Nur201 exam 3 Questions and
Answers Latest Versions 2025
top Rated A+
A patient with a chronic cough is scheduled to have a
bronchoscopy with biopsy. Which intervention will the nurse
implement directly after the procedure?
a. Encourage the patient to drink clear liquids.
b. Place the patient on bed rest for at least 4 hours.
c. Keep the patient NPO until the gag reflex returns.
d. Maintain the head of the bed elevated 90 degrees.
c
The nurse completes a shift assessment on a patient
admitted in the early phase of heart failure. When
auscultating the patient's lungs, which finding would the
nurse most likely hear?
a. Continuous rumbling, snoring, or rattling sounds mainly
on expiration
b. Continuous high-pitched musical sounds on inspiration
and expiration
c. Discontinuous, high-pitched sounds of short duration
during inspiration
d. A series of long-duration, discontinuous, low-pitched
sounds during inspiration
c
The nurse assesses a patient with chronic obstructive
pulmonary disease (COPD) who has been admitted with
,increasing dyspnea over the past 3 days. Which finding is
important for the nurse to report to the health care provider?
a. Respirations are 36 breaths/min.
b. Anterior-posterior chest ratio is 1:1.
c. Lung expansion is decreased bilaterally.
d. Hyperresonance to percussion is present.
a
The laboratory has just called with the arterial blood gas
(ABG) results on four patients. Which result is most
important for the nurse to report immediately to the health
care provider?
a. pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat
97%
b. pH 7.35, PaO2 85 mm Hg, PaCO2 50 mm Hg, and O2 sat
95%
c. pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat
98%
d. pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat
96%
d
After the nurse has received change-of-shift report, which
patient should the nurse assess first?
a. A patient with pneumonia who has crackles in the right
lung base
b. A patient with chronic bronchitis who has a low forced
vital capacity
c. A patient with possible lung cancer who has just returned
after bronchoscopy
d. A patient with hemoptysis and a 16-mm induration after
tuberculin skin testing
c
,Using the illustrated technique, the nurse is assessing for
which finding in a patient with chronic obstructive pulmonary
disease (COPD)?
a. Hyperresonance c. Reduced excursion
b. Tripod positioning d. Accessory muscle use
c
Which action is appropriate for the nurse to delegate to
unlicensed assistive personnel (UAP)?
a. Listen to a patient's lung sounds for wheezes or crackles.
b. Label specimens obtained during percutaneous lung
biopsy.
c. Instruct a patient about how to use home spirometry
testing.
d. Measure induration at the site of a patient's intradermal
skin test.
b
A patient is scheduled for a computed tomography (CT) scan
of the chest with contrast media. Which assessment findings
should the nurse report to the health care provider before the
patient goes for the CT (select all that apply)?
a. Allergy to shellfish
b. Patient reports claustrophobia
c. Elevated serum creatinine level
d. Recent bronchodilator inhaler use
e. Inability to remove a wedding band
a,c
The nurse analyzes the results of a patient's arterial blood
gases (ABGs). Which finding would require immediate
action?
a. The bicarbonate level (HCO3-) is 31 mEq/L.
, b. The arterial oxygen saturation (SaO2) is 92%.
c. The partial pressure of CO2 in arterial blood (PaCO2) is 31
mm Hg.
d. The partial pressure of oxygen in arterial blood (PaO2) is
59 mm Hg.
d
Which assessment finding indicates that the nurse should
take immediate action for an older patient?
a. Weak cough effort c. Dry mucous membranes
b. Barrel-shaped chest d. Bilateral basilar crackles
d
A patient with acute dyspnea is scheduled for a spiral
computed tomography (CT) scan. Which information
obtained by the nurse is a priority to communicate to the
health care provider before the CT?
a. Allergy to shellfish c. Respiratory rate of 30
b. Apical pulse of 104 d. O2 saturation of 90%
a
The nurse admits a patient who has a diagnosis of an acute
asthma attack. Which statement indicates that the patient
may need teaching regarding medication use?
a. "I have not had any acute asthma attacks during the past
year."
b. "I became short of breath an hour before coming to the
hospital."
c. "I've been taking Tylenol 650 mg every 6 hours for chest
wall pain."
d. "I've been using my albuterol inhaler more frequently over
the last 4 days."
d
Answers Latest Versions 2025
top Rated A+
A patient with a chronic cough is scheduled to have a
bronchoscopy with biopsy. Which intervention will the nurse
implement directly after the procedure?
a. Encourage the patient to drink clear liquids.
b. Place the patient on bed rest for at least 4 hours.
c. Keep the patient NPO until the gag reflex returns.
d. Maintain the head of the bed elevated 90 degrees.
c
The nurse completes a shift assessment on a patient
admitted in the early phase of heart failure. When
auscultating the patient's lungs, which finding would the
nurse most likely hear?
a. Continuous rumbling, snoring, or rattling sounds mainly
on expiration
b. Continuous high-pitched musical sounds on inspiration
and expiration
c. Discontinuous, high-pitched sounds of short duration
during inspiration
d. A series of long-duration, discontinuous, low-pitched
sounds during inspiration
c
The nurse assesses a patient with chronic obstructive
pulmonary disease (COPD) who has been admitted with
,increasing dyspnea over the past 3 days. Which finding is
important for the nurse to report to the health care provider?
a. Respirations are 36 breaths/min.
b. Anterior-posterior chest ratio is 1:1.
c. Lung expansion is decreased bilaterally.
d. Hyperresonance to percussion is present.
a
The laboratory has just called with the arterial blood gas
(ABG) results on four patients. Which result is most
important for the nurse to report immediately to the health
care provider?
a. pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat
97%
b. pH 7.35, PaO2 85 mm Hg, PaCO2 50 mm Hg, and O2 sat
95%
c. pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat
98%
d. pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat
96%
d
After the nurse has received change-of-shift report, which
patient should the nurse assess first?
a. A patient with pneumonia who has crackles in the right
lung base
b. A patient with chronic bronchitis who has a low forced
vital capacity
c. A patient with possible lung cancer who has just returned
after bronchoscopy
d. A patient with hemoptysis and a 16-mm induration after
tuberculin skin testing
c
,Using the illustrated technique, the nurse is assessing for
which finding in a patient with chronic obstructive pulmonary
disease (COPD)?
a. Hyperresonance c. Reduced excursion
b. Tripod positioning d. Accessory muscle use
c
Which action is appropriate for the nurse to delegate to
unlicensed assistive personnel (UAP)?
a. Listen to a patient's lung sounds for wheezes or crackles.
b. Label specimens obtained during percutaneous lung
biopsy.
c. Instruct a patient about how to use home spirometry
testing.
d. Measure induration at the site of a patient's intradermal
skin test.
b
A patient is scheduled for a computed tomography (CT) scan
of the chest with contrast media. Which assessment findings
should the nurse report to the health care provider before the
patient goes for the CT (select all that apply)?
a. Allergy to shellfish
b. Patient reports claustrophobia
c. Elevated serum creatinine level
d. Recent bronchodilator inhaler use
e. Inability to remove a wedding band
a,c
The nurse analyzes the results of a patient's arterial blood
gases (ABGs). Which finding would require immediate
action?
a. The bicarbonate level (HCO3-) is 31 mEq/L.
, b. The arterial oxygen saturation (SaO2) is 92%.
c. The partial pressure of CO2 in arterial blood (PaCO2) is 31
mm Hg.
d. The partial pressure of oxygen in arterial blood (PaO2) is
59 mm Hg.
d
Which assessment finding indicates that the nurse should
take immediate action for an older patient?
a. Weak cough effort c. Dry mucous membranes
b. Barrel-shaped chest d. Bilateral basilar crackles
d
A patient with acute dyspnea is scheduled for a spiral
computed tomography (CT) scan. Which information
obtained by the nurse is a priority to communicate to the
health care provider before the CT?
a. Allergy to shellfish c. Respiratory rate of 30
b. Apical pulse of 104 d. O2 saturation of 90%
a
The nurse admits a patient who has a diagnosis of an acute
asthma attack. Which statement indicates that the patient
may need teaching regarding medication use?
a. "I have not had any acute asthma attacks during the past
year."
b. "I became short of breath an hour before coming to the
hospital."
c. "I've been taking Tylenol 650 mg every 6 hours for chest
wall pain."
d. "I've been using my albuterol inhaler more frequently over
the last 4 days."
d
