NUR 313 EXAM 1 QUESTIONS & ANSWERS
A patient with a right lung abscess is admitted to the hospital. The nurse is instructed to
position the patient appropriately to promote lung expansion. Which is the most
appropriate position for this patient? - Answer -Forty-five-degree semi-Fowler's position
with right lung down
While collecting the patient's vital signs, the nurse observed the respiratory rate to be 40
breaths per minute. What condition is associated with this finding? - Answer -Kussmaul
respirations
Which person is at the lowest risk for developing pulmonary disease? - Answer -A
person who lives in a rural region
A patient reports fatigue and an inability to lie flat. During an assessment, the nurse
finds the patient has an increased blood pressure and an increased pulse rate. Further
assessment reveals that the patient is dizzy, unable to concentrate, and has a
decreased level of consciousness. Which condition does the nurse suspect? - Answer -
Hypoxia
A patient reports having shortness of breath for 2 months. The nurse asks the patient to
rate the shortness of breath on a scale of 0 to 10 and state whether it is affecting daily
activities. The nurse also asks about exposure to passive smoking and whether the
patient feels comfortable when sleeping in a reclining chair. Which question asked by
the nurse is about orthopnea? - Answer -Feeling of comfort when sleeping in a reclining
chair
Which statement is true regarding ventilation? - Answer -Ventilation is the process of
moving gases into and out of the lungs.
The nurse is performing a routine physical examination of a patient and observes the
patient's breathing patterns. Which factors might the nurse observe? Select all that
apply.
1 - Answer -1,2,4
The nurse is explaining to a new co-worker about the various characteristics or types of
cough that can be encountered in patients. Which statements are true? Select all that
apply. - Answer -1,2,4
The nurse is caring for a patient who was admitted to the hospital with a diagnosis of
left-sided heart failure. The health care provider asks the nurse to provide continuous
positive airway pressure (CPAP) for this patient. What could be the primary motive
behind giving CPAP to this patient? - Answer -To prevent airway collapse
, A patient who has lightheadedness presents with rapid sighing breaths and numbness
of the hands and feet. The urinalysis results show the presence of ketones. Which
condition can be suspected in the patient? - Answer -Diabetic Ketoacidosis
During assessment, the nurse notes a foul-smelling drainage from the wound with deep
tunneling. Which actions of the nurse indicate the need for further teaching? Select all
that apply. - Answer -1,2
Which nursing interventions minimize the risk for pressure ulcer development? Select all
that apply. - Answer -1,2,4,5
Which nursing actions will help maintain an airtight seal for a patient who is prescribed
negative-pressure wound therapy? Select all that apply. - Answer -2,3,5
Which advantages should the nurse include in a teaching session on using dry
applications when treating a wound? Select all that apply. - Answer -2,5
After asking for the patient's level of comfort using a scale of 0 to 10, how should the
nurse order the steps in assessing the patient's pressure ulcer? - Answer -...
A 76-year-old female patient who has osteoarthritis and mild hypertension develops
redness and oozing of foul-smelling tan-colored drainage from her hip incision on
postoperative day 4. Because of the pain at the incision site, she needs assistance in
turning and transferring herself from her bed to the chair. What intervention will the
nurse avoid? - Answer -Elevating the head of the bed to 45 degrees
What are the functions of black polyurethane foam in wound healing? Select all that
apply. - Answer -1,2
What are the therapeutic benefits of heat application? Select all that apply. - Answer -
2,4,5
Which intervention is part of the nursing intervention classification (NIC) for wound
care? - Answer -Irrigating the wound with a saline solution two times per day
After the nurse dresses a patient's wound, which nursing intervention would help
prevent the contamination of that previously cleaned wound? - Answer -Cleaning the
wound from the center to the surrounding skin
Which action is involved in safely removing retention sutures? - Answer -Clip suture
materials nearest to the skin edge on one side, and pull from the other side.
Which nutrient helps healing by promoting epithelialization, wound closure,
inflammatory response, and angiogenesis? - Answer -Vitamin A
A patient with a right lung abscess is admitted to the hospital. The nurse is instructed to
position the patient appropriately to promote lung expansion. Which is the most
appropriate position for this patient? - Answer -Forty-five-degree semi-Fowler's position
with right lung down
While collecting the patient's vital signs, the nurse observed the respiratory rate to be 40
breaths per minute. What condition is associated with this finding? - Answer -Kussmaul
respirations
Which person is at the lowest risk for developing pulmonary disease? - Answer -A
person who lives in a rural region
A patient reports fatigue and an inability to lie flat. During an assessment, the nurse
finds the patient has an increased blood pressure and an increased pulse rate. Further
assessment reveals that the patient is dizzy, unable to concentrate, and has a
decreased level of consciousness. Which condition does the nurse suspect? - Answer -
Hypoxia
A patient reports having shortness of breath for 2 months. The nurse asks the patient to
rate the shortness of breath on a scale of 0 to 10 and state whether it is affecting daily
activities. The nurse also asks about exposure to passive smoking and whether the
patient feels comfortable when sleeping in a reclining chair. Which question asked by
the nurse is about orthopnea? - Answer -Feeling of comfort when sleeping in a reclining
chair
Which statement is true regarding ventilation? - Answer -Ventilation is the process of
moving gases into and out of the lungs.
The nurse is performing a routine physical examination of a patient and observes the
patient's breathing patterns. Which factors might the nurse observe? Select all that
apply.
1 - Answer -1,2,4
The nurse is explaining to a new co-worker about the various characteristics or types of
cough that can be encountered in patients. Which statements are true? Select all that
apply. - Answer -1,2,4
The nurse is caring for a patient who was admitted to the hospital with a diagnosis of
left-sided heart failure. The health care provider asks the nurse to provide continuous
positive airway pressure (CPAP) for this patient. What could be the primary motive
behind giving CPAP to this patient? - Answer -To prevent airway collapse
, A patient who has lightheadedness presents with rapid sighing breaths and numbness
of the hands and feet. The urinalysis results show the presence of ketones. Which
condition can be suspected in the patient? - Answer -Diabetic Ketoacidosis
During assessment, the nurse notes a foul-smelling drainage from the wound with deep
tunneling. Which actions of the nurse indicate the need for further teaching? Select all
that apply. - Answer -1,2
Which nursing interventions minimize the risk for pressure ulcer development? Select all
that apply. - Answer -1,2,4,5
Which nursing actions will help maintain an airtight seal for a patient who is prescribed
negative-pressure wound therapy? Select all that apply. - Answer -2,3,5
Which advantages should the nurse include in a teaching session on using dry
applications when treating a wound? Select all that apply. - Answer -2,5
After asking for the patient's level of comfort using a scale of 0 to 10, how should the
nurse order the steps in assessing the patient's pressure ulcer? - Answer -...
A 76-year-old female patient who has osteoarthritis and mild hypertension develops
redness and oozing of foul-smelling tan-colored drainage from her hip incision on
postoperative day 4. Because of the pain at the incision site, she needs assistance in
turning and transferring herself from her bed to the chair. What intervention will the
nurse avoid? - Answer -Elevating the head of the bed to 45 degrees
What are the functions of black polyurethane foam in wound healing? Select all that
apply. - Answer -1,2
What are the therapeutic benefits of heat application? Select all that apply. - Answer -
2,4,5
Which intervention is part of the nursing intervention classification (NIC) for wound
care? - Answer -Irrigating the wound with a saline solution two times per day
After the nurse dresses a patient's wound, which nursing intervention would help
prevent the contamination of that previously cleaned wound? - Answer -Cleaning the
wound from the center to the surrounding skin
Which action is involved in safely removing retention sutures? - Answer -Clip suture
materials nearest to the skin edge on one side, and pull from the other side.
Which nutrient helps healing by promoting epithelialization, wound closure,
inflammatory response, and angiogenesis? - Answer -Vitamin A
