1. A nursing student is teaching a client about their new diagnosis of pulmonary fibrosis. The
student would include which of the following in their teaching?
A. A sputum culture may show the presence of mycobacterium
B. This is incurable, autosomal recessive genetic disease that affects many organs.
C. Inflammation of the mucous membranes in the airways can trigger an attack.
D. Most clients have progressive disease with a life expectancy of less than 5 years.
2. A nurse is providing discharge instructions to a client recently diagnosed with Tb. Which
statement by the client indicates correct understanding of the teaching?
A. “I will follow up with my healthcare provider regularly.”
B. “My family does not require testing”
C. “I need to strictly adhere to my medication schedule.”
D. “ I will avoid alcoholic beverages while on this treatment plan”.
E. “ I will visit the clinic every week for injections of medication
3. The nurse is teaching the client about post-rhinoplasty care. Which statement by the client
indicates an understanding of the instructions?
A. “ I should remain supine if possible.”
B. “ I should take over-the counter-nonsteroidal anti-inflammatory drug ( NSAIDs).”
c. “ I will have nasal packing and mustache dressing.”
d. “ I will be able to breathe only from my nose”
4. Which statement from a client with seasonal influenza requires additional teaching?
A. “ I’m contagious only when symptoms are present.
B. “I can reduce my risk by implementing good hand hygiene.”
C. I should receive a new influenza vaccine every year”
D. “I can be diagnosed on presentation of symptoms”
5. A nurse is providing teaching to a client recently diagnosed with sleep apnea. Which of the
following statements by the client indicates an understanding of the teaching.
A. Sleep apnea only has an impact on my mental concentration.”
B. “ I should contact the provider if my oxygen level is below 90%.
C. “ I should begin treatment only if my snoring impacts my partner.”
D. “ I should contact the provider for a prescription for sleep medication.”
6. A nurse is preparing to administer dextromethorphan 30mg PO now. The amount available is
dextromethorphan oral liquid 7.5 mg/5ml. How many ml should the nurse administer per dose? (
Record answer as a whole number)20
7. A nurse is caring for a client who has emphysema. Which of the following findings should the nurse
expect to assess in this client? SATA.
A. Weight gain
B. Wheezing
C. Tachypnea
d. Distended jugular veins
e. Barrel chest
8. A client with suspected TB is admitted to the hospital. A long with a private room,which of the
following is appropriate related to isolation procedures?
A. Respiratory isolation and contact isolation for sputum only
B. Respiratory isolation with surgical masks until diagnosis is confirmed
, C. No respiratory isolation necessary until diagnosis is confirmed.
D. Negative airflow room with a specially fitted respirator
9. A nurse admits a client from the emergency department with new onset of dyspnea and productive
cough with suspected pneumonia. The client has an oxygen saturation of 96% on 2L of O2 via nasal
canula, and crackles in bilateral lung bases. Oral temperature 98.9 F, heart rate 103, respiratory rate
18. The provider enters the following orders, which will the nurse perform First?
a. Collect blood sample for complete blood count
b. Administer PO antipyretic for temperature over 101 degrees 101 degrees Fahrenheit
c. Administer broad spectrum antibiotic
d. Collect sputum sample for culture
10. An 84-year-old client is diagnosed with rhinosinusitis. The nurse questions which medication
that she sees on the client’s PRN medication list?
a. Analgesic
b. Nasal spray
c. Antihistamine
d. Antipyretic.
11. A nurse caring for a 60-year-old male client recently diagnosed with neck cancer. Which of the
following assessment findings is most consistent with this diagnosis?
A. Aphonia
B. Difficulty swallowing
C. Nausea
D. Weight gain
12. The nurse is assessing a client who reports being struck in the face and head several times.
During this assessment, the nurse observes pink-tinged drainage from the client's nares. What
nursing.. data? (Select One)
A. Test the drainage with a regent to check the pH
B. Place a drop of drainage on filter paper and look for a yellow ring
C. Ask the client to describe the appearance of the face before the injury
D. Have the client gently blow their nose and observe for bloody mucus
13. The nurse knows which of the following tests is needed to confirm a tuberculosis diagnosis?
A. Mantoux skin test
B. Sputum culture
C. Complete blood count
D. Chest X-RAY
14. A homeless client is being discharged from a long-term therapy floor for tuberculosis (TB).
What referral by the nurse is most appropriate?
A. Outpatient public health visiting nurses for direct observation.
B. Physical therapy for muscle strengthening to prevent home falls.
C. Department of health for community infection control isolation
D. Occupational therapy for employment placement and housing.
15. The nurse knows which of the following is the purpose of montelukast for a client with asthma?
A. Constricts the smooth muscles of the airway and bronchioles.
B. Acts as a rapid bronchodilator in severe asthmatic episodes.
student would include which of the following in their teaching?
A. A sputum culture may show the presence of mycobacterium
B. This is incurable, autosomal recessive genetic disease that affects many organs.
C. Inflammation of the mucous membranes in the airways can trigger an attack.
D. Most clients have progressive disease with a life expectancy of less than 5 years.
2. A nurse is providing discharge instructions to a client recently diagnosed with Tb. Which
statement by the client indicates correct understanding of the teaching?
A. “I will follow up with my healthcare provider regularly.”
B. “My family does not require testing”
C. “I need to strictly adhere to my medication schedule.”
D. “ I will avoid alcoholic beverages while on this treatment plan”.
E. “ I will visit the clinic every week for injections of medication
3. The nurse is teaching the client about post-rhinoplasty care. Which statement by the client
indicates an understanding of the instructions?
A. “ I should remain supine if possible.”
B. “ I should take over-the counter-nonsteroidal anti-inflammatory drug ( NSAIDs).”
c. “ I will have nasal packing and mustache dressing.”
d. “ I will be able to breathe only from my nose”
4. Which statement from a client with seasonal influenza requires additional teaching?
A. “ I’m contagious only when symptoms are present.
B. “I can reduce my risk by implementing good hand hygiene.”
C. I should receive a new influenza vaccine every year”
D. “I can be diagnosed on presentation of symptoms”
5. A nurse is providing teaching to a client recently diagnosed with sleep apnea. Which of the
following statements by the client indicates an understanding of the teaching.
A. Sleep apnea only has an impact on my mental concentration.”
B. “ I should contact the provider if my oxygen level is below 90%.
C. “ I should begin treatment only if my snoring impacts my partner.”
D. “ I should contact the provider for a prescription for sleep medication.”
6. A nurse is preparing to administer dextromethorphan 30mg PO now. The amount available is
dextromethorphan oral liquid 7.5 mg/5ml. How many ml should the nurse administer per dose? (
Record answer as a whole number)20
7. A nurse is caring for a client who has emphysema. Which of the following findings should the nurse
expect to assess in this client? SATA.
A. Weight gain
B. Wheezing
C. Tachypnea
d. Distended jugular veins
e. Barrel chest
8. A client with suspected TB is admitted to the hospital. A long with a private room,which of the
following is appropriate related to isolation procedures?
A. Respiratory isolation and contact isolation for sputum only
B. Respiratory isolation with surgical masks until diagnosis is confirmed
, C. No respiratory isolation necessary until diagnosis is confirmed.
D. Negative airflow room with a specially fitted respirator
9. A nurse admits a client from the emergency department with new onset of dyspnea and productive
cough with suspected pneumonia. The client has an oxygen saturation of 96% on 2L of O2 via nasal
canula, and crackles in bilateral lung bases. Oral temperature 98.9 F, heart rate 103, respiratory rate
18. The provider enters the following orders, which will the nurse perform First?
a. Collect blood sample for complete blood count
b. Administer PO antipyretic for temperature over 101 degrees 101 degrees Fahrenheit
c. Administer broad spectrum antibiotic
d. Collect sputum sample for culture
10. An 84-year-old client is diagnosed with rhinosinusitis. The nurse questions which medication
that she sees on the client’s PRN medication list?
a. Analgesic
b. Nasal spray
c. Antihistamine
d. Antipyretic.
11. A nurse caring for a 60-year-old male client recently diagnosed with neck cancer. Which of the
following assessment findings is most consistent with this diagnosis?
A. Aphonia
B. Difficulty swallowing
C. Nausea
D. Weight gain
12. The nurse is assessing a client who reports being struck in the face and head several times.
During this assessment, the nurse observes pink-tinged drainage from the client's nares. What
nursing.. data? (Select One)
A. Test the drainage with a regent to check the pH
B. Place a drop of drainage on filter paper and look for a yellow ring
C. Ask the client to describe the appearance of the face before the injury
D. Have the client gently blow their nose and observe for bloody mucus
13. The nurse knows which of the following tests is needed to confirm a tuberculosis diagnosis?
A. Mantoux skin test
B. Sputum culture
C. Complete blood count
D. Chest X-RAY
14. A homeless client is being discharged from a long-term therapy floor for tuberculosis (TB).
What referral by the nurse is most appropriate?
A. Outpatient public health visiting nurses for direct observation.
B. Physical therapy for muscle strengthening to prevent home falls.
C. Department of health for community infection control isolation
D. Occupational therapy for employment placement and housing.
15. The nurse knows which of the following is the purpose of montelukast for a client with asthma?
A. Constricts the smooth muscles of the airway and bronchioles.
B. Acts as a rapid bronchodilator in severe asthmatic episodes.
