ACTUAL Respiratory Exam Medical-
Surgical- proctored exam with NGN
350+Questions and correct and verified
answers already graded A+ |PROFESSOR
VERIFIED
The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the
patient's airway, even after inserting and withdrawing the catheter several times. How should the nurse proceed? -correct -
answer-
1. Continue suctioning the patient until no more secretions are obtained
2. Perform chest physiotherapy rather than suctioning
3. Wait several minutes and repeat
4. Perform postural drainage and repeat suctioning
Answer: 3
If additional suctioning is needed, the nurse should withdraw the catheter to the back of the pharynx, reassure the patient, and
oxygenate for several minutes before resuming suctioning. Chest physiotherapy and postural drainage are not necessarily
indicated.
.
A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea before a procedure. When applying
the nursing process, how can the nurse best evaluate the outcomes of this intervention? -correct -answer-
1. Determine whether the patient can now perform forced expiratory technique (FET)
2. Percuss the patient's lungs and thorax
3. Measure the patient's oxygen saturation
4. Have the patient perform incentive spirometry
Answer: 3
,The patient's response to suctioning is usually determined by performing chest auscultation and by measuring the patient's
oxygen saturation. FET, incentive spirometry, and percussion are not normally used as evaluative techniques.
The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The nurse observes that the
water level in the water seal rises and falls in rhythm with the patients respirations. How should the nurse best respond to this
assessment finding? -correct -answer-
1. Gently reinsert the chest tube 1 to 2 cm and observe if the water level stabilizes
2. Inform the physician promptly that there is no imminent leak in the drainage system
3. Encourage the patient to do deep breathing and coughing exercises
4. Document that the chest drainage system is operating as it is intended
Answer: 4
Fluctuation of the water level in the water seal shows effective connection between the pleural cavity and the drainage chamber
and indicates that the drainage system remains patent. No further action is needed.
The nurse is planning the care of a patient who is scheduled for a laryngectomy. The nurse should assign the highest priority to
which postoperative nursing diagnosis? -correct -answer-
1. Anxiety related to the diagnosis of cancer
2. Altered nutrition related to swallowing difficulties
3. Ineffective airway clearance related to airway alterations
4. Impaired verbal communication related to the removal of the larynx
Answer: 3
Each of the listed diagnoses is valid, but ineffective airway clearance is the priority nursing diagnosis for all conditions.
The nurse is caring for a patient whose recent unexplained weight loss and history of smoking have prompted diagnostic testing
for cancer. What symptom is most closely associated with the early stages of laryngeal cancer? -correct -answer-
1. Hoarseness
2. Dyspnea
,3. Dysphagia
4. Frequent nosebleeds
Answer: 1
Hoarseness is an early symptom of laryngeal cancer. Dyspnea, dysphagia, and lumps are later signs of laryngeal cancer.
Alopecia is not associated with a diagnosis of laryngeal cancer.
.
The nurse is explaining the safe and effective administration of nasal spray to a patient with seasonal allergies. What
information is most important to include in this teaching? -correct -answer-
1. Finish the bottle of nasal spray to clear the infection effectively.
2. Nasal spray can only be shared between immediate family members.
3. Nasal spray should be administered in a prone position.
4. Overuse of a nasal spray may cause rebound congestion
Answer: 4
The use of topical decongestants is controversial because of the potential for a rebound effect. The patient should hold his or her
head back for maximal distribution of the spray. Only the patient should use the bottle.
A patient with a recent history of a dry cough has had a chest x-ray that revealed the presence of nodules. In an effort to
determine whether the nodules are malignant or benign, what is the primary care provider likely to order? -correct -answer-
A. Thoracentesis
B. Pulmonary angiogram
C. CT scan of the patient's chest
D. Positron emission tomography (PET)
D. Positron emission tomography (PET)
PET is used to distinguish benign and malignant pulmonary nodules. Because malignant lung cells have an increased uptake of
glucose, the PET scan (which uses an IV radioactive glucose preparation) can demonstrate increased uptake of glucose in
malignant lung cells. This differentiation cannot be made using CT, a pulmonary angiogram, or thoracentesis.
, .
After assisting at the bedside with a thoracentesis, the nurse should continue to assess the patient for signs and symptoms of
what? -correct -answer-
A. Bronchospasm
B. Pneumothorax
C. Pulmonary edema
D. Respiratory acidosis
B. Pneumothorax
Because thoracentesis involves the introduction of a catheter into the pleural space, there is a risk of pneumothorax.
Thoracentesis does not carry a significant potential for causing bronchospasm, pulmonary edema, or respiratory acidosis.
.
The patient had abdominal surgery yesterday. Today the lung sounds in the lower lobes have decreased. The nurse knows this
could be due to what occurring? -correct -answer-
A. Pain
B. Atelectasis
C. Pneumonia
D. Pleural effusion
B. Atelectasis
Postoperatively, there is an increased risk for atelectasis from anesthesia as well as restricted breathing from pain. Without
deep breathing to stretch the alveoli, surfactant secretion to hold the alveoli open is not promoted. Pneumonia will occur later
after surgery. Pleural effusion occurs because of blockage of lymphatic drainage or an imbalance between intravascular and
oncotic fluid pressures, which is not expected in this case
The patient is hospitalized with pneumonia. Which diagnostic test should be used to measure the efficiency of gas transfer in the
lung and tissue oxygenation? -correct -answer-
Surgical- proctored exam with NGN
350+Questions and correct and verified
answers already graded A+ |PROFESSOR
VERIFIED
The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the
patient's airway, even after inserting and withdrawing the catheter several times. How should the nurse proceed? -correct -
answer-
1. Continue suctioning the patient until no more secretions are obtained
2. Perform chest physiotherapy rather than suctioning
3. Wait several minutes and repeat
4. Perform postural drainage and repeat suctioning
Answer: 3
If additional suctioning is needed, the nurse should withdraw the catheter to the back of the pharynx, reassure the patient, and
oxygenate for several minutes before resuming suctioning. Chest physiotherapy and postural drainage are not necessarily
indicated.
.
A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea before a procedure. When applying
the nursing process, how can the nurse best evaluate the outcomes of this intervention? -correct -answer-
1. Determine whether the patient can now perform forced expiratory technique (FET)
2. Percuss the patient's lungs and thorax
3. Measure the patient's oxygen saturation
4. Have the patient perform incentive spirometry
Answer: 3
,The patient's response to suctioning is usually determined by performing chest auscultation and by measuring the patient's
oxygen saturation. FET, incentive spirometry, and percussion are not normally used as evaluative techniques.
The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The nurse observes that the
water level in the water seal rises and falls in rhythm with the patients respirations. How should the nurse best respond to this
assessment finding? -correct -answer-
1. Gently reinsert the chest tube 1 to 2 cm and observe if the water level stabilizes
2. Inform the physician promptly that there is no imminent leak in the drainage system
3. Encourage the patient to do deep breathing and coughing exercises
4. Document that the chest drainage system is operating as it is intended
Answer: 4
Fluctuation of the water level in the water seal shows effective connection between the pleural cavity and the drainage chamber
and indicates that the drainage system remains patent. No further action is needed.
The nurse is planning the care of a patient who is scheduled for a laryngectomy. The nurse should assign the highest priority to
which postoperative nursing diagnosis? -correct -answer-
1. Anxiety related to the diagnosis of cancer
2. Altered nutrition related to swallowing difficulties
3. Ineffective airway clearance related to airway alterations
4. Impaired verbal communication related to the removal of the larynx
Answer: 3
Each of the listed diagnoses is valid, but ineffective airway clearance is the priority nursing diagnosis for all conditions.
The nurse is caring for a patient whose recent unexplained weight loss and history of smoking have prompted diagnostic testing
for cancer. What symptom is most closely associated with the early stages of laryngeal cancer? -correct -answer-
1. Hoarseness
2. Dyspnea
,3. Dysphagia
4. Frequent nosebleeds
Answer: 1
Hoarseness is an early symptom of laryngeal cancer. Dyspnea, dysphagia, and lumps are later signs of laryngeal cancer.
Alopecia is not associated with a diagnosis of laryngeal cancer.
.
The nurse is explaining the safe and effective administration of nasal spray to a patient with seasonal allergies. What
information is most important to include in this teaching? -correct -answer-
1. Finish the bottle of nasal spray to clear the infection effectively.
2. Nasal spray can only be shared between immediate family members.
3. Nasal spray should be administered in a prone position.
4. Overuse of a nasal spray may cause rebound congestion
Answer: 4
The use of topical decongestants is controversial because of the potential for a rebound effect. The patient should hold his or her
head back for maximal distribution of the spray. Only the patient should use the bottle.
A patient with a recent history of a dry cough has had a chest x-ray that revealed the presence of nodules. In an effort to
determine whether the nodules are malignant or benign, what is the primary care provider likely to order? -correct -answer-
A. Thoracentesis
B. Pulmonary angiogram
C. CT scan of the patient's chest
D. Positron emission tomography (PET)
D. Positron emission tomography (PET)
PET is used to distinguish benign and malignant pulmonary nodules. Because malignant lung cells have an increased uptake of
glucose, the PET scan (which uses an IV radioactive glucose preparation) can demonstrate increased uptake of glucose in
malignant lung cells. This differentiation cannot be made using CT, a pulmonary angiogram, or thoracentesis.
, .
After assisting at the bedside with a thoracentesis, the nurse should continue to assess the patient for signs and symptoms of
what? -correct -answer-
A. Bronchospasm
B. Pneumothorax
C. Pulmonary edema
D. Respiratory acidosis
B. Pneumothorax
Because thoracentesis involves the introduction of a catheter into the pleural space, there is a risk of pneumothorax.
Thoracentesis does not carry a significant potential for causing bronchospasm, pulmonary edema, or respiratory acidosis.
.
The patient had abdominal surgery yesterday. Today the lung sounds in the lower lobes have decreased. The nurse knows this
could be due to what occurring? -correct -answer-
A. Pain
B. Atelectasis
C. Pneumonia
D. Pleural effusion
B. Atelectasis
Postoperatively, there is an increased risk for atelectasis from anesthesia as well as restricted breathing from pain. Without
deep breathing to stretch the alveoli, surfactant secretion to hold the alveoli open is not promoted. Pneumonia will occur later
after surgery. Pleural effusion occurs because of blockage of lymphatic drainage or an imbalance between intravascular and
oncotic fluid pressures, which is not expected in this case
The patient is hospitalized with pneumonia. Which diagnostic test should be used to measure the efficiency of gas transfer in the
lung and tissue oxygenation? -correct -answer-
