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NU 456 Exam 3 Questions and Answers
A nurse in the ER is assessing a client who was in a MVA. Findings
include absent breath sounds in the left lower lobe, dyspnea, BP
118/68, HR 124, RR 38, T 101.4F, and O2 92% on RA. Which of the
following actions should the nurse take first?
a. obtain chest x-ray
b. prepare for chest tube insertion
c. administer oxygen via high-flow mask
d. initiate IV access
Ans: c. administer oxygen via high flow mask
A nurse is orientating a newly licensed nurse on the purpose of
administrating vecuronium to a client who has ARDS. Which of the
following statements by the newly licensed nurse indicates
understanding of teaching?
a. "This medication is given to treat infection"
b. "This medication is given to facilitate oxygenation"
c. "This medication is given to decrease inflammation"
d. "This medication is given to reduce anxiety"
Ans: b. "This medication is given to facilitate oxygenation"
A nurse is reviewing the health record of 5 clients. Which of the
following clients are at risk for developing ARDS? Select all that
apply
a. client who experienced a near-drowning
b. client following coronary artery bypass surgery
c. client who's Hgb of 15.1 mg/dL
d. client with dysphagia
e. client who experienced acute drug toxicity
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Ans: a. client who experienced a near-drowning
b. client following coronary artery bypass surgery
d. client with dysphagia
e. client who experienced acute drug toxicity
A nurse is planning care for a client who has SARS. Which of the
following actions should the nurse include in care? Select all that
apply
a. administer ABX
b. provide supplemental O2
c. administer antiviral medication
d. administer bronchodilator
e. maintain ventilatory support
Ans: b. provide supplemental O2
d. administer bronchodilator
e. maintain ventilatory support
A nurse is caring for a client who is receiving vecuronium during
mechanical ventilation. Which of the following medications should
the nurse anticipate administering with this medication?
a. fentanyl
b. furosemide
c. midazolam
d. famotidine
e. dexamethasone
Ans: a. fentanyl - reduce pain
c. midazolam- sedative
A nurse is in the ER caring for a client who is experiencing an
acute asthma attack. Which of the following assessments indicate
that the respiratory status is declining? Select all that apply
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a. SaO2 95%
b. wheezing
c. retraction of sternal muscles
d. pink mucous membranes
e. tachycardia
Ans: b. wheezing
c. retraction of sternal muscles
e. tachycardia
A nurse is caring for a client 2 hours after admission. The client
has an SaO2 of 91%, exhibits wheezing, and use of accessory
muscles when breathing. Which of the following classes of
medications should the nurse expect to administer?
a. ABX
b. B blocker
c. antiviral
d. B2 agonist
Ans: d. B2 agonist
A nurse is providing discharge teaching to a client who has a new
prescription for prednisone for asthma. Which of the following
client statements indicates understanding?
a. "I will decrease my fluid intake while taking this medication"
b. "I will expect to have black/tarry stools"
c. "I will take my medication with meals"
d. "I will monitor for weight loss while on this medication"
Ans: c. "I will take my medication with meals"
A nurse is reinforcing teaching with a client on the purpose of
taking a bronchodilator. Which of the following statements
indicates client's understanding?
a. "This medication can decrease my immune response"
© 2025 All rights reserved
NU 456 Exam 3 Questions and Answers
A nurse in the ER is assessing a client who was in a MVA. Findings
include absent breath sounds in the left lower lobe, dyspnea, BP
118/68, HR 124, RR 38, T 101.4F, and O2 92% on RA. Which of the
following actions should the nurse take first?
a. obtain chest x-ray
b. prepare for chest tube insertion
c. administer oxygen via high-flow mask
d. initiate IV access
Ans: c. administer oxygen via high flow mask
A nurse is orientating a newly licensed nurse on the purpose of
administrating vecuronium to a client who has ARDS. Which of the
following statements by the newly licensed nurse indicates
understanding of teaching?
a. "This medication is given to treat infection"
b. "This medication is given to facilitate oxygenation"
c. "This medication is given to decrease inflammation"
d. "This medication is given to reduce anxiety"
Ans: b. "This medication is given to facilitate oxygenation"
A nurse is reviewing the health record of 5 clients. Which of the
following clients are at risk for developing ARDS? Select all that
apply
a. client who experienced a near-drowning
b. client following coronary artery bypass surgery
c. client who's Hgb of 15.1 mg/dL
d. client with dysphagia
e. client who experienced acute drug toxicity
© 2025 All rights reserved
, 2 | Page
Ans: a. client who experienced a near-drowning
b. client following coronary artery bypass surgery
d. client with dysphagia
e. client who experienced acute drug toxicity
A nurse is planning care for a client who has SARS. Which of the
following actions should the nurse include in care? Select all that
apply
a. administer ABX
b. provide supplemental O2
c. administer antiviral medication
d. administer bronchodilator
e. maintain ventilatory support
Ans: b. provide supplemental O2
d. administer bronchodilator
e. maintain ventilatory support
A nurse is caring for a client who is receiving vecuronium during
mechanical ventilation. Which of the following medications should
the nurse anticipate administering with this medication?
a. fentanyl
b. furosemide
c. midazolam
d. famotidine
e. dexamethasone
Ans: a. fentanyl - reduce pain
c. midazolam- sedative
A nurse is in the ER caring for a client who is experiencing an
acute asthma attack. Which of the following assessments indicate
that the respiratory status is declining? Select all that apply
© 2025 All rights reserved
, 3 | Page
a. SaO2 95%
b. wheezing
c. retraction of sternal muscles
d. pink mucous membranes
e. tachycardia
Ans: b. wheezing
c. retraction of sternal muscles
e. tachycardia
A nurse is caring for a client 2 hours after admission. The client
has an SaO2 of 91%, exhibits wheezing, and use of accessory
muscles when breathing. Which of the following classes of
medications should the nurse expect to administer?
a. ABX
b. B blocker
c. antiviral
d. B2 agonist
Ans: d. B2 agonist
A nurse is providing discharge teaching to a client who has a new
prescription for prednisone for asthma. Which of the following
client statements indicates understanding?
a. "I will decrease my fluid intake while taking this medication"
b. "I will expect to have black/tarry stools"
c. "I will take my medication with meals"
d. "I will monitor for weight loss while on this medication"
Ans: c. "I will take my medication with meals"
A nurse is reinforcing teaching with a client on the purpose of
taking a bronchodilator. Which of the following statements
indicates client's understanding?
a. "This medication can decrease my immune response"
© 2025 All rights reserved
