exam 3 practice questions with correct
answers
John Joseph was scheduled for a physical assessment. When percussing the client's chest, the nurse
would expect to find which assessment data as a normal sign over his lungs? - correct answer
resonance
When assessing the lower extremities for arterial function, which intervention should the nurse
perform? - correct answer palpating the pedal pulses
For which time period would the nurse notify the health care provider that the client had no bowel
sounds? - correct answer 5 mins
Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Which is
the best area for auscultating the apical pulse? - correct answer mitral area
Chuck, who is in the hospital, complains of abdominal pain that ranks 9 on a scale of 1 (no pain) to
10 (worst pain). Which interventions should the nurse implement? (Select all that apply.) - correct
answer assess bowel sounds
take BP and pulse
determine when was the last time pt took meds
, The most appropriate time for the nurse to obtain a sputum specimen for culture is: - correct
answer early in the morning
To prevent postoperative complications, Nurse Kim assists the client with coughing and deep
breathing exercises. This is best accomplished by implementing which of the following? - correct
answer huff coughing every two hours as needed
Which client statement informs the nurse that his teaching about the proper use of an incentive
spirometer was effective? - correct answer "I should inhale slowly and steadily to keep the balls
up."
Nurse Peter makes the assessment that which client has the greatest risk for a problem with the
transport of oxygen from the lungs to the tissues? A client who has: - correct answer anemia
Which term does the nurse document to best describe a client experiencing shortness of breath
while lying down who must assume an upright or sitting position to breed more comfortably and
effectively? - correct answer orthopnea
Nurse Winona teaches a patient how to use an incentive spirometer. What patient outcome will
support the conclusion that the use of the incentives spirometer was effective? - correct answer
Inspiratory volume will be increased.
Nurse Stephanie is assessing a client who has an acute respiratory infection that puts her at risk for
hypoxemia. Which of the following findings are early indications that should alert the nurse that the
client is developing hypoxemia? Select all that apply. - correct answer restlessness
tachypnea
answers
John Joseph was scheduled for a physical assessment. When percussing the client's chest, the nurse
would expect to find which assessment data as a normal sign over his lungs? - correct answer
resonance
When assessing the lower extremities for arterial function, which intervention should the nurse
perform? - correct answer palpating the pedal pulses
For which time period would the nurse notify the health care provider that the client had no bowel
sounds? - correct answer 5 mins
Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Which is
the best area for auscultating the apical pulse? - correct answer mitral area
Chuck, who is in the hospital, complains of abdominal pain that ranks 9 on a scale of 1 (no pain) to
10 (worst pain). Which interventions should the nurse implement? (Select all that apply.) - correct
answer assess bowel sounds
take BP and pulse
determine when was the last time pt took meds
, The most appropriate time for the nurse to obtain a sputum specimen for culture is: - correct
answer early in the morning
To prevent postoperative complications, Nurse Kim assists the client with coughing and deep
breathing exercises. This is best accomplished by implementing which of the following? - correct
answer huff coughing every two hours as needed
Which client statement informs the nurse that his teaching about the proper use of an incentive
spirometer was effective? - correct answer "I should inhale slowly and steadily to keep the balls
up."
Nurse Peter makes the assessment that which client has the greatest risk for a problem with the
transport of oxygen from the lungs to the tissues? A client who has: - correct answer anemia
Which term does the nurse document to best describe a client experiencing shortness of breath
while lying down who must assume an upright or sitting position to breed more comfortably and
effectively? - correct answer orthopnea
Nurse Winona teaches a patient how to use an incentive spirometer. What patient outcome will
support the conclusion that the use of the incentives spirometer was effective? - correct answer
Inspiratory volume will be increased.
Nurse Stephanie is assessing a client who has an acute respiratory infection that puts her at risk for
hypoxemia. Which of the following findings are early indications that should alert the nurse that the
client is developing hypoxemia? Select all that apply. - correct answer restlessness
tachypnea
