REx-PN® Test Bank
REx-PN® Exam 2 Test Bank With
Questions And Answers Actual Exam
Newest With Complete Questions And
Correct Detailed Answers| Brand New
Version!
The nurse is caring for a client who is hospitalized with cystic fibrosis (CF) and is coughing up
large quantities of thick green mucus. Which of the following treatments should the nurse
include in the teaching plan?
a. Oral corticosteroid therapy
b. Aerosolized amoxicillin
A+ TEST BANK 1
, REx-PN® Test Bank
c. Inhaled bronchodilators
d. Antibiotic resistance - Correct Answer :Answer: b. Aerosolized amoxicillin
RATIONALE:
The colour of the mucus and the client's history of CF suggest Pseudomonas infection; an
antibiotic is required. Oral corticosteroids and inhaled bronchodilators will not be effective
in treating the respiratory infection; the effectiveness of bronchodilators has not been
established for CF. Pseudomonas infections are usually responsive (not resistant) to TOBI.
The nurse is caring for a client with a possible pulmonary embolism who has symptoms of
chest pain and difficulty breathing. The nurse assesses a heart rate of 142, BP 100/60 mm Hg,
and respirations of 42 breaths/minute. Which of the following actions should the nurse
implement first?
a. Administer the ordered pain medication.
b. Notify the client's health care provider.
c. Elevate the head of the bed to 45-60 degrees.
d. Offer emotional support and reassurance. –
Correct Answer :Answer: c. Elevate the head of the bed to 45-60 degrees.
RATIONALE:
The client has symptoms consistent with a pulmonary embolism. Elevating the head of the
bed will improve ventilation and gas exchange. The other actions can be accomplished after
the head is elevated (and oxygen is started).
The nurse is caring for a client who is scheduled for a total laryngectomy and radical neck
dissection for cancer of the larynx. The client asks the nurse, "How will I talk after the
surgery?" Which of the following responses by the nurse is best?
A+ TEST BANK 2
, REx-PN® Test Bank
a. "You will breathe through a permanent opening in your neck, but you will not be able to
communicate orally."
b. "You won't be able to speak as you used to, but there are artificial voice devices that will
give you the ability to speak normally."
c. "You will have a permanent opening into your neck, and you will need to have
rehabilitation for some type of voice restoration."
d. "You won't be able to talk right after surgery, but you will be able to speak again after the
tracheostomy tube is removed." –
Correct Answer :Answer: c. "You will have a permanent opening into your neck, and you will
need to have rehabilitation for some type of voice restoration."
Rationale:
Voice restoration is planned after a total laryngectomy, and a variety of assistive devices are
available to restore communication. Although the ability to communicate orally is changed,
it would not be appropriate to tell a client that this ability would be lost. Artificial voice
devices do not permit normal-sounding speech. In a total laryngectomy, the vocal cords are
removed, so normal speech is impossible.
The nurse is assessing a client who has just arrived in the post-anesthesia recovery unit
(PACU) after a thyroidectomy and obtains these data. Which of the following information is
most important to communicate to the surgeon?
a. The client is complaining of 7/10 incisional pain.
b. The client's cardiac monitor shows a heart rate of 112.
c. The client has increasing swelling of the neck.
d. The client is sleepy and hard to arouse. –
A+ TEST BANK 3
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Correct Answer :Answer: c. The client has increasing swelling of the neck.
RATIONALE:
The neck swelling may lead to respiratory difficulty, and rapid intervention is needed to
prevent airway obstruction. The incisional pain should be treated but is not unusual after
surgery. A heart rate of 112 is not unusual in a client who has been hyperthyroid and has just
arrived in the PACU from surgery. Sleepiness in the immediate postoperative period is
expected.
The nurse is teaching about meal coverage to a client with diabetes who has just started on
intensive insulin therapy. Which of the following types of insulin should the nurse discuss
with the client?
a. Detemir
b. Glargine
c. Lispro
d. NPH –
Correct Answer :ANSWER: c. Lispro
RATIONALE:
Rapid- or short-acting insulin is used for mealtime coverage for clients receiving intensive
insulin therapy. NPH, glargine, or detemir will be used as the basal insulin.
A staff nurse has a tuberculosis (TB) skin test of 16-mm induration. A chest radiograph is
negative, and the nurse has no symptoms of TB. Which of the following information should
the occupational health nurse provide to the staff nurse?
A+ TEST BANK 4
REx-PN® Exam 2 Test Bank With
Questions And Answers Actual Exam
Newest With Complete Questions And
Correct Detailed Answers| Brand New
Version!
The nurse is caring for a client who is hospitalized with cystic fibrosis (CF) and is coughing up
large quantities of thick green mucus. Which of the following treatments should the nurse
include in the teaching plan?
a. Oral corticosteroid therapy
b. Aerosolized amoxicillin
A+ TEST BANK 1
, REx-PN® Test Bank
c. Inhaled bronchodilators
d. Antibiotic resistance - Correct Answer :Answer: b. Aerosolized amoxicillin
RATIONALE:
The colour of the mucus and the client's history of CF suggest Pseudomonas infection; an
antibiotic is required. Oral corticosteroids and inhaled bronchodilators will not be effective
in treating the respiratory infection; the effectiveness of bronchodilators has not been
established for CF. Pseudomonas infections are usually responsive (not resistant) to TOBI.
The nurse is caring for a client with a possible pulmonary embolism who has symptoms of
chest pain and difficulty breathing. The nurse assesses a heart rate of 142, BP 100/60 mm Hg,
and respirations of 42 breaths/minute. Which of the following actions should the nurse
implement first?
a. Administer the ordered pain medication.
b. Notify the client's health care provider.
c. Elevate the head of the bed to 45-60 degrees.
d. Offer emotional support and reassurance. –
Correct Answer :Answer: c. Elevate the head of the bed to 45-60 degrees.
RATIONALE:
The client has symptoms consistent with a pulmonary embolism. Elevating the head of the
bed will improve ventilation and gas exchange. The other actions can be accomplished after
the head is elevated (and oxygen is started).
The nurse is caring for a client who is scheduled for a total laryngectomy and radical neck
dissection for cancer of the larynx. The client asks the nurse, "How will I talk after the
surgery?" Which of the following responses by the nurse is best?
A+ TEST BANK 2
, REx-PN® Test Bank
a. "You will breathe through a permanent opening in your neck, but you will not be able to
communicate orally."
b. "You won't be able to speak as you used to, but there are artificial voice devices that will
give you the ability to speak normally."
c. "You will have a permanent opening into your neck, and you will need to have
rehabilitation for some type of voice restoration."
d. "You won't be able to talk right after surgery, but you will be able to speak again after the
tracheostomy tube is removed." –
Correct Answer :Answer: c. "You will have a permanent opening into your neck, and you will
need to have rehabilitation for some type of voice restoration."
Rationale:
Voice restoration is planned after a total laryngectomy, and a variety of assistive devices are
available to restore communication. Although the ability to communicate orally is changed,
it would not be appropriate to tell a client that this ability would be lost. Artificial voice
devices do not permit normal-sounding speech. In a total laryngectomy, the vocal cords are
removed, so normal speech is impossible.
The nurse is assessing a client who has just arrived in the post-anesthesia recovery unit
(PACU) after a thyroidectomy and obtains these data. Which of the following information is
most important to communicate to the surgeon?
a. The client is complaining of 7/10 incisional pain.
b. The client's cardiac monitor shows a heart rate of 112.
c. The client has increasing swelling of the neck.
d. The client is sleepy and hard to arouse. –
A+ TEST BANK 3
, REx-PN® Test Bank
Correct Answer :Answer: c. The client has increasing swelling of the neck.
RATIONALE:
The neck swelling may lead to respiratory difficulty, and rapid intervention is needed to
prevent airway obstruction. The incisional pain should be treated but is not unusual after
surgery. A heart rate of 112 is not unusual in a client who has been hyperthyroid and has just
arrived in the PACU from surgery. Sleepiness in the immediate postoperative period is
expected.
The nurse is teaching about meal coverage to a client with diabetes who has just started on
intensive insulin therapy. Which of the following types of insulin should the nurse discuss
with the client?
a. Detemir
b. Glargine
c. Lispro
d. NPH –
Correct Answer :ANSWER: c. Lispro
RATIONALE:
Rapid- or short-acting insulin is used for mealtime coverage for clients receiving intensive
insulin therapy. NPH, glargine, or detemir will be used as the basal insulin.
A staff nurse has a tuberculosis (TB) skin test of 16-mm induration. A chest radiograph is
negative, and the nurse has no symptoms of TB. Which of the following information should
the occupational health nurse provide to the staff nurse?
A+ TEST BANK 4
