Questions 2026 Exam All
Answers and Illustrations Given
The nurse is caring for a male client with a chest tube. If the chest drainage
system is accidentally disconnected, what should the nurse plan to do?
A. Place the end of the chest tube in a container of sterile saline
B. Apply an occlusive dressing and notify the physician.
C. Clamp the chest tube immediately
,D. Secure the chest tube with tape - 🧠 ANSWER ✔✔A. Place the end of the
chest tube in a container of sterile saline
For a male client with chronic obstructive pulmonary disease, which nursing
intervention would help maintain a patent airway?
A. Restricting fluid intake to 1,000 ml/day
B. Enforcing absolute bed rest
C. Teaching the client how to perform controlled coughing
D. Administering prescribed sedatives regularly and in large amounts - 🧠
ANSWER ✔✔C. Teaching the client how to perform controlled coughing
Which of the following is true concerning the physiology of the
cardiovascular system?
A. Stimulating the parasympathetic system would cause the heart rate to
go up.
B. When a person has heart muscle disease, the heart muscles stretch as
far as is necessary to maintain function.
,C. The QRS interval on the electrocardiogram represents the electrical
impulses passing through the ventricles.
D. When stroke volume decreases, there is a resultant decrease in heart
rate. - 🧠 ANSWER ✔✔C. The QRS interval on the electrocardiogram
represents the electrical impulses passing through the ventricles.
The client has emphysema from smoking. During a respiratory system
assessment the nurse anticipates finding:
A. Abnormal palpation signs in the upper thorax
B. Dull sounds on percussion
C. A depressed sternum on inspection
D. Moist breath sounds on auscultation - 🧠 ANSWER ✔✔B. Dull sounds on
percussion
A 64-year-old client is seen in the emergency room for palpitations and mild
shortness of breath. The ECG reveals a normal P wave, P-R interval, and
QRS complex with a regular rhythm and rate of 108. The nurse should
recognize this cardiac dysrhythmia as:
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, A. Sinus dysrhythmia
B. Sinus tachycardia
C. Supraventricular tachycardia
D. Ventricular tachycardia - 🧠 ANSWER ✔✔B. Sinus tachycardia
A client recently fractured his spinal cord at the C-3 level and is at great risk
for developing pneumonia primarily because:
A. The resulting paralysis immobilizes him, and secretions will increase in
his lungs
B. Innervation to the phrenic nerve is absent, preventing chest expansion
C. The resulting abnormal chest shape disallows efficient ventilatory
movement
D. Trauma decreases the ability of his red blood cells to carry oxygen - 🧠
ANSWER ✔✔B. Innervation to the phrenic nerve is absent, preventing
chest expansion