Nurs 400 Unit 3 Questions With Complete Solutions
1. A clinic nurse is caring for a patient who has just been
diagnosed with chronic
obstructive pulmonary disease (COPD). The patient asks the
nurse what he could have
done to minimize the risk of contracting this disease. What
would be the nurses best
Answer?
A) The most important risk factor for COPD is exposure to
occupational toxins.
B) The most important risk factor for COPD is inadequate
exercise.
C) The most important risk factor for COPD is exposure to dust
and pollen.
D) The most important risk factor for COPD is cigarette
smoking. Correct Answers D
1. A patient is having her tonsils removed. The patient asks the
nurse what function the
tonsils normally serve. Which of the following would be the
most accurate response?
A) The tonsils separate your windpipe from your throat when
you swallow.
B) The tonsils help to guard the body from invasion of
organisms.
C) The tonsils make enzymes that you swallow and which aid
with digestion.
D) The tonsils help with regulating the airflow down into your
lungs. Correct Answers B
,1. A perioperative nurse is caring for a postoperative patient.
The patient has a shallow
respiratory pattern and is reluctant to cough or to begin
mobilizing. The nurse should
address the patients increased risk for what complication?
A) Acute respiratory distress syndrome (ARDS)
B) Atelectasis
C) Aspiration
D) Pulmonary embolism Correct Answers B
1. The nurse is caring for a patient with chronic obstructive
pulmonary disease (COPD).
The patient has been receiving high-flow oxygen therapy for an
extended time. What
symptoms should the nurse anticipate if the patient were
experiencing oxygen toxicity?
A) Bradycardia and frontal headache
B) Dyspnea and substernal pain
C) Peripheral cyanosis and restlessness
D) Hypotension and tachycardia Correct Answers B
1. The nurse is providing patient teaching to a young mother
who has brought her 3-monthold infant to the clinic for a well-
baby checkup. What action should the nurse
recommend to the woman to prevent the transmission of
organisms to her infant during
the cold season?
A) Take preventative antibiotics, as ordered.
B) Gargle with warm salt water regularly.
C) Dress herself and her infant warmly.
D) Wash her hands frequently. Correct Answers D
,10. A nurse is caring for a 6-year-old patient with cystic fibrosis.
In order to enhance the
childs nutritional status, what intervention should most likely be
included in the plan of
care?
A) Pancreatic enzyme supplementation with meals
B) Provision of five to six small meals per day rather than three
larger meals
C) Total parenteral nutrition (TPN)
D) Magnesium, thiamine, and iron supplementation Correct
Answers A
10. A patient with a decreased level of consciousness is in a
recumbent position. How should
the nurse best assess the lung fields for a patient in this position?
A) Inform that physician that the patient is in a recumbent
position and anticipate an
order for a portable chest x-ray.
B) Turn the patient to enable assessment of all the patients lung
fields.
C) Avoid turning the patient, and assess the accessible breath
sounds from the
anterior chest wall.
D) Obtain a pulse oximetry reading, and, if the reading is low,
reposition the patient
and auscultate breath sounds. Correct Answers B
10. An x-ray of a trauma patient reveals rib fractures and the
patient is diagnosed with a
, small flail chest injury. Which intervention should the nurse
include in the patients plan
of care?
A) Suction the patients airway secretions.
B) Immobilize the ribs with an abdominal binder.
C) Prepare the patient for surgery.
D) Immediately sedate and intubate the patient. Correct Answers
A
10. The acute medical nurse is preparing to wean a patient from
the ventilator. Which
assessment parameter is most important for the nurse to assess?
A) Fluid intake for the last 24 hours
B) Baseline arterial blood gas (ABG) levels
C) Prior outcomes of weaning
D) Electrocardiogram (ECG) results Correct Answers B
10. The ED nurse is assessing a young gymnast who fell from a
balance beam. The gymnast
presents with a clear fluid leaking from her nose. What should
the ED nurse suspect?
A) Fracture of the cribriform plate
B) Rupture of an ethmoid sinus
C) Abrasion of the soft tissue
D) Fracture of the nasal septum Correct Answers A
11. A 42-year-old patient is admitted to the ED after an assault.
The patient received blunt
trauma to the face and has a suspected nasal fracture. Which of
the following
interventions should the nurse perform?
1. A clinic nurse is caring for a patient who has just been
diagnosed with chronic
obstructive pulmonary disease (COPD). The patient asks the
nurse what he could have
done to minimize the risk of contracting this disease. What
would be the nurses best
Answer?
A) The most important risk factor for COPD is exposure to
occupational toxins.
B) The most important risk factor for COPD is inadequate
exercise.
C) The most important risk factor for COPD is exposure to dust
and pollen.
D) The most important risk factor for COPD is cigarette
smoking. Correct Answers D
1. A patient is having her tonsils removed. The patient asks the
nurse what function the
tonsils normally serve. Which of the following would be the
most accurate response?
A) The tonsils separate your windpipe from your throat when
you swallow.
B) The tonsils help to guard the body from invasion of
organisms.
C) The tonsils make enzymes that you swallow and which aid
with digestion.
D) The tonsils help with regulating the airflow down into your
lungs. Correct Answers B
,1. A perioperative nurse is caring for a postoperative patient.
The patient has a shallow
respiratory pattern and is reluctant to cough or to begin
mobilizing. The nurse should
address the patients increased risk for what complication?
A) Acute respiratory distress syndrome (ARDS)
B) Atelectasis
C) Aspiration
D) Pulmonary embolism Correct Answers B
1. The nurse is caring for a patient with chronic obstructive
pulmonary disease (COPD).
The patient has been receiving high-flow oxygen therapy for an
extended time. What
symptoms should the nurse anticipate if the patient were
experiencing oxygen toxicity?
A) Bradycardia and frontal headache
B) Dyspnea and substernal pain
C) Peripheral cyanosis and restlessness
D) Hypotension and tachycardia Correct Answers B
1. The nurse is providing patient teaching to a young mother
who has brought her 3-monthold infant to the clinic for a well-
baby checkup. What action should the nurse
recommend to the woman to prevent the transmission of
organisms to her infant during
the cold season?
A) Take preventative antibiotics, as ordered.
B) Gargle with warm salt water regularly.
C) Dress herself and her infant warmly.
D) Wash her hands frequently. Correct Answers D
,10. A nurse is caring for a 6-year-old patient with cystic fibrosis.
In order to enhance the
childs nutritional status, what intervention should most likely be
included in the plan of
care?
A) Pancreatic enzyme supplementation with meals
B) Provision of five to six small meals per day rather than three
larger meals
C) Total parenteral nutrition (TPN)
D) Magnesium, thiamine, and iron supplementation Correct
Answers A
10. A patient with a decreased level of consciousness is in a
recumbent position. How should
the nurse best assess the lung fields for a patient in this position?
A) Inform that physician that the patient is in a recumbent
position and anticipate an
order for a portable chest x-ray.
B) Turn the patient to enable assessment of all the patients lung
fields.
C) Avoid turning the patient, and assess the accessible breath
sounds from the
anterior chest wall.
D) Obtain a pulse oximetry reading, and, if the reading is low,
reposition the patient
and auscultate breath sounds. Correct Answers B
10. An x-ray of a trauma patient reveals rib fractures and the
patient is diagnosed with a
, small flail chest injury. Which intervention should the nurse
include in the patients plan
of care?
A) Suction the patients airway secretions.
B) Immobilize the ribs with an abdominal binder.
C) Prepare the patient for surgery.
D) Immediately sedate and intubate the patient. Correct Answers
A
10. The acute medical nurse is preparing to wean a patient from
the ventilator. Which
assessment parameter is most important for the nurse to assess?
A) Fluid intake for the last 24 hours
B) Baseline arterial blood gas (ABG) levels
C) Prior outcomes of weaning
D) Electrocardiogram (ECG) results Correct Answers B
10. The ED nurse is assessing a young gymnast who fell from a
balance beam. The gymnast
presents with a clear fluid leaking from her nose. What should
the ED nurse suspect?
A) Fracture of the cribriform plate
B) Rupture of an ethmoid sinus
C) Abrasion of the soft tissue
D) Fracture of the nasal septum Correct Answers A
11. A 42-year-old patient is admitted to the ED after an assault.
The patient received blunt
trauma to the face and has a suspected nasal fracture. Which of
the following
interventions should the nurse perform?
