NUR 215 FINAL EXAM AND PRACTICE EXAM
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An oxygen delivery system is prescribed for a client with chronic
obstructive pulmonary disease to deliver a precise oxygen concentration.
Which oxygen delivery system would the nurse prepare for the client?
1.Face tent
2.Venturi mask
3.Aerosol mask
4.Tracheostomy collar - Correct Answer - 2. Venturi mask
A client who is mouth breathing is receiving oxygen by face mask. The
assistive personnel (AP) asks the registered nurse (RN) why a water
bottle is attached to the oxygen tubing near the wall oxygen outlet. The
RN responds that this feature facilitates which purpose?
1.Prevents the client from getting a nosebleed
2.Gives the client added fluid via the respiratory tree
3.Humidifies the oxygen that is bypassing the client's nose
4.Prevents fluid loss from the lungs during mouth breathing - Correct
Answer - 3. Humidifies the oxygen that is bypassing the client's nose
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The nurse is reinforcing instructions to a client about the use of an
incentive spirometer. The nurse tells the client to sustain the inhaled
breath for 3 seconds. When the client asks the nurse about the rationale
for this action, the nurse explains that which is the primary benefit?
1.Dilate the major bronchi.
2.Increase surfactant production.
3.Maintain inflation of the alveoli.
4.Enhance ciliary action in the tracheobronchial tree. - Correct Answer -
3. Maintain inflation of the alveoli.
A client with chronic obstructive pulmonary disease (COPD) who is
beginning oxygen therapy asks the nurse how to manage the amount of
oxygen given. How should the nurse instruct the client?
1.Do not exceed 1 L/min.
2.Do not exceed 2 L/min.
3.Adjust the oxygen depending on SpO2.
4.Adjust the oxygen depending on respiratory rate. - Correct Answer - 3.
Adjust the oxygen depending on SpO2.
The nurse is caring for a client with emphysema who is receiving
oxygen. The nurse assesses the oxygen flow rate and notes that the client
is receiving 2 L/min. The client's SpO2 level is 86%. Based on this
assessment, which action is appropriate?
1.Increase to 3 L/min and titrate until the SpO2 is 95%.
2.Increase to 3 L/min and titrate until the SpO2 is 88%.
3.Place the client on a non-rebreather mask on 100% FiO2.
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4.Maintain at 2 L/min and call respiratory therapy for a breathing
treatment. - Correct Answer - 2. Increase to 3 L/min and titrate until the
SpO2 is 88%.
The nurse is assessing a client with a suspected diagnosis of
hypocalcemia. Which clinical manifestation would the nurse expect to
note in the client?
1.Twitching
2.Hypoactive bowel sounds
3.Negative Trousseau's sign
4.Hypoactive deep tendon reflexes - Correct Answer - 1.Twitching
The nurse is planning the menu for an Asian American client in
collaboration with the hospital dietitian. The meal plan is designed to
incorporate which food as a usual component of an Asian diet?
1.Milk
2.Vegetables
3.Large portions of meat
4.Desserts high in sugar content - Correct Answer - Vegetables
A client states to the home health nurse that she has not had a bowel
movement since coming home from the hospital after surgery 4 days
ago. The nurse instructs the client to follow which diet at this time?
1.High-fiber diet
2.Full liquid diet
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3.Low-fiber diet
4.Low-sodium diet - Correct Answer - 1.High-fiber diet
The nurse is caring for a client with heart failure. On assessment, the
nurse notes that the client is dyspneic, and crackles are audible on
auscultation. What additional manifestations would the nurse expect to
note in this client if excess fluid volume is present?
1.Weight loss and dry skin
2.Flat neck and hand veins and decreased urinary output
3.An increase in blood pressure and increased respirations
4.Weakness and decreased central venous pressure (CVP) - Correct
Answer - An increase in blood pressure and increased respirations
The nurse is caring for a client with a diagnosis of severe dehydration.
The client has been receiving intravenous (IV) fluids and nasogastric
(NG) tube feedings. The nurse monitors fluid balance using which as the
best indicator?
1.Daily weight
2.Urinary output
3.IV fluid intake
4.NG tube intake - Correct Answer - 1.Daily weight
The nurse provides instructions to a client with a low potassium level
about the foods that are high in potassium and tells the client to consume
which foods? Select all that apply.
1.Peas
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