Page 1 of 21
Adult Health II Final Exam Questions 2026 | Verified Nursing
Test Bank & Comprehensive Study Guide – Instant PDF
Download
The clinic nurse teaches a patient with a 42 pack a year history of cigarette smoking
about lung disease. Which informaion will be most important for the nurse to
include? - ANSWER-Options for smoking cessation
The nurse is caring for a client diagnosed with a Hemothorax who has had a chest
tube for 3 days. The nurse notes there is no tidaling in the water-seal chamber. Which
initial action should be taken by the nurse? - ANSWER-Check the tubing for any
dependent loops
In the ICU, the critical care nurse assesses a client diagnosed with an asthma attack
who has a rate of 28 respirations and an oxygen saturation of 88%. Which
intervention should the nurse implement first? - ANSWER-Place the client on
oxygen
A nurse is assessing the respiratory status of a male client who has suffered a
fractured rib. What is the nursing priority is to first: - ANSWER-treat the clients
pain to allow for effective deep breaths
The nurse identifies a flail chest in a trauma patient when: - ANSWER-Paradoxic
chest movement occurs during respiration
A patient experiences a chest wall confusion as a result of being struck in the chest
with a baseball bat. The ER nurse would be most concerned is which finding is
observed during the initial assessment? - ANSWER-Paradoxic chest movement
, Page 2 of 21
Which of the following nursing diagnoses does the nurse identify as of highest
priority for a client with tension pneumothorax? - ANSWER-ineffective breathing
pattern
The client with right right-sided pneumothorax had chest tubes inserted 2 hours ago.
There is no fluctuation in the water-seal chamber of the Pleurovac. Which
intervention should the nurse implement first? - ANSWER-Assess the client's lung
sounds
A nurse is assisting a provider with the removal of a chest tube. Which of the
following should the nurse instruct the client to do? - ANSWER-perform valsalva
maneuver
The nurse assists with the insertion of a chest tube in a client diagnosed with a
spontaneous pneumothorax. Which data indicates that the treatment has been
effective? - ANSWER-the client has bilateral breath sounds
A patient who has a right sided chest tube following a thoracotomy has a continuous
bubbling in the suction-control chamber of the collection device. Which action by the
nurse is most appropriate? - ANSWER-take no further action with the collection
device
A nurse is preparing to care for a client following a chest tube placement. Which of
the following items should be available in the client's room? - ANSWER-Occlusive
dressing. Enclosed hemostat clamps. Oxygen. Sterile water.
When assessing a patient who has just arrived after an automobile accident, the ER
nurse notes tachycardia and absent breath sounds over the right lung. For which
intervention will the nurse prepare the client? - ANSWER-insertion of a chest tube
with chest drainage system
, Page 3 of 21
A patient with a possible pulmonary embolism complains of chest pain and difficulty
breathing. The nurse finds a heart rate of 142 beats/min, b/p of 100/60 mmHg, and
respirations 42. Which action should the nurse take first? - ANSWER-elevate the
head of bed to a semi-fowler's position
When planning care for a patient at risk for pulmonary embolism, the nurse
prioritizes: - ANSWER-using sequential compression devices
Which intervention will the nurse include in the plan of care for a patient who is
diagnosed with a ling abscess? - ANSWER-teach about the need for prolonged
antibiotic therapy after discharge from the hospital
The nurse provides discharge teaching for a patient who has 2 fractured ribs from an
automobile accident. Which statement, if made by the patient, would indicate that
teaching has been effective? - ANSWER-I will use the incentive spirometer every
hour or two during the day
The nurse provides preoperative instruction for a patient scheduled for a left
pneumonectomy for cancer of the lung. Which information should the nurse include
about the patient's postoperative care? - ANSWER-frequent use of an incentive
spirometer
A patient has been instructed in pursed lip breathing. The patient asks the nurse the
purpose behind this breathing pattern. The best response by the nurse would be -
ANSWER-pursed-lip breathing prevents airway collapse and enhances effective
breathing
A patient has the following ABG results: ph 7.48, PaO2 86 mmHg, PaCO2 44 mmHg,
HCO3 29 mEq/L. When assessing the patient, the nurse would expect the patient to
experience: - ANSWER-warm, flushed skin
Adult Health II Final Exam Questions 2026 | Verified Nursing
Test Bank & Comprehensive Study Guide – Instant PDF
Download
The clinic nurse teaches a patient with a 42 pack a year history of cigarette smoking
about lung disease. Which informaion will be most important for the nurse to
include? - ANSWER-Options for smoking cessation
The nurse is caring for a client diagnosed with a Hemothorax who has had a chest
tube for 3 days. The nurse notes there is no tidaling in the water-seal chamber. Which
initial action should be taken by the nurse? - ANSWER-Check the tubing for any
dependent loops
In the ICU, the critical care nurse assesses a client diagnosed with an asthma attack
who has a rate of 28 respirations and an oxygen saturation of 88%. Which
intervention should the nurse implement first? - ANSWER-Place the client on
oxygen
A nurse is assessing the respiratory status of a male client who has suffered a
fractured rib. What is the nursing priority is to first: - ANSWER-treat the clients
pain to allow for effective deep breaths
The nurse identifies a flail chest in a trauma patient when: - ANSWER-Paradoxic
chest movement occurs during respiration
A patient experiences a chest wall confusion as a result of being struck in the chest
with a baseball bat. The ER nurse would be most concerned is which finding is
observed during the initial assessment? - ANSWER-Paradoxic chest movement
, Page 2 of 21
Which of the following nursing diagnoses does the nurse identify as of highest
priority for a client with tension pneumothorax? - ANSWER-ineffective breathing
pattern
The client with right right-sided pneumothorax had chest tubes inserted 2 hours ago.
There is no fluctuation in the water-seal chamber of the Pleurovac. Which
intervention should the nurse implement first? - ANSWER-Assess the client's lung
sounds
A nurse is assisting a provider with the removal of a chest tube. Which of the
following should the nurse instruct the client to do? - ANSWER-perform valsalva
maneuver
The nurse assists with the insertion of a chest tube in a client diagnosed with a
spontaneous pneumothorax. Which data indicates that the treatment has been
effective? - ANSWER-the client has bilateral breath sounds
A patient who has a right sided chest tube following a thoracotomy has a continuous
bubbling in the suction-control chamber of the collection device. Which action by the
nurse is most appropriate? - ANSWER-take no further action with the collection
device
A nurse is preparing to care for a client following a chest tube placement. Which of
the following items should be available in the client's room? - ANSWER-Occlusive
dressing. Enclosed hemostat clamps. Oxygen. Sterile water.
When assessing a patient who has just arrived after an automobile accident, the ER
nurse notes tachycardia and absent breath sounds over the right lung. For which
intervention will the nurse prepare the client? - ANSWER-insertion of a chest tube
with chest drainage system
, Page 3 of 21
A patient with a possible pulmonary embolism complains of chest pain and difficulty
breathing. The nurse finds a heart rate of 142 beats/min, b/p of 100/60 mmHg, and
respirations 42. Which action should the nurse take first? - ANSWER-elevate the
head of bed to a semi-fowler's position
When planning care for a patient at risk for pulmonary embolism, the nurse
prioritizes: - ANSWER-using sequential compression devices
Which intervention will the nurse include in the plan of care for a patient who is
diagnosed with a ling abscess? - ANSWER-teach about the need for prolonged
antibiotic therapy after discharge from the hospital
The nurse provides discharge teaching for a patient who has 2 fractured ribs from an
automobile accident. Which statement, if made by the patient, would indicate that
teaching has been effective? - ANSWER-I will use the incentive spirometer every
hour or two during the day
The nurse provides preoperative instruction for a patient scheduled for a left
pneumonectomy for cancer of the lung. Which information should the nurse include
about the patient's postoperative care? - ANSWER-frequent use of an incentive
spirometer
A patient has been instructed in pursed lip breathing. The patient asks the nurse the
purpose behind this breathing pattern. The best response by the nurse would be -
ANSWER-pursed-lip breathing prevents airway collapse and enhances effective
breathing
A patient has the following ABG results: ph 7.48, PaO2 86 mmHg, PaCO2 44 mmHg,
HCO3 29 mEq/L. When assessing the patient, the nurse would expect the patient to
experience: - ANSWER-warm, flushed skin
