FIRST PUBLISH OCTOBER 2024
Professional Nursing 624 Exam 1
Practice Questions and Answers
As Mr. Martin's oxygenation deteriorates, the nurse has an order to titrate pulse oximetry to keep it
greater than 90%. Because Mr. Martin is currently at 6 L/NC (44% oxygen), what would be the best
options for delivery of oxygen should the levels drop below 90%? - Ans:✔✔-simple mask
partial rebreather mask
venturi mask
face tent
As the nurse is placing the oxygen, she reflects on the percentage of oxygen being delivered via nasal
cannula (NC) at 2 L. What would be the correct amount? - Ans:✔✔-28%
At what age should deep respiration crackles disappear in babies? - Ans:✔✔-crackles should disappear at
3 months in babies
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During an assessment, the nurse notices that a client's breathing pattern follows a cycle of progressively
increasing in depth, then progressively decreasing in depth, followed by a period of apnea. Which
appropriately describes this respiratory pattern? - Ans:✔✔-Cheyne-Stokes breathing
Eldon Martin is a 75-year-old retired Marine Corps officer. He smoked cigarettes most of his adult life,
but quit 10 years ago when he learned he had allergy-induced asthmatic lung disease. He comes to the
hospital today with a high fever, productive cough, and pain in his chest. He is diagnosed with
pneumonia.
What additional assessment findings would be important for the nurse to gather in relation to
oxygenation concerns? - Ans:✔✔-pulse oximetry reading
arterial blood gas
lung sounds
number of years of smoking
Examples of never events - Ans:✔✔-Examples of Never Events:
foreign object forgotten in pt after surgery
foley infection
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air embolism
DVT/PE after joint replacement
For a thoracentesis, what is the nurse's job prior to procedure? - Ans:✔✔-Make sure consent is on file
and put pt in orthopneic position
How do you assess fall risk? - Ans:✔✔-Assessing fall risk:
Have pt get up and sit down w/o using hands to help, have pt walk 8 feet in 8.5 seconds
How do you take orstatic blood pressure? - Ans:✔✔-Lay pt flat, take BP and HR
Sit them up and wait 2 mins, take BP and HR
Stand them up and wait 2 mins, take BP and HR
*when recording, note position
*these should be done manually bc they're more exact
How does fever enhance the immune system? - Ans:✔✔-1. it kills growth of microorganisms
2. enhances phagocytosis
3. causes breakdown of lysosomes & self-destruction of virally infected cells
4. causes release of interferon (protects from viral infections)
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