NURS 2205 NURSE 4 EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS ASSUARED 2022/2023
A client diagnosed with asthma is scheduled for a pulmonary function test. During the test, the
technician instructs the client to forcefully exhale air for 1 second to evaluate:
•
Forced expiratory volume
A client with primary lung disease has developed right heart failure. The health care provider
would document this as:
•
Cor pulmonale
The nurse is hearing diminished breath sounds and a “grating” sound during respirations. This is
consistent with excess collection of fluid in the pleural cavity. The medical term for this is:
•
Pleural effusion
A client with a traumatic amputation of the lower leg has lost >40% of blood volume and is
currently not producing any urine output. The nurse bases this phenomena on which humoral
substance that is responsible for causing severe vasoconstriction of the renal vessels?
•
Angiotensin II and antidiuretic hormone
A diagnosis of exudative pleural effusion would be based on:
•
pleural fluid protein/serum protein ratio >0.5.
The client with chronic kidney disease asks the nurse why he must take active vitamin D
(calcitriol) as a medication. What is the most appropriate response by the nurse?
•
In renal disease, vitamin D is unable to be transformed to its active form.
The nurse has delegated obtaining a urine specimen for testing to the nursing assistant. What
does the nurse emphasize the assistant should do to ensure accuracy of testing?
•
Obtain a freshly voided specimen.
A young child is brought to the ER with CPR in progress. The parent found the child lying on the
kitchen floor without respirations, although a heartbeat was initially detected. The triage nurse
anticipates the most likely cause of the situation is an obstruction of the conducting airways that
caused an interruption in:
•
ventilation.
The nurse caring for a client with bilateral rib fractures explains to the client that the pain causes
him to take more shallow respirations, which will contribute to feeling short of breath due to a:
•
decreased tidal volume.
1
, NURS 2205 NURSE 4 EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS ASSUARED 2022/2023
A client arrives in the clinic with a cough, fever, and chest discomfort and is diagnosed with
community-acquired pneumonia. What education does the nurse anticipate providing prior
to discharging the client from the clinic?
•
The use of antibiotics
A client is admitted to the hospital suspected to have Legionnaire disease after a cruise. What
type of specimen should the nurse collect that is a rapid test to detect the antigens of Legionella
pneumophila?
•
Urine specimen
The parents of a child with cystic fibrosis ask the nurse to explain the sweat test performed on
their newborn. How should the nurse respond?
•
The sweat test measures the concentration of salt in the infant’s sweat.
What intervention is appropriate for a client with sarcoidosis?
•
Corticosteroids
Nursing students in an anatomy class are observing lung tissue under the microscope in order to
identify regions of the lung. The slide shows a basement membrane, capillary lumen,
macrophages, and brush cells. This tissue is identified as which region of the lung?
•
Alveoli
A client hospitalized for 72 hours has developed symptoms of a lower respiratory tract infection.
Sputum cultures reveal S. aureus as the infectious organism. The nurse explains to the client
that the most likely cause of this infection is:
•
Nosocomial hospital-acquired infection (HAI)
A client with a 25-year history of smoking is diagnosed with emphysema. Physical assessment
reveals an increased anterior-posterior chest diameter. Which term should the nurse use to
document this finding?
•
Barrel chest
A mother in premature labor asks the nurse why her doctor has prescribed corticosteroids. The
nurse's response is based on the fact that:
•
cortisol can accelerate maturation of type II cells and stimulate the formation of
surfactant.
2
, NURS 2205 NURSE 4 EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS ASSUARED 2022/2023
A 3-year-old child has been admitted to the pediatric unit for the treatment of croup. The nurse
should include which action in the child's plan of care?
•
Providing cool, moist air for the child to breathe
The nurse is reviewing the laboratory work of several medical clients. Which laboratory result
is most suggestive of abnormalities in kidney function?
•
Increased creatinine and blood urea nitrogen (BUN) levels
When there is a mismatching of ventilation and perfusion within the lung itself, insufficient
ventilation occurs. What causes a physiologic right-to-left shunting of blood in the respiratory
system?
•
Pulmonary insufficiency or heart failure
Which statement indicates a client understands teaching about the purified protein derivative
(PPD) test for tuberculosis?
•
"Because I had a previous reaction to the test, this time I need to get a chest X-
ray." The amount of air inspired and expired with each breath is called:
•
tidal volume.
When caring for a client with acute respiratory failure, the nurse should expect to focus on
resolving which set of problems?
•
Hypercapnia, hypoventilation, and hypoxemia
The nurse is preparing a client for a diagnostic procedure. What should the nurse remember
when providing information and appropriate explanations about diagnostic procedures to clients?
•
Energy levels of clients may be decreased..
You are the hospice nurse caring for a client with pulmonary fibrosis who wants to die at
home. The client is having difficulty breathing. The family asks why it is so hard for the client
to breathe. What would be the nurse's best response?
•
“The fibrosis of the lungs makes the lungs stiff, which makes it harder to breathe.
You are performing a preoperative assessment on a client who is scheduled for a tonsillectomy.
Why would you ask the client about the use of herbal supplements?
•
They prolong bleeding.
3
ANSWERS GRADED A+ SUCCESS ASSUARED 2022/2023
A client diagnosed with asthma is scheduled for a pulmonary function test. During the test, the
technician instructs the client to forcefully exhale air for 1 second to evaluate:
•
Forced expiratory volume
A client with primary lung disease has developed right heart failure. The health care provider
would document this as:
•
Cor pulmonale
The nurse is hearing diminished breath sounds and a “grating” sound during respirations. This is
consistent with excess collection of fluid in the pleural cavity. The medical term for this is:
•
Pleural effusion
A client with a traumatic amputation of the lower leg has lost >40% of blood volume and is
currently not producing any urine output. The nurse bases this phenomena on which humoral
substance that is responsible for causing severe vasoconstriction of the renal vessels?
•
Angiotensin II and antidiuretic hormone
A diagnosis of exudative pleural effusion would be based on:
•
pleural fluid protein/serum protein ratio >0.5.
The client with chronic kidney disease asks the nurse why he must take active vitamin D
(calcitriol) as a medication. What is the most appropriate response by the nurse?
•
In renal disease, vitamin D is unable to be transformed to its active form.
The nurse has delegated obtaining a urine specimen for testing to the nursing assistant. What
does the nurse emphasize the assistant should do to ensure accuracy of testing?
•
Obtain a freshly voided specimen.
A young child is brought to the ER with CPR in progress. The parent found the child lying on the
kitchen floor without respirations, although a heartbeat was initially detected. The triage nurse
anticipates the most likely cause of the situation is an obstruction of the conducting airways that
caused an interruption in:
•
ventilation.
The nurse caring for a client with bilateral rib fractures explains to the client that the pain causes
him to take more shallow respirations, which will contribute to feeling short of breath due to a:
•
decreased tidal volume.
1
, NURS 2205 NURSE 4 EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS ASSUARED 2022/2023
A client arrives in the clinic with a cough, fever, and chest discomfort and is diagnosed with
community-acquired pneumonia. What education does the nurse anticipate providing prior
to discharging the client from the clinic?
•
The use of antibiotics
A client is admitted to the hospital suspected to have Legionnaire disease after a cruise. What
type of specimen should the nurse collect that is a rapid test to detect the antigens of Legionella
pneumophila?
•
Urine specimen
The parents of a child with cystic fibrosis ask the nurse to explain the sweat test performed on
their newborn. How should the nurse respond?
•
The sweat test measures the concentration of salt in the infant’s sweat.
What intervention is appropriate for a client with sarcoidosis?
•
Corticosteroids
Nursing students in an anatomy class are observing lung tissue under the microscope in order to
identify regions of the lung. The slide shows a basement membrane, capillary lumen,
macrophages, and brush cells. This tissue is identified as which region of the lung?
•
Alveoli
A client hospitalized for 72 hours has developed symptoms of a lower respiratory tract infection.
Sputum cultures reveal S. aureus as the infectious organism. The nurse explains to the client
that the most likely cause of this infection is:
•
Nosocomial hospital-acquired infection (HAI)
A client with a 25-year history of smoking is diagnosed with emphysema. Physical assessment
reveals an increased anterior-posterior chest diameter. Which term should the nurse use to
document this finding?
•
Barrel chest
A mother in premature labor asks the nurse why her doctor has prescribed corticosteroids. The
nurse's response is based on the fact that:
•
cortisol can accelerate maturation of type II cells and stimulate the formation of
surfactant.
2
, NURS 2205 NURSE 4 EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS ASSUARED 2022/2023
A 3-year-old child has been admitted to the pediatric unit for the treatment of croup. The nurse
should include which action in the child's plan of care?
•
Providing cool, moist air for the child to breathe
The nurse is reviewing the laboratory work of several medical clients. Which laboratory result
is most suggestive of abnormalities in kidney function?
•
Increased creatinine and blood urea nitrogen (BUN) levels
When there is a mismatching of ventilation and perfusion within the lung itself, insufficient
ventilation occurs. What causes a physiologic right-to-left shunting of blood in the respiratory
system?
•
Pulmonary insufficiency or heart failure
Which statement indicates a client understands teaching about the purified protein derivative
(PPD) test for tuberculosis?
•
"Because I had a previous reaction to the test, this time I need to get a chest X-
ray." The amount of air inspired and expired with each breath is called:
•
tidal volume.
When caring for a client with acute respiratory failure, the nurse should expect to focus on
resolving which set of problems?
•
Hypercapnia, hypoventilation, and hypoxemia
The nurse is preparing a client for a diagnostic procedure. What should the nurse remember
when providing information and appropriate explanations about diagnostic procedures to clients?
•
Energy levels of clients may be decreased..
You are the hospice nurse caring for a client with pulmonary fibrosis who wants to die at
home. The client is having difficulty breathing. The family asks why it is so hard for the client
to breathe. What would be the nurse's best response?
•
“The fibrosis of the lungs makes the lungs stiff, which makes it harder to breathe.
You are performing a preoperative assessment on a client who is scheduled for a tonsillectomy.
Why would you ask the client about the use of herbal supplements?
•
They prolong bleeding.
3
