HEALTH AND HEALING IV EXAM 1
REAL EXAM QUESTIONS WITH
CORRECT ANSWERS VERIFIED
AND GRADED A+
The nurse is caring for a patient with chronic bronchitis who has a new
prescription for a combined fluticasone and salmeterol inhaler and the
patient asks the nurse the purpose of using two drugs. Which of the following
information is the basis for the nurse's response?
a. One drug decreases inflammation, and the other is a bronchodilator.
b. It is a combination of long-acting and slow-acting bronchodilators.
c. The combination of two drugs works more quickly in an acute asthma
attack.
d. The two drugs work together to block the effects of histamine on the
bronchioles.
a. One drug decreases inflammation, and the other is a
bronchodilator.
Which of the following findings in a patient who has received omalizumab is
considered an adverse effect?
a. Pain at injection site
b. Flushing and dizziness
c. Respiratory rate 22 breaths/minute
d. Peak flow reading 75% of normal
a. Pain at injection site
,The nurse has completed patient teaching about the administration of
salmeterol using a metered-dose inhaler (MDI). Which of the following
actions by the patient indicates good understanding of the teaching?
a. The patient attaches a spacer (aerochamber) before using the MDI.
b. The patient coughs vigorously after using the inhaler.
c. The patient floats the MDI in water to see if it is empty.
d. The patient activates the inhaler at the onset of expiration.
a. The patient attaches a spacer (aerochamber) before using the
MDI.
The nurse is assessing a patient who has a history of alcohol use. Which of
the following assessment data should the nurse expect?
a. Low blood pressure
b. Decreased heart rate
c. Elevated temperature
d. Abdominal tenderness
d. Abdominal tenderness
The nurse is caring for a patient who smokes a pack of cigarettes daily and
has been admitted to the hospital for surgery. In anticipation of nicotine
withdrawal, which of the following goals should the nurse include when
planning postoperative care?
a. Improve sleep.
b. Enhance appetite.
c. Decrease diarrhea.
d. Prevent sore throat.
a. Improve sleep.
,The nurse is preparing to conduct an annual physical examination with a
young adult patient who arrives in the clinic smelling of cigarette smoke and
carrying a pack of cigarettes. Which action will the nurse plan to take?
a. Urge the patient to quit smoking as soon as possible.
b. Avoid confronting the patient about smoking at this time.
c. Wait for the patient to start the discussion about quitting smoking.
d. Explain that the "cold turkey" method is most effective in stopping
smoking.
a. Urge the patient to quit smoking as soon as possible.
The nurse is caring for a patient admitted to the hospital after an automobile
accident who has a blood alcohol concentration (BAC) of 48 mmol/L (0.22 mg
%). The patient is alert and does not appear highly intoxicated. Which of the
following nursing actions should the nurse implement?
a. Maintain the patient on NPO status.
b. Avoid the use of intravenous (IV) fluids.
c. Administer acetaminophen for headache.
d. Monitor frequently for anxiety, hyper-reflexia, and sweating
d. Monitor frequently for anxiety, hyper-reflexia, and sweating
A patient who is alcohol-intoxicated must undergo emergency surgery for
abdominal trauma. Which of the following should the nurse anticipate when
caring for the patient in the perioperative period?
a. An increased dose of the general anesthetic medication
b. Frequent monitoring for bleeding and respiratory complications
c. Development of withdrawal symptoms within a few hours after surgery
, d. Stimulation every hour to prevent prolonged postoperative sedation
b. Frequent monitoring for bleeding and respiratory complications
The nurse is caring for a patient with alcohol dependence who has been
admitted to the hospital with chest pain. Twenty-four hours after admission,
the patient becomes very tremulous and anxious. Which of the following
actions should the nurse implement?
a. Insert an IV line and infuse fluids.
b. Promote oral intake to 3000 mL/day.
c. Provide a quiet, well-lit environment.
d. Administer opioids to provide sedation.
c. Provide a quiet, well-lit environment.
A patient with a history of heavy alcohol use is seen at the clinic with acute
gastritis. Which statement by the patient indicates that the patient is in the
contemplation stage of change?
a. "I am older and wiser now, and I know I can change my drinking
behaviour."
b. "Alcohol has never bothered my stomach. I think it's likely that I have the
flu."
c. "I think my drinking is affecting my stomach, but maybe some drugs will
help."
d. "People say that I drink too much, but I really feel pretty good most of the
time."
c. "I think my drinking is affecting my stomach, but maybe some
drugs will help."
REAL EXAM QUESTIONS WITH
CORRECT ANSWERS VERIFIED
AND GRADED A+
The nurse is caring for a patient with chronic bronchitis who has a new
prescription for a combined fluticasone and salmeterol inhaler and the
patient asks the nurse the purpose of using two drugs. Which of the following
information is the basis for the nurse's response?
a. One drug decreases inflammation, and the other is a bronchodilator.
b. It is a combination of long-acting and slow-acting bronchodilators.
c. The combination of two drugs works more quickly in an acute asthma
attack.
d. The two drugs work together to block the effects of histamine on the
bronchioles.
a. One drug decreases inflammation, and the other is a
bronchodilator.
Which of the following findings in a patient who has received omalizumab is
considered an adverse effect?
a. Pain at injection site
b. Flushing and dizziness
c. Respiratory rate 22 breaths/minute
d. Peak flow reading 75% of normal
a. Pain at injection site
,The nurse has completed patient teaching about the administration of
salmeterol using a metered-dose inhaler (MDI). Which of the following
actions by the patient indicates good understanding of the teaching?
a. The patient attaches a spacer (aerochamber) before using the MDI.
b. The patient coughs vigorously after using the inhaler.
c. The patient floats the MDI in water to see if it is empty.
d. The patient activates the inhaler at the onset of expiration.
a. The patient attaches a spacer (aerochamber) before using the
MDI.
The nurse is assessing a patient who has a history of alcohol use. Which of
the following assessment data should the nurse expect?
a. Low blood pressure
b. Decreased heart rate
c. Elevated temperature
d. Abdominal tenderness
d. Abdominal tenderness
The nurse is caring for a patient who smokes a pack of cigarettes daily and
has been admitted to the hospital for surgery. In anticipation of nicotine
withdrawal, which of the following goals should the nurse include when
planning postoperative care?
a. Improve sleep.
b. Enhance appetite.
c. Decrease diarrhea.
d. Prevent sore throat.
a. Improve sleep.
,The nurse is preparing to conduct an annual physical examination with a
young adult patient who arrives in the clinic smelling of cigarette smoke and
carrying a pack of cigarettes. Which action will the nurse plan to take?
a. Urge the patient to quit smoking as soon as possible.
b. Avoid confronting the patient about smoking at this time.
c. Wait for the patient to start the discussion about quitting smoking.
d. Explain that the "cold turkey" method is most effective in stopping
smoking.
a. Urge the patient to quit smoking as soon as possible.
The nurse is caring for a patient admitted to the hospital after an automobile
accident who has a blood alcohol concentration (BAC) of 48 mmol/L (0.22 mg
%). The patient is alert and does not appear highly intoxicated. Which of the
following nursing actions should the nurse implement?
a. Maintain the patient on NPO status.
b. Avoid the use of intravenous (IV) fluids.
c. Administer acetaminophen for headache.
d. Monitor frequently for anxiety, hyper-reflexia, and sweating
d. Monitor frequently for anxiety, hyper-reflexia, and sweating
A patient who is alcohol-intoxicated must undergo emergency surgery for
abdominal trauma. Which of the following should the nurse anticipate when
caring for the patient in the perioperative period?
a. An increased dose of the general anesthetic medication
b. Frequent monitoring for bleeding and respiratory complications
c. Development of withdrawal symptoms within a few hours after surgery
, d. Stimulation every hour to prevent prolonged postoperative sedation
b. Frequent monitoring for bleeding and respiratory complications
The nurse is caring for a patient with alcohol dependence who has been
admitted to the hospital with chest pain. Twenty-four hours after admission,
the patient becomes very tremulous and anxious. Which of the following
actions should the nurse implement?
a. Insert an IV line and infuse fluids.
b. Promote oral intake to 3000 mL/day.
c. Provide a quiet, well-lit environment.
d. Administer opioids to provide sedation.
c. Provide a quiet, well-lit environment.
A patient with a history of heavy alcohol use is seen at the clinic with acute
gastritis. Which statement by the patient indicates that the patient is in the
contemplation stage of change?
a. "I am older and wiser now, and I know I can change my drinking
behaviour."
b. "Alcohol has never bothered my stomach. I think it's likely that I have the
flu."
c. "I think my drinking is affecting my stomach, but maybe some drugs will
help."
d. "People say that I drink too much, but I really feel pretty good most of the
time."
c. "I think my drinking is affecting my stomach, but maybe some
drugs will help."
