ADULT HEALTH EXAM 3, Questions and Correct
Answers, 100% Correct. 2024/5. Updated. Rated
A+ , Success Guaranteed
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which
of the following actions should the nurse take?
(a) Position the client in an upright position, leaning over the bedside table.
(b) Explain the procedure.
(c) Obtain ABGs.
(d) Administer benzocaine spray. - ANSWER (a) Positioning the client in an upright position,
leaning over the bedside table.
This widens the intercostal space for the provider to access the pleural fluid. It is the
responsibility of the provider, not the nurse, to explain the procedure. It is not indicated that
the client needs ABGs drawn. Benzocaine spray is administered for a bronchoscopy, not a
thoracentesis.
A nurse at a provider's office is reviewing information with a client scheduled for pulmonary
function tests (PFTs). Which of the following information should the nurse include?
(a) "Do not use inhaler medications for 6hrs following the test."
(b) "Do not smoke tobacco for 6 to 8hrs prior to the test."
(c) "You will be asked to bear down and hold your breath during the test."
(d) "The arterial blood glow to your hand will be evaluated as part of the test." - ANSWER (b)
"Do not smoke tobacco for 6 to 8hrs prior to the test."
A nurse is assessing a client following a bronchoscopy. Which of the following findings should
the nurse report to the provider?
(a) Blood-tinged sputum
,(b) Dry, nonproductive cough
(c) Sore throat
(d) Bronchospasms - ANSWER (d) Bronchospasms
Bronchospasms can indicate the client is having difficulty maintaining a patent airway. The nurse
should notify the provider immediately.
A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following
supplies should the nurse ensure are in the client's room? (SATA)
(a) Oxygen equipment
(b) Incentive spirometer
(c) Pulse oximeter
(d) Sterile dressing
(e) Suture removal kit - ANSWER (a), (c), (d)
An incentive spirometer is indicated for a client following thoracic surgery to promote improved
oxygenation and pulmonary function. A suture removal kit is needed to remove sutures
following surgery.
A nurse is caring for a client following a thoracentesis. Which of the following manifestations
should the nurse recognize as risks for complications? (SATA)
(a) Dyspnea
(b) Localized bloody drainage on the dressing
(c) Fever
(d) Hypotension
(e) Report of pain at the puncture site - ANSWER (a), (c), (d)
,A nurse is providing teaching to a client about pulmonary function testing. Which of the
following tests measures the volume of air the lungs can hold at the end of maximum
inhalation?
(a) Total lung capacity
(b) Vital lung capacity
(c) Functional residual capacity
(d) Residual volume - ANSWER (a) Total lung capacity
Pulmonary function tests are used to examine the effectiveness of the lungs and to identify lung
problems. Total lung capacity measures the amount of air the lungs can hold after maximum
inhalation. Vital lung capacity measures the amount of air the client can exhale after maximum
inhalation. Functional residual capacity measures the amount of air in the lungs after normal
expiration. Residual volume measures the amount of air in the lungs after forced expiration.
A nurse in the ED is assessing a client who has deep, rapid respirations. Arterial blood gas
analysis includes the following values: pH 7.25, PaCO2 40, and HCO3- 18. Which of the following
acid-base imbalances should the nurse identify and report to the provider?
(a) Respiratory alkalosis
(b) Metabolic alkalosis
(c) Respiratory acidosis
(d) Metabolic acidosis - ANSWER (d) Metabolic acidosis
A pH of 7.25 indicates acidosis. If the cause is respiratory, pH and PaCo2 values will deviate in
opposite directions. Since PaCO2 is within the expected reference range, despite the low pH,
the cause must be metabolic. Therefore, the nurse should report to the provider that the client
has metabolic acidosis.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube
and has a gastronomy tube for enteral feedings. Which pieces of information are critical to
communicate to the next nurse who will be caring for this client? (SATA)
, (a) Room temperature
(b) New prescriptions
(c) Number of visitors
(d) ABG result
(e) Tracheal secretion characteristics - ANSWER (b), (d), (e)
A nurse is preparing to assist a provider with an arterial blood withdrawal from a client's radial
artery for ABG measurement. Which of the following actions should the nurse plan to take?
(a) Hyperventilate the client with 100% oxygen prior to obtaining the specimen
(b) Apply ice to the site after obtaining the specimen
(c) Perform an Allen's test prior to obtaining the specimen
(d) Release the pressure applied to the puncture site 1 minute after the needle is withdrawn -
ANSWER (c) Perform an Allen's test prior to obtaining the specimen
A nurse is preparing a client for a bronchoscopy. Which of the following actions should the
nurse take? (SATA)
(a) Explain that the client will receive sedation and will not remember the procedure.
(b) Verify that the client understands the purpose and nature of the procedure.
(c) Offer the client sips of clear liquids until 1hr before the test.
(d) Obtain a pre-procedural sputum specimen.
(e) Instruct the client to keep his neck in a neutral position. - ANSWER (a), (b)
For a bronchoscopy, clients typically receive premedication with a benzodiazepine or an opioid
to ensure sedation and amnesia. The client will have signed a consent form, so the nurse should
verify that the provider explained the procedure and that the client understands it. The client
should remain NPO for 4-8hrs prior to the procedure to minimize aspiration risk. The provider
can obtain any necessary sputum specimens during the procedure. The client's neck will be
hyperextended to bring the pharynx into alignment with the trachea and allow insertion of the
scope without trauma.
Answers, 100% Correct. 2024/5. Updated. Rated
A+ , Success Guaranteed
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which
of the following actions should the nurse take?
(a) Position the client in an upright position, leaning over the bedside table.
(b) Explain the procedure.
(c) Obtain ABGs.
(d) Administer benzocaine spray. - ANSWER (a) Positioning the client in an upright position,
leaning over the bedside table.
This widens the intercostal space for the provider to access the pleural fluid. It is the
responsibility of the provider, not the nurse, to explain the procedure. It is not indicated that
the client needs ABGs drawn. Benzocaine spray is administered for a bronchoscopy, not a
thoracentesis.
A nurse at a provider's office is reviewing information with a client scheduled for pulmonary
function tests (PFTs). Which of the following information should the nurse include?
(a) "Do not use inhaler medications for 6hrs following the test."
(b) "Do not smoke tobacco for 6 to 8hrs prior to the test."
(c) "You will be asked to bear down and hold your breath during the test."
(d) "The arterial blood glow to your hand will be evaluated as part of the test." - ANSWER (b)
"Do not smoke tobacco for 6 to 8hrs prior to the test."
A nurse is assessing a client following a bronchoscopy. Which of the following findings should
the nurse report to the provider?
(a) Blood-tinged sputum
,(b) Dry, nonproductive cough
(c) Sore throat
(d) Bronchospasms - ANSWER (d) Bronchospasms
Bronchospasms can indicate the client is having difficulty maintaining a patent airway. The nurse
should notify the provider immediately.
A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following
supplies should the nurse ensure are in the client's room? (SATA)
(a) Oxygen equipment
(b) Incentive spirometer
(c) Pulse oximeter
(d) Sterile dressing
(e) Suture removal kit - ANSWER (a), (c), (d)
An incentive spirometer is indicated for a client following thoracic surgery to promote improved
oxygenation and pulmonary function. A suture removal kit is needed to remove sutures
following surgery.
A nurse is caring for a client following a thoracentesis. Which of the following manifestations
should the nurse recognize as risks for complications? (SATA)
(a) Dyspnea
(b) Localized bloody drainage on the dressing
(c) Fever
(d) Hypotension
(e) Report of pain at the puncture site - ANSWER (a), (c), (d)
,A nurse is providing teaching to a client about pulmonary function testing. Which of the
following tests measures the volume of air the lungs can hold at the end of maximum
inhalation?
(a) Total lung capacity
(b) Vital lung capacity
(c) Functional residual capacity
(d) Residual volume - ANSWER (a) Total lung capacity
Pulmonary function tests are used to examine the effectiveness of the lungs and to identify lung
problems. Total lung capacity measures the amount of air the lungs can hold after maximum
inhalation. Vital lung capacity measures the amount of air the client can exhale after maximum
inhalation. Functional residual capacity measures the amount of air in the lungs after normal
expiration. Residual volume measures the amount of air in the lungs after forced expiration.
A nurse in the ED is assessing a client who has deep, rapid respirations. Arterial blood gas
analysis includes the following values: pH 7.25, PaCO2 40, and HCO3- 18. Which of the following
acid-base imbalances should the nurse identify and report to the provider?
(a) Respiratory alkalosis
(b) Metabolic alkalosis
(c) Respiratory acidosis
(d) Metabolic acidosis - ANSWER (d) Metabolic acidosis
A pH of 7.25 indicates acidosis. If the cause is respiratory, pH and PaCo2 values will deviate in
opposite directions. Since PaCO2 is within the expected reference range, despite the low pH,
the cause must be metabolic. Therefore, the nurse should report to the provider that the client
has metabolic acidosis.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube
and has a gastronomy tube for enteral feedings. Which pieces of information are critical to
communicate to the next nurse who will be caring for this client? (SATA)
, (a) Room temperature
(b) New prescriptions
(c) Number of visitors
(d) ABG result
(e) Tracheal secretion characteristics - ANSWER (b), (d), (e)
A nurse is preparing to assist a provider with an arterial blood withdrawal from a client's radial
artery for ABG measurement. Which of the following actions should the nurse plan to take?
(a) Hyperventilate the client with 100% oxygen prior to obtaining the specimen
(b) Apply ice to the site after obtaining the specimen
(c) Perform an Allen's test prior to obtaining the specimen
(d) Release the pressure applied to the puncture site 1 minute after the needle is withdrawn -
ANSWER (c) Perform an Allen's test prior to obtaining the specimen
A nurse is preparing a client for a bronchoscopy. Which of the following actions should the
nurse take? (SATA)
(a) Explain that the client will receive sedation and will not remember the procedure.
(b) Verify that the client understands the purpose and nature of the procedure.
(c) Offer the client sips of clear liquids until 1hr before the test.
(d) Obtain a pre-procedural sputum specimen.
(e) Instruct the client to keep his neck in a neutral position. - ANSWER (a), (b)
For a bronchoscopy, clients typically receive premedication with a benzodiazepine or an opioid
to ensure sedation and amnesia. The client will have signed a consent form, so the nurse should
verify that the provider explained the procedure and that the client understands it. The client
should remain NPO for 4-8hrs prior to the procedure to minimize aspiration risk. The provider
can obtain any necessary sputum specimens during the procedure. The client's neck will be
hyperextended to bring the pharynx into alignment with the trachea and allow insertion of the
scope without trauma.
