NUR 170 Exam 2– 2025-2026 Comprehensive Study Guide with
Detailed Notes, Concepts, and Practice Questions with Correct
Detailed Answers for Nursing and Medical Students||NURS 170
Exam 2 Latest Version!!!
A client with chronic obstructive pulmonary disease (COPD) has a
prescription to adjust oxygen to maintain SpO2 between 90% and
92%. Which action can be delegated to unlicensed assistive personnel
(UAP) under the supervision of an RN?
Adjust the position of the oxygen tubing.
A client with asthma reports shortness of breath. Which of these
findings does the nurse anticipate when assessing this client's chest?
Expiratory wheezing not cleared by coughing
The RN and the LPN/LVN are working together to provide care for a
group of clients on a medical surgical unit. Which of these actions is
most appropriate for the RN to perform?
Plan client and family teaching regarding upcoming pulmonary
function testing.
The nurse is assessing a client with chronic bronchitis who smoked 3
packs of cigarettes daily for 32 years. How does the nurse document
pack-year history of smoking in the medical record?
Client has a 96 pack-year history
The nurse is caring for a client with heart failure and acute kidney
injury. For which of these breath sounds will the nurse assess?
Crackles
The nurse in the outpatient clinic is scheduling a client for pulmonary
function tests. When teaching the client about pulmonary function
testing (PFT), which point is essential for the nurse to emphasize?
Ensure the client does not smoke for 6 hours before the test.
pg. 1
,The nurse in a life care community for geriatric clients is providing
education to a group of residents on expected changes during aging.
Which of these activities does the nurse encourage the older adult to
perform to maintain respiratory function?
Walk as tolerated each day.
A client is admitted to the surgical floor with chest pain, shortness of
breath, and hypoxemia after having a knee replacement. What
primary assessment will the nurse make while preparing the client for
a computed tomography (CT) scan?
"Are you allergic to iodine or shellfish?"
The nurse is caring for four clients who came to the emergency
department with a productive cough. Which of these clients requires
immediate intervention by the nurse?
The client with pink, frothy sputum
Which client does the charge nurse on the medical-surgical unit assign
to an RN who has floated from the postanesthesia care unit (PACU)?
Client who had 1200 mL of pleural fluid removed by thoracentesis
The nurse is providing education on preventing pulmonary disorders
at a community health fair. Which of these groups does the nurse
target?
Bakers
Coal miners
Furniture refinishers
Potters
The emergency department nurse is assessing a client who believes he
has sustained a pneumothorax after an outpatient thoracentesis earlier
today. For which of these symptoms will the nurse assess?
Sensation of air hunger
Tracheal deviation
pg. 2
,Blue discoloration of the lips
The nurse is preparing a client with possible pulmonary embolism for
a CT scan with contrast. Prior to the scan, which of these assessment
questions is essential for the nurse to ask?
"Did you take metformin today?"
The nurse is caring for a client who just returned from an open lung
biopsy and has a prescription for morphine by client-controlled
analgesia (PCA). Which of these actions to detect early opioid
induced respiratory depression does the nurse recommend?
Continuous capnography
The nurse is working in an urgent care clinic where four clients are
waiting to be seen. Which client needs to be evaluated first by the
nurse?
Client who is speaking in three-word sentences and has an SpO2 of
90%
The nurse in the medical clinic is performing an assessment on an
older adult client. Which finding requires further assessment by the
nurse?
Inability to state name and date of birth
The nurse is planning to provide tracheostomy care for a client with a
soiled tracheostomy dressing. Which of these actions would be
included in the plan of care?
Suction the client if needed.
Cleanse the inner cannula with a mixture of peroxide and saline.
Replace the dressing with a sterile, folded 4 × 4 gauze.
A client has just been admitted to the emergency department and
requires high-flow oxygen therapy after suffering facial burns and
smoke inhalation. Which oxygen delivery device will the nurse
select?
pg. 3
, Face tent
The respirations of a sedated client with a new tracheostomy have
become noisy, and the ventilator alarms indicate high peak pressures.
The ventilator tubing is clear. What is the best immediate action by
the nurse?
Suction the tracheostomy tube
A new graduate RN discovers that her client, who had a tracheostomy
placed the previous day, has completely dislodged both the inner
cannula and the tracheostomy tube. Which action should the nurse
take first?
Direct someone to call the Rapid Response Team (RRT) while using a
resuscitation bag and facemask.
A client with respiratory failure has been intubated and placed on a
ventilator with 100% oxygen delivery to maintain adequate saturation.
Twenty-four hours later, the nurse notes new-onset crackles and
decreased breath sounds. The most recent arterial blood gases (ABGs)
show a PaO2 level of 95 mm Hg. What action will the nurse take
next?
Collaborate with the provider to lower the FiO2 level.
The nurse is caring for a group of clients on a medical surgical unit.
Which client will the nurse assess first?
A client admitted 2 hours ago who has a 90 pack-year smoking
history and is receiving 50% oxygen by Venturi mask
A client who is concerned about getting a tracheostomy says, "I will
be ugly, with a hole in my neck." What is the nurse's best response?
"Do you have a light scarf that you could place over it?"
A client has just arrived in the postanesthesia care unit (PACU)
following a successful tracheostomy procedure. Which nursing action
must be taken first?
pg. 4
Detailed Notes, Concepts, and Practice Questions with Correct
Detailed Answers for Nursing and Medical Students||NURS 170
Exam 2 Latest Version!!!
A client with chronic obstructive pulmonary disease (COPD) has a
prescription to adjust oxygen to maintain SpO2 between 90% and
92%. Which action can be delegated to unlicensed assistive personnel
(UAP) under the supervision of an RN?
Adjust the position of the oxygen tubing.
A client with asthma reports shortness of breath. Which of these
findings does the nurse anticipate when assessing this client's chest?
Expiratory wheezing not cleared by coughing
The RN and the LPN/LVN are working together to provide care for a
group of clients on a medical surgical unit. Which of these actions is
most appropriate for the RN to perform?
Plan client and family teaching regarding upcoming pulmonary
function testing.
The nurse is assessing a client with chronic bronchitis who smoked 3
packs of cigarettes daily for 32 years. How does the nurse document
pack-year history of smoking in the medical record?
Client has a 96 pack-year history
The nurse is caring for a client with heart failure and acute kidney
injury. For which of these breath sounds will the nurse assess?
Crackles
The nurse in the outpatient clinic is scheduling a client for pulmonary
function tests. When teaching the client about pulmonary function
testing (PFT), which point is essential for the nurse to emphasize?
Ensure the client does not smoke for 6 hours before the test.
pg. 1
,The nurse in a life care community for geriatric clients is providing
education to a group of residents on expected changes during aging.
Which of these activities does the nurse encourage the older adult to
perform to maintain respiratory function?
Walk as tolerated each day.
A client is admitted to the surgical floor with chest pain, shortness of
breath, and hypoxemia after having a knee replacement. What
primary assessment will the nurse make while preparing the client for
a computed tomography (CT) scan?
"Are you allergic to iodine or shellfish?"
The nurse is caring for four clients who came to the emergency
department with a productive cough. Which of these clients requires
immediate intervention by the nurse?
The client with pink, frothy sputum
Which client does the charge nurse on the medical-surgical unit assign
to an RN who has floated from the postanesthesia care unit (PACU)?
Client who had 1200 mL of pleural fluid removed by thoracentesis
The nurse is providing education on preventing pulmonary disorders
at a community health fair. Which of these groups does the nurse
target?
Bakers
Coal miners
Furniture refinishers
Potters
The emergency department nurse is assessing a client who believes he
has sustained a pneumothorax after an outpatient thoracentesis earlier
today. For which of these symptoms will the nurse assess?
Sensation of air hunger
Tracheal deviation
pg. 2
,Blue discoloration of the lips
The nurse is preparing a client with possible pulmonary embolism for
a CT scan with contrast. Prior to the scan, which of these assessment
questions is essential for the nurse to ask?
"Did you take metformin today?"
The nurse is caring for a client who just returned from an open lung
biopsy and has a prescription for morphine by client-controlled
analgesia (PCA). Which of these actions to detect early opioid
induced respiratory depression does the nurse recommend?
Continuous capnography
The nurse is working in an urgent care clinic where four clients are
waiting to be seen. Which client needs to be evaluated first by the
nurse?
Client who is speaking in three-word sentences and has an SpO2 of
90%
The nurse in the medical clinic is performing an assessment on an
older adult client. Which finding requires further assessment by the
nurse?
Inability to state name and date of birth
The nurse is planning to provide tracheostomy care for a client with a
soiled tracheostomy dressing. Which of these actions would be
included in the plan of care?
Suction the client if needed.
Cleanse the inner cannula with a mixture of peroxide and saline.
Replace the dressing with a sterile, folded 4 × 4 gauze.
A client has just been admitted to the emergency department and
requires high-flow oxygen therapy after suffering facial burns and
smoke inhalation. Which oxygen delivery device will the nurse
select?
pg. 3
, Face tent
The respirations of a sedated client with a new tracheostomy have
become noisy, and the ventilator alarms indicate high peak pressures.
The ventilator tubing is clear. What is the best immediate action by
the nurse?
Suction the tracheostomy tube
A new graduate RN discovers that her client, who had a tracheostomy
placed the previous day, has completely dislodged both the inner
cannula and the tracheostomy tube. Which action should the nurse
take first?
Direct someone to call the Rapid Response Team (RRT) while using a
resuscitation bag and facemask.
A client with respiratory failure has been intubated and placed on a
ventilator with 100% oxygen delivery to maintain adequate saturation.
Twenty-four hours later, the nurse notes new-onset crackles and
decreased breath sounds. The most recent arterial blood gases (ABGs)
show a PaO2 level of 95 mm Hg. What action will the nurse take
next?
Collaborate with the provider to lower the FiO2 level.
The nurse is caring for a group of clients on a medical surgical unit.
Which client will the nurse assess first?
A client admitted 2 hours ago who has a 90 pack-year smoking
history and is receiving 50% oxygen by Venturi mask
A client who is concerned about getting a tracheostomy says, "I will
be ugly, with a hole in my neck." What is the nurse's best response?
"Do you have a light scarf that you could place over it?"
A client has just arrived in the postanesthesia care unit (PACU)
following a successful tracheostomy procedure. Which nursing action
must be taken first?
pg. 4
