NURS 422 Study Questions With Complete Solutions
A client comes to the emergency department with chest
discomfort. Which action does the nurse perform first?
a. administers oxygen therapy
b. obtains client's description of the chest pain
c. provides pain relief medication
d. remains calm and stays with the patient Correct Answers b
A client has been admitted with a diagnosis of pulmonary
embolism and is receiving heparin infusion. What safety priority
does the nurse include in the plan of care?
a. teach the client to avoid using dental floss
b. monitor the platelet count daily
c. ensure adequate staffing for the night
d. notify radiology of an impending scan Correct Answers b
A client in the intensive care unit (ICU) who is receiving
mechanical ventilation begins to pick at the bedcovers. Which
action will the nurse take next?
a. increase the sedation
b. assess for adequate oxygenation
c. explain that the tube in the client's throat helps with breathing
d. request that the family leave to decrease the client's agitation
Correct Answers b
A client is exhibiting signs and symptoms of early shock. What
is important for the nurse to do to support the psychosocial
integrity of the client? Select all that apply.
a. ask family members to stay with the family
b. call the health care provider
, c. remain with the patient
d. increase IV and O2 rates
e. reassure the client that everything is being done for him or her
Correct Answers a, c, e
A client recovering from an open reduction of the femur
suddenly feels light-headed, with increased anxiety and
agitation. Which key vital sign differentiates a pulmonary
embolism from early sepsis?
a. temperature
b. pulse
c. respirations
d. BP Correct Answers a
A client was intubated 30 minutes ago for acute respiratory
distress syndrome (ARDS) and possible sepsis. The following
prescriptions have been given for the client. In what sequence
will the nurse perform these actions? 1. Infuse levofloxacin
(Levaquin) 500 mg IV. 2. Obtain baseline aerobic and anaerobic
sputum cultures. 3. Teach the client and family methods of
communicating. 4. Analyze post-intubation arterial blood gases
(ABGs).
a. 2, 1, 3, 4
b. 4, 3, 1, 2
c. 3, 4, 2, 1
d. 4, 2, 1, 3 Correct Answers d
A client who is receiving O2 by facemask and whose respiratory
rate is 24 breaths/min
a. check the ventilator alarm settings
b. assess the set tidal volume
A client comes to the emergency department with chest
discomfort. Which action does the nurse perform first?
a. administers oxygen therapy
b. obtains client's description of the chest pain
c. provides pain relief medication
d. remains calm and stays with the patient Correct Answers b
A client has been admitted with a diagnosis of pulmonary
embolism and is receiving heparin infusion. What safety priority
does the nurse include in the plan of care?
a. teach the client to avoid using dental floss
b. monitor the platelet count daily
c. ensure adequate staffing for the night
d. notify radiology of an impending scan Correct Answers b
A client in the intensive care unit (ICU) who is receiving
mechanical ventilation begins to pick at the bedcovers. Which
action will the nurse take next?
a. increase the sedation
b. assess for adequate oxygenation
c. explain that the tube in the client's throat helps with breathing
d. request that the family leave to decrease the client's agitation
Correct Answers b
A client is exhibiting signs and symptoms of early shock. What
is important for the nurse to do to support the psychosocial
integrity of the client? Select all that apply.
a. ask family members to stay with the family
b. call the health care provider
, c. remain with the patient
d. increase IV and O2 rates
e. reassure the client that everything is being done for him or her
Correct Answers a, c, e
A client recovering from an open reduction of the femur
suddenly feels light-headed, with increased anxiety and
agitation. Which key vital sign differentiates a pulmonary
embolism from early sepsis?
a. temperature
b. pulse
c. respirations
d. BP Correct Answers a
A client was intubated 30 minutes ago for acute respiratory
distress syndrome (ARDS) and possible sepsis. The following
prescriptions have been given for the client. In what sequence
will the nurse perform these actions? 1. Infuse levofloxacin
(Levaquin) 500 mg IV. 2. Obtain baseline aerobic and anaerobic
sputum cultures. 3. Teach the client and family methods of
communicating. 4. Analyze post-intubation arterial blood gases
(ABGs).
a. 2, 1, 3, 4
b. 4, 3, 1, 2
c. 3, 4, 2, 1
d. 4, 2, 1, 3 Correct Answers d
A client who is receiving O2 by facemask and whose respiratory
rate is 24 breaths/min
a. check the ventilator alarm settings
b. assess the set tidal volume
