NURS 3080 - Exam #2 Practice Questions and Answers

NURS 3080 - Exam #2 Practice Questions and Answers A barrel chest and hyper resonance upon auscultation would be an expected assessment finding in a patient with what disease? - Ans:-Emphysema When suctioning a patient, what is the maximum time allowed to complete one cycle of suctioning? - Ans:-12-15 seconds During percussion, the nurse knows that a dull percussion note elicited over a lung lobe most likely results of? - Ans:-Increased density of the lung Right upper quadrant tenderness may indicate pathology in the: - Ans:-liver, pancreas, or ascending colon A patient is dyspneic with a respiratory rate of 26 breaths per minute. What is the healthcare provider's first action? - Ans:-Raise the head of the bed to a 45 degree angle Hyperactive bowel sounds are: - Ans:-all of the above ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/14 high pitched, rushing, tinkling Which of the following may be noted through inspection of the abdomen? - Ans:-Venous pattern, peristaltic waves, and abdominal contour Striae, which occur when the elastic fibers in the reticular layer of the skin are broken after rapid or prolonged stretching, have a distinct color when of long duration. This color is: - Ans:-Silvery White The nurse hears high pitched, musical squeaking sounds when listening to a patient's lung sounds. The nurse knows that this is most likely from what? - Ans:-Bronchial constriction When evaluating a patient's posterior thorax excursions, the nurse notices her right hand does not move when the patient deeply inhales. What is the significance of this result? - Ans:-The right lung is not expanding with inhalation A patient comes in the clinic for a routine breast and axilla exam. Which assessment technique does the nurse use first during the examination? - Ans:-Inspection The most common site of breast tumors is: - Ans:-Upper outer quadrant Which of the following accurately describes constipation? - Ans:-All of the above The nurse knows the most nutrients are absorbed in which portion of the digestive tract? - Ans:- Duodenum ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/14 The nurse is caring for a patient who has diarrhea. What is the priority nursing diagnosis? - Ans:- Deficient fluid volume related to excessive loss of fluid through stool. A patient has hyperactive bowel sounds. The nurse knows that a potential cause of hyperactive bowel sounds is: - Ans:-Gastroenteritis The nurse is caring for a patient who is recovering from bowel surgery. Which assessment finding best indicates that the bowel is starting to resume function and the patient will be able to resume oral intake soon? - Ans:-The patient has bowel sounds times 4 quadrants and is passing gas. The nurse is caring for a patient with a colostomy. Which intervention is most important? - Ans:- Selecting a bag with an appropriate size stoma opening. The nurse is caring for a patient who has just completed 2 weeks of IV antibiotics for a severe infection. The patient has frequent loose watery stools and a low grade temperature. What is the most likely cause of the patient's new symptoms? - Ans:-C. difficile infection A nurse is performing a breast exam on a patient. The nurse asks the patient to raise her hands above her head. Why did the nurse change the patient's position? - Ans:-Skin dimpling is