COMPLETED EXAM
QNS & ANS
2VERSIONS
2023/2024
,1. 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? “Incentive spirometry promotes thinning of secretions to clear the airway.”
2. Which information would the RN include when planning an education session for parents
who have a toddler with difficulty sleeping? Develop and follow consistent bedtime
routines
3. 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? Discontinue the transfusion
4. The RN encourages the postoperative client 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 is used to reduce the risk of atelectasis and pneumonia.”
5. 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? Leaning forward with arms resting on over bed table.
, 6. The RN is performing a lung assessment on a pediatric client who has had a fever of
102oF (38.9oC), sore throat and cough for two days. Which findings requires immediate
attention? High-pitched crackling sound heard upon inspiration
7. When assessing a 9-month-old, which finding would require the RN to collect additional
data? Round chest with visible ribs
8. When assessing a 19-month-old, which finding would require the RN to collect
additional data Irregular depth of respirations
9. Which instruction would the RN give to a patient when auscultating the lungs Take a
deep breath in and hold it
10. Which instruction would the RN give to a client when auscultating the lungs? Breathe as
you normally would through your nose.
11. 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.”