NUR 276 Final Possible Questions With Complete Solutions
A nurse is caring for a client who has just developed a
pulmonary embolism. Which of the following medications
should the nurse anticipate administering?
A. Furosemide
B. Dexamethasone
C. Heparin
D. Atropine
C. Heparin
A nurse is assessing a client who has postoperative atelectasis
and is hypoxic. Which of the following manifestations should
the nurse expect?
A. Bradycardia
B. Bradypnea
C. Lethargy
D. Intercostal Retractions
D. Intercostal Retractions
A nurse is developing a plan of care for a client who has COPD.
The nurse should include which of the following interventions in
the plan?
A. Restrict the client's fluid intake to less than 2 L/day.
B. Provide the client with a low-protein diet.
C. Have the client use the early-morning hours for exercise and
activity.
D. Instruct the client to use pursed-lip breathing.
,D. Instruct the client to use pursed-lip breathing.
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. Barrel
A nurse is teaching a client who has emphysema about self-
management strategies. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I will inhale slowly through pursed lips to help me breathe
better."
B. "I will avoid getting a flu shot."
C. "I will follow a daily diet high in calories and protein."
D. "I will lie on my stomach to practice abdominal breathing
every day."
C. "I will follow a daily diet high in calories and protein."
A nurse in the emergency department is assessing an older adult
client who has community- acquired pneumonia. Which of the
following findings should the nurse expect?
A. Unequal pupils
B. Hypertension
C. Tympany upon chest percussion
D. Confusion
D. Confusion
,A nurse in the intensive care unit is providing teaching for a
client prior to removal of an endotracheal tube. Which of the
following instructions should the nurse include in the teaching?
A. "Rest in a side-lying position after the tube is removed."
B. "Use the incentive spirometer every 4 hr after the tube is
removed."
C. "Avoid speaking for long periods."
D. "A nurse will monitor your vital signs every 15 minutes in
the first hour after the tube is removed."
C. "Avoid speaking for long periods."
A home health nurse visits a client who has COPD and receives
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 emergency services for the client.
D. Have the client cough and expectorate secretions.
B. Assess the client's respiratory status.
A client is planning to perform nasotracheal suction for a client
who has COPD and an artificial airway. Which of the following
actions should the nurse take?
A. Perform suctioning for up to four passes.
B. Apply suction to the catheter when advancing it into the
trachea.
C. Preoxygenate the client with 100% oxygen for up to 3 min.
D. Limit each suction pass to 25 seconds.
, C. Preoxygenate the client with 100% oxygen for up to 3 min.
A nurse is caring for a client who has congestive heart failure
and is taking digoxin daily. The client refused breakfast and is
complaining of nausea and weakness. Which of the following
actions should the nurse take first?
A. Check the client's vital signs.
B. Request a dietitian consult.
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic.
A. Check the client's vital signs.
A nurse is preparing to administer digoxin to a client who has
heart failure. Which of the following actions is appropriate?
A. Withholding the medication if the heart rate is above 100/min
B. Instructing the client to eat foods that are low in potassium
C. Measuring apical pulse rate for 30 seconds before
administration
D. Evaluating the client for nausea, vomiting, and anorexia
D. Evaluating the client for nausea, vomiting, and anorexia
A nurse is reviewing the EKG strip of a client who has
prolonged vomiting. Which of the following abnormalities on
the client's EKG should the nurse interpret as a sign of
hypokalemia?
A. Abnormally prominent U wave
B. Elevated ST segment
C. Wide QRS
D. Inverted P wave
A nurse is caring for a client who has just developed a
pulmonary embolism. Which of the following medications
should the nurse anticipate administering?
A. Furosemide
B. Dexamethasone
C. Heparin
D. Atropine
C. Heparin
A nurse is assessing a client who has postoperative atelectasis
and is hypoxic. Which of the following manifestations should
the nurse expect?
A. Bradycardia
B. Bradypnea
C. Lethargy
D. Intercostal Retractions
D. Intercostal Retractions
A nurse is developing a plan of care for a client who has COPD.
The nurse should include which of the following interventions in
the plan?
A. Restrict the client's fluid intake to less than 2 L/day.
B. Provide the client with a low-protein diet.
C. Have the client use the early-morning hours for exercise and
activity.
D. Instruct the client to use pursed-lip breathing.
,D. Instruct the client to use pursed-lip breathing.
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. Barrel
A nurse is teaching a client who has emphysema about self-
management strategies. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I will inhale slowly through pursed lips to help me breathe
better."
B. "I will avoid getting a flu shot."
C. "I will follow a daily diet high in calories and protein."
D. "I will lie on my stomach to practice abdominal breathing
every day."
C. "I will follow a daily diet high in calories and protein."
A nurse in the emergency department is assessing an older adult
client who has community- acquired pneumonia. Which of the
following findings should the nurse expect?
A. Unequal pupils
B. Hypertension
C. Tympany upon chest percussion
D. Confusion
D. Confusion
,A nurse in the intensive care unit is providing teaching for a
client prior to removal of an endotracheal tube. Which of the
following instructions should the nurse include in the teaching?
A. "Rest in a side-lying position after the tube is removed."
B. "Use the incentive spirometer every 4 hr after the tube is
removed."
C. "Avoid speaking for long periods."
D. "A nurse will monitor your vital signs every 15 minutes in
the first hour after the tube is removed."
C. "Avoid speaking for long periods."
A home health nurse visits a client who has COPD and receives
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 emergency services for the client.
D. Have the client cough and expectorate secretions.
B. Assess the client's respiratory status.
A client is planning to perform nasotracheal suction for a client
who has COPD and an artificial airway. Which of the following
actions should the nurse take?
A. Perform suctioning for up to four passes.
B. Apply suction to the catheter when advancing it into the
trachea.
C. Preoxygenate the client with 100% oxygen for up to 3 min.
D. Limit each suction pass to 25 seconds.
, C. Preoxygenate the client with 100% oxygen for up to 3 min.
A nurse is caring for a client who has congestive heart failure
and is taking digoxin daily. The client refused breakfast and is
complaining of nausea and weakness. Which of the following
actions should the nurse take first?
A. Check the client's vital signs.
B. Request a dietitian consult.
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic.
A. Check the client's vital signs.
A nurse is preparing to administer digoxin to a client who has
heart failure. Which of the following actions is appropriate?
A. Withholding the medication if the heart rate is above 100/min
B. Instructing the client to eat foods that are low in potassium
C. Measuring apical pulse rate for 30 seconds before
administration
D. Evaluating the client for nausea, vomiting, and anorexia
D. Evaluating the client for nausea, vomiting, and anorexia
A nurse is reviewing the EKG strip of a client who has
prolonged vomiting. Which of the following abnormalities on
the client's EKG should the nurse interpret as a sign of
hypokalemia?
A. Abnormally prominent U wave
B. Elevated ST segment
C. Wide QRS
D. Inverted P wave
