1
NUR 417
Exam3: NUR 417 Care of Adult II – 2025 Actual Questions
and Answers Concordia University St. Paul
1. A patient with a possible pulmonary embolism complains of chest pain and
difficulty breathing. The nurse finds a heart rate of 142 beats/min, blood
pressure of 100/60 mm Hg, and respirations of 42 breaths/min. Which action
should the nurse take first?
a. Administer anticoagulant drug therapy.
b. Notify the patient's health care provider.
c. Prepare patient for a spiral computed tomography (CT).
d. Elevate the head of the bed to a semi-Fowler's position.: d. Elevate the
head of the bed to a semi-Fowler's position.
NUR 417
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NUR 417
The patient has symptoms consistent with a pulmonary embolism (PE).
Elevating the head of the bed will improve ventilation and gas exchange. The
other actions can be accomplished after the head is elevated (and O2 is
started). A spiral CT may be ordered by the health care provider to identify
PE. Anticoagulants may be ordered after confirmation of the diagnosis of PE.
2. A patient is admitted to the emergency department with an open
stab wound to the left chest. What action should the nurse take? a.
Keep the head of the patient's bed positioned flat.
b. Cover the wound tightly with an occlusive dressing.
c. Position the patient so that the left chest is dependent.
d. Tape a nonporous dressing on three sides over the wound.: d. Tape a
nonporous dressing on three sides over the wound.
The dressing taped on three sides will allow air to escape when intrapleural
pressure increases during expiration, but it will prevent air from moving into
the pleural space during inspiration
NUR 417
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NUR 417
3. An experienced nurse instructs a new nurse about how to care for a patient
with dyspnea caused by a pulmonary fungal infection. Which action by the new
nurse indicates a need for further teaching?
a. Listening to the patient's lung sounds several times during the shift
b. Placing the patient on droplet precautions in a private hospital room
c. Monitoring patient serology results to identify the infecting organism
d. Increasing the O2 flow rate to keep the O2 saturation over 90%: b. Placing
the patient on droplet precautions in a private hospital room
Fungal infections are not transmitted from person to person. Therefore no
isolation procedures are necessary.
4. The nurse provides discharge teaching for a patient who has two fractured
ribs from an automobile accident. Which statement, if made by the patient,
would indicate that teaching has been effective?
a. "I am going to buy a rib binder to wear during the day."
b. "I can take shallow breaths to prevent my chest from hurting."
c. "I should plan on taking the pain pills only at bedtime so I can sleep."
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NUR 417
d. "I will use the incentive spirometer every hour or two during the day.": d.
"I will use the incentive spirometer every hour or two during the day."
5. The nurse is caring for a patient who has a right-sided chest tube after a
right lower lobectomy. Which nursing action can the nurse delegate to the
unlicensed assistive personnel (UAP)?
a. Document the amount of drainage every 8 hours.
b. Obtain samples of drainage for culture from the system.
c. Assess patient pain level associated with the chest tube.
d. Check the water-seal chamber for the correct fluid level.: a. Document the
amount of drainage every 8 hours.
6. After change-of-shift report, which patient should the nurse assess first?
a. A 72-yr-old with cor pulmonale who has 4+ bilateral edema in his legs and
feet
b. A 28-yr-old with a history of a lung transplant and a temperature of 101° F
(38.3°
C)
NUR 417
NUR 417
Exam3: NUR 417 Care of Adult II – 2025 Actual Questions
and Answers Concordia University St. Paul
1. A patient with a possible pulmonary embolism complains of chest pain and
difficulty breathing. The nurse finds a heart rate of 142 beats/min, blood
pressure of 100/60 mm Hg, and respirations of 42 breaths/min. Which action
should the nurse take first?
a. Administer anticoagulant drug therapy.
b. Notify the patient's health care provider.
c. Prepare patient for a spiral computed tomography (CT).
d. Elevate the head of the bed to a semi-Fowler's position.: d. Elevate the
head of the bed to a semi-Fowler's position.
NUR 417
, 2
NUR 417
The patient has symptoms consistent with a pulmonary embolism (PE).
Elevating the head of the bed will improve ventilation and gas exchange. The
other actions can be accomplished after the head is elevated (and O2 is
started). A spiral CT may be ordered by the health care provider to identify
PE. Anticoagulants may be ordered after confirmation of the diagnosis of PE.
2. A patient is admitted to the emergency department with an open
stab wound to the left chest. What action should the nurse take? a.
Keep the head of the patient's bed positioned flat.
b. Cover the wound tightly with an occlusive dressing.
c. Position the patient so that the left chest is dependent.
d. Tape a nonporous dressing on three sides over the wound.: d. Tape a
nonporous dressing on three sides over the wound.
The dressing taped on three sides will allow air to escape when intrapleural
pressure increases during expiration, but it will prevent air from moving into
the pleural space during inspiration
NUR 417
, 3
NUR 417
3. An experienced nurse instructs a new nurse about how to care for a patient
with dyspnea caused by a pulmonary fungal infection. Which action by the new
nurse indicates a need for further teaching?
a. Listening to the patient's lung sounds several times during the shift
b. Placing the patient on droplet precautions in a private hospital room
c. Monitoring patient serology results to identify the infecting organism
d. Increasing the O2 flow rate to keep the O2 saturation over 90%: b. Placing
the patient on droplet precautions in a private hospital room
Fungal infections are not transmitted from person to person. Therefore no
isolation procedures are necessary.
4. The nurse provides discharge teaching for a patient who has two fractured
ribs from an automobile accident. Which statement, if made by the patient,
would indicate that teaching has been effective?
a. "I am going to buy a rib binder to wear during the day."
b. "I can take shallow breaths to prevent my chest from hurting."
c. "I should plan on taking the pain pills only at bedtime so I can sleep."
NUR 417
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NUR 417
d. "I will use the incentive spirometer every hour or two during the day.": d.
"I will use the incentive spirometer every hour or two during the day."
5. The nurse is caring for a patient who has a right-sided chest tube after a
right lower lobectomy. Which nursing action can the nurse delegate to the
unlicensed assistive personnel (UAP)?
a. Document the amount of drainage every 8 hours.
b. Obtain samples of drainage for culture from the system.
c. Assess patient pain level associated with the chest tube.
d. Check the water-seal chamber for the correct fluid level.: a. Document the
amount of drainage every 8 hours.
6. After change-of-shift report, which patient should the nurse assess first?
a. A 72-yr-old with cor pulmonale who has 4+ bilateral edema in his legs and
feet
b. A 28-yr-old with a history of a lung transplant and a temperature of 101° F
(38.3°
C)
NUR 417
