Answered Correct 2025-2026 Updated.
A sputum study has been ordered for a client who has developed coarse chest crackles and a
fever. At what time should the nurse best collect the sample?
- First thing in the morning
- At bedtime
- After a period of exercise
- Immediately after a meal - Answer - First thing in the morning
A nurse enters a client's room and observes a container with sputum. Upon questioning about
the specimen, which information from the client would necessitate the nurse to obtain a new
specimen?
- "The specimen is from a deep cough."
- "I coughed that up about 8 hours ago."
- "The lid is secured with tape."
- "The container used is sterile." - Answer - "I coughed that up about 8 hours ago."
The nurse is caring for a client who has returned to the unit following a bronchoscopy. The client
is asking for something to drink. Which criterion will determine when the nurse should allow
the client to drink fluids?
- Presence of a cough and gag reflex
- Ability to demonstrate deep inspiration
- Oxygen saturation of ≥92%
- Absence of nausea - Answer - Presence of a cough and gag reflex
A nurse is caring for a client after a thoracotomy for a lung mass. What part of the client's care is
the priority for the nurse?
- Home care
- Gas exchange
- Anxiety
- Impaired mobility - Answer - Gas exchange
, - Swallowing reflex
- Anxiety - Answer - Level of consciousness
The client is postoperative for a total laryngectomy and has recovered from anesthesia. The
client's respirations are 32 breaths/minute, blood pressure is 102/58, and pulse rate is 104
beats/minute. Pulse oximetry is 90%. The client is receiving humidified oxygen. To aid in the
client's respiratory status, the nurse places the client in which of the following positions. -
Answer - Semi-Fowlers
A 45-year-old obese man arrives in a clinic reporting daytime sleepiness, difficulty going to sleep
at night, and snoring. The nurse should recognize the manifestations of what health problem?
- Laryngeal cancer
- Chronic tonsillitis
- Obstructive sleep apnea
- Adenoiditis - Answer - Obstructive sleep apnea
The nurse is teaching the client in respiratory distress ways to prolong exhalation to improve
respiratory status. The nurse tells the client to
- Hold the breath for 5 seconds and then exhale.
- Sit in an upright position only.
- Initially inhale through the mouth.
- Purse the lips when exhaling air from the lungs. - Answer - Purse the lips when exhaling air
from the lungs.
A nurse is providing discharge teaching for a client who had a laryngectomy. Which instruction
should the nurse include in her teaching?
- "Keep the humidity in your house low."
- "Cover the stoma whenever you shower or bathe."
- "Wear a tight cloth at the stoma to prevent anything from entering it."
- "Swimming is good exercise after this surgery." - Answer - "Cover the stoma whenever you
shower or bathe."
A medical nurse has admitted a client to the unit with a diagnosis of failure to thrive. The client
has developed a fever and cough, so a sputum specimen has been obtained. The nurse notes
that the sputum is greenish and that there is a large quantity of it. The nurse notifies the client's