WITH CORRECT ANSWERS LATEST
UPDATE 2024 A+ GUARANTEED
1. The term for the volume of air inhaled and exhaled with each breath is
A)expiratory reserve volume.
B) vital capacity.
C) tidal volume.
D) residual volume.:
C-Tidal volume is the volume of air inhaled and exhaled with each breath.
Residual volume is the volume of air remaining in the lungs after a maximum
expiration. Vital capacity is the maximum volume of air exhaled from the point of
maximum inspiration. Expiratory reserve volume is the maximum volume of air
that can be exhaled after a normal inhalation.
2. Which is a deformity of the chest that occurs as a result of overinflation
of the lungs?
A)Pigeon chest
B)Funnel chest C)Barrel
chest
D)Kyphoscoliosis:
C-A barrel chest occurs as a result of overinflation of the lungs. The
anteroposterior diameter of the thorax increases. Funnel chest occurs when a
depression occurs in the lower portion of the sternum, which may result in
murmurs. Pigeon chest occurs as a result of displacement of the sternum,
resulting in an increase in the anteroposterior diameter. Kyphoscoliosis is
characterized by elevation of the scapula and a corresponding S-shaped spine.
This deformity limits lung expansion within the thorax.
3. A client undergoing a skin test has been intradermally injected with a
disease-specific antigen on the inner forearm. The client becomes anxious
because the area begins to swell. Which technique may be used to decrease
anxiety in this client?
A) Advise the client to use prescribed analgesics B)Gently rub the swollen
area to accelerate blood flow C)Apply ice packs to reduce the swelling
,D)Assure the client that this is a normal reaction: D-The nurse should assure
the client that this is a normal reaction. When disease-specific antigens are injected,
the injection area swells as a result of the client developing antibodies against the
antigen that is introduced. The nurse should also keep in mind that the client is not
necessarily actively infectious if the test result is positive. Rubbing the area gently
or even applying ice packs may only aggravate the swelling. The swollen area
should be left open to heal by itself. The nurse should await the physician's
instructions before advising the client to use any prescribed analgesics.
4. The nurse teaches the parent of a child with chickenpox that the child is
no longer contagious to others when
A)the vesicles and pustules have crusted.
B)the rash is changing into vesicles, and pustules appear.
C)the fever disappears.
D)the first rash appears.: A-When the lesions have crusted, the client is no longer
contagious to others. The child remains contagious when the rash is present, if fever
occurs as the rash is progressing, and when the rash is changing into vesicles and
pustules.
5. The nurse is assessing a client taking an anticoagulant. What nursing
intervention is most appropriate for a client at risk for injury related to side
effects of medication enoxaparin?
A)Assess for clubbing of the fingers.
B)Report any incident of bloody urine, stools, or both. C)Assess for
hypokalemia.
D)Administer calcium supplements.: B-The client who takes an anticoagulant,
such as a low-molecular-weight heparin, is routinely screened for bloody urine,
stools, or both. Clients taking enoxaparin will not need to take calcium supplements
or have potassium imbalances related to the medication. The clubbing of fingers
may occur with chronic pulmonary diseases.
, 6. The nurse is caring for a client with a damaged tricuspid valve. The nurse
knows that the tricuspid valve is held in place by which of the following?
A)Atrioventricular tendons
B)Semilunar tendineae
C)Papillary tendons
D) Chordae tendineae: D-Attached to the mitral and tricuspid valves are cordlike
structures known as chordae tendineae, which in turn attach to papillary muscles,
two major muscular projections from the ventricles. Options B, C, and D are
distractors for the question.
7. The nurse is giving an educational talk to a local parent-teacher
association. A parent asks how he can help his family avoid community-
acquired infections. What would be the nurse's best response to help prevent
and control community-acquired infections?
A) "Encourage your family to adopt a healthy diet and exercise regimen."
B)"Encourage your family to stop smoking."
C) "Make sure your family has regular checkups." D)"Make sure your family
has all their childhood immunizations.": D-To help prevent and contro
community-acquired infections, nurses should encourage childhood immunizations.
Vaccines stimulate the body to produce antibodies against a specific disease
organism. The immunization protects children as well as adults who may not have
developed sufficient immunity. Following a proper diet and exercise regimen and
going for regular checkups are important, but these measures do not help prevent
or control community-acquired infections. Smoking cessation does not reduce the
risk of such infections either.
8. The nurse is caring for a geriatric client. The client is ordered Lanoxin
(digoxin) tablets 0.125mg daily for a cardiac dysrhythmias. Which of the
following assessment considerations is essential when caring for this age-
group? A)Digoxin level
B)Activity level
C)Dyspnea
D)Cardiac output: A-The action of Digoxin slows and strengthens the heart rate.
Assessment of the pulse rate is essential prior to administration in all clients. Due
to decreased perfusion common in geriatric clients, toxicity may occur more often.
The nurse must monitor Digoxin levels in the body. Monitoring symptoms