Final exam VNSG 1409 Questions Answered Correctly Latest Update 2025-2026
A patient who had a left pneumonectomy returned to the unit after the procedure.
The nurse is assessing hemodynamic stability which of the following finding is most
concerning?
A. Lung sounds absent on the left side
B. Lung sounds absent on the right side
C. increased heart size
D. low BP - Answers B. Lung sounds absent on the right side
The nurse assigns a nursing diagnosis of impaired gas exchange to a client with
pneumonia which of the following nursing interventions is appropriate for impaired
gas exchange?
a. For severe dyspnea ask the healthcare provider for an order or Ativan
b. Place patient in a supine position
c. Position good lung down
d. administer antibiotics
e. encouraged use of vibratory respiratory pressure device - Answers c. Position good lung
down
Which one of the following measurements will the nurse use as a pulse oximeter to
obtain?
a. Oxygen concentration
b. partial pressure of oxygen
c. partial pressure of carbon dioxide
d. oxygen saturation - Answers d. oxygen saturation
A patient is diagnosed with nasal polyps for which additional health problems should
the nurse assess this patient?
a. Asthma
,b. chronic laryngitis
c. pneumonia
d. chronic bronchitis - Answers a. Asthma
A patient is being evaluated by the health care provider for sleep apnea which
recommendation by the healthcare should the nurse question?
a. Using a sedative before sleeping
b. implementing a weight loss program
c. removing excess tissue with surgery
d. using an mandibular advancement device - Answers a. Using a sedative before sleeping
A patient is demonstrating signs of pharyngitis. Which symptom will the nurse expect
to assess in this patient?
a. Pallor
b. Polyuria
c. sore throat
d. extreme thirst
e. cyanosis - Answers c. sore throat
A summer camper with a history of asthma reports shortness of breath and audible
wheezing to the camp nurse which inhaled medication will the nurse provide?
a. Cromolyn sodium
b. Triamcinolone
c. Albuterol
d. Nedocromil sodium - Answers c. Albuterol
The nurse is careful when collecting data from a client who resides in a setting
where there is a high prevalence of TB. Which of the following settings are
considered to have an increased risk of transmission?
,a. Health care facilities
b. homeless shelters
c. university bathrooms
d. nursing homes
e. upscale restaurants - Answers a. Health care facilities
b. homeless shelters
d. nursing homes
A client with a permanent tracheostomy tube after a laryngectomy gets frustrated
when trying to communicate personal needs to the nurse. The nurse determines that
which of the following methods for communication might be easiest for the client?
a. A picture board or paper and pencil
b. place call light or bell near at all times
c. have family members interpret for the client
d. device a system of hand signals - Answers a. A picture board or paper and pencil
The ambulatory care nurse is assessing a client with chronic sinusitis. The nurse
expects the maxillary sinus are the most affected. The nurse determines which
manifestation reported by the client supports this conclusion?
a. Pain between the eyes
b. pain in the forehead
c. pain over the cheek and upper teeth
d. headache pronounced at night - Answers c. pain over the cheek and upper teeth
A nurse teaches a client with a rib fracture to cough and deep breath. The client
resists directions from the nurse because of the pain the nurse appropriately:
a. continues to give the client gentle encouragement to do so
b. request is that the healthcare provider perform a nerve block to deaden the pain
, c. premedicate the client and assist with splitting the area during the exercise
d. explain in detail the potential complications that may result from not coughing
and deep breathing - Answers c. premedicate the client and assist with splitting the area during
the exercise
The nurse is educating a patient with asthma about the disease. The patient is
instructed to identify and avoid asthma triggers. Which of the following is a known
asthma trigger that the patient must avoid?
a. Antihistamines
b. beta blocking medications
c. bronchodilators
d. nasal sprays
e. allergy testing - Answers b. beta blocking medications
You are caring for a patient experiencing an asthma attack. The patient reports
shortness of breath but you do not hear wheezing in the lungs with auscultation what
should you do next?
a. Assess respiratory effort for use of accessory muscles
b. notify the charge RN immediately
c. check output
d. check output with time charted - Answers
A client is admitted to the hospital 24 hours after sustaining blunt chest trauma. The
nurse monitors for which earliest clinical manifestations of acute respiratory distress
syndrome (ARDS)?
a. Bradycardia
b. Tachycardia
c. Bradypnea
d. Dyspnea - Answers
A patient who had a left pneumonectomy returned to the unit after the procedure.
The nurse is assessing hemodynamic stability which of the following finding is most
concerning?
A. Lung sounds absent on the left side
B. Lung sounds absent on the right side
C. increased heart size
D. low BP - Answers B. Lung sounds absent on the right side
The nurse assigns a nursing diagnosis of impaired gas exchange to a client with
pneumonia which of the following nursing interventions is appropriate for impaired
gas exchange?
a. For severe dyspnea ask the healthcare provider for an order or Ativan
b. Place patient in a supine position
c. Position good lung down
d. administer antibiotics
e. encouraged use of vibratory respiratory pressure device - Answers c. Position good lung
down
Which one of the following measurements will the nurse use as a pulse oximeter to
obtain?
a. Oxygen concentration
b. partial pressure of oxygen
c. partial pressure of carbon dioxide
d. oxygen saturation - Answers d. oxygen saturation
A patient is diagnosed with nasal polyps for which additional health problems should
the nurse assess this patient?
a. Asthma
,b. chronic laryngitis
c. pneumonia
d. chronic bronchitis - Answers a. Asthma
A patient is being evaluated by the health care provider for sleep apnea which
recommendation by the healthcare should the nurse question?
a. Using a sedative before sleeping
b. implementing a weight loss program
c. removing excess tissue with surgery
d. using an mandibular advancement device - Answers a. Using a sedative before sleeping
A patient is demonstrating signs of pharyngitis. Which symptom will the nurse expect
to assess in this patient?
a. Pallor
b. Polyuria
c. sore throat
d. extreme thirst
e. cyanosis - Answers c. sore throat
A summer camper with a history of asthma reports shortness of breath and audible
wheezing to the camp nurse which inhaled medication will the nurse provide?
a. Cromolyn sodium
b. Triamcinolone
c. Albuterol
d. Nedocromil sodium - Answers c. Albuterol
The nurse is careful when collecting data from a client who resides in a setting
where there is a high prevalence of TB. Which of the following settings are
considered to have an increased risk of transmission?
,a. Health care facilities
b. homeless shelters
c. university bathrooms
d. nursing homes
e. upscale restaurants - Answers a. Health care facilities
b. homeless shelters
d. nursing homes
A client with a permanent tracheostomy tube after a laryngectomy gets frustrated
when trying to communicate personal needs to the nurse. The nurse determines that
which of the following methods for communication might be easiest for the client?
a. A picture board or paper and pencil
b. place call light or bell near at all times
c. have family members interpret for the client
d. device a system of hand signals - Answers a. A picture board or paper and pencil
The ambulatory care nurse is assessing a client with chronic sinusitis. The nurse
expects the maxillary sinus are the most affected. The nurse determines which
manifestation reported by the client supports this conclusion?
a. Pain between the eyes
b. pain in the forehead
c. pain over the cheek and upper teeth
d. headache pronounced at night - Answers c. pain over the cheek and upper teeth
A nurse teaches a client with a rib fracture to cough and deep breath. The client
resists directions from the nurse because of the pain the nurse appropriately:
a. continues to give the client gentle encouragement to do so
b. request is that the healthcare provider perform a nerve block to deaden the pain
, c. premedicate the client and assist with splitting the area during the exercise
d. explain in detail the potential complications that may result from not coughing
and deep breathing - Answers c. premedicate the client and assist with splitting the area during
the exercise
The nurse is educating a patient with asthma about the disease. The patient is
instructed to identify and avoid asthma triggers. Which of the following is a known
asthma trigger that the patient must avoid?
a. Antihistamines
b. beta blocking medications
c. bronchodilators
d. nasal sprays
e. allergy testing - Answers b. beta blocking medications
You are caring for a patient experiencing an asthma attack. The patient reports
shortness of breath but you do not hear wheezing in the lungs with auscultation what
should you do next?
a. Assess respiratory effort for use of accessory muscles
b. notify the charge RN immediately
c. check output
d. check output with time charted - Answers
A client is admitted to the hospital 24 hours after sustaining blunt chest trauma. The
nurse monitors for which earliest clinical manifestations of acute respiratory distress
syndrome (ARDS)?
a. Bradycardia
b. Tachycardia
c. Bradypnea
d. Dyspnea - Answers
