NURSING III TEST 2 | COMPLETE QUESTIONS AND ANSWERS | 2026 LATEST
UPDATED| 100% RATED CORRECT | GET A+!!
A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning
procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is
the appropriate nursing intervention?
A-Continue to suction
B-Notify the physician immediately
C-Stop the procedure and reoxygenate the client
D-Ensure that the suction is limited to 15 seconds - (Answer)answer: c
During suctioning, the nurse should monitor the client closely for side effects, including hypoxemia,
cardiac irregularities such as a decrease in heart rate resulting from vagal stimulation, mucosal
,trauma, hypotension, and paroxysmal coughing. If side effects develop, especially cardiac
irregularities, the procedure is stopped and the client is reoxygenated
A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen
saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations?
A- Simple mask
B-Non-rebreather mask
C-Face tent
D-Nasal cannula - (Answer)answer: B
,A non-rebreather mask can deliver levels of the fraction of inspired oxygen (FIO2) as high as 100%.
Other modes — simple mask, face tent, and nasal cannula — deliver lower levels of FIO2
When caring for a male patient who has just had a total laryngectomy, the nurse should plan to:
A-Encourage oral feeding as soon as possible
B-Develop an alternative communication method
C-Keep the tracheostomy cuff fully inflated
, D-Keep the patient flat in bed - (Answer)A patient with a laryngectomy cannot speak, yet still needs
to communicate. Therefore, the nurse should plan to develop an alternative communication method.
After a laryngectomy, edema interferes with the ability to swallow and necessitates tube (enteral)
feedings. To prevent injury to the tracheal mucosa, the nurse should deflate the tracheostomy cuff or
use the minimal leak technique. To decrease edema, the nurse should place the patient in semi-
fowler's position
A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary
disease. Which nursing diagnosis is most important for this patient?
A-Activity intolerance related to fatigue
B-Anxiety related to actual threat to health status
UPDATED| 100% RATED CORRECT | GET A+!!
A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning
procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is
the appropriate nursing intervention?
A-Continue to suction
B-Notify the physician immediately
C-Stop the procedure and reoxygenate the client
D-Ensure that the suction is limited to 15 seconds - (Answer)answer: c
During suctioning, the nurse should monitor the client closely for side effects, including hypoxemia,
cardiac irregularities such as a decrease in heart rate resulting from vagal stimulation, mucosal
,trauma, hypotension, and paroxysmal coughing. If side effects develop, especially cardiac
irregularities, the procedure is stopped and the client is reoxygenated
A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen
saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations?
A- Simple mask
B-Non-rebreather mask
C-Face tent
D-Nasal cannula - (Answer)answer: B
,A non-rebreather mask can deliver levels of the fraction of inspired oxygen (FIO2) as high as 100%.
Other modes — simple mask, face tent, and nasal cannula — deliver lower levels of FIO2
When caring for a male patient who has just had a total laryngectomy, the nurse should plan to:
A-Encourage oral feeding as soon as possible
B-Develop an alternative communication method
C-Keep the tracheostomy cuff fully inflated
, D-Keep the patient flat in bed - (Answer)A patient with a laryngectomy cannot speak, yet still needs
to communicate. Therefore, the nurse should plan to develop an alternative communication method.
After a laryngectomy, edema interferes with the ability to swallow and necessitates tube (enteral)
feedings. To prevent injury to the tracheal mucosa, the nurse should deflate the tracheostomy cuff or
use the minimal leak technique. To decrease edema, the nurse should place the patient in semi-
fowler's position
A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary
disease. Which nursing diagnosis is most important for this patient?
A-Activity intolerance related to fatigue
B-Anxiety related to actual threat to health status
