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NUR170 EXAM 2 VERSION 2 CONCEPTS OF
MEDICAL-SURGICAL NURSING EXAM GUIDE
ACTUAL PREP QUESTIONS AND WELL REVISED
ANSWERS - LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
The home health nurse is assigned to visit these clients when a change in agency
staffing requires that one of the clients be rescheduled for a visit on the following
day. Which client will be best to reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2
levels of 91% to 93%
A client is admitted to the medical floor with a new diagnosis of lung cancer. How
will the nurse initially assist the client in managing the anxiety associated with the
new diagnosis?
Encourage the client to ask questions and verbalize concerns. Encourage the client
to ask questions and verbalize concerns.
When caring for a client who has just undergone thoracentesis, which of these
interventions does the nurse perform first?
Schedule an immediate chest x-ray.
A client has returned to the medical surgical unit after a bronchoscopy. Which
nursing task is best for the charge nurse to delegate to the experienced unlicensed
assistive personnel (UAP)?
Monitor blood pressure and pulse.
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The nurse is preparing the client for a diagnostic bronchoscopy. Which nursing
intervention is essential for the nurse to perform prior to the procedure?
Ensure the client has had nothing by mouth.
The RN has received report about four clients. Which client needs the most
immediate assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
Which assessment finding in the client with exacerbation of emphysema requires
intervention by the nurse?
Bronchial breath sounds heard at the bases
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.
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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.
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?"
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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
Blue discoloration of the lips
NUR170 EXAM 2 VERSION 2 CONCEPTS OF
MEDICAL-SURGICAL NURSING EXAM GUIDE
ACTUAL PREP QUESTIONS AND WELL REVISED
ANSWERS - LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
The home health nurse is assigned to visit these clients when a change in agency
staffing requires that one of the clients be rescheduled for a visit on the following
day. Which client will be best to reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2
levels of 91% to 93%
A client is admitted to the medical floor with a new diagnosis of lung cancer. How
will the nurse initially assist the client in managing the anxiety associated with the
new diagnosis?
Encourage the client to ask questions and verbalize concerns. Encourage the client
to ask questions and verbalize concerns.
When caring for a client who has just undergone thoracentesis, which of these
interventions does the nurse perform first?
Schedule an immediate chest x-ray.
A client has returned to the medical surgical unit after a bronchoscopy. Which
nursing task is best for the charge nurse to delegate to the experienced unlicensed
assistive personnel (UAP)?
Monitor blood pressure and pulse.
,2|Page
The nurse is preparing the client for a diagnostic bronchoscopy. Which nursing
intervention is essential for the nurse to perform prior to the procedure?
Ensure the client has had nothing by mouth.
The RN has received report about four clients. Which client needs the most
immediate assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
Which assessment finding in the client with exacerbation of emphysema requires
intervention by the nurse?
Bronchial breath sounds heard at the bases
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.
,3|Page
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.
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?"
, 4|Page
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
Blue discoloration of the lips
