UNRS 107 Quiz2_Prep_Rationale - ATI
Quiz #2 Prep Questions With Correct
Answers
1. cA cnurse cis cpreparing can cin-service cfor can cannual cskills cfair cat ca ccommunity
cmedical cfacility cabout cfire csafety. cPlace cthe csteps cin cthe corder cin cwhich cthey
cshould cbe cperformed cin cthe ccase cof ca cfire cemergency. c(Move cthe csteps cinto cthe
cbox con cthe cright, cplacing cthem cin cthe cselected corder cof cperformance. cUse call cthe
csteps.)
A. cPull cthe cfire calarm.
B. cConfine cthe cfire.
C. cExtinguish cthe cfire.
D. cRescue cthe cclients. c- cCORRECT cANS✔✔The ccorrect corder cfor cresponding cto ca
cfire cemergency cis ctypically creferred cto cas c"RACE," cwhich cstands cfor:
R. cRescue cthe cclients.
A. cActivate cthe cfire calarm c(pull cthe cfire calarm).
C. cConfine cthe cfire.
E. cExtinguish cthe cfire.
2. cA cnurse cis cadministering cnasal cdecongestant cdrops cfor ca cclient. cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake?
cA. cTell cthe cclient cto cblow cher cnose cgently cbefore cthe cinstillation.
cB. cAssist cthe cclient cto ca cside-lying cposition.
cC. cHold cthe cdropper c2 ccm c(1 cin) cabove cthe cnaris.
cD. cInstruct cthe cclient cto cstay cin cthe csame cposition cfor c2 cmin. c- cCORRECT
cANS✔✔A. cTell cthe cclient cto cblow cher cnose cgently cbefore cthe cinstillation.
,Rationale: cPrior cto cinstillation, cthe cnurse cshould cinstruct cthe cclient cto cblow cher
cnose cgently. cThis caction cwill chelp cremove cany csecretions cor ccrusts cthat ccould
cinterfere cwith cthe cdistribution cand cabsorption cof
the cmedication.
3. cA cnurse cis cperforming ctracheostomy ccare cfor ca cclient cand csuctioning cto cremove
ccopious csecretions. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake?
cA. cSuction ctwo cto cthree ctimes cwith ca c60-second cpause cbetween cpasses.
cB. cPerform cchest cphysiotherapy cprior cto csuctioning.
cC. cLubricate cthe csuction ccatheter ctip cwith csterile csaline.
cD. cHyperventilate cthe cclient con c100% coxygen cprior cto csuctioning. c- cCORRECT
cANS✔✔A. cSuction ctwo cto cthree ctimes cwith ca c60-second cpause cbetween cpasses.
Rationale: cCopious csecretions cmay crequire cseveral cpasses cof cthe csuction ccatheter.
cAn cinterval cof c60 cseconds cshould cbe callowed cbetween cpasses cto cprevent
chypoxia.
4. cA cnurse cis ccaring cfor ca cnewborn cimmediately cfollowing cbirth. cAfter cassuring ca
cpatent cairway, cwhat cis cthe cpriority cnursing caction?
cA. cAdminister cvitamin cK.
cB. cDry cthe cskin.
cC. cAdminister ceye cprophylaxis.
cD. cPlace can cidentification cbracelet. c- cCORRECT cANS✔✔B. cDry cthe cskin.
Rationale: cThe cnewborn cshould cbe cthoroughly cdried, ccovered cwith ca cwarm cblanket,
cplaced con cthe cmother's cabdomen, cand ca ccap capplied cto cthe cnewborn's chead cto
cprevent ccold cstress. cThe cnewborn cresponds cto cthe ccooler cenvironment cby
cincreasing chis crespiratory crate, cwhich ccan clead cto crespiratory cdistress. cBased con
cMaslow's chierarchy cof cneeds, cthis cis cthe cmost cimportant cnursing
action cafter csecuring cthe cairway.
5. cA cnurse cis ccaring cfor ca cclient cwho chas creturned cfrom cthe csurgical csuite
cfollowing csurgery cfor ca cfractured cmandible. cThe cclient chad cintermaxillary cfixation cto
crepair cand cstabilize cthe cfracture. cWhich cof cthe cfollowing cactions cis cthe cpriority cfor
cthe cnurse cto ctake?
cA. cPrevent caspiration.
,cB. cEnsure cadequate cnutrition.
cC. cPromote coral chygiene.
cD. cRelieve cthe cclient's cpain. c- cCORRECT cANS✔✔A. cPrevent caspiration.
Rationale: cWhen cusing cthe cairway, cbreathing, ccirculation capproach cto cclient ccare,
cthe cnurse cshould cdetermine cthat cthe cpriority cgoal cis cto cprevent cthe cclient cfrom
caspirating. cBecause cthe cclient's cjaws care cwired ctogether, caspiration cof cemesis cis ca
cpossibility. cTherefore, cthe cclient cshould cbe cgiven cmedication cfor cnausea, cand cwire
ccutters cshould cbe ckept cat cthe cbedside cin ccase cof cvomiting
6. cA cnurse cis ccaring cfor ca cclient cwho chas cacute crespiratory cdistress csyndrome
c(ARDS), cand crequires cmechanical cventilation. cThe cclient creceives ca cprescription
cfor cpancuronium. cThe cnurse crecognizes cthat cthis cmedication cis cfor cwhich cof cthe
cfollowing cpurposes?
cA. cDecrease cchest cwall ccompliance.
cB. cSuppress crespiratory ceffort.
cC. cInduce csedation.
cD. cDecrease crespiratory csecretions. c- cCORRECT cANS✔✔B. cSuppress crespiratory
ceffort
Rationale: cNeuromuscular cblocking cagents, csuch cas cpancuronium, cinduce cparalysis
cand csuppress cthe cclient's crespiratory cefforts cto cthe cpoint cof capnea, callowing cthe
cmechanical cventilator cto ctake cover cthe cwork cof cbreathing cfor cthe cclient. cThis
ctherapy cis cespecially chelpful cfor ca cclient cwho chas cARDS cand cpoor clung
ccompliance.
7. cA cnurse cis cproviding cteaching cto ca cclient cwho chas cemphysema cand ca cnew
cprescription cfor ctheophylline. cWhich cof cthe cfollowing cinstructions cshould cthe cnurse
cprovide?
cA. cConsume ca chigh-protein cdiet.
cB. cAdminister cthe cmedication cwith cfood.
cC. cAvoid ccaffeine cwhile ctaking cthis cmedication.
cD. cIncrease cfluids cto c1L/per cday. c- cCORRECT cANS✔✔C. cAvoid ccaffeine cwhile
ctaking cthis cmedication.
, Rationale: cThe cnurse cshould cinstruct cthe cclient cthat ccaffeine cshould cbe cavoided
cwhile ctaking ctheophylline, cas cit ccan cincrease ccentral cnervous csystem cstimulation.
8. cA cnurse cis ccaring cfor ca cclient cwho cexperienced ca clacerated cspleen cand chas
cbeen con cbedrest cfor cseveral cdays. cThe cnurse causcultates cdecreased cbreath
csounds cin cthe clower clobes cof cboth clungs. cThe cnurse cshould crealize cthat cthis
cfinding cis cmost clikely can cindication cof cwhich cof cthe cfollowing cconditions?
cA. cAn cupper crespiratory cinfection.
cB. cPulmonary cedema.
cC. cAtelectasis.
cD. cDelayed cgastric cemptying. c- cCORRECT cANS✔✔C. cAtelectasis
Rationale: cAtelectasis cis cthe ccollapse cof cpart cor call cof ca clung cby cblockage cof cthe
cair cpassages c(bronchus cor cbronchioles) cor cby chypoventilation. cProlonged cbedrest
cwith cfew cchanges cin cposition, cineffective ccoughing, cand cunderlying clung cdisease
care crisk cfactors cfor cthe cdevelopment cof catelectasis.
9. cA cnurse cis ccaring cfor ca cclient cwho chas cchronic cobstructive cpulmonary cdisease
c(COPD). cThe cclient ctells cthe cnurse, c"I ccan cfeel cthe ccongestion cin cmy clungs, cand cI
ccertainly ccough ca clot, cbut cI ccan't cseem cto cbring canything cup." cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake cto chelp cthis cclient cwith ctenacious
cbronchial csecretions?
cA. cMaintaining ca csemi-Fowler's cposition cas coften cas cpossible.
cB. cAdministering coxygen cvia cnasal ccannula cat c2 cL/min.
cC. cHelping cthe cclient cselect ca clow-salt cdiet.
cD. cEncouraging cthe cclient cto cdrink c2 cto c3 cL cof cwater cdaily. c- cCORRECT
cANS✔✔D. cEncouraging cthe cclient cto cdrink c2 cto c3 cL cof cwater cdaily
Rationale: cCOPD cis ca cterm cfor ctwo cdiseases cof cthe crespiratory csystem: cchronic
cbronchitis cand cemphysema. cMaintaining chydration cthrough cthe cconsumption cof
cadequate cfluids cwill chelp cliquefy cthick csecretions cand cfacilitate ctheir cexpectoration.
10. cA cnurse cis ccaring cfor ca cchild cwho chas casthma cand ca cprescription cfor
cmontelukast cgranules. cWhich cof cthe cfollowing cinstructions cshould cthe cnurse
cprovide cthe cclient's cparent con cadministering cthe cmedication?
cA. cGive cthe cmedication cin cthe cmorning cdaily.
cB. cAdminister cthe cmedication c2 chr cbefore cexercise.
Quiz #2 Prep Questions With Correct
Answers
1. cA cnurse cis cpreparing can cin-service cfor can cannual cskills cfair cat ca ccommunity
cmedical cfacility cabout cfire csafety. cPlace cthe csteps cin cthe corder cin cwhich cthey
cshould cbe cperformed cin cthe ccase cof ca cfire cemergency. c(Move cthe csteps cinto cthe
cbox con cthe cright, cplacing cthem cin cthe cselected corder cof cperformance. cUse call cthe
csteps.)
A. cPull cthe cfire calarm.
B. cConfine cthe cfire.
C. cExtinguish cthe cfire.
D. cRescue cthe cclients. c- cCORRECT cANS✔✔The ccorrect corder cfor cresponding cto ca
cfire cemergency cis ctypically creferred cto cas c"RACE," cwhich cstands cfor:
R. cRescue cthe cclients.
A. cActivate cthe cfire calarm c(pull cthe cfire calarm).
C. cConfine cthe cfire.
E. cExtinguish cthe cfire.
2. cA cnurse cis cadministering cnasal cdecongestant cdrops cfor ca cclient. cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake?
cA. cTell cthe cclient cto cblow cher cnose cgently cbefore cthe cinstillation.
cB. cAssist cthe cclient cto ca cside-lying cposition.
cC. cHold cthe cdropper c2 ccm c(1 cin) cabove cthe cnaris.
cD. cInstruct cthe cclient cto cstay cin cthe csame cposition cfor c2 cmin. c- cCORRECT
cANS✔✔A. cTell cthe cclient cto cblow cher cnose cgently cbefore cthe cinstillation.
,Rationale: cPrior cto cinstillation, cthe cnurse cshould cinstruct cthe cclient cto cblow cher
cnose cgently. cThis caction cwill chelp cremove cany csecretions cor ccrusts cthat ccould
cinterfere cwith cthe cdistribution cand cabsorption cof
the cmedication.
3. cA cnurse cis cperforming ctracheostomy ccare cfor ca cclient cand csuctioning cto cremove
ccopious csecretions. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake?
cA. cSuction ctwo cto cthree ctimes cwith ca c60-second cpause cbetween cpasses.
cB. cPerform cchest cphysiotherapy cprior cto csuctioning.
cC. cLubricate cthe csuction ccatheter ctip cwith csterile csaline.
cD. cHyperventilate cthe cclient con c100% coxygen cprior cto csuctioning. c- cCORRECT
cANS✔✔A. cSuction ctwo cto cthree ctimes cwith ca c60-second cpause cbetween cpasses.
Rationale: cCopious csecretions cmay crequire cseveral cpasses cof cthe csuction ccatheter.
cAn cinterval cof c60 cseconds cshould cbe callowed cbetween cpasses cto cprevent
chypoxia.
4. cA cnurse cis ccaring cfor ca cnewborn cimmediately cfollowing cbirth. cAfter cassuring ca
cpatent cairway, cwhat cis cthe cpriority cnursing caction?
cA. cAdminister cvitamin cK.
cB. cDry cthe cskin.
cC. cAdminister ceye cprophylaxis.
cD. cPlace can cidentification cbracelet. c- cCORRECT cANS✔✔B. cDry cthe cskin.
Rationale: cThe cnewborn cshould cbe cthoroughly cdried, ccovered cwith ca cwarm cblanket,
cplaced con cthe cmother's cabdomen, cand ca ccap capplied cto cthe cnewborn's chead cto
cprevent ccold cstress. cThe cnewborn cresponds cto cthe ccooler cenvironment cby
cincreasing chis crespiratory crate, cwhich ccan clead cto crespiratory cdistress. cBased con
cMaslow's chierarchy cof cneeds, cthis cis cthe cmost cimportant cnursing
action cafter csecuring cthe cairway.
5. cA cnurse cis ccaring cfor ca cclient cwho chas creturned cfrom cthe csurgical csuite
cfollowing csurgery cfor ca cfractured cmandible. cThe cclient chad cintermaxillary cfixation cto
crepair cand cstabilize cthe cfracture. cWhich cof cthe cfollowing cactions cis cthe cpriority cfor
cthe cnurse cto ctake?
cA. cPrevent caspiration.
,cB. cEnsure cadequate cnutrition.
cC. cPromote coral chygiene.
cD. cRelieve cthe cclient's cpain. c- cCORRECT cANS✔✔A. cPrevent caspiration.
Rationale: cWhen cusing cthe cairway, cbreathing, ccirculation capproach cto cclient ccare,
cthe cnurse cshould cdetermine cthat cthe cpriority cgoal cis cto cprevent cthe cclient cfrom
caspirating. cBecause cthe cclient's cjaws care cwired ctogether, caspiration cof cemesis cis ca
cpossibility. cTherefore, cthe cclient cshould cbe cgiven cmedication cfor cnausea, cand cwire
ccutters cshould cbe ckept cat cthe cbedside cin ccase cof cvomiting
6. cA cnurse cis ccaring cfor ca cclient cwho chas cacute crespiratory cdistress csyndrome
c(ARDS), cand crequires cmechanical cventilation. cThe cclient creceives ca cprescription
cfor cpancuronium. cThe cnurse crecognizes cthat cthis cmedication cis cfor cwhich cof cthe
cfollowing cpurposes?
cA. cDecrease cchest cwall ccompliance.
cB. cSuppress crespiratory ceffort.
cC. cInduce csedation.
cD. cDecrease crespiratory csecretions. c- cCORRECT cANS✔✔B. cSuppress crespiratory
ceffort
Rationale: cNeuromuscular cblocking cagents, csuch cas cpancuronium, cinduce cparalysis
cand csuppress cthe cclient's crespiratory cefforts cto cthe cpoint cof capnea, callowing cthe
cmechanical cventilator cto ctake cover cthe cwork cof cbreathing cfor cthe cclient. cThis
ctherapy cis cespecially chelpful cfor ca cclient cwho chas cARDS cand cpoor clung
ccompliance.
7. cA cnurse cis cproviding cteaching cto ca cclient cwho chas cemphysema cand ca cnew
cprescription cfor ctheophylline. cWhich cof cthe cfollowing cinstructions cshould cthe cnurse
cprovide?
cA. cConsume ca chigh-protein cdiet.
cB. cAdminister cthe cmedication cwith cfood.
cC. cAvoid ccaffeine cwhile ctaking cthis cmedication.
cD. cIncrease cfluids cto c1L/per cday. c- cCORRECT cANS✔✔C. cAvoid ccaffeine cwhile
ctaking cthis cmedication.
, Rationale: cThe cnurse cshould cinstruct cthe cclient cthat ccaffeine cshould cbe cavoided
cwhile ctaking ctheophylline, cas cit ccan cincrease ccentral cnervous csystem cstimulation.
8. cA cnurse cis ccaring cfor ca cclient cwho cexperienced ca clacerated cspleen cand chas
cbeen con cbedrest cfor cseveral cdays. cThe cnurse causcultates cdecreased cbreath
csounds cin cthe clower clobes cof cboth clungs. cThe cnurse cshould crealize cthat cthis
cfinding cis cmost clikely can cindication cof cwhich cof cthe cfollowing cconditions?
cA. cAn cupper crespiratory cinfection.
cB. cPulmonary cedema.
cC. cAtelectasis.
cD. cDelayed cgastric cemptying. c- cCORRECT cANS✔✔C. cAtelectasis
Rationale: cAtelectasis cis cthe ccollapse cof cpart cor call cof ca clung cby cblockage cof cthe
cair cpassages c(bronchus cor cbronchioles) cor cby chypoventilation. cProlonged cbedrest
cwith cfew cchanges cin cposition, cineffective ccoughing, cand cunderlying clung cdisease
care crisk cfactors cfor cthe cdevelopment cof catelectasis.
9. cA cnurse cis ccaring cfor ca cclient cwho chas cchronic cobstructive cpulmonary cdisease
c(COPD). cThe cclient ctells cthe cnurse, c"I ccan cfeel cthe ccongestion cin cmy clungs, cand cI
ccertainly ccough ca clot, cbut cI ccan't cseem cto cbring canything cup." cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake cto chelp cthis cclient cwith ctenacious
cbronchial csecretions?
cA. cMaintaining ca csemi-Fowler's cposition cas coften cas cpossible.
cB. cAdministering coxygen cvia cnasal ccannula cat c2 cL/min.
cC. cHelping cthe cclient cselect ca clow-salt cdiet.
cD. cEncouraging cthe cclient cto cdrink c2 cto c3 cL cof cwater cdaily. c- cCORRECT
cANS✔✔D. cEncouraging cthe cclient cto cdrink c2 cto c3 cL cof cwater cdaily
Rationale: cCOPD cis ca cterm cfor ctwo cdiseases cof cthe crespiratory csystem: cchronic
cbronchitis cand cemphysema. cMaintaining chydration cthrough cthe cconsumption cof
cadequate cfluids cwill chelp cliquefy cthick csecretions cand cfacilitate ctheir cexpectoration.
10. cA cnurse cis ccaring cfor ca cchild cwho chas casthma cand ca cprescription cfor
cmontelukast cgranules. cWhich cof cthe cfollowing cinstructions cshould cthe cnurse
cprovide cthe cclient's cparent con cadministering cthe cmedication?
cA. cGive cthe cmedication cin cthe cmorning cdaily.
cB. cAdminister cthe cmedication c2 chr cbefore cexercise.
