Adult II - Exam 2 Practice Questions
2025-2026 Updated with Guaranteed
Pass Solutions.
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. Position the client in an upright position, leaning
over the bedside table.
A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results
are pH 7.40, PaCO2 32 mm Hg, HCO3 22 mm Hg. The nurse should recognize that the client is
experiencing which of the following acid-base imbalances?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - Answer B.
A client who is experiencing respiratory alkalosis will have an increased pH and a decreased
PaCO2. Possible causes of respiratory alkalosis include hyperventilation, fever, and respiratory
infections.
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? (Select all that apply.)
A. Oxygen equipment
B. Incentive spirometer
C. Pulse oximetery
D. Sterile dressing
,A nurse is caring for a client following a thoracentesis. Which of the following manifestations
should the nurse recognize as risks for complications? (Select all that apply.)
A. Dyspnea
B. Localized bloody drainage on the dressing
C. Fever
D. Hypotension
E. Report of pain at the puncture site - Answer A. Dyspnea
C. Fever
D. Hypotension
A nurse is caring for a patient who had a surgical placement of a tracheostomy 48 hours ago.
What should the nurse's initial action be if tube dislodgement occurs?
A. Re-insert the tube and notify the physician
B. Place a 4x4 sterile gauze over the stoma to prevent infection
C. Obtain the patient's vital signs
D. Ventilate the patient using a manual resuscitation bag as another nurse notifies for help from
the resuscitation team - Answer D. Ventilate the patient using a manual resuscitation bag as
another nurse notifies for help from the resuscitation team
The nurse comes into the patient's room and discovers that the patient's pulse oximetry reading
is 91%. The nurse should first:
A. Notify the Rapid Response Team
B. Assess the patient's respiratory status
C. Apply supplemental oxygen
D. Place patient in high-Fowler's position - Answer B. Assess the patient's respiratory status
The nurse is suctioning a patient with an endotracheal tube. Which of the following is a correct
technique for this procedure?
A. Suction for 5 seconds
, A postop patient who had a bronchoscopy two hours ago is NPO and states that he is hungry.
What should the nurse do?
A. Check for a gag reflex return
B. Notify the physician
C. Calmly tell the patient that he must remain NPO until another four hours
D. Order food since the patient is A&O - Answer A. Check for a gag reflex return
A patient with a chronic lung disease arrives on the med-surg unit. Which delivery system would
offer the most precise oxygen concentration for this patient?
A. Nonrebreather
B. Venturi facemask
C. Nasal cannula
D. Face tent - Answer B. Venturi facemask
A nurse is caring for a patient who had a thoracentesis eight hours ago. While assessing the
patient, the nurse observes that the patient has a rapid heart rate, rapid, shallow respirations,
and has absent breath sounds to the left upper lobe of the lung. The nurse interprets this
complication as:
A. Pulmonary embolism
B. Respiratory distress
C. Pneumothorax
D. Flail chest - Answer C. Pneumothorax
A nurse is monitoring a patient who has a chest tube drainage system and notices that there is
gentle bubbling in the suction control chamber. What is the appropriate nursing action for this
scenario?
A. Document this finding.
B. Check to see if the chest tube is blocked or kinked
2025-2026 Updated with Guaranteed
Pass Solutions.
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. Position the client in an upright position, leaning
over the bedside table.
A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results
are pH 7.40, PaCO2 32 mm Hg, HCO3 22 mm Hg. The nurse should recognize that the client is
experiencing which of the following acid-base imbalances?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - Answer B.
A client who is experiencing respiratory alkalosis will have an increased pH and a decreased
PaCO2. Possible causes of respiratory alkalosis include hyperventilation, fever, and respiratory
infections.
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? (Select all that apply.)
A. Oxygen equipment
B. Incentive spirometer
C. Pulse oximetery
D. Sterile dressing
,A nurse is caring for a client following a thoracentesis. Which of the following manifestations
should the nurse recognize as risks for complications? (Select all that apply.)
A. Dyspnea
B. Localized bloody drainage on the dressing
C. Fever
D. Hypotension
E. Report of pain at the puncture site - Answer A. Dyspnea
C. Fever
D. Hypotension
A nurse is caring for a patient who had a surgical placement of a tracheostomy 48 hours ago.
What should the nurse's initial action be if tube dislodgement occurs?
A. Re-insert the tube and notify the physician
B. Place a 4x4 sterile gauze over the stoma to prevent infection
C. Obtain the patient's vital signs
D. Ventilate the patient using a manual resuscitation bag as another nurse notifies for help from
the resuscitation team - Answer D. Ventilate the patient using a manual resuscitation bag as
another nurse notifies for help from the resuscitation team
The nurse comes into the patient's room and discovers that the patient's pulse oximetry reading
is 91%. The nurse should first:
A. Notify the Rapid Response Team
B. Assess the patient's respiratory status
C. Apply supplemental oxygen
D. Place patient in high-Fowler's position - Answer B. Assess the patient's respiratory status
The nurse is suctioning a patient with an endotracheal tube. Which of the following is a correct
technique for this procedure?
A. Suction for 5 seconds
, A postop patient who had a bronchoscopy two hours ago is NPO and states that he is hungry.
What should the nurse do?
A. Check for a gag reflex return
B. Notify the physician
C. Calmly tell the patient that he must remain NPO until another four hours
D. Order food since the patient is A&O - Answer A. Check for a gag reflex return
A patient with a chronic lung disease arrives on the med-surg unit. Which delivery system would
offer the most precise oxygen concentration for this patient?
A. Nonrebreather
B. Venturi facemask
C. Nasal cannula
D. Face tent - Answer B. Venturi facemask
A nurse is caring for a patient who had a thoracentesis eight hours ago. While assessing the
patient, the nurse observes that the patient has a rapid heart rate, rapid, shallow respirations,
and has absent breath sounds to the left upper lobe of the lung. The nurse interprets this
complication as:
A. Pulmonary embolism
B. Respiratory distress
C. Pneumothorax
D. Flail chest - Answer C. Pneumothorax
A nurse is monitoring a patient who has a chest tube drainage system and notices that there is
gentle bubbling in the suction control chamber. What is the appropriate nursing action for this
scenario?
A. Document this finding.
B. Check to see if the chest tube is blocked or kinked
