lOMoAR cPSD| 28505380
lOMoAR cPSD| 28505380
NCLEX RN Introduction to Medical Surgical Lab 2023
A nurse is providing teaching to a pt recently dx w/ COPD. The nurse recognizes that thept
understands the teaching, when the pt states which of the following?
a) I should avoid crowds, for the next 2 wks to prevent infection.
b) I could continue smoking as long as I do NOT have any symptoms
c) I will be sure to get the influenza & pneumococcal vaccine
d) I will eat 3 meals a day to increase calorie intake.
2. A nurse is caring for a client with COPD. Which of the following findings should the
nurse expect to assess in this client? SATA
a) Barrel chest
b) Deep aspirations
c) Dyspnea
d) Clubbing on the fingers.
e) Bradycardia.
3. The nurse is assigned to care for who has anxiety & an expiration of asthma. What is the
primary reason for the nurse to carefully inspect the chest wall of this patient ?
a) “Observing the signs of diaphoresis”
b) “The use of accessory muscles”
c) “Monitoring the patient’s chest expansion bilateral”
4. A nurse is caring for a client who has COPD. The client tells the nurse, “I feel the
congestion in my lungs, and I certainly cough a lot; but I can’t seem to bring anything
up.” Which of the following actions should the nurse take to help this client with
bronchial secretions?
a) Maintaining a semi-fowlers position.
b) Encouraging the client to drink 2-3 L of water.
c) Administering O2 nasal cannula
d) Helping the client select a low salt diet.
5. A nurse is completing an assessment for a client who has a hx of unstable angina. Which
of the following findings should the nurse expect?
a) Chest pain is relieved soon after resting.
b) Nitroglycerin relieves chest pain.
c) Chest pain is new & lasts longer then 15 min.
d) Angina occurs only when a pt is under emotional stress.
6. A nurse is caring for an adult who is experiencing an acute asthma exerbation. Which of
the following interventions is a PRIORITY for the nurse to take ?
a) Administer inhaled glucocordicoids steroids.
, lOMoAR
505380
``
cPSD| 28
b) Determain`the`cause`of`the`acute`erebation
c) Obtain`a`complete`flow`rate
d) Administer`short`acting`beta`agonist
7. A`young`adult`pt`who`denies`any`hx`of`smoking`is`seen`in`the`clinic`for`new`onset`COPD.`
What`topic`should`the`nurse`plan`on`teaching`the`pt?
a) Use`a`nicotine`patch
b) Antis-hypersensitive`medication
c) Continuous`cardiac`monitoring,`due`to`left`sided`heart`failure.
d) Anti-trip`testing
8. A`nurse`received`a`shift`of`change`report`on`the`following`pt’s`w/`COPD.`What`pt`should`t
he`nurse`asses`1st?
a) A`patient`w/`JVD`&`peripheral`edema.
b) A`pt`w/`loud`expirations`receiving`albuterol`nebulizer.
c) A`pt`who`has`a`cough`productive`of`thick`green`mucus
d) A`pt`w`a`RR`of`42`breaths`/min
9. A`nurse`is`teaching`a`client`who`has`COPD`about`ways`to`facilitate`eating.`Which`of`the`f
ollowing`statements`indicated`a`need`for`FURTHER`teaching?
a) I`will`eat`5-6`meals`each`day.
b) I`will`rest`for`30`min`before`eating.
c) I`will`choose`foods`that`are`NOT`gas`forming.
d) I`will`take`my`bronchodilator`AFTER`meals.
10. A`nurse`in`the`emergency`department`is`caring`for`a`client`who`reports`substernal`chest`p
ain`&`dyspnia.`The`client`is`vomiting`&`diaphoretic.`Which`of`the`following`lab`tests`is`us
ed`to`dx`M.I`?
a) Hemoglobin
b) LDL’s
c) Trip`I`&`Trip`T
d) Platelets
11. A`nurse`is`assessing`a`client`for`hypoxemia`during`an`asthma`attack.`Which`of`the`f
ollowing`manifestations`should`the`nurse`expect`?
a) Hypotension
b) Nausea
c) Dysphagia
d) Agitation
lOMoAR cPSD| 28505380
NCLEX RN Introduction to Medical Surgical Lab 2023
A nurse is providing teaching to a pt recently dx w/ COPD. The nurse recognizes that thept
understands the teaching, when the pt states which of the following?
a) I should avoid crowds, for the next 2 wks to prevent infection.
b) I could continue smoking as long as I do NOT have any symptoms
c) I will be sure to get the influenza & pneumococcal vaccine
d) I will eat 3 meals a day to increase calorie intake.
2. A nurse is caring for a client with COPD. Which of the following findings should the
nurse expect to assess in this client? SATA
a) Barrel chest
b) Deep aspirations
c) Dyspnea
d) Clubbing on the fingers.
e) Bradycardia.
3. The nurse is assigned to care for who has anxiety & an expiration of asthma. What is the
primary reason for the nurse to carefully inspect the chest wall of this patient ?
a) “Observing the signs of diaphoresis”
b) “The use of accessory muscles”
c) “Monitoring the patient’s chest expansion bilateral”
4. A nurse is caring for a client who has COPD. The client tells the nurse, “I feel the
congestion in my lungs, and I certainly cough a lot; but I can’t seem to bring anything
up.” Which of the following actions should the nurse take to help this client with
bronchial secretions?
a) Maintaining a semi-fowlers position.
b) Encouraging the client to drink 2-3 L of water.
c) Administering O2 nasal cannula
d) Helping the client select a low salt diet.
5. A nurse is completing an assessment for a client who has a hx of unstable angina. Which
of the following findings should the nurse expect?
a) Chest pain is relieved soon after resting.
b) Nitroglycerin relieves chest pain.
c) Chest pain is new & lasts longer then 15 min.
d) Angina occurs only when a pt is under emotional stress.
6. A nurse is caring for an adult who is experiencing an acute asthma exerbation. Which of
the following interventions is a PRIORITY for the nurse to take ?
a) Administer inhaled glucocordicoids steroids.
, lOMoAR
505380
``
cPSD| 28
b) Determain`the`cause`of`the`acute`erebation
c) Obtain`a`complete`flow`rate
d) Administer`short`acting`beta`agonist
7. A`young`adult`pt`who`denies`any`hx`of`smoking`is`seen`in`the`clinic`for`new`onset`COPD.`
What`topic`should`the`nurse`plan`on`teaching`the`pt?
a) Use`a`nicotine`patch
b) Antis-hypersensitive`medication
c) Continuous`cardiac`monitoring,`due`to`left`sided`heart`failure.
d) Anti-trip`testing
8. A`nurse`received`a`shift`of`change`report`on`the`following`pt’s`w/`COPD.`What`pt`should`t
he`nurse`asses`1st?
a) A`patient`w/`JVD`&`peripheral`edema.
b) A`pt`w/`loud`expirations`receiving`albuterol`nebulizer.
c) A`pt`who`has`a`cough`productive`of`thick`green`mucus
d) A`pt`w`a`RR`of`42`breaths`/min
9. A`nurse`is`teaching`a`client`who`has`COPD`about`ways`to`facilitate`eating.`Which`of`the`f
ollowing`statements`indicated`a`need`for`FURTHER`teaching?
a) I`will`eat`5-6`meals`each`day.
b) I`will`rest`for`30`min`before`eating.
c) I`will`choose`foods`that`are`NOT`gas`forming.
d) I`will`take`my`bronchodilator`AFTER`meals.
10. A`nurse`in`the`emergency`department`is`caring`for`a`client`who`reports`substernal`chest`p
ain`&`dyspnia.`The`client`is`vomiting`&`diaphoretic.`Which`of`the`following`lab`tests`is`us
ed`to`dx`M.I`?
a) Hemoglobin
b) LDL’s
c) Trip`I`&`Trip`T
d) Platelets
11. A`nurse`is`assessing`a`client`for`hypoxemia`during`an`asthma`attack.`Which`of`the`f
ollowing`manifestations`should`the`nurse`expect`?
a) Hypotension
b) Nausea
c) Dysphagia
d) Agitation
