NR 341 Complex Health Test 1
Questions and Answers
Nurse is caring for an older client with COPD and pneumonia. Which of the following
acid-base imbalances should the nurse monitor for? -Correct Answers -respiratory
acidosis d/t inability to exhale carbon dioxide d/t loss of elastic lung recoil
A nurse is preparing to administer cisplatin IV to client w lung cancer. the nurse should
mention that which of the following findings is an adverse effect of this medication? -
Correct Answers Tinnitus!
A nurse is preparing to assist a provider to draw arterial blood from client's radial artery
to measure ABG's. Which of the following actions should nurse take? -Correct Answers
perform an Allen test (to determine circulation to hand is adequate from ulnar artery in
case radial artery is injured from blood draw) before obtaining specimen
the nurse should also apply pressure for 5-10 min after needle withdrawn d/t risk of
bleeding
A nurse is providing instructions about pursed-lip breathing for client with
COPD/emphysema. Nurse should explain that this breathing technique accomplishes
which of the following? -Correct Answers -promotes carbon dioxide elimination d/t
slowing client's pace of breathing and releasing trapped air in lungs by prolonging
exhalation
A nurse is preparing a client for thoracentesis. In which of the following positions
should the nurse place the client? -Correct Answers sitting while leaning forward over
bedside table to maximize space between client's ribs and allow for aspiration of
accumulated fluid/air
Nurse on medical-surgical unit is caring for a client postoperative following a hip
replacement. Client reports feeling apprehensive/restless. Which of the following
findings should nurse recognize as indicative of pulm embolism? -Correct Answers
sudden onset of dyspnea d/t reduced perfusion to lungs
Nurse is planning care for client with COPD and malnutrition. Which of the following
should nurse include? -Correct Answers eat high-calorie foods first because these clients
often get full quickly
Nurse developing teaching plan for client ab preventing acute asthma attacks. Which of
the following points should nurse discuss first? -Correct Answers client's perception of
disease process and what might have triggered past attacks
, A nurse is in a provider's office and assessing a client who states he was recently exposed
to TB. Which of the following is a clinical manifestation of pulm TB? -Correct Answers
night sweats and fevers
Nurse is planning for a client following chest tube placement 1hr ago. Which of the
following actions should nurse include in POC? -Correct Answers tape all connections
between chest tube and drainage sys in order to ensure sys is airtight/preventing tube
from disconnecting
Nurse on med unit is caring for client who aspirated gastric contents before. Which is a
s/s of ARDS (acute resp distress syndrome)? -Correct Answers PaO2 50mmHg (low lvl
even w O2)
Which of the following measures volume of air lungs can hold @ end of max inhalation?
-Correct Answers total lung capacity
Which of the following discharge instructions should be given to client recovering from
rhinoplasty? -Correct Answers lie on back w head elevated 30 degrees when resting to
prevent aspiration of nasal secretions
Nurse in ED assessing client for pnuemothorax. Which is a s/s? -Correct Answers
diminished or absent breath sounds
Nurse teaching a client with a tuberculin skin test, which of the following info should
they include? -Correct Answers you must return to the clinic within 2-3 days to have test
read
Nurse is teaching about daily chest physiotherapy with client who has cystic fibrosis.
Which is the purpose of the treatments? -Correct Answers -to mobilize secretions in
airways
Which of the following findings is indicative of prodromal stage of inhalation anthrax? -
Correct Answers dry cough - difficult to distinguish from influenza/pneumonia at this
stage
Nurse is caring for client w inflated cuff. Which indicates nurse should suction client's
airway? -Correct Answers nurse auscultates coarse crackles in lung fields
Nurse is teaching a client ab to undergo pneumonectomy, client states they're scared of
cough pains after surgery. Which response is most appropriate? -Correct Answers I will
show you how to split your incision while coughing
Nurse notes a crackling sensation when palpating right side of client's chest, after
notifying provider the nurse should document this finding as which of the following? -
Correct Answers crepitus - subcutaneous emphysema, coarse crackling nurse can feel
Questions and Answers
Nurse is caring for an older client with COPD and pneumonia. Which of the following
acid-base imbalances should the nurse monitor for? -Correct Answers -respiratory
acidosis d/t inability to exhale carbon dioxide d/t loss of elastic lung recoil
A nurse is preparing to administer cisplatin IV to client w lung cancer. the nurse should
mention that which of the following findings is an adverse effect of this medication? -
Correct Answers Tinnitus!
A nurse is preparing to assist a provider to draw arterial blood from client's radial artery
to measure ABG's. Which of the following actions should nurse take? -Correct Answers
perform an Allen test (to determine circulation to hand is adequate from ulnar artery in
case radial artery is injured from blood draw) before obtaining specimen
the nurse should also apply pressure for 5-10 min after needle withdrawn d/t risk of
bleeding
A nurse is providing instructions about pursed-lip breathing for client with
COPD/emphysema. Nurse should explain that this breathing technique accomplishes
which of the following? -Correct Answers -promotes carbon dioxide elimination d/t
slowing client's pace of breathing and releasing trapped air in lungs by prolonging
exhalation
A nurse is preparing a client for thoracentesis. In which of the following positions
should the nurse place the client? -Correct Answers sitting while leaning forward over
bedside table to maximize space between client's ribs and allow for aspiration of
accumulated fluid/air
Nurse on medical-surgical unit is caring for a client postoperative following a hip
replacement. Client reports feeling apprehensive/restless. Which of the following
findings should nurse recognize as indicative of pulm embolism? -Correct Answers
sudden onset of dyspnea d/t reduced perfusion to lungs
Nurse is planning care for client with COPD and malnutrition. Which of the following
should nurse include? -Correct Answers eat high-calorie foods first because these clients
often get full quickly
Nurse developing teaching plan for client ab preventing acute asthma attacks. Which of
the following points should nurse discuss first? -Correct Answers client's perception of
disease process and what might have triggered past attacks
, A nurse is in a provider's office and assessing a client who states he was recently exposed
to TB. Which of the following is a clinical manifestation of pulm TB? -Correct Answers
night sweats and fevers
Nurse is planning for a client following chest tube placement 1hr ago. Which of the
following actions should nurse include in POC? -Correct Answers tape all connections
between chest tube and drainage sys in order to ensure sys is airtight/preventing tube
from disconnecting
Nurse on med unit is caring for client who aspirated gastric contents before. Which is a
s/s of ARDS (acute resp distress syndrome)? -Correct Answers PaO2 50mmHg (low lvl
even w O2)
Which of the following measures volume of air lungs can hold @ end of max inhalation?
-Correct Answers total lung capacity
Which of the following discharge instructions should be given to client recovering from
rhinoplasty? -Correct Answers lie on back w head elevated 30 degrees when resting to
prevent aspiration of nasal secretions
Nurse in ED assessing client for pnuemothorax. Which is a s/s? -Correct Answers
diminished or absent breath sounds
Nurse teaching a client with a tuberculin skin test, which of the following info should
they include? -Correct Answers you must return to the clinic within 2-3 days to have test
read
Nurse is teaching about daily chest physiotherapy with client who has cystic fibrosis.
Which is the purpose of the treatments? -Correct Answers -to mobilize secretions in
airways
Which of the following findings is indicative of prodromal stage of inhalation anthrax? -
Correct Answers dry cough - difficult to distinguish from influenza/pneumonia at this
stage
Nurse is caring for client w inflated cuff. Which indicates nurse should suction client's
airway? -Correct Answers nurse auscultates coarse crackles in lung fields
Nurse is teaching a client ab to undergo pneumonectomy, client states they're scared of
cough pains after surgery. Which response is most appropriate? -Correct Answers I will
show you how to split your incision while coughing
Nurse notes a crackling sensation when palpating right side of client's chest, after
notifying provider the nurse should document this finding as which of the following? -
Correct Answers crepitus - subcutaneous emphysema, coarse crackling nurse can feel
