,The nurse teaches a patient about pursed lip breathing. Which action by the patient
would indicate to the nurse that further teaching is needed?
The patient practices by blowing through a straw.
The patient's ratio of inhalation to exhalation is 1:3.
The patient inhales slowly through the nose.
The patient puffs up the cheeks while exhaling. - CORRECT ANSWERS -4
A 55-year-old patient with increasing dyspnea is being evaluated for a possible
diagnosis of chronic obstructive pulmonary disease (COPD). When teaching a patient
about pulmonary function testing (PFT) for this condition, what is the most important
question the nurse should ask?
"Do you have any metal implants or prostheses?"
"Have you taken any bronchodilators in the past 6 hours?"
"Are you claustrophobic?"
"Are you allergic to shellfish?" - CORRECT ANSWERS -2
A patient has just been admitted with probable bacterial pneumonia and sepsis. Which
order should the nurse implement first?
Ciprofloxacin (Cipro) 400 mg IV
Acetaminophen (Tylenol) rectal suppository
Chest x-ray via stretcher
Blood cultures from two sites - CORRECT ANSWERS -4
A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being
discharged home on oxygen therapy. Which instruction should the nurse include in the
discharge teaching?
Oxygen flow should be increased if the patient has more dyspnea.
Oxygen use can improve the patient's prognosis and quality of life.
Storage of oxygen tanks will require adequate space in the home.
,Travel opportunities will be limited because of the use of oxygen. - CORRECT
ANSWERS -2
A client in the emergency department is taking rifampin (Rifadin) for tuberculosis. The
client reports yellowing of the sclera and skin and bleeding after minor trauma. What
laboratory results correlate to this condition? (Select all that apply.)
White blood cell (WBC) count: 72,000/mm
Prothrombin time: 35 seconds
Serum sodium: 130 mEq/L
Blood urea nitrogen (BUN): 19 mg/dL
International normalized ratio (INR): 6.3 - CORRECT ANSWERS -2,4,5
A patient who is experiencing an acute asthma attack is admitted to the emergency
department. Which assessment should the nurse complete first?
Determine when the dyspnea started.
Obtain the forced expiratory volume (FEV) flow rate.
Listen to the patient's breath sounds.
Ask about inhaled corticosteroid use. - CORRECT ANSWERS -3
A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube.
Which action should the nurse include in the plan of care in collaboration with the
speech therapist?
Assess the ability to swallow before using the fenestrated tube.
Inflate the tracheostomy cuff during use of the fenestrated tube.
Leave the tracheostomy inner cannula inserted at all times.
Place the decannulation cap in the tube before cuff deflation. - CORRECT ANSWERS -
1
An alcoholic and homeless patient is diagnosed with active tuberculosis (TB). Which
intervention by the nurse will be most effective in ensuring adherence with the treatment
regimen?
Teach the patient about the high risk for infecting others unless treatment is followed.
, Arrange for a daily noon meal at a community center where the drug will be
administered.
Arrange for a friend to administer the medication on schedule.
Give the patient written instructions about how to take the medications. - CORRECT
ANSWERS -2
A lobectomy is scheduled for a patient with stage I non-small cell lung cancer. The
patient tells the nurse, "I would rather have chemotherapy than surgery." Which
response by the nurse is most appropriate?
"Surgery is the treatment of choice for stage I lung cancer."
"Tell me what you know about the various treatments available."
"Are you afraid that the surgery will be very painful?"
"Did you have bad experiences with previous surgeries?" - CORRECT ANSWERS -2
A nurse assesses a client who has a chest tube. For which manifestations should the
nurse immediately intervene? (Select all that apply.)
Drainage of 75 mL/hr
Tracheal deviation
Production of pink sputum
Pain at insertion site
Sudden onset of shortness of breath - CORRECT ANSWERS -2,5
A patient who is lethargic and exhibits deep, rapid respirations has the following arterial
blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16
mEq/L. How should the nurse interpret these results?
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis - CORRECT ANSWERS -3
would indicate to the nurse that further teaching is needed?
The patient practices by blowing through a straw.
The patient's ratio of inhalation to exhalation is 1:3.
The patient inhales slowly through the nose.
The patient puffs up the cheeks while exhaling. - CORRECT ANSWERS -4
A 55-year-old patient with increasing dyspnea is being evaluated for a possible
diagnosis of chronic obstructive pulmonary disease (COPD). When teaching a patient
about pulmonary function testing (PFT) for this condition, what is the most important
question the nurse should ask?
"Do you have any metal implants or prostheses?"
"Have you taken any bronchodilators in the past 6 hours?"
"Are you claustrophobic?"
"Are you allergic to shellfish?" - CORRECT ANSWERS -2
A patient has just been admitted with probable bacterial pneumonia and sepsis. Which
order should the nurse implement first?
Ciprofloxacin (Cipro) 400 mg IV
Acetaminophen (Tylenol) rectal suppository
Chest x-ray via stretcher
Blood cultures from two sites - CORRECT ANSWERS -4
A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being
discharged home on oxygen therapy. Which instruction should the nurse include in the
discharge teaching?
Oxygen flow should be increased if the patient has more dyspnea.
Oxygen use can improve the patient's prognosis and quality of life.
Storage of oxygen tanks will require adequate space in the home.
,Travel opportunities will be limited because of the use of oxygen. - CORRECT
ANSWERS -2
A client in the emergency department is taking rifampin (Rifadin) for tuberculosis. The
client reports yellowing of the sclera and skin and bleeding after minor trauma. What
laboratory results correlate to this condition? (Select all that apply.)
White blood cell (WBC) count: 72,000/mm
Prothrombin time: 35 seconds
Serum sodium: 130 mEq/L
Blood urea nitrogen (BUN): 19 mg/dL
International normalized ratio (INR): 6.3 - CORRECT ANSWERS -2,4,5
A patient who is experiencing an acute asthma attack is admitted to the emergency
department. Which assessment should the nurse complete first?
Determine when the dyspnea started.
Obtain the forced expiratory volume (FEV) flow rate.
Listen to the patient's breath sounds.
Ask about inhaled corticosteroid use. - CORRECT ANSWERS -3
A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube.
Which action should the nurse include in the plan of care in collaboration with the
speech therapist?
Assess the ability to swallow before using the fenestrated tube.
Inflate the tracheostomy cuff during use of the fenestrated tube.
Leave the tracheostomy inner cannula inserted at all times.
Place the decannulation cap in the tube before cuff deflation. - CORRECT ANSWERS -
1
An alcoholic and homeless patient is diagnosed with active tuberculosis (TB). Which
intervention by the nurse will be most effective in ensuring adherence with the treatment
regimen?
Teach the patient about the high risk for infecting others unless treatment is followed.
, Arrange for a daily noon meal at a community center where the drug will be
administered.
Arrange for a friend to administer the medication on schedule.
Give the patient written instructions about how to take the medications. - CORRECT
ANSWERS -2
A lobectomy is scheduled for a patient with stage I non-small cell lung cancer. The
patient tells the nurse, "I would rather have chemotherapy than surgery." Which
response by the nurse is most appropriate?
"Surgery is the treatment of choice for stage I lung cancer."
"Tell me what you know about the various treatments available."
"Are you afraid that the surgery will be very painful?"
"Did you have bad experiences with previous surgeries?" - CORRECT ANSWERS -2
A nurse assesses a client who has a chest tube. For which manifestations should the
nurse immediately intervene? (Select all that apply.)
Drainage of 75 mL/hr
Tracheal deviation
Production of pink sputum
Pain at insertion site
Sudden onset of shortness of breath - CORRECT ANSWERS -2,5
A patient who is lethargic and exhibits deep, rapid respirations has the following arterial
blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16
mEq/L. How should the nurse interpret these results?
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis - CORRECT ANSWERS -3
