NURS 6001 EXAM 1 || MOST RECENT EXAM ACTUAL
COMPLETE REAL VERIFIED EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
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6. A patient with COPD is unable to perform activities of
daily living (ADLs) without becoming exhausted. Which
nursing diagnosis best describes this alteration in
oxygenation as the etiology?
A. Decreased Cardiac Output related to difficulty breathing
B. Impaired Gas Exchange related to use of
bronchodilators
C. Fatigue related to impaired oxygen transport system
D. Ineffective Airway Clearance related to fatigue -
Answer-c. Fatigue related to an impaired oxygen transport
system is an example of a nursing diagnosis with
alteration in oxygenation as the etiology or cause of other
problems. Ineffective Airway Clearance, Decreased
Cardiac Output and Impaired Gas Exchange are examples
of nursing diagnoses indicating alterations in oxygenation
as the problem
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7. A nurse working in a long-term care facility is providing
teaching to patients with altered oxygenation due to
conditions such as asthma and COPD. Which measures
would the nurse recommend? Select all that apply.
A. Refrain from exercise.
B. Reduce anxiety.
C. Eat meals 1 to 2 hours prior to breathing treatments.
D. Eat a high-protein/high-calorie diet.
E. Maintain a high-Fowler's position when possible.
F. Drink 2 to 3 pints of clear fluids daily - Answer-b, d, e.
When caring for patients with COPD, it is important to
create an environment that is likely to reduce anxiety and
ensure that they eat a high-protein/high-calorie diet.
People with dyspnea and orthopnea are most comfortable
in a high Fowler's position because accessory muscles
can easily be used to promote respiration. Patients with
COPD should pace physical activities and schedule
frequent rest periods to conserve energy. Meals should be
eaten 1 to 2 hours after breathing treatments and
exercises, and drinking 2 to 3 quarts (1.9-2.9 L) of clear
fluids daily is recommended.
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8. A nurse is providing postural drainage for a patient with
cystic fibrosis. In which position should the nurse place the
patient to drain the right lobe of the lung?
A. High Fowler's position
B. Left side with pillow under chest wall
C. Lying position/half on abdomen and half on side
D. Trendelenberg position - Answer-b. For postural
drainage, the nurse should place the patient lying on the
left side with a pillow under the chest wall to drain the right
lobe of the lung, use high Fowler's position to drain the
apical sections of the upper lobes of the lungs, place the
patient in a lying position, half on the abdomen and half on
the side, right and left, to drain the posterior sections of
the upper lobes of the lungs, and place the patient in the
Trendelenburg position to drain the lower lobes of the
lungs.
9. A nurse is teaching a patient how to use a meter-dosed
inhaler for her asthma. Which comments from the patient
assure the nurse that the teaching has been effective?
Select all that apply.
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A. "I will be careful not to shake up the canister before
using it."
B. "I will hold the canister upside-down when using it."
C. "I will inhale the medication through my nose."
D. "I will continue to inhale when the cold propellant is in
my throat."
E. "I will only inhale one spray with one breath."
F. "I will activate the device while continuing to inhale." -
Answer-d, e, f. Common mistakes that patients make
when using MDIs include failing to shake the canister,
holding the inhaler upside down, inhaling through the nose
rather than the mouth, inhaling too rapidly, stopping the
inhalation when the cold propellant is felt in the throat,
failing to hold their breath after inhalation, and inhaling two
sprays with one breath.
10. When planning care for a patient with chronic lung
disease who is receiving oxygen through a nasal cannula,
what does the nurse expect?
A. The oxygen must be humidified.
B. The rate will be no more than 2 to 3 L/min or less.