PNVN 1631 Module 9 Exam/ 100 Qs with
Certified Solutions.
A nurse is reading the radiology report of a client with a chest tube attached to a closed
drainage system who has undergone a chest x-ray. The report states that the client's affected
lung is fully re-expanded. The nurse anticipates that monitoring the chest tube system will
reveal which finding? - Answer: No fluctuation in the water seal chamber
A client has just undergone insertion of a chest tube that is attached to a closed chest drainage
system. Which action should the nurse plan to take in the care of this client? - Answer: Taping
the connections between the chest tube and the drainage system
A client who has just undergone bronchoscopy was returned to the nursing unit 1 hour ago.
With which finding is the nurse most concerned? - Answer: Absence of cough and gag reflexes
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,A nurse is caring for a client who has undergone pulmonary angiography with catheter insertion
through the right femoral vein. The nurse monitors for allergic reaction to the contrast medium
by monitoring for the presence of which symptom? - Answer: Respiratory distress
A nurse is assisting with data collection of a client who underwent thoracentesis of the right
side of the chest 3 hours ago. Which findings does the nurse report to the health care provider?
Select all that apply. - Answer: Unequal chest expansion
Diminished breath sounds in the right lung
A nurse is monitoring a client who has undergone pleural biopsy. Which finding causes the
nurse to suspect that the client is experiencing a complication? - Answer: Complaints of
shortness of breath
A client has just returned to the nursing unit after bronchoscopy. To which intervention should
the nurse give priority? - Answer: Checking for the return of the gag reflex
A client is receiving intermittent bolus feedings by way of a nasogastric tube. In which position
should the nurse place the client once the feeding is complete? - Answer: Head of bed elevated
30 to 45 degrees
A nurse has a prescription to discontinue a client's nasogastric tube. The nurse auscultates the
client's bowel sounds, positions the client properly, and flushes the tube with 15 mL of air to
clear secretions. The nurse then instructs the client to take a deep breath and then perform
which action? - Answer: Hold the breath during tube removal.
A nurse checks the residual volume from a client's nasogastric tube feeding before
administering an intermittent tube feeding and finds 35 mL of gastric contents. What should the
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, nurse do before administering the prescribed 100 mL of formula to the client? - Answer: Pour
the residual volume into the nasogastric tube through a syringe with the plunger removed
A nurse has a prescription to insert a nasogastric tube into the stomach of an assigned client.
Which action should the nurse take to insert the tube safely and easily? - Answer: Asking the
client to swallow as the tube is being advanced
A client who has undergone an esophagogastroduodenoscopy (EGD) returns from the
endoscopy department. After checking the client s gag reflex, which action should the nurse
take? - Answer: Taking the client s vital signs
A client has just been scheduled for endoscopic retrograde cholangiopancreatography (ERCP).
What should the nurse tell the client about the procedure? Select all that apply. - Answer: That
informed consent is required
That food and fluids will be withheld before the procedure
That multiple position changes may be necessary to pass the tube
A client is scheduled for a barium swallow (esophagography) in 2 days. The nurse, providing
preprocedure instructions, should provide which instruction? - Answer: Remove all metal and
jewelry before the test.
A nurse is preparing a client for colonoscopy. Into which position does the nurse assist the client
for the procedure? - Answer: Left Sims position
Polyethylene glycol-electrolyte solution is prescribed for a hospitalized client scheduled for
colonoscopy. The client begins to experience diarrhea after drinking the solution. Which action
by the nurse is appropriate? - Answer: Documenting the diarrhea in the medical record
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Certified Solutions.
A nurse is reading the radiology report of a client with a chest tube attached to a closed
drainage system who has undergone a chest x-ray. The report states that the client's affected
lung is fully re-expanded. The nurse anticipates that monitoring the chest tube system will
reveal which finding? - Answer: No fluctuation in the water seal chamber
A client has just undergone insertion of a chest tube that is attached to a closed chest drainage
system. Which action should the nurse plan to take in the care of this client? - Answer: Taping
the connections between the chest tube and the drainage system
A client who has just undergone bronchoscopy was returned to the nursing unit 1 hour ago.
With which finding is the nurse most concerned? - Answer: Absence of cough and gag reflexes
Page 1 of 16
,A nurse is caring for a client who has undergone pulmonary angiography with catheter insertion
through the right femoral vein. The nurse monitors for allergic reaction to the contrast medium
by monitoring for the presence of which symptom? - Answer: Respiratory distress
A nurse is assisting with data collection of a client who underwent thoracentesis of the right
side of the chest 3 hours ago. Which findings does the nurse report to the health care provider?
Select all that apply. - Answer: Unequal chest expansion
Diminished breath sounds in the right lung
A nurse is monitoring a client who has undergone pleural biopsy. Which finding causes the
nurse to suspect that the client is experiencing a complication? - Answer: Complaints of
shortness of breath
A client has just returned to the nursing unit after bronchoscopy. To which intervention should
the nurse give priority? - Answer: Checking for the return of the gag reflex
A client is receiving intermittent bolus feedings by way of a nasogastric tube. In which position
should the nurse place the client once the feeding is complete? - Answer: Head of bed elevated
30 to 45 degrees
A nurse has a prescription to discontinue a client's nasogastric tube. The nurse auscultates the
client's bowel sounds, positions the client properly, and flushes the tube with 15 mL of air to
clear secretions. The nurse then instructs the client to take a deep breath and then perform
which action? - Answer: Hold the breath during tube removal.
A nurse checks the residual volume from a client's nasogastric tube feeding before
administering an intermittent tube feeding and finds 35 mL of gastric contents. What should the
Page 2 of 16
, nurse do before administering the prescribed 100 mL of formula to the client? - Answer: Pour
the residual volume into the nasogastric tube through a syringe with the plunger removed
A nurse has a prescription to insert a nasogastric tube into the stomach of an assigned client.
Which action should the nurse take to insert the tube safely and easily? - Answer: Asking the
client to swallow as the tube is being advanced
A client who has undergone an esophagogastroduodenoscopy (EGD) returns from the
endoscopy department. After checking the client s gag reflex, which action should the nurse
take? - Answer: Taking the client s vital signs
A client has just been scheduled for endoscopic retrograde cholangiopancreatography (ERCP).
What should the nurse tell the client about the procedure? Select all that apply. - Answer: That
informed consent is required
That food and fluids will be withheld before the procedure
That multiple position changes may be necessary to pass the tube
A client is scheduled for a barium swallow (esophagography) in 2 days. The nurse, providing
preprocedure instructions, should provide which instruction? - Answer: Remove all metal and
jewelry before the test.
A nurse is preparing a client for colonoscopy. Into which position does the nurse assist the client
for the procedure? - Answer: Left Sims position
Polyethylene glycol-electrolyte solution is prescribed for a hospitalized client scheduled for
colonoscopy. The client begins to experience diarrhea after drinking the solution. Which action
by the nurse is appropriate? - Answer: Documenting the diarrhea in the medical record
Page 3 of 16
