NUR 325 EXAM 3 PRACTICE EXAM
QUESTIONS AND VERIFIED
SOLUTIONS(HIGHTLIGHTED) 100% PASS
A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the
following shapes?
a. Pigeon
b. Funnel
c. Kyphotic
d. Barrel
D (Ppl with COPD use accessory muscles causing chest wall to increase)
A home health nurse visits a client who has COPD and recieves oxygen at 2 L/min via nasal cannula. The
client reports difficulty breathing. Which of the following actions is the nurse's priority?
a. increase the oxygen flow to 3 L/min
b. assess the client's respiratory status
c. call the emergency services for the client
d. have the client cough and expectorate secretions
B (first action includes collecting data from client. Nurse should assess respirations before determining
appropriate interventions)
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following
information should the nurse include as effective for preventing this disorder?
a. maintenance of ideal weight
, b. annual influenza immunization
c. smoking cessation
d. regular moderate exercise
C
A nurse is caring for a client who is diabetic and reports a headache, restlessess, fatigue, and hunger.
The nurse should identify that the client is likely experiencing which of the following conditions?
a. hypoglycemia
b. hyperglycemia
c. neuropathy
d. hypokalemia
A (hypoglycemia complicates from DM indicating blood glucose less than 70. Can be due to excessive
insulin, exercise or too little food consumed. Manifestations: sweating, tremor, tachycardia,
palpitations, headache, fatigue, nervousness, and hunger)
-hyperglycemia can occur from too little insulin, illness or excessive food consumption. Manifestations:
dehydration, fruity breath, nausea, vomiting, and warm/moist skin
-hypokalemia occurs from diabetic ketoacidosis. Symptoms: fatigue, confusion, muscle weakness,
hypotension, weak pulse, hypoactive bowel sounds and shallow respirations
A nurse is teaching about self-monitoring to a client who has type 1 DM. Which of the following
statements by the client indicates an understanding of the teaching?
a. "I will check my urine once a day for ketones"
b. "I will notify my provider if pre-meal glucose is 120 mg/dL"
c. "I will check my blood glucose every 4 hours when I am sick"
d. "I will check blood glucose every 5 minutes when lightheaded"
C (when sick glucose check every 3-4 hrs. Client should consume 40z sugar free/noncaffienated liquid
every 30 mins to prevent dehydration & eat carbohydrates through soft food. Ketones should be
checked for--level should be negative or small)
-ketones checked if have glycosuria, blood glucose greater than 240 after 2 tests and during illness
QUESTIONS AND VERIFIED
SOLUTIONS(HIGHTLIGHTED) 100% PASS
A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the
following shapes?
a. Pigeon
b. Funnel
c. Kyphotic
d. Barrel
D (Ppl with COPD use accessory muscles causing chest wall to increase)
A home health nurse visits a client who has COPD and recieves oxygen at 2 L/min via nasal cannula. The
client reports difficulty breathing. Which of the following actions is the nurse's priority?
a. increase the oxygen flow to 3 L/min
b. assess the client's respiratory status
c. call the emergency services for the client
d. have the client cough and expectorate secretions
B (first action includes collecting data from client. Nurse should assess respirations before determining
appropriate interventions)
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following
information should the nurse include as effective for preventing this disorder?
a. maintenance of ideal weight
, b. annual influenza immunization
c. smoking cessation
d. regular moderate exercise
C
A nurse is caring for a client who is diabetic and reports a headache, restlessess, fatigue, and hunger.
The nurse should identify that the client is likely experiencing which of the following conditions?
a. hypoglycemia
b. hyperglycemia
c. neuropathy
d. hypokalemia
A (hypoglycemia complicates from DM indicating blood glucose less than 70. Can be due to excessive
insulin, exercise or too little food consumed. Manifestations: sweating, tremor, tachycardia,
palpitations, headache, fatigue, nervousness, and hunger)
-hyperglycemia can occur from too little insulin, illness or excessive food consumption. Manifestations:
dehydration, fruity breath, nausea, vomiting, and warm/moist skin
-hypokalemia occurs from diabetic ketoacidosis. Symptoms: fatigue, confusion, muscle weakness,
hypotension, weak pulse, hypoactive bowel sounds and shallow respirations
A nurse is teaching about self-monitoring to a client who has type 1 DM. Which of the following
statements by the client indicates an understanding of the teaching?
a. "I will check my urine once a day for ketones"
b. "I will notify my provider if pre-meal glucose is 120 mg/dL"
c. "I will check my blood glucose every 4 hours when I am sick"
d. "I will check blood glucose every 5 minutes when lightheaded"
C (when sick glucose check every 3-4 hrs. Client should consume 40z sugar free/noncaffienated liquid
every 30 mins to prevent dehydration & eat carbohydrates through soft food. Ketones should be
checked for--level should be negative or small)
-ketones checked if have glycosuria, blood glucose greater than 240 after 2 tests and during illness
