NS 119 EXAM QUESTIONS & ANSWERS VERIFIED
100% CORRECT
A nurse is caring for a client who has just been admitted with an overdose of aspirin.
The following lab data is available: Pa02 95, PaCO2 30, pH 7.5, K 3.2 mEq/L. Which
should be the nurses first action?
A. Monitor respiratory rate
B. Monitor intake and output every hour
C. Assist the client to breathe into a paper bag
D. Prepare to administer oxygen by mask
D. Prepare to administer oxygen by mask
After change of shift, the nurse is assigned to care for the following clients. Which
client should be assessed first?
A. 60-year old client on a ventilator for whom a sterile sputum specimen must be sent
to the lab
B. A 55-year old with COPD and a pulse oximetry reading from the previous shift of
90%
C. A 70-year old with pneumonia who needs to be started on intravenous (IV)
antibiotics
D. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator
D. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator
, After the respiratory therapist performs suctioning on a client who is intubated, the
nursing Assistant measures vital signs for the client. Which vital sign value should the
nursing assistant report to the RN immediately?
A. Heart rate of 98 beats/min
B. Respiratory rate of 20 breaths/min C. Blood pressure of 168/90 mm Hg
D. Tympanic temperature of 101.4 F (38.6 C)
D. Tympanic temperature of 101.4 F (38.6 C)
In developing a care plan for a client that has a chest tube due to a hemothorax, the
nurse should recognize that which intervention is essential?
A. Keep the arm and shoulder of the affected side immobile
B. Ensure that there is no fluctuation in the water-seal chamber
C. Encourage the client to breathe deeply and cough at frequent intervals
D. Maintain the Pleuravac
C. Encourage the client to breathe deeply and cough at frequent intervals
The nurse observes a nursing assistant enter the room of a patient diagnosed with
tuberculosis to provide AM care. Which of the following observations, if made by the
nurse, would NOT require intervention?
A. The nursing assistant enters the room wearing a gown and clean gloves
B. The nursing assistant enters the room wearing a mask and gown
C. The nursing assistant enters the room wearing a mask and sterile gloves
D. The nursing assistant enters the room wearing goggles and a hair covering
B. The nursing assistant enters the room wearing a mask and gown
100% CORRECT
A nurse is caring for a client who has just been admitted with an overdose of aspirin.
The following lab data is available: Pa02 95, PaCO2 30, pH 7.5, K 3.2 mEq/L. Which
should be the nurses first action?
A. Monitor respiratory rate
B. Monitor intake and output every hour
C. Assist the client to breathe into a paper bag
D. Prepare to administer oxygen by mask
D. Prepare to administer oxygen by mask
After change of shift, the nurse is assigned to care for the following clients. Which
client should be assessed first?
A. 60-year old client on a ventilator for whom a sterile sputum specimen must be sent
to the lab
B. A 55-year old with COPD and a pulse oximetry reading from the previous shift of
90%
C. A 70-year old with pneumonia who needs to be started on intravenous (IV)
antibiotics
D. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator
D. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator
, After the respiratory therapist performs suctioning on a client who is intubated, the
nursing Assistant measures vital signs for the client. Which vital sign value should the
nursing assistant report to the RN immediately?
A. Heart rate of 98 beats/min
B. Respiratory rate of 20 breaths/min C. Blood pressure of 168/90 mm Hg
D. Tympanic temperature of 101.4 F (38.6 C)
D. Tympanic temperature of 101.4 F (38.6 C)
In developing a care plan for a client that has a chest tube due to a hemothorax, the
nurse should recognize that which intervention is essential?
A. Keep the arm and shoulder of the affected side immobile
B. Ensure that there is no fluctuation in the water-seal chamber
C. Encourage the client to breathe deeply and cough at frequent intervals
D. Maintain the Pleuravac
C. Encourage the client to breathe deeply and cough at frequent intervals
The nurse observes a nursing assistant enter the room of a patient diagnosed with
tuberculosis to provide AM care. Which of the following observations, if made by the
nurse, would NOT require intervention?
A. The nursing assistant enters the room wearing a gown and clean gloves
B. The nursing assistant enters the room wearing a mask and gown
C. The nursing assistant enters the room wearing a mask and sterile gloves
D. The nursing assistant enters the room wearing goggles and a hair covering
B. The nursing assistant enters the room wearing a mask and gown
