NU 456 Exam 3 Questions With Correct Answers

NU 456 Exam 3 Questions With Correct
Answers

A |nurse |in |the |ER |is |assessing |a |client |who |was |in |a |MVA. |Findings |include |absent |breath |
sounds |in |the |left |lower |lobe, |dyspnea, |BP |118/68, |HR |124, |RR |38, |T |101.4F, |and |O2 |92% |on |
RA. |Which |of |the |following |actions |should |the |nurse |take |first?



a. |obtain |chest |x-ray

b. |prepare |for |chest |tube |insertion

c. |administer |oxygen |via |high-flow |mask

d. |initiate |IV |access |- |CORRECT |ANSWER✔✔-c. |administer |oxygen |via |high |flow |mask



A |nurse |is |orientating |a |newly |licensed |nurse |on |the |purpose |of |administrating |vecuronium |to |
a |client |who |has |ARDS. |Which |of |the |following |statements |by |the |newly |licensed |nurse |
indicates |understanding |of |teaching?



a. |"This |medication |is |given |to |treat |infection"

b. |"This |medication |is |given |to |facilitate |oxygenation"

c. |"This |medication |is |given |to |decrease |inflammation"

d. |"This |medication |is |given |to |reduce |anxiety" |- |CORRECT |ANSWER✔✔-b. |"This |medication |is |
given |to |facilitate |oxygenation"



A |nurse |is |reviewing |the |health |record |of |5 |clients. |Which |of |the |following |clients |are |at |risk |
for |developing |ARDS? |Select |all |that |apply



a. |client |who |experienced |a |near-drowning

,b. |client |following |coronary |artery |bypass |surgery |

c. |client |who's |Hgb |of |15.1 |mg/dL

d. |client |with |dysphagia

e. |client |who |experienced |acute |drug |toxicity |- |CORRECT |ANSWER✔✔-a. |client |who |
experienced |a |near-drowning

b. |client |following |coronary |artery |bypass |surgery |

d. |client |with |dysphagia

e. |client |who |experienced |acute |drug |toxicity



A |nurse |is |planning |care |for |a |client |who |has |SARS. |Which |of |the |following |actions |should |the |
nurse |include |in |care? |Select |all |that |apply



a. |administer |ABX

b. |provide |supplemental |O2

c. |administer |antiviral |medication

d. |administer |bronchodilator

e. |maintain |ventilatory |support |- |CORRECT |ANSWER✔✔-b. |provide |supplemental |O2

d. |administer |bronchodilator

e. |maintain |ventilatory |support



A |nurse |is |caring |for |a |client |who |is |receiving |vecuronium |during |mechanical |ventilation. |
Which |of |the |following |medications |should |the |nurse |anticipate |administering |with |this |
medication?



a. |fentanyl |

b. |furosemide

c. |midazolam

, d. |famotidine

e. |dexamethasone |- |CORRECT |ANSWER✔✔-a. |fentanyl |- |reduce |pain

c. |midazolam- |sedative



A |nurse |is |in |the |ER |caring |for |a |client |who |is |experiencing |an |acute |asthma |attack. |Which |of |
the |following |assessments |indicate |that |the |respiratory |status |is |declining? |Select |all |that |
apply



a. |SaO2 |95%

b. |wheezing

c. |retraction |of |sternal |muscles

d. |pink |mucous |membranes

e. |tachycardia |- |CORRECT |ANSWER✔✔-b. |wheezing

c. |retraction |of |sternal |muscles

e. |tachycardia



A |nurse |is |caring |for |a |client |2 |hours |after |admission. |The |client |has |an |SaO2 |of |91%, |exhibits |
wheezing, |and |use |of |accessory |muscles |when |breathing. |Which |of |the |following |classes |of |
medications |should |the |nurse |expect |to |administer?



a. |ABX

b. |B |blocker

c. |antiviral

d. |B2 |agonist |- |CORRECT |ANSWER✔✔-d. |B2 |agonist



A |nurse |is |providing |discharge |teaching |to |a |client |who |has |a |new |prescription |for |prednisone |
for |asthma. |Which |of |the |following |client |statements |indicates |understanding?