NS520 Revision Exam 1 Questions And
Answers Graded A+.
The nurse is administering a medication to a client with myeloid leukemia and does not know the use,
dose, or side effects. To obtain the most up-to-date information about this drug, what should the nurse
do?
A: Check a commercially published drug guide.
B: Read a pharmacology textbook.
C: Consult the drug guide provided by the clinical agency.
D: Review information at the drug manufacturer's website. - Answer Answer: C.
The most current pharmacology information is found in the clinical agency's drug guide. A commercially
published drug guide and pharmacology textbooks are outdated once published, therefore may not have
current information. The manufacturer's website has the potential for bias.
The patient with right upper quadrant abdominal pain has an abdominal ultrasound that reveals
cholelithiasis. What is the nurse's priority?
A: Prevent all oral intake.
B: Control abdominal pain.
C: Provide enteral feedings.
D: Avoid dietary cholesterol. - Answer Answer: B. Patients with cholelithiasis can have severe pain, so
controlling pain is important until the problem can be treated. NPO status may be needed if the patient
will have surgery but will not be used for all patients with cholelithiasis. Patients with pancreatitis may
, be NPO. Enteral feedings should not be needed, and avoiding dietary cholesterol is not used to treat
cholelithiasis.
A patient with a gunshot wound to the right side of the chest arrives in the emergency department with
severe shortness of breath and decreased breath sounds on the right side of the chest. Which action
should the nurse take immediately?
A. Cover the chest wound with a nonporous dressing taped on three sides.
B. Pack the chest wound with sterile saline soaked gauze and tape securely.
C. Stabilize the chest wall with tape and initiate positive pressure ventilation.
D. Apply a pressure dressing over the wound to prevent excessive loss of blood. - Answer Answer: A.
The patient has a sucking chest wound (open pneumothorax). Air enters the pleural space through the
chest wall during inspiration. Emergency treatment consists of covering the wound with an occlusive
dressing that is secured on three sides. During inspiration, the dressing pulls against the wound,
preventing air from entering the pleural space. During expiration, the dressing is pushed out and air
escapes through the wound and from under the dressing.
The nurse is performing a respiratory assessment for a patient admitted with pneumonia. Which clinical
manifestation would the nurse expect to find?
A. Hyperresonance on percussion
B. Vesicular breath sounds in all lobes
C. Increased vocal fremitus on palpation
D. Fine crackles in all lobes on auscultation - Answer Answer: C. A typical physical examination finding
for a patient with pneumonia is increased vocal fremitus on palpation. Other signs of pulmonary
consolidation include bronchial breath sounds, egophony, and crackles in the affected area. With pleural
effusion, there may be dullness to percussion over the affected area.
The nurse is performing a respiratory assessment. Which finding best supports the presence of impaired
airway clearance?
A: Basilar crackles
B: Oxygen saturation of 85%
C: Presence of greenish sputum
Answers Graded A+.
The nurse is administering a medication to a client with myeloid leukemia and does not know the use,
dose, or side effects. To obtain the most up-to-date information about this drug, what should the nurse
do?
A: Check a commercially published drug guide.
B: Read a pharmacology textbook.
C: Consult the drug guide provided by the clinical agency.
D: Review information at the drug manufacturer's website. - Answer Answer: C.
The most current pharmacology information is found in the clinical agency's drug guide. A commercially
published drug guide and pharmacology textbooks are outdated once published, therefore may not have
current information. The manufacturer's website has the potential for bias.
The patient with right upper quadrant abdominal pain has an abdominal ultrasound that reveals
cholelithiasis. What is the nurse's priority?
A: Prevent all oral intake.
B: Control abdominal pain.
C: Provide enteral feedings.
D: Avoid dietary cholesterol. - Answer Answer: B. Patients with cholelithiasis can have severe pain, so
controlling pain is important until the problem can be treated. NPO status may be needed if the patient
will have surgery but will not be used for all patients with cholelithiasis. Patients with pancreatitis may
, be NPO. Enteral feedings should not be needed, and avoiding dietary cholesterol is not used to treat
cholelithiasis.
A patient with a gunshot wound to the right side of the chest arrives in the emergency department with
severe shortness of breath and decreased breath sounds on the right side of the chest. Which action
should the nurse take immediately?
A. Cover the chest wound with a nonporous dressing taped on three sides.
B. Pack the chest wound with sterile saline soaked gauze and tape securely.
C. Stabilize the chest wall with tape and initiate positive pressure ventilation.
D. Apply a pressure dressing over the wound to prevent excessive loss of blood. - Answer Answer: A.
The patient has a sucking chest wound (open pneumothorax). Air enters the pleural space through the
chest wall during inspiration. Emergency treatment consists of covering the wound with an occlusive
dressing that is secured on three sides. During inspiration, the dressing pulls against the wound,
preventing air from entering the pleural space. During expiration, the dressing is pushed out and air
escapes through the wound and from under the dressing.
The nurse is performing a respiratory assessment for a patient admitted with pneumonia. Which clinical
manifestation would the nurse expect to find?
A. Hyperresonance on percussion
B. Vesicular breath sounds in all lobes
C. Increased vocal fremitus on palpation
D. Fine crackles in all lobes on auscultation - Answer Answer: C. A typical physical examination finding
for a patient with pneumonia is increased vocal fremitus on palpation. Other signs of pulmonary
consolidation include bronchial breath sounds, egophony, and crackles in the affected area. With pleural
effusion, there may be dullness to percussion over the affected area.
The nurse is performing a respiratory assessment. Which finding best supports the presence of impaired
airway clearance?
A: Basilar crackles
B: Oxygen saturation of 85%
C: Presence of greenish sputum
