Page 1 of 81
NURS 270 EXAM 5 NEWEST VERSION ALL QUESTIONS
AND CORRECT ANSWERS LATEST UPDATE JUST
RELEASED THIS YEAR
Question: The nurse is assessing a pt for the adequacy of ventilation. What assessment findings
would indicate the pt has good ventilation - CORRECT ANSWER✔✔-the oxygen saturation level
is 98%
-nail beds are pink with good capillary refill
-there is presence of quiet, effortless breath sounds at lung base bilaterally
Oxygen saturation level should be between 95 and 100%; nail beds should be pink with capillary
refill of about 3 seconds; and breath sounds should be present at base of both lungs
Question: After assisting at the bedside with a thoracentesis, the nurse would continue to
assess the pt for signs and symptoms of what? - CORRECT ANSWER✔✔pneumothorax
, Page 2 of 81
Because thoracentesis involves the introduction of a catheter into the pleural space, there is a
risk of pneumothorax. Thoracentesis does not carry a significant potential for causing
bronchospasm, pulmonary edema, or respiratory acidosis
Question: A pt with recurrent shortness of breath has just had a bronchoscopy. What is a
priority nursing action immediately after the procedure - CORRECT ANSWER✔✔Monitor the pt
for laryngeal edema
Priorities for assessment are the pts airway and breathing, both of which may be compromised
after bronchoscopy by laryngeal edema
Question: A pt with a recent hx of a dry cough has had a chest X-ray that revealed the presence
of nodules. In an effort to determine whether the nodules are malignant or benign, what is the
priority care provider likely to order - CORRECT ANSWER✔✔Positron emission tomography
(PET) scan
PET is used to distinguish benign and malignant pulmonary nodules. Because cancer cells have
an increased uptake of glucose
, Page 3 of 81
Question: when a pt is having a bronchoscopy, what is one of the priority nursing interventions
before discharge - CORRECT ANSWER✔✔assessing that the gag reflex has returned
Question: The pt is calling the clinic with a cough. What assessment data would the nurse first
collect - CORRECT ANSWER✔✔cough sound, sputum production, pattern of cough
The sound of the cough, sputum production and description, and the pattern of the coughs
occurrence (including acute and chronic) and what its occurrence is related to are the first
assessments to be made to determine the severity
Question: The nurse is caring for a pt who had abdominal surgery yesterday. Today the pts
lungs sounds in the lower lobes are diminished. The nurse knows this could be related to the
occurrence of - CORRECT ANSWER✔✔atelectasis
After surgery, there is an increased risk for atelectasis from anesthesia as well as restricted
breathing from pain. Without deep breathing to stretch the alveoli, surfactant secretion to hold
the avleoli open is not promoted
, Page 4 of 81
Q:A pt with respiratory disease has a shift to the left in the oxygen-hemoglobin dissociation
curve. The nurse recognizes that this finding indicates that: - CORRECT ANSWER✔✔More
oxygen is dissolved in plasma but is not readily released to the tissue
left shift as with alkalosis allows more blood in lungs to absorb O2, but tissues don't get it
released to them
Question: The physician performs a thoracentesis on a pt with a right pleural effusion. In
preparing the pt for the procedure, the nurse positions the pt - CORRECT ANSWER✔✔sitting
upright with his arms supported on an overbed table
Question: A pt has undergone a rhinoplasty to correct nasal deformities resulting from trauma
during an automobile accident. The nursing intervention that is most appropriate
postoperatively is to - CORRECT ANSWER✔✔Instruct the pt to keep the head elevated for 48
hours to minimize swelling
maintaining the head in an elevated position will decrease the amount of nasal swelling.
NURS 270 EXAM 5 NEWEST VERSION ALL QUESTIONS
AND CORRECT ANSWERS LATEST UPDATE JUST
RELEASED THIS YEAR
Question: The nurse is assessing a pt for the adequacy of ventilation. What assessment findings
would indicate the pt has good ventilation - CORRECT ANSWER✔✔-the oxygen saturation level
is 98%
-nail beds are pink with good capillary refill
-there is presence of quiet, effortless breath sounds at lung base bilaterally
Oxygen saturation level should be between 95 and 100%; nail beds should be pink with capillary
refill of about 3 seconds; and breath sounds should be present at base of both lungs
Question: After assisting at the bedside with a thoracentesis, the nurse would continue to
assess the pt for signs and symptoms of what? - CORRECT ANSWER✔✔pneumothorax
, Page 2 of 81
Because thoracentesis involves the introduction of a catheter into the pleural space, there is a
risk of pneumothorax. Thoracentesis does not carry a significant potential for causing
bronchospasm, pulmonary edema, or respiratory acidosis
Question: A pt with recurrent shortness of breath has just had a bronchoscopy. What is a
priority nursing action immediately after the procedure - CORRECT ANSWER✔✔Monitor the pt
for laryngeal edema
Priorities for assessment are the pts airway and breathing, both of which may be compromised
after bronchoscopy by laryngeal edema
Question: A pt with a recent hx of a dry cough has had a chest X-ray that revealed the presence
of nodules. In an effort to determine whether the nodules are malignant or benign, what is the
priority care provider likely to order - CORRECT ANSWER✔✔Positron emission tomography
(PET) scan
PET is used to distinguish benign and malignant pulmonary nodules. Because cancer cells have
an increased uptake of glucose
, Page 3 of 81
Question: when a pt is having a bronchoscopy, what is one of the priority nursing interventions
before discharge - CORRECT ANSWER✔✔assessing that the gag reflex has returned
Question: The pt is calling the clinic with a cough. What assessment data would the nurse first
collect - CORRECT ANSWER✔✔cough sound, sputum production, pattern of cough
The sound of the cough, sputum production and description, and the pattern of the coughs
occurrence (including acute and chronic) and what its occurrence is related to are the first
assessments to be made to determine the severity
Question: The nurse is caring for a pt who had abdominal surgery yesterday. Today the pts
lungs sounds in the lower lobes are diminished. The nurse knows this could be related to the
occurrence of - CORRECT ANSWER✔✔atelectasis
After surgery, there is an increased risk for atelectasis from anesthesia as well as restricted
breathing from pain. Without deep breathing to stretch the alveoli, surfactant secretion to hold
the avleoli open is not promoted
, Page 4 of 81
Q:A pt with respiratory disease has a shift to the left in the oxygen-hemoglobin dissociation
curve. The nurse recognizes that this finding indicates that: - CORRECT ANSWER✔✔More
oxygen is dissolved in plasma but is not readily released to the tissue
left shift as with alkalosis allows more blood in lungs to absorb O2, but tissues don't get it
released to them
Question: The physician performs a thoracentesis on a pt with a right pleural effusion. In
preparing the pt for the procedure, the nurse positions the pt - CORRECT ANSWER✔✔sitting
upright with his arms supported on an overbed table
Question: A pt has undergone a rhinoplasty to correct nasal deformities resulting from trauma
during an automobile accident. The nursing intervention that is most appropriate
postoperatively is to - CORRECT ANSWER✔✔Instruct the pt to keep the head elevated for 48
hours to minimize swelling
maintaining the head in an elevated position will decrease the amount of nasal swelling.
