NUR 2502 / NUR2502 Exam 2 (Latest
): Multidimensional Care III /
MDC 3 - Rasmussen
A client with chronic bronchitis often shows signs of hypoxia. Which of the
following is the priority to monitor for in this client?
A. O2 levels
B. Barrel chest
C. Nutritional Status
D. Clubbing of fingers - ANSWER A. O2 levels
Which of the following positions offers no benefit to relieve dyspnea in a client
with chronic air flow limitation?
A. sitting at the edge of the chair, leaning forward with his arms folded and resting
on a table
B. A low- semi reclining positions with shoulders back and niche apart
C. Leaning forward in a chair with feet spread apart and elbows placed on knees
D. upright with head slightly flexed, with feet spread apart and shoulders relaxed -
ANSWER B. A low- semi reclining positions with shoulders back
and niche apart
The nurse knows that which of the following test is not used to identify potential
tuberculosis
A. sputum culture
B. Chest x-ray
C. Mantoux skin test
D. Saliva swab - ANSWER D. Saliva swab
,The nurse has identified a nursing diagnosis of ineffective airway clearance with
bronchospasms for client with pneumonia. What nursing intervention will help to
conduct refractive air clearance for a client with pneumonia?
A. increase liters of humidified oxygen perfect marks
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
C. Handheld bronchodilator always as needed
D. Prednisone via inhaler or IV to reduce the inflammation - ANSWER
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
The nurse is teaching a client about post-rhinoplasty care. Which statement by the
clients indicate an understanding of the instructions? SATA
A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
C. There will be swelling that will cause a loss of sense of smell
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
F. I will be able to breathing only from my nose
G. I should take a stool softener to prevent straining during bowel movements -
ANSWER A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
G. I should take a stool softener to prevent straining during bowel movements
A 27yr old male presents to the E.R with difficulty breathing, respiratory rate is 36
bpm, O2 is 85% on RA. Breaths are diminished bilaterally. Which of the following
is a nursing intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV - ANSWER B. Secure the airway
Nurse is teaching a client with COPD about energy conservation. What does the
nurse advise the patient to avoid?
, A. performing activities at a relaxed pace through the day with rest periods
B. Working on activities that require using the arms at chest level or lower
C. Eating 3 large meals per day
D. Talking and performing activity separately - ANSWER C.
Eating 3 large meals per day
Which statement by the patient indicates understanding about radiation therapy for
neck cancer?
A. I will need to wear sunscreen or protect my skin with clothing at all times/ my
cousin may initially be hoarse but should improve over time
B. There are not side effects other than a hoarse voice
C. Radiation does not cause a dry mouth
D. My throat is not directly affected by radiation - ANSWER A.
I will need to wear sunscreen or protect my skin with clothing at all times/ my
cousin may initially be hoarse but should improve over time
Which intervention promotes comfort in dyspnea management for a patient with
lung cancer?
A. Administer morphine on a routine, scheduled basis
B. Place the patient in a supine position with a pillow under the knees and legs
C. Encourage coughing, deep breathing and independence ambulation
D. Provide nitroglycerine as prescribed/provide supplemental oxygen via nasal
cannula or mask - ANSWER A. Administer morphine on a
routine, scheduled basis
37 year old male client presented to the emergency room with complaints of nasal,
facial pain and bloody discharge. He states the symptoms started approx. 3 mon
ago has gotten worse. He states that he feels like his nose is blocked up all the
time. Based on symptoms which of the following diagnosis test would the nurse
anticipate to provide?
A. CT scan of the face
B. Liver function test
C. complete blood counts
D, Tumor mapping - ANSWER A. CT scan of the face
): Multidimensional Care III /
MDC 3 - Rasmussen
A client with chronic bronchitis often shows signs of hypoxia. Which of the
following is the priority to monitor for in this client?
A. O2 levels
B. Barrel chest
C. Nutritional Status
D. Clubbing of fingers - ANSWER A. O2 levels
Which of the following positions offers no benefit to relieve dyspnea in a client
with chronic air flow limitation?
A. sitting at the edge of the chair, leaning forward with his arms folded and resting
on a table
B. A low- semi reclining positions with shoulders back and niche apart
C. Leaning forward in a chair with feet spread apart and elbows placed on knees
D. upright with head slightly flexed, with feet spread apart and shoulders relaxed -
ANSWER B. A low- semi reclining positions with shoulders back
and niche apart
The nurse knows that which of the following test is not used to identify potential
tuberculosis
A. sputum culture
B. Chest x-ray
C. Mantoux skin test
D. Saliva swab - ANSWER D. Saliva swab
,The nurse has identified a nursing diagnosis of ineffective airway clearance with
bronchospasms for client with pneumonia. What nursing intervention will help to
conduct refractive air clearance for a client with pneumonia?
A. increase liters of humidified oxygen perfect marks
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
C. Handheld bronchodilator always as needed
D. Prednisone via inhaler or IV to reduce the inflammation - ANSWER
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
The nurse is teaching a client about post-rhinoplasty care. Which statement by the
clients indicate an understanding of the instructions? SATA
A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
C. There will be swelling that will cause a loss of sense of smell
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
F. I will be able to breathing only from my nose
G. I should take a stool softener to prevent straining during bowel movements -
ANSWER A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
G. I should take a stool softener to prevent straining during bowel movements
A 27yr old male presents to the E.R with difficulty breathing, respiratory rate is 36
bpm, O2 is 85% on RA. Breaths are diminished bilaterally. Which of the following
is a nursing intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV - ANSWER B. Secure the airway
Nurse is teaching a client with COPD about energy conservation. What does the
nurse advise the patient to avoid?
, A. performing activities at a relaxed pace through the day with rest periods
B. Working on activities that require using the arms at chest level or lower
C. Eating 3 large meals per day
D. Talking and performing activity separately - ANSWER C.
Eating 3 large meals per day
Which statement by the patient indicates understanding about radiation therapy for
neck cancer?
A. I will need to wear sunscreen or protect my skin with clothing at all times/ my
cousin may initially be hoarse but should improve over time
B. There are not side effects other than a hoarse voice
C. Radiation does not cause a dry mouth
D. My throat is not directly affected by radiation - ANSWER A.
I will need to wear sunscreen or protect my skin with clothing at all times/ my
cousin may initially be hoarse but should improve over time
Which intervention promotes comfort in dyspnea management for a patient with
lung cancer?
A. Administer morphine on a routine, scheduled basis
B. Place the patient in a supine position with a pillow under the knees and legs
C. Encourage coughing, deep breathing and independence ambulation
D. Provide nitroglycerine as prescribed/provide supplemental oxygen via nasal
cannula or mask - ANSWER A. Administer morphine on a
routine, scheduled basis
37 year old male client presented to the emergency room with complaints of nasal,
facial pain and bloody discharge. He states the symptoms started approx. 3 mon
ago has gotten worse. He states that he feels like his nose is blocked up all the
time. Based on symptoms which of the following diagnosis test would the nurse
anticipate to provide?
A. CT scan of the face
B. Liver function test
C. complete blood counts
D, Tumor mapping - ANSWER A. CT scan of the face
