HC3A Exam 1 Questions and answers |
Updated 2024/25 RATED A+
Which information is most relevant for the nurse to teach a client about CPAP therapy
for OSA? SATA.
A) Avoid alcoholic beverages or drugs that make you sleepy within 3 hours of bed time
B) Clean the mask device daily
C) Ensure your mask devices fits tightly enough to prevent air leaks
D) Keep open flames such as candles out of the room when CPAP is in use
E) Seal the mask edges to your face petroleum jelly
F) Use only sterile water in the humidifier tank
G) Use the CPAP during all sleep periods, especially in bed
H) Do not share your mask or tubing system with others
B, C, G, H
When making rounds, the nurse observes that a cognitively impaired clients has a
partial airway obstruction from inspissation. What is the nurse's priority action?
A) Place the bed in reverse Trendelenburg position and apply humidified oxygen by
nasal cannula
B) Check the flow sheet to assess for trends in the client's oxygen saturation patterns
C) Determines which assistive personnel provided this client's morning care today
D) Immediately provide complete oral care to this client
D) Immediately provide complete oral care to this client
Which structures are the most critical to keep patent for effective gas exchange? SATA.
A) Nose
B) Larynx
C) Trachea
D) Oropharynx
E) Laryngopharynx
F) Maxillary Sinuses
B, C, D
Which statements about obstructive sleep apnea (OSA) are true? SATA.
A) A main feature is hypopnea
B) Results from chronic sinusitis
C) Associated with frequent nightmares
D) Most commonly diagnosed by flexible bronchoscopy
E) Causes fragmented nighttime sleep and daytime drowsiness
F) Is most common in people who have a longer than average neck length
A, C, E
With which client does the nurse anticipate possible complications from OSA following
abdominal surgery?
A) 28-year-old who is 80lb overweight and has a short neck
B) 48-year-old who has type I diabetes and chronic sinusitis
,C) 58-year-old who has had gastroesophageal reflux disease for 10 years
D) 78-year-old who wears upper and lower dentures and has asthma
A) 28-year-old who is 80lb overweight and has a short neck
Which subjective symptoms will the nurse expect a client with obstructive sleep apnea
to report or describe? SATA.
A) Excessive daytime sleepiness
B) Loss of taste sensation
C) Excessive production of sputum
D) Decreased ability to concentrate
E) Irritability
F) Heavy snoring
A, D, E, F
Which actions will the nurse suggest to a client to improve mild sleep apnea? SATA.
A) Sleeping on the side rather than in a supine position
B) Using CPAP every night
C) Losing weight to come within 10% of his or her ideal weight
D) Using an oral position-fixing device to prevent tongue subluxation
E) Consulting with an oral surgeon about removal of wisdom teeth
F) Taking an over-the-counter sleep aid to achieve a deeper sleep
A, C, D
For which possible long-term health changes will the nurse assess a client who has
moderate to severe OSA? SATA.
A) Anemia
B) COPD
C) Decreased Cognition
D) Diabetes Mellitus
E) Resistant Hypertension
F) Stroke
C, D, E, F
With which clients will the nurse be alert for an increased risk of OSA? SATA.
A) 26-year-old woman who had tonsils and adenoids removed as a child
B) 35-year-old man who is a marathon runner
C) 48-year-old woman who has a short neck and a small chin
D) 56-year-old man who smokes two packs of cigarettes daily
E) 65-year-old man who is malnourished and has COPD
F) 80-year-old woman who is cognitively impaired from Alzheimer disease
C, D
Which precaution related to noninvasive positive pressure ventilation (NPPV) by CPAP
is most important for the nurse to teach to a client with OSA who is being managed by
CPAP?
A) Use the CPAP machine only for the first 2 hours of sleep
B) Avoid using the CPAP equipment when you have a respiratory infection
C) Ensure the mask or nasal pillows fits tightly over your nose and/or mouth
, D) Ensure that there are no open flames (fireplace or candles) in the room when CPAP
is in use
C) Ensure the mask or nasal pillows fits tightly over your nose and/or mouth
When performing a medication reconciliation for a newly admitted client before planned
abdominal surgery, the nurse notes that the client is prescribed Salmeterol and
Fluticasone daily for asthma control. What is the priority action for the nurse to take
regarding this information to prevent harm?
A) Record and display the information in a prominent place within the client's medical
record
B) Ask the client how long the drugs have been prescribed and how well the asthma is
controlled
C) Collaborate with the surgeon to arrange for continuation of this therapy in the peri-
operative period
D) Ensure that parenteral forms of these drugs are prescribed for use while the client
remains NPO after surgery
C) Collaborate with the surgeon to arrange for continuation of this therapy in the peri-
operative period
Which characteristics are most commonly associated with asthma? SATA.
A) Airway Hyper-responsiveness
B) Narrowed Airway Lumen
C) Chronic Bronchitis
D) Dilated Alveoli
E) Excessive Inflammation
F) Leukocyte Activation
G) Reversible Airway Obstruction
H) Bronchiolar Smooth Muscle Constriction
A, B, E, F, G, H
Which client with asthma does the nurse consider to have the highest risk for a fatal
outcome of an acute attack?
A) 24-year-old with exercise-induced wheezing
B) 45-year-old recovering from pneumonia
C) 58-year-old who has Type II Diabetes Mellitus
D) 76-year-old with hypertension
D) 76-year-old with hypertension
Which ABG value indicates to the nurse that a client with asthma demonstrating
increased respiratory effort is in the early phase of the attack?
A) PaCO2 of 60 mmHg
B) PaCO2 of 30 mmHg
C) pH of 7.40
D) PaO2 of 86 mmHg
B) PaCO2 of 30 mmHg
Which assessment findings does the nurse expect to see in a client having an acute
asthma attack? SATA.
A) Audible wheezing
B) Breathlessness while speaking
C) Clubbing of the fingers
Updated 2024/25 RATED A+
Which information is most relevant for the nurse to teach a client about CPAP therapy
for OSA? SATA.
A) Avoid alcoholic beverages or drugs that make you sleepy within 3 hours of bed time
B) Clean the mask device daily
C) Ensure your mask devices fits tightly enough to prevent air leaks
D) Keep open flames such as candles out of the room when CPAP is in use
E) Seal the mask edges to your face petroleum jelly
F) Use only sterile water in the humidifier tank
G) Use the CPAP during all sleep periods, especially in bed
H) Do not share your mask or tubing system with others
B, C, G, H
When making rounds, the nurse observes that a cognitively impaired clients has a
partial airway obstruction from inspissation. What is the nurse's priority action?
A) Place the bed in reverse Trendelenburg position and apply humidified oxygen by
nasal cannula
B) Check the flow sheet to assess for trends in the client's oxygen saturation patterns
C) Determines which assistive personnel provided this client's morning care today
D) Immediately provide complete oral care to this client
D) Immediately provide complete oral care to this client
Which structures are the most critical to keep patent for effective gas exchange? SATA.
A) Nose
B) Larynx
C) Trachea
D) Oropharynx
E) Laryngopharynx
F) Maxillary Sinuses
B, C, D
Which statements about obstructive sleep apnea (OSA) are true? SATA.
A) A main feature is hypopnea
B) Results from chronic sinusitis
C) Associated with frequent nightmares
D) Most commonly diagnosed by flexible bronchoscopy
E) Causes fragmented nighttime sleep and daytime drowsiness
F) Is most common in people who have a longer than average neck length
A, C, E
With which client does the nurse anticipate possible complications from OSA following
abdominal surgery?
A) 28-year-old who is 80lb overweight and has a short neck
B) 48-year-old who has type I diabetes and chronic sinusitis
,C) 58-year-old who has had gastroesophageal reflux disease for 10 years
D) 78-year-old who wears upper and lower dentures and has asthma
A) 28-year-old who is 80lb overweight and has a short neck
Which subjective symptoms will the nurse expect a client with obstructive sleep apnea
to report or describe? SATA.
A) Excessive daytime sleepiness
B) Loss of taste sensation
C) Excessive production of sputum
D) Decreased ability to concentrate
E) Irritability
F) Heavy snoring
A, D, E, F
Which actions will the nurse suggest to a client to improve mild sleep apnea? SATA.
A) Sleeping on the side rather than in a supine position
B) Using CPAP every night
C) Losing weight to come within 10% of his or her ideal weight
D) Using an oral position-fixing device to prevent tongue subluxation
E) Consulting with an oral surgeon about removal of wisdom teeth
F) Taking an over-the-counter sleep aid to achieve a deeper sleep
A, C, D
For which possible long-term health changes will the nurse assess a client who has
moderate to severe OSA? SATA.
A) Anemia
B) COPD
C) Decreased Cognition
D) Diabetes Mellitus
E) Resistant Hypertension
F) Stroke
C, D, E, F
With which clients will the nurse be alert for an increased risk of OSA? SATA.
A) 26-year-old woman who had tonsils and adenoids removed as a child
B) 35-year-old man who is a marathon runner
C) 48-year-old woman who has a short neck and a small chin
D) 56-year-old man who smokes two packs of cigarettes daily
E) 65-year-old man who is malnourished and has COPD
F) 80-year-old woman who is cognitively impaired from Alzheimer disease
C, D
Which precaution related to noninvasive positive pressure ventilation (NPPV) by CPAP
is most important for the nurse to teach to a client with OSA who is being managed by
CPAP?
A) Use the CPAP machine only for the first 2 hours of sleep
B) Avoid using the CPAP equipment when you have a respiratory infection
C) Ensure the mask or nasal pillows fits tightly over your nose and/or mouth
, D) Ensure that there are no open flames (fireplace or candles) in the room when CPAP
is in use
C) Ensure the mask or nasal pillows fits tightly over your nose and/or mouth
When performing a medication reconciliation for a newly admitted client before planned
abdominal surgery, the nurse notes that the client is prescribed Salmeterol and
Fluticasone daily for asthma control. What is the priority action for the nurse to take
regarding this information to prevent harm?
A) Record and display the information in a prominent place within the client's medical
record
B) Ask the client how long the drugs have been prescribed and how well the asthma is
controlled
C) Collaborate with the surgeon to arrange for continuation of this therapy in the peri-
operative period
D) Ensure that parenteral forms of these drugs are prescribed for use while the client
remains NPO after surgery
C) Collaborate with the surgeon to arrange for continuation of this therapy in the peri-
operative period
Which characteristics are most commonly associated with asthma? SATA.
A) Airway Hyper-responsiveness
B) Narrowed Airway Lumen
C) Chronic Bronchitis
D) Dilated Alveoli
E) Excessive Inflammation
F) Leukocyte Activation
G) Reversible Airway Obstruction
H) Bronchiolar Smooth Muscle Constriction
A, B, E, F, G, H
Which client with asthma does the nurse consider to have the highest risk for a fatal
outcome of an acute attack?
A) 24-year-old with exercise-induced wheezing
B) 45-year-old recovering from pneumonia
C) 58-year-old who has Type II Diabetes Mellitus
D) 76-year-old with hypertension
D) 76-year-old with hypertension
Which ABG value indicates to the nurse that a client with asthma demonstrating
increased respiratory effort is in the early phase of the attack?
A) PaCO2 of 60 mmHg
B) PaCO2 of 30 mmHg
C) pH of 7.40
D) PaO2 of 86 mmHg
B) PaCO2 of 30 mmHg
Which assessment findings does the nurse expect to see in a client having an acute
asthma attack? SATA.
A) Audible wheezing
B) Breathlessness while speaking
C) Clubbing of the fingers
