EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
The nurse is caring for a patient with pneumonia. On
entering the room, the nurse finds the patient lying in bed,
coughing, and unable to clear secretions. What should the
nurse do first?
A. Start oxygen at 2 L/min via nasal cannula
B. Elevate the head of the bed at 45 degrees
C. Encourage the patient to use the incentive spirometer
D. Notify the health care provider Correct Answer Answer:
B
The nurse is performing discharge teaching for a patient
with chronic obstructive pulmonary disease (COPD). What
statement, made by the patient, indicates the need for
further teaching?
A. "Pursed-lip breathing is like exercise for my lungs and
will help me strengthen my breathing muscles."
B. "When I am sick, I should limit the amount of fluids I
drink so that I don't produce excess mucus."
C. "I will ensure that I receive an influenza vaccine every
year, preferably in the fall."
D. "I will look for a smoking-cessation support group in my
neighborhood." Correct Answer Answer: B
,Which assessment findings indicate that the patient is
experiencing an acute disturbance in oxygenation and
requires immediate intervention? (Select all that apply)
A. SpO2 value of 95%
B. Retractions
C. Respiratory rate of 28 bpm
D. Nasal flaring
E. Clubbing of fingers Correct Answer Answer: B, C, & D
The nurse has just witnessed her patient go into cardiac
arrest. What priority interventions should the nurse
perform at this time? (Select all that apply)
A. Perform chest compressions
B. Ask someone to bring the defibrillator to the room for
immediate defibrillation
C. Apply oxygen via nasal cannula
D. Place the patient in the high Fowler's position
E. Educate the family about the need for CPR Correct
Answer Answer: A & B
A nurse is developing a plan for a patient who was
diagnosed with narcolepsy. Which interventions should the
nurse include on the plan? (Select all that apply)
A. Take brief, 20-minute naps no more than twice a day
B. Drink a glass of wine with dinner
C. Eat a large meal at lunch rather than dinner
D. Establish a regular exercise program
, E. Teach the patient about the side effects of modafinil
Correct Answer Answers: A, D, & E
Which statements from a patient indicate an
understanding of behaviors that will promote sleep?
(Select all that apply)
A. "I will not watch tv in bed"
B. "I will not drink caffeine later in the day"
C. "A short nap late in the evening will lead to a more
restful night of sleep"
D. "I am going to start eating dinner closer to my bedtime"
E. "I will start to exercise regularly during the day" Correct
Answer Answers: A, B, & E
A 72-year-old patient asks the nurse about using an OTC
antihistamine as a sleeping pill to help her get to sleep.
What is the nurse's best response?
A. "Antihistamines are better than prescription medications
because prescriptions medications can cause a lot of
problems"
B. "Antihistamines should not be used because they can
cause confusion and increase your risk of falls"
C. "Antihistamines are effective sleep aids because they
do not have many side effects"
D. "Over-the-counter medications when combined with
sleep-hygiene measures are a good plan for sleep"
Correct Answer Answer: B