patient's intake of fruits and fruit juices.
c. Offer high-calorie snacks between meals and at bedtime.
d. Assist the patient in choosing foods with high vegetable and mineral content. - CORRECT ANSWER-
Offer high calorie protein snacks between meals and at bedtime.
The nurse takes admission history on a patient with possible asthma who had new-onset wheezing and
shortness of breath. Which information may indicate a need for a change in therapy?
a.The patient has chronic inflammatory bowel disease.
b.The patient has a history of pneumonia 6 months ago.
c.The patient takes propranolol (Inderal) for hypertension.
d. The patient uses acetaminophen (Tylenol) for headaches. - CORRECT ANSWER-The patient takes
propranolol(Inderal) for hypertension
The nurse assesses a patient with a history of asthma. which assessment finding indicates the nurse
should take IMMEDIATE action?
a.Pulse oximetry reading of 91%
b.Respiratory rate of 26 breaths/minute
, c.Use of accessory muscles in breathing
d.Peak expiratory flow rate of 240 L/minute - CORRECT ANSWER-use of accessory muscles in breathing
what is a common trigger for asthma attacks in children?
a. febrile episodes
b. dehydration
c. exercise
d. seizures - CORRECT ANSWER-exercise
a parent of a child with asthma asks if his child can still participate in sports. What response by the nurse
is best?
a. Children with asthma are usually restricted from physical activities.
b. Children can usually play any type of sport if their asthma is well controlled.
c. Avoid swimming because breathing underwater is dangerous for people with asthma.
d. Even with good asthma control, I would advise limiting the child to one athletic activity per school
year - CORRECT ANSWER-"Children can usually play any type of sport if their asthma is well controlled"
The nurse teaches a patient who has asthma about peak flow meter use. Which action by the patient
indicates that teaching was successful?
a.The patient inhales rapidly through the peak flow meter mouthpiece.
b.The patient takes montelukast (Singulair) for peak flows in the red zone.
c.The patient calls the health care provider when the peak flow is in the green zone.
d.The patient uses albuterol (Proventil) metered dose inhaler (MDI) for peak flows in the yellow zone. -
CORRECT ANSWER-The patient uses an Albuterol(Ventolin HFA) inhaler for peak flows in the yellow
zone.
The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with
severe COPD. Which instructions would be appropriate for the nurse to include in the plan of care?
QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST
UPDATE//ALREADY GRADED A+
1. The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates
that the patient may need teaching regarding medication use?
a."I have not had any acute asthma attacks during the last year."
b."I became short of breath an hour before coming to the hospital."
c."I've been taking Tylenol 650 mg every 6 hours for chest-wall pain."
d."I've been using my albuterol inhaler more frequently over the last 4 days." - CORRECT ANSWER-I've
been using my Albuterol inhaler more frequently over the last 4 days
2. The nurse analyzes the results of a patients arterial blood gases (ABGs). Which finding would require
immediate action?
a.The bicarbonate level (HCO3-) is 31 mEq/L.
b.The arterial oxygen saturation (SaO2) is 92%.
c.The partial pressure of CO2 in arterial blood (PaCO2) is 31 mm Hg.
d.The partial pressure of oxygen in arterial blood (PaO2) is 59 mm Hg. - CORRECT ANSWER-The partial
pressure of oxygen in the arterial blood (PaO2) is 59 mmHg
The lab has just called with the arterial bloos gas (ABG) results on four patients. Which result is most
important for the nurse to report immediately?
a.pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97%
b.pH 7.35, PaO2 85 mm Hg, PaCO2 45 mm Hg, and O2 sat 95%
c.pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98%
d.pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96% - CORRECT ANSWER-pH 7.31, PaO2 91
mm Hg, PaCO2 50 mm Hg and O2 sat 96%
The nurse asses a patient with COPD who has been admitted with increasing dyspnea over the last 3
days. Which finding is important for the nurse to report to the healthcare provider?
a.Respirations are 36 breaths/minute.
,b.Anterior-posterior chest ratio is 1:1
.c.Lung expansion is decreased bilaterally.
d.Hyperresonance to percussion is present. - CORRECT ANSWER-Respirations are 36 breaths/min
which information will the nurse include in the asthma teaching plan for a patient being discharged?
a.Use the inhaled corticosteroid when shortness of breath occurs.
b.Inhale slowly and deeply when using the dry powder inhaler (DPI).
c.Hold your breath for 5 seconds after using the bronchodilator inhaler.
d.Tremors are an expected side effect of rapidly acting bronchodilators. - CORRECT ANSWER-Tremors
are an expected side effect of rapidly acting bronchodilators
The ED nurse is evaluating the effectiveness of therapy for a patient who has received treatment during
an asthma attack. Which assessment finding is the BEST indicator that the therapy had been effective?
a.No wheezes are audible.
b.Oxygen saturation is >90%.
c.Accessory muscle use has decreased.
d.Respiratory rate is 16 breaths/minute. - CORRECT ANSWER-O2 saturation is > 90%
A 28 year old patient who denies any history of smoking is seen in the clinic with a new diagnosis of
COPD. The nurse should plan to teach the patient about
a. a1-antitrypsin testing.
b. use of the nicotine patch.
c. continuous pulse oximetry.
d. effects of leukotriene modifiers. - CORRECT ANSWER-a1-antitrypsin testing
the nurse is caring for a patient with COPD. Which information obtained from the patient would prompt
the nurse to consult with the health care provider before administering the prescribed theophylline?
a. The patient reports a recent 15-pound weight gain.
b. The patient denies any shortness of breath at present.
c. The patient takes cimetidine (Tagamet) 150 mg daily.
,d. The patient complains about coughing up green mucus. - CORRECT ANSWER-The patient takes
cimetidine (Tagamet HB) daily.
The home health nurse is visiting a patient with COPD. Which nursing action is appropriate to implement
for a nursing diagnosis of impaired breathing pattern related to anxiety?
Titrate oxygen to keep saturation at least 90%.
b. Discuss a high-protein, high-calorie diet with the patient.
c. Suggest the use of over-the-counter sedative medications.
d. Teach the patient how to effectively use pursed lip breathing. - CORRECT ANSWER-Teach the patient
how to use pursed-lip breathing
a patient with COPD has a nursing diagnosis of imbalanced nutrition: less than body requirements.
Which intervention would be the MOST appropriate for the nurse to include in the plan of care?
a. Encourage increased intake of whole grains.
b. Increase the patient's intake of fruits and fruit juices.
c. Offer high-calorie snacks between meals and at bedtime.
d. Assist the patient in choosing foods with high vegetable and mineral content. - CORRECT ANSWER-
Offer high calorie protein snacks between meals and at bedtime.
The nurse takes admission history on a patient with possible asthma who had new-onset wheezing and
shortness of breath. Which information may indicate a need for a change in therapy?
a.The patient has chronic inflammatory bowel disease.
b.The patient has a history of pneumonia 6 months ago.
c.The patient takes propranolol (Inderal) for hypertension.
d. The patient uses acetaminophen (Tylenol) for headaches. - CORRECT ANSWER-The patient takes
propranolol(Inderal) for hypertension
The nurse assesses a patient with a history of asthma. which assessment finding indicates the nurse
should take IMMEDIATE action?
a.Pulse oximetry reading of 91%
b.Respiratory rate of 26 breaths/minute
, c.Use of accessory muscles in breathing
d.Peak expiratory flow rate of 240 L/minute - CORRECT ANSWER-use of accessory muscles in breathing
what is a common trigger for asthma attacks in children?
a. febrile episodes
b. dehydration
c. exercise
d. seizures - CORRECT ANSWER-exercise
a parent of a child with asthma asks if his child can still participate in sports. What response by the nurse
is best?
a. Children with asthma are usually restricted from physical activities.
b. Children can usually play any type of sport if their asthma is well controlled.
c. Avoid swimming because breathing underwater is dangerous for people with asthma.
d. Even with good asthma control, I would advise limiting the child to one athletic activity per school
year - CORRECT ANSWER-"Children can usually play any type of sport if their asthma is well controlled"
The nurse teaches a patient who has asthma about peak flow meter use. Which action by the patient
indicates that teaching was successful?
a.The patient inhales rapidly through the peak flow meter mouthpiece.
b.The patient takes montelukast (Singulair) for peak flows in the red zone.
c.The patient calls the health care provider when the peak flow is in the green zone.
d.The patient uses albuterol (Proventil) metered dose inhaler (MDI) for peak flows in the yellow zone. -
CORRECT ANSWER-The patient uses an Albuterol(Ventolin HFA) inhaler for peak flows in the yellow
zone.
The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with
severe COPD. Which instructions would be appropriate for the nurse to include in the plan of care?
