NRS 3015: Exam #3 Practice Questions With Complete
Solutions
A charge nurse is providing an in-service to a group of staff
nurses about endotracheal suctioning. Which of the following
statements by a staff nurse indicates an understanding of the
teaching?
a. "I will use clean technique when suctioning a client's
endotracheal tube."
b. "I will use a rotating motion when removing the suction
catheter."
c. "I will suction the oropharyngeal cavity prior to suctioning the
endotracheal tube."
d. "I will suction a client's endotracheal tube every 2 hours."
b
An example of hypertonic saline is:
a. Dextrose 5% Water w/ 0.45% Normal Saline
b. 0.9% Normal Saline
c. 3% Normal Saline
d. Lactated Ringers
c
,A nurse is preparing to administer a new prescription of
isoniazid (INH) to a light-skinned client who has tuberculosis.
The nurse should instruct the client to report which of the
following findings as an adverse effect of the medication?
a. "You might notice yellowing of your skin."
b. "You might experience pain in your joints."
c. "You might notice tingling of your hands."
d. "You might experience a loss of appetite."
c
A nurse is providing information about tuberculosis to a group
of clients at a local community center. Which of the following
manifestations should the nurse include? (Select all that apply.)
a. Persistent cough
b. Weight gain
c. Fatigue
d. Night sweats
e. Purulent sputum
a, c, d, e
A nurse is evaluating the injection site of a client who had a
Mantoux skin test 48 hr ago. The nures finds 10 mm of
induration with slight redness. Which of the following
conclusions should the nurse make?
,a. The client has active tuberculosis
b. The client had an exposure to tuberculosis
c. The nurse must re-evaluate the result in 24 hr
d. The test is negative for tuberculosis
b
A nurse is providing teaching to a client with tuberculosis who
has prescriptions for rifampin and ethambutol. Which of the
following is an adverse effect of these medications that the client
should report to the provider?
a. Red-orange discoloration of urine
b. Unexpected weight gain
c. Ringing in the ears
d. Decreased visual acuity
d
A nurse in a community health clinic is assessing a new client
who has prescriptions for isoniazid and rifampin. Which of the
following disorders should the nurse expect the client to have?
a. Tuberculosis
b. Hypertension
c. Diabetes
d. Cirrhosis
, a
A nurse is providing preoperative teaching to a client who has
lung cancer and will undergo a pneumonectomy. Which of the
following statements should the nurse include? (Select all that
apply.)
a. "You will have a chest tube in place after surgery."
b. "We'll frequently help you turn, cough, and breathe deeply
after surgery."
c. "You will have to remain in bed for about 2 days after the
surgery."
d. "We'll give you oxygen to support your breathing if you need
it."
e. "You should expect pain for the first few days after surgery."
a, b, d
A nurse is admitting a client who reports, nausea, vomiting, and
weakness. The client has dry oral mucous membranes and blood
pressure 102/64 mmHg. Which of the following findings should
the nurse identify as manifestations of fluid volume deficit?
(Select all that apply.)
a. Decreased skin turgor
b. Concentrated urine
Solutions
A charge nurse is providing an in-service to a group of staff
nurses about endotracheal suctioning. Which of the following
statements by a staff nurse indicates an understanding of the
teaching?
a. "I will use clean technique when suctioning a client's
endotracheal tube."
b. "I will use a rotating motion when removing the suction
catheter."
c. "I will suction the oropharyngeal cavity prior to suctioning the
endotracheal tube."
d. "I will suction a client's endotracheal tube every 2 hours."
b
An example of hypertonic saline is:
a. Dextrose 5% Water w/ 0.45% Normal Saline
b. 0.9% Normal Saline
c. 3% Normal Saline
d. Lactated Ringers
c
,A nurse is preparing to administer a new prescription of
isoniazid (INH) to a light-skinned client who has tuberculosis.
The nurse should instruct the client to report which of the
following findings as an adverse effect of the medication?
a. "You might notice yellowing of your skin."
b. "You might experience pain in your joints."
c. "You might notice tingling of your hands."
d. "You might experience a loss of appetite."
c
A nurse is providing information about tuberculosis to a group
of clients at a local community center. Which of the following
manifestations should the nurse include? (Select all that apply.)
a. Persistent cough
b. Weight gain
c. Fatigue
d. Night sweats
e. Purulent sputum
a, c, d, e
A nurse is evaluating the injection site of a client who had a
Mantoux skin test 48 hr ago. The nures finds 10 mm of
induration with slight redness. Which of the following
conclusions should the nurse make?
,a. The client has active tuberculosis
b. The client had an exposure to tuberculosis
c. The nurse must re-evaluate the result in 24 hr
d. The test is negative for tuberculosis
b
A nurse is providing teaching to a client with tuberculosis who
has prescriptions for rifampin and ethambutol. Which of the
following is an adverse effect of these medications that the client
should report to the provider?
a. Red-orange discoloration of urine
b. Unexpected weight gain
c. Ringing in the ears
d. Decreased visual acuity
d
A nurse in a community health clinic is assessing a new client
who has prescriptions for isoniazid and rifampin. Which of the
following disorders should the nurse expect the client to have?
a. Tuberculosis
b. Hypertension
c. Diabetes
d. Cirrhosis
, a
A nurse is providing preoperative teaching to a client who has
lung cancer and will undergo a pneumonectomy. Which of the
following statements should the nurse include? (Select all that
apply.)
a. "You will have a chest tube in place after surgery."
b. "We'll frequently help you turn, cough, and breathe deeply
after surgery."
c. "You will have to remain in bed for about 2 days after the
surgery."
d. "We'll give you oxygen to support your breathing if you need
it."
e. "You should expect pain for the first few days after surgery."
a, b, d
A nurse is admitting a client who reports, nausea, vomiting, and
weakness. The client has dry oral mucous membranes and blood
pressure 102/64 mmHg. Which of the following findings should
the nurse identify as manifestations of fluid volume deficit?
(Select all that apply.)
a. Decreased skin turgor
b. Concentrated urine