PNH 301 FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS | 100%
GUARANTEED PASS
Which of the following clinical manifestations would the nurse recognize as a key
feature of COPD?
a. age at onset of younger than 40 years
b. smoking history more than 10 pack-years
c. history of atopic dermatitis
d. infrequent sputum production - Answer- b. history of smoking
When teaching clients about the common adverse effects of cigarette smoke on the
respiratory system, the nurse would include which of the following?
a. increased proliferation of ciliated cells
b. hypertrophy of the alveolar membrane
c. destruction of all alveolar macrophages
d. hyperplasia of goblet cells and increased production of mucus - Answer- d.
A plan of care for the client with COPD could include which of the following? (SATA):
a. exercise, such as walking
b. high flow rate of O2 administration
c. low-dose long-term oral corticosteroid therapy
d. use of peak flowmeter to monitor the progression of COPD
e. breathing exercises such as pursed lip breathing that focus on exhalation - Answer- a
+e
- exercise
- breathing exercises that focus on exhalation
In a severely anemic patient, the nurse would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing - Answer- a. dyspnea + tachycardia
When obtaining assessment data from a client with a microcytic, hypochromic anemia,
what would the nurse question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
, d. Hx of sickle cell anemia - Answer- b. dietary intake of iron
Nursing interventions for a client w/ severe anemia r/t PUD include which of the
following? (SATA):
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections - Answer- a + c
- high iron diet
- monitor stools for blood
Which nursing management actions apply for a client in sickle cell crisis? (SATA):
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content - Answer- a, b, c, d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema.
After teaching regarding this drug, the nurse determines that further instruction is
needed when the client says which of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this drug"
d. "I will report any chest pain or difficulty breathing to the doctor right away" - Answer-
b. levothyroxine is lifelong treatment
Which of the following are important nursing intervention(s) when caring for a patient w/
Cushing's syndrome? (SATA):
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection - Answer- b + e
- monitor blood glucose
- protect client from infection
How does the nurse instruct the client who is taking corticosteroids to control adverse
effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
WITH CORRECT ANSWERS | 100%
GUARANTEED PASS
Which of the following clinical manifestations would the nurse recognize as a key
feature of COPD?
a. age at onset of younger than 40 years
b. smoking history more than 10 pack-years
c. history of atopic dermatitis
d. infrequent sputum production - Answer- b. history of smoking
When teaching clients about the common adverse effects of cigarette smoke on the
respiratory system, the nurse would include which of the following?
a. increased proliferation of ciliated cells
b. hypertrophy of the alveolar membrane
c. destruction of all alveolar macrophages
d. hyperplasia of goblet cells and increased production of mucus - Answer- d.
A plan of care for the client with COPD could include which of the following? (SATA):
a. exercise, such as walking
b. high flow rate of O2 administration
c. low-dose long-term oral corticosteroid therapy
d. use of peak flowmeter to monitor the progression of COPD
e. breathing exercises such as pursed lip breathing that focus on exhalation - Answer- a
+e
- exercise
- breathing exercises that focus on exhalation
In a severely anemic patient, the nurse would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing - Answer- a. dyspnea + tachycardia
When obtaining assessment data from a client with a microcytic, hypochromic anemia,
what would the nurse question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
, d. Hx of sickle cell anemia - Answer- b. dietary intake of iron
Nursing interventions for a client w/ severe anemia r/t PUD include which of the
following? (SATA):
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections - Answer- a + c
- high iron diet
- monitor stools for blood
Which nursing management actions apply for a client in sickle cell crisis? (SATA):
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content - Answer- a, b, c, d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema.
After teaching regarding this drug, the nurse determines that further instruction is
needed when the client says which of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this drug"
d. "I will report any chest pain or difficulty breathing to the doctor right away" - Answer-
b. levothyroxine is lifelong treatment
Which of the following are important nursing intervention(s) when caring for a patient w/
Cushing's syndrome? (SATA):
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection - Answer- b + e
- monitor blood glucose
- protect client from infection
How does the nurse instruct the client who is taking corticosteroids to control adverse
effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
