NUR105_M4EQ0077
1.25 points possible (graded, results hidden)
Ten minutes after starting a transfusion of packed red cells the patient reports back pain. The RN
notes an oral temperature of 101.3° F and a heart rate of 114 beats per minute. What is the RN’s
priority response?
Obtain an ECG.
Flush the IV line with normal saline.
Notify the physician.
Discontinue the transfusion. submitted
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0078
1.25 points possible (graded, results hidden)
The RN encourages the postoperative patient to use the incentive spirometer. He states “I don’t
like this thing. What good does it do anyway?” What is the appropriate RN response?
“It helps reduce spasm in the alveolar capillaries.”
“It is used to reduce the risk of atelectasis and pneumonia.”
“Incentive spirometry is used to strengthen the muscles of respiration.”
“Incentive spirometry promotes thinning of secretions to clear the airway.” submitted
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0079
1.25 points possible (graded, results hidden)
The RN is caring for an acutely ill patient with chronic pulmonary disease and notes labored
respiration. How would the RN position the patient to promote ventilation of the lung?
Partially supine with a small pillow supporting the head.
Right Sims position with the knees flexed.
Leaning forward with arms resting on over bed table. submitted
Semi-Fowlers with arms positioned at shoulder level.
,You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0152
1.25 points possible (graded, results hidden)
When assessing a 9-month-old, which finding would require the RN to collect additional data?
Abdominal breathing.
Irregular depth of respirations.
Round chest with visible ribs. submitted
Respiratory rate of 44.
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0153
1.25 points possible (graded, results hidden)
Which instruction would the RN give to a patient when auscultating the lungs?
Take a deep breath in and hold it. submitted
Breathe slowly in and out.
Breathe in through the nose, and then cough.
Take a slow, deep breath in through your mouth.
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0082
1.25 points possible (graded, results hidden)
A patient uses a peak flow meter at home to monitor airflow. Which statement indicates an
understanding of the purpose of the procedure?
“The airways to my lungs must be really wide open today; I set a new personal high this
morning.” submitted
“Clamping down on the mouthpiece to my peak flow meter really makes me be able to take
a very deep breath.”
, “I keep my meter next to my bed so I can use it when I am all stretched out just before I put
out the light.”
“I only had to exhale into my flow meter one time last night because I matched my best flow
level on the first try.”
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0083
1.25 points possible (graded, results hidden)
Which expected outcome is most appropriately applied to a patient with a nursing diagnosis of
Impaired gas exchange?
The patient respirations will be quiet and of normal depth.
The patient’s pulse oximetry readings will be 95% or greater. submitted
The patient will have a decrease in cyanosis within 2 hours.
The patient will be maintained in an upright sitting position.
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0084
1.25 points possible (graded, results hidden)
Which assessment data supports the nursing diagnosis Ineffective airway clearance?
Use of pursed lip breathing after activity.
Episodes of non-productive cough with minimal expectoration.
Shallow, irregular, hyperventilation pattern. submitted
Arterial blood gas analysis indicating respiratory acidosis.
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0154
1.25 points possible (graded, results hidden)
The RN is performing an assessment on a 5-year-old child. Which is an abnormal finding?
Diaphragmatic breathing.
1.25 points possible (graded, results hidden)
Ten minutes after starting a transfusion of packed red cells the patient reports back pain. The RN
notes an oral temperature of 101.3° F and a heart rate of 114 beats per minute. What is the RN’s
priority response?
Obtain an ECG.
Flush the IV line with normal saline.
Notify the physician.
Discontinue the transfusion. submitted
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0078
1.25 points possible (graded, results hidden)
The RN encourages the postoperative patient to use the incentive spirometer. He states “I don’t
like this thing. What good does it do anyway?” What is the appropriate RN response?
“It helps reduce spasm in the alveolar capillaries.”
“It is used to reduce the risk of atelectasis and pneumonia.”
“Incentive spirometry is used to strengthen the muscles of respiration.”
“Incentive spirometry promotes thinning of secretions to clear the airway.” submitted
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0079
1.25 points possible (graded, results hidden)
The RN is caring for an acutely ill patient with chronic pulmonary disease and notes labored
respiration. How would the RN position the patient to promote ventilation of the lung?
Partially supine with a small pillow supporting the head.
Right Sims position with the knees flexed.
Leaning forward with arms resting on over bed table. submitted
Semi-Fowlers with arms positioned at shoulder level.
,You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0152
1.25 points possible (graded, results hidden)
When assessing a 9-month-old, which finding would require the RN to collect additional data?
Abdominal breathing.
Irregular depth of respirations.
Round chest with visible ribs. submitted
Respiratory rate of 44.
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0153
1.25 points possible (graded, results hidden)
Which instruction would the RN give to a patient when auscultating the lungs?
Take a deep breath in and hold it. submitted
Breathe slowly in and out.
Breathe in through the nose, and then cough.
Take a slow, deep breath in through your mouth.
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0082
1.25 points possible (graded, results hidden)
A patient uses a peak flow meter at home to monitor airflow. Which statement indicates an
understanding of the purpose of the procedure?
“The airways to my lungs must be really wide open today; I set a new personal high this
morning.” submitted
“Clamping down on the mouthpiece to my peak flow meter really makes me be able to take
a very deep breath.”
, “I keep my meter next to my bed so I can use it when I am all stretched out just before I put
out the light.”
“I only had to exhale into my flow meter one time last night because I matched my best flow
level on the first try.”
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0083
1.25 points possible (graded, results hidden)
Which expected outcome is most appropriately applied to a patient with a nursing diagnosis of
Impaired gas exchange?
The patient respirations will be quiet and of normal depth.
The patient’s pulse oximetry readings will be 95% or greater. submitted
The patient will have a decrease in cyanosis within 2 hours.
The patient will be maintained in an upright sitting position.
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0084
1.25 points possible (graded, results hidden)
Which assessment data supports the nursing diagnosis Ineffective airway clearance?
Use of pursed lip breathing after activity.
Episodes of non-productive cough with minimal expectoration.
Shallow, irregular, hyperventilation pattern. submitted
Arterial blood gas analysis indicating respiratory acidosis.
You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show
answer. These options follow the Submit button.
Answer submitted.
NUR105_M4EQ0154
1.25 points possible (graded, results hidden)
The RN is performing an assessment on a 5-year-old child. Which is an abnormal finding?
Diaphragmatic breathing.
