Nursing
Nursing Exam Questions with
Answers Latest
2024/2025 Updated Work out
• Question 1
1.5 out of 1.5 points
Which client would the Registered Nurse know is at greatest risk for the
development of pulmonary embolism? Answer
Selected
a.
Answer:
40 year old woman who has used oral contraceptives for the
past 15 years and had abdominal surgery yesterday for cancer Correct
a.
Answer:
40 year old woman who has used oral contraceptives for the past 15
years and had abdominal surgery yesterday for cancer
Response
Patients at highest risk for PE are those who have multiple risk
factors for DVT: ie Feedback: venous stasis, altered coagulation, and vessel
wall damage. The 40 year old woman best fits these conditions.
• Question 2
1.5 out of 1.5 points
Which set of arterial blood gases would the nurse expect to find in a client who
developed a pulmonary embolism several hours ago? Answer
Selected Answer: a. pH 7.30, HCO3 22 mEq/L, PaCO2 60mm
Hg, PaO2 66mm Hg
Correct
Answer: a.
pH 7.30, HCO3 22 mEq/L, PaCO2 60mm Hg, PaO2 66mm Hg
Response
The patient who has just developed a PE would probably be in
respiratory alkalosis
Feedback:
initially due to attempts to improve oxygenation and blow off CO2 by
increasing respirations. The key words in this question are "several
Nursing Exam Questions with Answers Latest 2024-2025 Updated Work out
, hours ago," with the patient being in respiratory acidosis by that time,
due to deterioration of their respiratory status overall.
• Question 3
0 out of 1.5 points
The client with a massive pulmonary embolism is receiving the fibrinolytic alteplase
(Activase.) What is the priority nursing diagnosis or collaborative problem for this
client?
Answer
Selected Answer: c.
Potential for anaphylaxis
Nursing Exam Questions with Answers Latest 2024-2025 Updated Work out
,Nursing
Correct Answer: d.
Risk for injury (bleeding)
Response
Patients undergoing any thrombolytic therapy are at risk for bleeding.
Feedback:
Only the thrombolytic streptokinase puts the patient also at risk for
anaphylaxis.
• Question 4
0 out of 1.5 points
Which statement made by the client who has respiratory problems, indicates to
the nurse the presence of orthopnea? Answer
Selected Answer: a.
“I have to stop to catch my breath halfway up the stairs”
Correct Answer: b.
“At night I need to sleep either on three pillows or in my recliner.”
Response
The definition of orthopnea is difficulty breathing with the HOB flat,
Feedback:
necessitating elevation of HOB with pillows or adjustable hospital
bed.
• Question 5
1.5 out of 1.5 points
The client at risk for acute respiratory distress syndrome (ARDS) has become
cyanotic and diaphoretic. What assessment technique should the nurse perform
next? Answer
Selected Answer: a.
Measure pulse oximetry
Correct
Answer: a.
Measure pulse oximetry
Response
Determining level of oxygenation via pulse ox is the priority assessment.
Lung sounds
Feedback:
may or may not be adventitious at this time, so oxygen saturation
gives the nurse the best information.
• Question 6
0 out of 1.5 points
Nursing Exam Questions with Answers Latest 2024-2025 Updated Work out
, The health care provider has ordered continuous positive airway pressure
(CPAP) with the delivery of oxygenation. The patient asks the nurse what the
benefit of CPAP is. What would be the nurse's best response? Answer
Selected Answer: a.
CPAP allows a higher percentage of oxygen to be used
Correct Answer: b.
CPAP prevents the collapse of the patient's airway
Response
The primary purpose of CPAP is to prevent collapse of the airway. It does
not
Feedback:
increase the level of O2 being delivered or eliminate the need for
oxygen. It does not alter alveolar perfusion.
• Question 7
0 out of 1.5 points
The pilot balloon on the endotracheal tube of a client being mechanically
ventilated is completely deflated. What would the nurse realize is the
consequence of this situation? Answer
Selected Answer: b.
The client has no airway and must be reintubated
Correct Answer: a.
The client’s lungs may not be receiving the set tidal volume
Response
The pilot balloon is the external indicator of whether or not the tube cuff
is inflated. If
Feedback:
the pilot balloon, and thus the ET cuff, is deflated, then the air being
delivered by the ventilator is leaking out around the ET, so the patient
will not get full amount of the prescribed tidal volume from the
ventilator.
• Question 8
1.5 out of 1.5 points
Two hours after the client with an endotracheal tube has been extubated a
nurse hears stridor on inhalation. What is the nurse’s best action after
applying humidified oxygen? Answer
Selected Answer: d.
Notify the emergency team
Nursing Exam Questions with Answers Latest 2024-2025 Updated Work out
Nursing Exam Questions with
Answers Latest
2024/2025 Updated Work out
• Question 1
1.5 out of 1.5 points
Which client would the Registered Nurse know is at greatest risk for the
development of pulmonary embolism? Answer
Selected
a.
Answer:
40 year old woman who has used oral contraceptives for the
past 15 years and had abdominal surgery yesterday for cancer Correct
a.
Answer:
40 year old woman who has used oral contraceptives for the past 15
years and had abdominal surgery yesterday for cancer
Response
Patients at highest risk for PE are those who have multiple risk
factors for DVT: ie Feedback: venous stasis, altered coagulation, and vessel
wall damage. The 40 year old woman best fits these conditions.
• Question 2
1.5 out of 1.5 points
Which set of arterial blood gases would the nurse expect to find in a client who
developed a pulmonary embolism several hours ago? Answer
Selected Answer: a. pH 7.30, HCO3 22 mEq/L, PaCO2 60mm
Hg, PaO2 66mm Hg
Correct
Answer: a.
pH 7.30, HCO3 22 mEq/L, PaCO2 60mm Hg, PaO2 66mm Hg
Response
The patient who has just developed a PE would probably be in
respiratory alkalosis
Feedback:
initially due to attempts to improve oxygenation and blow off CO2 by
increasing respirations. The key words in this question are "several
Nursing Exam Questions with Answers Latest 2024-2025 Updated Work out
, hours ago," with the patient being in respiratory acidosis by that time,
due to deterioration of their respiratory status overall.
• Question 3
0 out of 1.5 points
The client with a massive pulmonary embolism is receiving the fibrinolytic alteplase
(Activase.) What is the priority nursing diagnosis or collaborative problem for this
client?
Answer
Selected Answer: c.
Potential for anaphylaxis
Nursing Exam Questions with Answers Latest 2024-2025 Updated Work out
,Nursing
Correct Answer: d.
Risk for injury (bleeding)
Response
Patients undergoing any thrombolytic therapy are at risk for bleeding.
Feedback:
Only the thrombolytic streptokinase puts the patient also at risk for
anaphylaxis.
• Question 4
0 out of 1.5 points
Which statement made by the client who has respiratory problems, indicates to
the nurse the presence of orthopnea? Answer
Selected Answer: a.
“I have to stop to catch my breath halfway up the stairs”
Correct Answer: b.
“At night I need to sleep either on three pillows or in my recliner.”
Response
The definition of orthopnea is difficulty breathing with the HOB flat,
Feedback:
necessitating elevation of HOB with pillows or adjustable hospital
bed.
• Question 5
1.5 out of 1.5 points
The client at risk for acute respiratory distress syndrome (ARDS) has become
cyanotic and diaphoretic. What assessment technique should the nurse perform
next? Answer
Selected Answer: a.
Measure pulse oximetry
Correct
Answer: a.
Measure pulse oximetry
Response
Determining level of oxygenation via pulse ox is the priority assessment.
Lung sounds
Feedback:
may or may not be adventitious at this time, so oxygen saturation
gives the nurse the best information.
• Question 6
0 out of 1.5 points
Nursing Exam Questions with Answers Latest 2024-2025 Updated Work out
, The health care provider has ordered continuous positive airway pressure
(CPAP) with the delivery of oxygenation. The patient asks the nurse what the
benefit of CPAP is. What would be the nurse's best response? Answer
Selected Answer: a.
CPAP allows a higher percentage of oxygen to be used
Correct Answer: b.
CPAP prevents the collapse of the patient's airway
Response
The primary purpose of CPAP is to prevent collapse of the airway. It does
not
Feedback:
increase the level of O2 being delivered or eliminate the need for
oxygen. It does not alter alveolar perfusion.
• Question 7
0 out of 1.5 points
The pilot balloon on the endotracheal tube of a client being mechanically
ventilated is completely deflated. What would the nurse realize is the
consequence of this situation? Answer
Selected Answer: b.
The client has no airway and must be reintubated
Correct Answer: a.
The client’s lungs may not be receiving the set tidal volume
Response
The pilot balloon is the external indicator of whether or not the tube cuff
is inflated. If
Feedback:
the pilot balloon, and thus the ET cuff, is deflated, then the air being
delivered by the ventilator is leaking out around the ET, so the patient
will not get full amount of the prescribed tidal volume from the
ventilator.
• Question 8
1.5 out of 1.5 points
Two hours after the client with an endotracheal tube has been extubated a
nurse hears stridor on inhalation. What is the nurse’s best action after
applying humidified oxygen? Answer
Selected Answer: d.
Notify the emergency team
Nursing Exam Questions with Answers Latest 2024-2025 Updated Work out
