Semester 4 Unit 1 EvolveQuestions:EAQ.
4th Semester, Unit 1 Evolve Questions
1. Which client does the charge nurse on the medical unit assign to an RN who has floated from the
post anesthesia care unit (PACU)?
Client with allergic rhinitis scheduled for skin testing
Client with emphysema who needs teaching about pulmonary function testing
Client with pancreatitis who needs a preoperative chest x-ray
Client with pleural effusion who has had 1200 mL removed by thoracentesis
2. The RN and the LPN/LVN are working together to provide care for a client hospitalized with dyspnea
who requires all of these nursing actions. Which action is best accomplished by the RN?
Administer the purified protein derivative for tuberculosis testing.
Assess vital signs and the puncture site after thoracentesis.
Monitor oxygen saturation using pulse oximetry every 4 hours.
Plan client and family teaching regarding upcoming pulmonary function testing.
3. A client has returned to the postanesthesia care unit (PACU) after a bronchoscopy. Which nursing task is best
for the charge nurse to delegate to the experienced nursing assistant working in the PACU?
Assess breath sounds.
Check gag reflex.
Determine level of consciousness.
Monitor blood pressure and pulse.
4. The RN has received report about all of these clients. Which client needs the most immediate assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
Client admitted 3 hours ago for a scheduled thoracentesis in 30 minutes
Client with bronchogenic lung cancer who returned from bronchoscopy 3 hours ago
Client with pleural effusion who has decreased breath sounds at the right base
5. The home health nurse is assigned to visit all of these clients when a change in agency staffing requires that
one of the clients be rescheduled for a visit on the following day. Which client would be best to reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2 levels of 91% to 93%
Client with history of a cough, weight loss, and night sweats who has just had a positive Mantoux test
Client with newly diagnosed pleural effusion who needs an admission visit and an initial intake assessment
Client with percutaneous lung biopsy yesterday who called in to report increased dyspnea
6. Which assessment finding is of greatest concern in a client with
emphysema? Barrel-shaped chest
, Semester 4 Unit 1 EvolveQuestions:EAQ.
Bronchial breath sounds heard at the
bases Hyperresonance to percussion of the
chest Ribs lying horizontal
7. Which nursing intervention is the priority in preparing a client for pulmonary function testing
(PFT)? Administer bronchodilator medication on call.
Encourage clear fluid intake 12 hours before the procedure.
Ensure no smoking 6 hours before the test.
Provide supplemental oxygen as testing
begins.
8. The nurse is performing a client assessment for the client’s potential employer. The client reports dyspnea
when climbing stairs but is not dyspneic at rest. Which dyspnea classification does the nurse assign to this client
in the report to the employer?
Class I, can perform manual labor
Class II, can perform desk job
Class III, minimally employable
Class IV, must remain at home
9. A client comes to the emergency department with a productive cough. Which symptom does the nurse look
for that will require immediate attention?
Blood in the sputum
Mucoid sputum
Pink, frothy sputum
Yellow sputum
10. A client with asthma reports shortness of breath. What is the nurse assessing when auscultating this
client’s chest?
Adventitious breath sounds
Fremitus
Oxygenation status
Respiratory excursion
11. Four clients are sent back to the emergency department from triage at the same time. Which client requires
the nurse’s immediate attention?
Client with acute allergic reaction
Client with dyspnea on exertion
Client with lung cancer with
cough
4th Semester, Unit 1 Evolve Questions
1. Which client does the charge nurse on the medical unit assign to an RN who has floated from the
post anesthesia care unit (PACU)?
Client with allergic rhinitis scheduled for skin testing
Client with emphysema who needs teaching about pulmonary function testing
Client with pancreatitis who needs a preoperative chest x-ray
Client with pleural effusion who has had 1200 mL removed by thoracentesis
2. The RN and the LPN/LVN are working together to provide care for a client hospitalized with dyspnea
who requires all of these nursing actions. Which action is best accomplished by the RN?
Administer the purified protein derivative for tuberculosis testing.
Assess vital signs and the puncture site after thoracentesis.
Monitor oxygen saturation using pulse oximetry every 4 hours.
Plan client and family teaching regarding upcoming pulmonary function testing.
3. A client has returned to the postanesthesia care unit (PACU) after a bronchoscopy. Which nursing task is best
for the charge nurse to delegate to the experienced nursing assistant working in the PACU?
Assess breath sounds.
Check gag reflex.
Determine level of consciousness.
Monitor blood pressure and pulse.
4. The RN has received report about all of these clients. Which client needs the most immediate assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
Client admitted 3 hours ago for a scheduled thoracentesis in 30 minutes
Client with bronchogenic lung cancer who returned from bronchoscopy 3 hours ago
Client with pleural effusion who has decreased breath sounds at the right base
5. The home health nurse is assigned to visit all of these clients when a change in agency staffing requires that
one of the clients be rescheduled for a visit on the following day. Which client would be best to reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2 levels of 91% to 93%
Client with history of a cough, weight loss, and night sweats who has just had a positive Mantoux test
Client with newly diagnosed pleural effusion who needs an admission visit and an initial intake assessment
Client with percutaneous lung biopsy yesterday who called in to report increased dyspnea
6. Which assessment finding is of greatest concern in a client with
emphysema? Barrel-shaped chest
, Semester 4 Unit 1 EvolveQuestions:EAQ.
Bronchial breath sounds heard at the
bases Hyperresonance to percussion of the
chest Ribs lying horizontal
7. Which nursing intervention is the priority in preparing a client for pulmonary function testing
(PFT)? Administer bronchodilator medication on call.
Encourage clear fluid intake 12 hours before the procedure.
Ensure no smoking 6 hours before the test.
Provide supplemental oxygen as testing
begins.
8. The nurse is performing a client assessment for the client’s potential employer. The client reports dyspnea
when climbing stairs but is not dyspneic at rest. Which dyspnea classification does the nurse assign to this client
in the report to the employer?
Class I, can perform manual labor
Class II, can perform desk job
Class III, minimally employable
Class IV, must remain at home
9. A client comes to the emergency department with a productive cough. Which symptom does the nurse look
for that will require immediate attention?
Blood in the sputum
Mucoid sputum
Pink, frothy sputum
Yellow sputum
10. A client with asthma reports shortness of breath. What is the nurse assessing when auscultating this
client’s chest?
Adventitious breath sounds
Fremitus
Oxygenation status
Respiratory excursion
11. Four clients are sent back to the emergency department from triage at the same time. Which client requires
the nurse’s immediate attention?
Client with acute allergic reaction
Client with dyspnea on exertion
Client with lung cancer with
cough
