NR341 / NR 341 Exam 2: (Latest Update 2025 /
2026) Complex Adult Health | Questions &
Answers | Grade A | 100% Correct.
Chamberlain
1. A nurse is assessing a client who has suffered a nasal fracture. Which
assessment would the nurse perform first?
a. Facial pain
b. Vital signs
c. Bone displacement
d. Airway patentcy: ANS: D Airway patentcy
A patent airway is the priority. The nurse first would make sure that the
airway is patent and then would determine whether the client is in pain and
whether bone displacement or blood loss has occurred.
,2. A nurse assesses a client who has a nasal fracture. The client reports
constant nasal drainage, a headache, and difficulty with vision. What
action would the nurse take next?
a. Collect the nasal drainage on a piece of filter paper.
b. Encourage the client to blow his or her nose.
c. Perform a test focused on a neurologic examination.
d. Palpate the nose, face, and neck.: ANS: A Collect the nasal drainage on a
piece of filter paper
The client with nasal drainage after facial trauma could have a skull fracture
resulting in leakage of cerebrospinal fluid (CSF). CSF can be differentiated
from regular drainage by the fact that it forms a halo when dripped on filter
paper and tests positive for glucose. The other actions would be appropriate but
are not as high a priority as assessing for CSF. A CSF leak would increase the
patient's risk for infection.
3. A nurse teaches a client who had a supraglottic laryngectomy. Which
technique would the nurse teach the client to prevent aspiration?
,a. Tilt the head back as far as possible when swallowing.
b. Swallow twice while bearing down.
c. Breathe slowly and deeply while swallowing.
d. Keep the head very still and straight while swallowing.: ANS: B
Swallow twice while bearing down.
The client post supraglottic laryngectomy has a high risk for aspiration. The
nurse or speech language pathologist teaches the client the supraglottic method
of swallowing. This includes placing a small amount of food in the mouth,
performing the Valsalva maneuver, then swallowing twice. The client sits
upright. The client holds the breath while swallowing twice. Keeping the head
still and straight will not decrease the risk of aspiration.
4. A nurse assesses clients on the medical-surgical unit. Which client is at
greatest risk for development of obstructive sleep apnea?
a. A 26-year-old woman who is 8 months pregnant.
b. A 42-year-old man with gastroesophageal reflux disease.
c. A 55-year-old woman who is 50 lb (23 kg) overweight.
, d. A 73-year-old man with type 2 diabetes mellitus.: ANS: C 55-year-old
woman who is 50 lb (23 kg) overweight.
The client at highest risk would be the one who is extremely overweight. None
of the other clients have risk factors for sleep apnea. Clients with sleep apnea
may develop gastroesophageal reflux.
5. A nurse cares for a client who has hypertension that has not responded
well to several medications. The client states compliance is not an issue.
What action would the nurse take next?
a. Assess the client for obstructive sleep apnea.
b. Arrange a home sleep apnea test.
c. Encourage the client to begin exercising.
d. Schedule a polysomnography: ANS: A Assess the client for obstructive
sleep apnea.
Hypertension not responding to medications can be a sign of obstructive sleep
apnea (OSA). The nurse would assess the client using an evidence-based tool,
such as the STOP-Bang Sleep Apnea Questionnaire, the Epworth Sleepiness
2026) Complex Adult Health | Questions &
Answers | Grade A | 100% Correct.
Chamberlain
1. A nurse is assessing a client who has suffered a nasal fracture. Which
assessment would the nurse perform first?
a. Facial pain
b. Vital signs
c. Bone displacement
d. Airway patentcy: ANS: D Airway patentcy
A patent airway is the priority. The nurse first would make sure that the
airway is patent and then would determine whether the client is in pain and
whether bone displacement or blood loss has occurred.
,2. A nurse assesses a client who has a nasal fracture. The client reports
constant nasal drainage, a headache, and difficulty with vision. What
action would the nurse take next?
a. Collect the nasal drainage on a piece of filter paper.
b. Encourage the client to blow his or her nose.
c. Perform a test focused on a neurologic examination.
d. Palpate the nose, face, and neck.: ANS: A Collect the nasal drainage on a
piece of filter paper
The client with nasal drainage after facial trauma could have a skull fracture
resulting in leakage of cerebrospinal fluid (CSF). CSF can be differentiated
from regular drainage by the fact that it forms a halo when dripped on filter
paper and tests positive for glucose. The other actions would be appropriate but
are not as high a priority as assessing for CSF. A CSF leak would increase the
patient's risk for infection.
3. A nurse teaches a client who had a supraglottic laryngectomy. Which
technique would the nurse teach the client to prevent aspiration?
,a. Tilt the head back as far as possible when swallowing.
b. Swallow twice while bearing down.
c. Breathe slowly and deeply while swallowing.
d. Keep the head very still and straight while swallowing.: ANS: B
Swallow twice while bearing down.
The client post supraglottic laryngectomy has a high risk for aspiration. The
nurse or speech language pathologist teaches the client the supraglottic method
of swallowing. This includes placing a small amount of food in the mouth,
performing the Valsalva maneuver, then swallowing twice. The client sits
upright. The client holds the breath while swallowing twice. Keeping the head
still and straight will not decrease the risk of aspiration.
4. A nurse assesses clients on the medical-surgical unit. Which client is at
greatest risk for development of obstructive sleep apnea?
a. A 26-year-old woman who is 8 months pregnant.
b. A 42-year-old man with gastroesophageal reflux disease.
c. A 55-year-old woman who is 50 lb (23 kg) overweight.
, d. A 73-year-old man with type 2 diabetes mellitus.: ANS: C 55-year-old
woman who is 50 lb (23 kg) overweight.
The client at highest risk would be the one who is extremely overweight. None
of the other clients have risk factors for sleep apnea. Clients with sleep apnea
may develop gastroesophageal reflux.
5. A nurse cares for a client who has hypertension that has not responded
well to several medications. The client states compliance is not an issue.
What action would the nurse take next?
a. Assess the client for obstructive sleep apnea.
b. Arrange a home sleep apnea test.
c. Encourage the client to begin exercising.
d. Schedule a polysomnography: ANS: A Assess the client for obstructive
sleep apnea.
Hypertension not responding to medications can be a sign of obstructive sleep
apnea (OSA). The nurse would assess the client using an evidence-based tool,
such as the STOP-Bang Sleep Apnea Questionnaire, the Epworth Sleepiness
