NSG 3130 EXAM 4 TEST BANK
QUESTIONS LATEST PRACTICE TEST
WITH 103 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES| NSG
3130 EXAM 4 | GUARANTEED PASS |
"The nurse is caring for a patient with high cholesterol who has been prescribed atorvastatin
(Lipitor). Which laboratory result indicates that the patient has been taking the medication as
ordered and following the physician's dietary recommendations?
a. Serum triglyceride level 325 mg/dL
b. High-density lipoproteins (HDL) 56 mg/dL
c. Low-density lipoproteins (LDL) 155 mg/dL
d. Total cholesterol level 185 mg/dL - CORRECT ANSWER=> d. Total cholesterol level 185 mg/dL
A total cholesterol level higher than 200 mg/dL is considered a risk factor for atherosclerosis, so
a cholesterol level of 185 mg/dL indicates that the patient has been compliant with the
prescribed therapy. The other laboratory results are abnormal and would not indicate
compliance."
"The nurse is caring for a patient who has presented to the ER with chest pain. Which diagnostic
test will best indicate if there is significant blockage of important blood vessels that provide
oxygen to the heart muscle?
a. Cardiac catheterization
b. Chest x-ray
c. Echocardiogram
d. Electrocardiogram - CORRECT ANSWER=> a. Cardiac catheterization
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,Cardiac catheterization includes the use of contrast dye to visualize the coronary arteries and
determine blood flow to cardiac muscle. The other tests will not allow the physician to
determine which (if any) coronary arteries are occluded."
"The nurse hears a loud murmur when listening to the patient's heart. Which diagnostic test will
best display the condition of the valves and structures within the patient's heart that could be
causing the murmur?
a. Chest x-ray
b. Cardiac catheterization
c. Echocardiogram
d. Electrocardiogram - CORRECT ANSWER=> c. Echocardiogram
Echocardiograms allow for ultrasound visualization of the structures of the heart along with
function of the heart valves and cardiac musculature."
"The nurse is caring for a patient who will be returning to the nursing unit following a cardiac
catheterization via the right femoral artery. Which assessment is the highest priority for the
nurse to perform when the patient arrives on the unit?
a. Checking the patient's right pedal pulse and warmth of the right leg
b. Checking pulse oximetry and listening to the patient's lung sounds
c. Checking bilateral radial pulses to check for a pulse deficit
d. Estimating the patient's jugular venous pressure - CORRECT ANSWER=> a. Checking the
patient's right pedal pulse and warmth of the right leg
Cardiac catheterization includes the insertion of a large IV needle into the patient's right femoral
or brachial artery to view the left side of the heart and inserted into the antecubital or femoral
vein to view structures on the right side of the heart. In this case, occlusion of the femoral
artery may develop after the procedure leading to faint or absent pedal pulses and loss of
warmth to the right leg. The nurse should check the patient's right pedal pulses and leg warmth
to ensure that the femoral artery has not become occluded. The other assessments may be
performed once the patient's right leg is found to be warm with strong pulses."
"The home care nurse is caring for a patient who has severe COPD and home oxygen therapy.
The patient tells the nurse that she feels much better after increasing the oxygen flowmeter
from 2 L to 5 L/min. The patient's pulse oximetry is 98%. What is the priority action of the
nurse?
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,a. Reduce the oxygen flow rate until the patient's pulse oximetry value is more than 88%.
b. Inform the patient's physician and obtain an order for oxygen at 5 L/min.
c. Document the intervention and findings in the patient's medical record.
d. Listen to the patient's lung fields and reinforce pursed-lip breathing techniques. - CORRECT
ANSWER=> a. Reduce the oxygen flow rate until the patient's pulse oximetry value is more than
88%.
COPD causes impaired gas exchange, leading to decreased oxygen levels and higher circulating
levels of carbon dioxide. For COPD patients the PCP often orders oxygen to be titrated to keep
the oxygen saturation above 88%. Oxygen saturation may decrease during exercise, sleep, or
deterioration of the respiratory status. For the patient with COPD, use low-flow oxygen delivery
only (2 L/min) unless a higher level of oxygen administration is indicated by low oxygen
saturation levels. High-flow oxygen may lead to respiratory suppression caused by loss of the
patient's drive to breathe. For COPD patients the PCP often orders oxygen to be titrated to keep
the oxygen saturation above 88%. Therefore, the nurse should reduce the oxygen flow rate until
the patient's pulse oximetry is more than 88% and educate the patient about oxygen therapy
for COPD."
"The nurse is caring for a patient with advanced COPD who reports feeling short of breath. The
nurse notes that the patient's lung sounds are diminished bilaterally and the patient's pulse
oximetry is 91% on 2 L/min oxygen via nasal cannula. What actions will the nurse take to make
the patient more comfortable?
(Select all that apply.)
a. Increase the patient's oxygen to 4 L/min via nasal cannula.
b. Suction the patient's airway using sterile technique.
c. Maintain eye contact and provide calm reassurance.
d. Turn the patient onto the side for postural drainage.
e. Administer the ordered nebulized bronchodilator.
f. Elevate the head of the patient's bed to fully upright. - CORRECT ANSWER=> c. Maintain eye
contact and provide calm reassurance.
e. Administer the ordered nebulized bronchodilator.
f. Elevate the head of the patient's bed to fully upright.
Patients who are acutely short of breath due to advanced COPD will benefit from nebulized
bronchodilator medication to open the airways. Elevating the head of the bed will prevent
pressure on the diaphragm from the abdominal contents. A caring demeanor with eye contact
3|Page
, will help the patient remain calm until the medication begins to work and the shortness of
breath is eased. Patients with COPD should be kept on low-flow oxygen to maintain pulse
oximetry of more than 88%."
"The nurse is performing a respiratory assessment on a patient. Which assessment findings
indicate to the nurse that the patient has a history of long-standing chronic respiratory disease?
(Select all that apply.)
a. All the patient's fingernails are noticeably clubbed.
b. The patient needs to sleep on at least four to five pillows at night.
c. The patient's chest has equal antero-posterior and transverse diameters.
d. The patient's lower legs have large areas of brownish spotted discoloration. e. The patient
reports puffiness of both feet when standing for long periods.
f. The patient's forced vital capacity test result is 3.8 L of air. - CORRECT ANSWER=> a. All the
patient's fingernails are noticeably clubbed.
b. The patient needs to sleep on at least four to five pillows at night.
c. The patient's chest has equal antero-posterior and transverse diameters.
Clubbing of fingernails, the need to sleep in an upright position, and a barrel chest are all
indicative of long-standing chronic respiratory disease like COPD. Brownish spotted discoloration
is indicative of venous insufficiency. Edema can be seen in renal and heart failure. Forced vital
capacity of almost 4 L is found in patients with good respiratory function."
"The nurse notes the following findings when assessing a patient with COPD. Which require
prompt nursing intervention?
(Select all that apply.)
a. The patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
d. The patient's forced vital capacity has increased from 2.8 to 3.4 L.
e. The patient has become confused and mildly disoriented. - CORRECT ANSWER=> a. The patient
is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
e. The patient has become confused and mildly disoriented.
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QUESTIONS LATEST PRACTICE TEST
WITH 103 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES| NSG
3130 EXAM 4 | GUARANTEED PASS |
"The nurse is caring for a patient with high cholesterol who has been prescribed atorvastatin
(Lipitor). Which laboratory result indicates that the patient has been taking the medication as
ordered and following the physician's dietary recommendations?
a. Serum triglyceride level 325 mg/dL
b. High-density lipoproteins (HDL) 56 mg/dL
c. Low-density lipoproteins (LDL) 155 mg/dL
d. Total cholesterol level 185 mg/dL - CORRECT ANSWER=> d. Total cholesterol level 185 mg/dL
A total cholesterol level higher than 200 mg/dL is considered a risk factor for atherosclerosis, so
a cholesterol level of 185 mg/dL indicates that the patient has been compliant with the
prescribed therapy. The other laboratory results are abnormal and would not indicate
compliance."
"The nurse is caring for a patient who has presented to the ER with chest pain. Which diagnostic
test will best indicate if there is significant blockage of important blood vessels that provide
oxygen to the heart muscle?
a. Cardiac catheterization
b. Chest x-ray
c. Echocardiogram
d. Electrocardiogram - CORRECT ANSWER=> a. Cardiac catheterization
1|Page
,Cardiac catheterization includes the use of contrast dye to visualize the coronary arteries and
determine blood flow to cardiac muscle. The other tests will not allow the physician to
determine which (if any) coronary arteries are occluded."
"The nurse hears a loud murmur when listening to the patient's heart. Which diagnostic test will
best display the condition of the valves and structures within the patient's heart that could be
causing the murmur?
a. Chest x-ray
b. Cardiac catheterization
c. Echocardiogram
d. Electrocardiogram - CORRECT ANSWER=> c. Echocardiogram
Echocardiograms allow for ultrasound visualization of the structures of the heart along with
function of the heart valves and cardiac musculature."
"The nurse is caring for a patient who will be returning to the nursing unit following a cardiac
catheterization via the right femoral artery. Which assessment is the highest priority for the
nurse to perform when the patient arrives on the unit?
a. Checking the patient's right pedal pulse and warmth of the right leg
b. Checking pulse oximetry and listening to the patient's lung sounds
c. Checking bilateral radial pulses to check for a pulse deficit
d. Estimating the patient's jugular venous pressure - CORRECT ANSWER=> a. Checking the
patient's right pedal pulse and warmth of the right leg
Cardiac catheterization includes the insertion of a large IV needle into the patient's right femoral
or brachial artery to view the left side of the heart and inserted into the antecubital or femoral
vein to view structures on the right side of the heart. In this case, occlusion of the femoral
artery may develop after the procedure leading to faint or absent pedal pulses and loss of
warmth to the right leg. The nurse should check the patient's right pedal pulses and leg warmth
to ensure that the femoral artery has not become occluded. The other assessments may be
performed once the patient's right leg is found to be warm with strong pulses."
"The home care nurse is caring for a patient who has severe COPD and home oxygen therapy.
The patient tells the nurse that she feels much better after increasing the oxygen flowmeter
from 2 L to 5 L/min. The patient's pulse oximetry is 98%. What is the priority action of the
nurse?
2|Page
,a. Reduce the oxygen flow rate until the patient's pulse oximetry value is more than 88%.
b. Inform the patient's physician and obtain an order for oxygen at 5 L/min.
c. Document the intervention and findings in the patient's medical record.
d. Listen to the patient's lung fields and reinforce pursed-lip breathing techniques. - CORRECT
ANSWER=> a. Reduce the oxygen flow rate until the patient's pulse oximetry value is more than
88%.
COPD causes impaired gas exchange, leading to decreased oxygen levels and higher circulating
levels of carbon dioxide. For COPD patients the PCP often orders oxygen to be titrated to keep
the oxygen saturation above 88%. Oxygen saturation may decrease during exercise, sleep, or
deterioration of the respiratory status. For the patient with COPD, use low-flow oxygen delivery
only (2 L/min) unless a higher level of oxygen administration is indicated by low oxygen
saturation levels. High-flow oxygen may lead to respiratory suppression caused by loss of the
patient's drive to breathe. For COPD patients the PCP often orders oxygen to be titrated to keep
the oxygen saturation above 88%. Therefore, the nurse should reduce the oxygen flow rate until
the patient's pulse oximetry is more than 88% and educate the patient about oxygen therapy
for COPD."
"The nurse is caring for a patient with advanced COPD who reports feeling short of breath. The
nurse notes that the patient's lung sounds are diminished bilaterally and the patient's pulse
oximetry is 91% on 2 L/min oxygen via nasal cannula. What actions will the nurse take to make
the patient more comfortable?
(Select all that apply.)
a. Increase the patient's oxygen to 4 L/min via nasal cannula.
b. Suction the patient's airway using sterile technique.
c. Maintain eye contact and provide calm reassurance.
d. Turn the patient onto the side for postural drainage.
e. Administer the ordered nebulized bronchodilator.
f. Elevate the head of the patient's bed to fully upright. - CORRECT ANSWER=> c. Maintain eye
contact and provide calm reassurance.
e. Administer the ordered nebulized bronchodilator.
f. Elevate the head of the patient's bed to fully upright.
Patients who are acutely short of breath due to advanced COPD will benefit from nebulized
bronchodilator medication to open the airways. Elevating the head of the bed will prevent
pressure on the diaphragm from the abdominal contents. A caring demeanor with eye contact
3|Page
, will help the patient remain calm until the medication begins to work and the shortness of
breath is eased. Patients with COPD should be kept on low-flow oxygen to maintain pulse
oximetry of more than 88%."
"The nurse is performing a respiratory assessment on a patient. Which assessment findings
indicate to the nurse that the patient has a history of long-standing chronic respiratory disease?
(Select all that apply.)
a. All the patient's fingernails are noticeably clubbed.
b. The patient needs to sleep on at least four to five pillows at night.
c. The patient's chest has equal antero-posterior and transverse diameters.
d. The patient's lower legs have large areas of brownish spotted discoloration. e. The patient
reports puffiness of both feet when standing for long periods.
f. The patient's forced vital capacity test result is 3.8 L of air. - CORRECT ANSWER=> a. All the
patient's fingernails are noticeably clubbed.
b. The patient needs to sleep on at least four to five pillows at night.
c. The patient's chest has equal antero-posterior and transverse diameters.
Clubbing of fingernails, the need to sleep in an upright position, and a barrel chest are all
indicative of long-standing chronic respiratory disease like COPD. Brownish spotted discoloration
is indicative of venous insufficiency. Edema can be seen in renal and heart failure. Forced vital
capacity of almost 4 L is found in patients with good respiratory function."
"The nurse notes the following findings when assessing a patient with COPD. Which require
prompt nursing intervention?
(Select all that apply.)
a. The patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
d. The patient's forced vital capacity has increased from 2.8 to 3.4 L.
e. The patient has become confused and mildly disoriented. - CORRECT ANSWER=> a. The patient
is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
e. The patient has become confused and mildly disoriented.
4|Page
