NC BLET STATE TEST EXAM ACTUAL
QUESTIONS AND ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED SOLUTIONS
– ASSURED PASS WITH INSTANT DOWNLOAD
PDF.
A nurse is caring for a client who is experiencing respiratory distress. Which of
the following early manifestations of hypoxemia should the nurse recognize?
SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. - ANSWER: B. Pale skin
E. Elevation blood pressure.
A nurse is orienting a newly licensed nurse on performing routine assessment of a
client who is receiving mechanical ventilation via an endotracheal tube. Which of
the following information should the nurse include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. - ANSWER: D. Assess breath
sounds every 1 to 2 hours.
,A nurse is caring for a client who has dyspnea and will receive oxygen
continuously. Which of the following oxygen devices should the nurse use to
deliver a precise amount of oxygen to the client?
A. Non rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask - ANSWER: B. Venturi mask
A nurse is planning care for a client who is receiving mechanical ventilation.
Which of the following modes of ventilation that increase the effort of the client's
respiratory muscles should the nurse include in the plan of care?
SATA
A. Assist-control
B. SIMV
C. CPAP
D. PSV
E. Independent lung ventilation - ANSWER: B. SIMV
C. CPAP
D. PSV
A nurse is caring for a client who has pneumonia. Assessment findings include
temperature 37.8 C (100 F), respirations 30/min, blood pressure 130/76, heart rate
100/min, and SaO2 91% on room air. Prioritize the following nursing
interventions. A. Administer antibiotics.
B. Administer oxygen therapy.
C. Perform a sputum culture.
,D. Administer an antipyretic medication to promote client comfort. -
ANSWER: B. Administer oxygen therapy. C. Perform a sputum culture.
A. Administer antibiotics.
D. Administer an antipyretic medication to promote client comfort.
A nurse in a clinic is assessing a client who has sinusitis. Which of the following
techniques should the nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - ANSWER: D. Palpation of the orbital areas
A nurse in the emergency department is caring for a client who is having an acute
asthma attack. Which of the following assessments indicates that the respiratory
status is declining? SATA
A. SaO2 95%
B. Wheezing
C. Retraction of sternal muscles
D. Pink mucous membranes
E. Premature ventricular complexes (PVC's) - ANSWER: B. Wheezing
C. Retraction of sternal muscles
E. Premature ventricular complexes (PVC's)
, A nurse is caring for a client 2 hours after admission. The client has an SaO2 of
91%, exhibits audible wheezes, and is using accessory muscles when breathing.
Which of the following classes of medication should the nurse expect to
administer?
A. Antibiotic
B. Beta-blocker
C Antiviral
D. Beta2 agonist - ANSWER: D. Beta2 agonist
A nurse is caring for a client who is experiencing respiratory distress. Which of the
following early manifestations of hypoxemia should the nurse recognize? SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. - ANSWER: B. Pale skin
E. Elevation blood pressure.
A nurse is orienting a newly licensed nurse on performing routine assessment of a
client who is receiving mechanical ventilation via an endotracheal tube. Which of
the following information should the nurse include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. - ANSWER: D. Assess breath
sounds every 1 to 2 hours.
QUESTIONS AND ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED SOLUTIONS
– ASSURED PASS WITH INSTANT DOWNLOAD
PDF.
A nurse is caring for a client who is experiencing respiratory distress. Which of
the following early manifestations of hypoxemia should the nurse recognize?
SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. - ANSWER: B. Pale skin
E. Elevation blood pressure.
A nurse is orienting a newly licensed nurse on performing routine assessment of a
client who is receiving mechanical ventilation via an endotracheal tube. Which of
the following information should the nurse include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. - ANSWER: D. Assess breath
sounds every 1 to 2 hours.
,A nurse is caring for a client who has dyspnea and will receive oxygen
continuously. Which of the following oxygen devices should the nurse use to
deliver a precise amount of oxygen to the client?
A. Non rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask - ANSWER: B. Venturi mask
A nurse is planning care for a client who is receiving mechanical ventilation.
Which of the following modes of ventilation that increase the effort of the client's
respiratory muscles should the nurse include in the plan of care?
SATA
A. Assist-control
B. SIMV
C. CPAP
D. PSV
E. Independent lung ventilation - ANSWER: B. SIMV
C. CPAP
D. PSV
A nurse is caring for a client who has pneumonia. Assessment findings include
temperature 37.8 C (100 F), respirations 30/min, blood pressure 130/76, heart rate
100/min, and SaO2 91% on room air. Prioritize the following nursing
interventions. A. Administer antibiotics.
B. Administer oxygen therapy.
C. Perform a sputum culture.
,D. Administer an antipyretic medication to promote client comfort. -
ANSWER: B. Administer oxygen therapy. C. Perform a sputum culture.
A. Administer antibiotics.
D. Administer an antipyretic medication to promote client comfort.
A nurse in a clinic is assessing a client who has sinusitis. Which of the following
techniques should the nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - ANSWER: D. Palpation of the orbital areas
A nurse in the emergency department is caring for a client who is having an acute
asthma attack. Which of the following assessments indicates that the respiratory
status is declining? SATA
A. SaO2 95%
B. Wheezing
C. Retraction of sternal muscles
D. Pink mucous membranes
E. Premature ventricular complexes (PVC's) - ANSWER: B. Wheezing
C. Retraction of sternal muscles
E. Premature ventricular complexes (PVC's)
, A nurse is caring for a client 2 hours after admission. The client has an SaO2 of
91%, exhibits audible wheezes, and is using accessory muscles when breathing.
Which of the following classes of medication should the nurse expect to
administer?
A. Antibiotic
B. Beta-blocker
C Antiviral
D. Beta2 agonist - ANSWER: D. Beta2 agonist
A nurse is caring for a client who is experiencing respiratory distress. Which of the
following early manifestations of hypoxemia should the nurse recognize? SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. - ANSWER: B. Pale skin
E. Elevation blood pressure.
A nurse is orienting a newly licensed nurse on performing routine assessment of a
client who is receiving mechanical ventilation via an endotracheal tube. Which of
the following information should the nurse include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. - ANSWER: D. Assess breath
sounds every 1 to 2 hours.
