4/3/25, 5:45 NR 324 Adult Health I Week 2 |
PM
NR 324 ADULT HEALTH I WEEK 2 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Looking for a cause of this altered gas Collect the sputum in the morning
exchange, the healthcare provider orders
a sputum collection for gram stain,
culture and sensitivity. What action is
appropriate when collecting this
sputum?
The healthcare provider orders albuterol *Assess lung sounds before and after medications administration
2.5 mg inhaler via nebulization three *Assess respiratory rate and oxygen saturation
times a day, and prednisone 30 mg *Administer albuterol first, then prednisone
orally daily for 14 days. What are the
appropriate nursing actions when
administering these medications?
Select all that apply.
Review the client's medication list *oxygen therapy
and select the items that should *prednisone
improve gas exchange. Select all that *albuterol inhaler
apply.
*episodes of shortness of breath
*confused
Select the assessment data that support
*emphysema
altered gas exchange.
RR 27 breaths/ minute
*88% oxygen saturation
Based on the assessment data, which Administer oxygen as prescribed.Educate patient on pursed-lip breathing
nursing actions could improve gas techniques.*Elevate the head of the bed from 45 degrees to 90 degrees.
exchange? Select all that apply.
The client will have 1.___________________ 1. improved lung sounds
bilaterally.The client will have 2.decreased
2_____________pain in the site where
the
thoracentesis is done
After receiving report from the morning Respiratory rate increased to 30 in a client with a tracheostomy
shift, you visit each of your clients in the
rehabilitation center. Which of the
following identified issues is your highest
priority?
1/
10
, 4/3/25, 5:45 NR 324 Adult Health I Week 2 |
PM
Which of the following would give Arterial blood gas
the nurse the most accurate
information about an alteration in
gas exchange?
The client is transferred from the assisted *Most chest tube systems should be stored below the level of chest tube
living facility to emergency insertion.
department due to acute respiratory *A chest tube requires an occlusive dressing like petroleum gauze.
distress secondary to pneumothorax. *Monitor fluid drainage frequently, and if it is excessive, the healthcare provider
When preparing for chest tube should be notified.
insertion, the nurse takes into
consideration which facts? Select all
that apply.
A client presents to the emergency *Simple face mask
department due to episodes of stools *Venturi mask
with streaks of blood. The spouse *Partial rebreather mask
verbalizes that this has been happening *Non-rebreather mask
for the past 3 days. Upon assessment, the
client seems pale, lips are dry, and
they are confused. The vital signs are T
97º F, RR 24 breaths/minute, HR 105
beats/minute, BP 90/50 mm Hg and 88%
oxygen saturation on room air. What are
the best options for delivering oxygen to
this client? Select all that apply.
1. Elevate the head of the 1. This will expand the lungs by taking pressure off the diaphragm and
bed (45-90 degrees/semi to high forcing any fluid in the lungs towards the bottom so more surface area is
Fowler's position) available for gas exchange.
2.Monitor respiratory rate, breathing 2.Change in respiratory rate, breathing pattern, and oxygenation can suggest
pattern and oxygen saturation. the need for further action.
3.Assess for adventitious lung 3.This may help clarify the cause of an alteration in gas exchange, and can also
sounds (crackles, rales, stridor or be used to evaluate results before and after nursing actions.
absent etc). 4.These are techniques used to expand the lungs, slow a client's breathing,
4. Encourage deep/purse lip breathing and offer some comfort for shortness of breath.
exercises, ambulation, 5.This facilitates the need for further testing, medication, or other therapies
active/passive range of motion that will identify and treat underlying causes of altered gas exchange.
(ROM) and use of incentive
spirometer.
5. Report new abnormal findings or
changes to health care provider.
A client is admitted for an elective "Staying in bed and resting as long as possible is the best way to get better
surgery. Prior surgery, the nurse teaches sooner."
the client about the ways to prevent
respiratory complications after surgery.
Which of the following statements
from the client may suggest further
teaching is necessary?
2/
10
PM
NR 324 ADULT HEALTH I WEEK 2 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Looking for a cause of this altered gas Collect the sputum in the morning
exchange, the healthcare provider orders
a sputum collection for gram stain,
culture and sensitivity. What action is
appropriate when collecting this
sputum?
The healthcare provider orders albuterol *Assess lung sounds before and after medications administration
2.5 mg inhaler via nebulization three *Assess respiratory rate and oxygen saturation
times a day, and prednisone 30 mg *Administer albuterol first, then prednisone
orally daily for 14 days. What are the
appropriate nursing actions when
administering these medications?
Select all that apply.
Review the client's medication list *oxygen therapy
and select the items that should *prednisone
improve gas exchange. Select all that *albuterol inhaler
apply.
*episodes of shortness of breath
*confused
Select the assessment data that support
*emphysema
altered gas exchange.
RR 27 breaths/ minute
*88% oxygen saturation
Based on the assessment data, which Administer oxygen as prescribed.Educate patient on pursed-lip breathing
nursing actions could improve gas techniques.*Elevate the head of the bed from 45 degrees to 90 degrees.
exchange? Select all that apply.
The client will have 1.___________________ 1. improved lung sounds
bilaterally.The client will have 2.decreased
2_____________pain in the site where
the
thoracentesis is done
After receiving report from the morning Respiratory rate increased to 30 in a client with a tracheostomy
shift, you visit each of your clients in the
rehabilitation center. Which of the
following identified issues is your highest
priority?
1/
10
, 4/3/25, 5:45 NR 324 Adult Health I Week 2 |
PM
Which of the following would give Arterial blood gas
the nurse the most accurate
information about an alteration in
gas exchange?
The client is transferred from the assisted *Most chest tube systems should be stored below the level of chest tube
living facility to emergency insertion.
department due to acute respiratory *A chest tube requires an occlusive dressing like petroleum gauze.
distress secondary to pneumothorax. *Monitor fluid drainage frequently, and if it is excessive, the healthcare provider
When preparing for chest tube should be notified.
insertion, the nurse takes into
consideration which facts? Select all
that apply.
A client presents to the emergency *Simple face mask
department due to episodes of stools *Venturi mask
with streaks of blood. The spouse *Partial rebreather mask
verbalizes that this has been happening *Non-rebreather mask
for the past 3 days. Upon assessment, the
client seems pale, lips are dry, and
they are confused. The vital signs are T
97º F, RR 24 breaths/minute, HR 105
beats/minute, BP 90/50 mm Hg and 88%
oxygen saturation on room air. What are
the best options for delivering oxygen to
this client? Select all that apply.
1. Elevate the head of the 1. This will expand the lungs by taking pressure off the diaphragm and
bed (45-90 degrees/semi to high forcing any fluid in the lungs towards the bottom so more surface area is
Fowler's position) available for gas exchange.
2.Monitor respiratory rate, breathing 2.Change in respiratory rate, breathing pattern, and oxygenation can suggest
pattern and oxygen saturation. the need for further action.
3.Assess for adventitious lung 3.This may help clarify the cause of an alteration in gas exchange, and can also
sounds (crackles, rales, stridor or be used to evaluate results before and after nursing actions.
absent etc). 4.These are techniques used to expand the lungs, slow a client's breathing,
4. Encourage deep/purse lip breathing and offer some comfort for shortness of breath.
exercises, ambulation, 5.This facilitates the need for further testing, medication, or other therapies
active/passive range of motion that will identify and treat underlying causes of altered gas exchange.
(ROM) and use of incentive
spirometer.
5. Report new abnormal findings or
changes to health care provider.
A client is admitted for an elective "Staying in bed and resting as long as possible is the best way to get better
surgery. Prior surgery, the nurse teaches sooner."
the client about the ways to prevent
respiratory complications after surgery.
Which of the following statements
from the client may suggest further
teaching is necessary?
2/
10
