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NUR 417
NUR 417 Exam 3 | Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. An occupational health nurse works at a manufacturing plant
where there is potential exposure to inhaled dust. Which action
recommended by the nurse is intended to prevent lung disease?
a. Treat workers with pulmonary fibrosis.
b. Teach about symptoms of lung disease.
c. Require the use of protective equipment.
d. Monitor workers for coughing and wheezing.: c. Require the use of
protective equipment.
The nurse monitors a patient in the emergency department after
chest tube placement for a hemopneumothorax. The nurse is most
concerned if which assessment finding is observed?
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NUR 417
a. A large air leak in the water-seal chamber
b. 400 ml of blood in the collection chamber
c. Complaint of pain with each deep inspiration
d. Subcutaneous emphysema at the insertion site: b. 400 ml of blood in
the collection chamber
The large amount of blood may indicate that the patient is in danger of
developing hypovolemic shock. An air leak would be expected
immediately after chest tube placement for a pneumothorax
A patient experiences a chest wall contusion as a result of being
struck in the chest with a baseball bat. The emergency department
nurse would be most concerned if which finding is observed during
the initial assessment? A. Paradoxical chest movement c. Heart rate of
110 beats/minute
B. Complaint of chest wall pain d. Large bruised area on the chest: a.
Paradoxical chest movement
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NUR 417
Paradoxical chest movement indicates that the patient may have flail chest,
which can severely compromise gas exchange and can rapidly lead to
hypoxemia. When a person has a flail chest, the nurse should stabilize the
chest with positive pressure and call a surgeon for surgery.
When assessing a patient who has just arrived after an *automobile
accident*, the emergency department nurse notes tachycardia and
*absent breath sounds* over the right lung. For which intervention
will the nurse prepare the patient?
A. Emergency pericardiocentesis
C. Bronchodilator administration
B. Stabilization of the chest wall
D. Chest tube connected to suction: d. Chest tube connected to suction
The patient's history and *absent breath sounds* suggest a *right-sided
pneumothorax* or hemothorax, which will require treatment with a *chest
tube and drainage to suction*.
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NUR 417
A patient who has a right-sided chest tube after a thoracotomy has
continuous bubbling in the suction-control chamber of the collection
device. Which action by the nurse is appropriate?
a. Adjust the dial on the wall regulator.
b. Continue to monitor the collection device.
c. Document the presence of a large air leak.
d. Notify the surgeon of a possible pneumothorax.: b. Continue to
monitor the collection device.
Continuous bubbling is expected in the suction-control chamber and
indicates that the suction-control chamber is connected to suction.
The nurse provides *preoperative instruction* for a patient
scheduled for a *left pneumonectomy*. Which information should the
nurse include about the patient's postoperative care?
a. Bed rest for the first 24 hours
b. Positioning only on the right side
c. Frequent use of an incentive spirometer
NUR
NUR 417
NUR 417 Exam 3 | Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. An occupational health nurse works at a manufacturing plant
where there is potential exposure to inhaled dust. Which action
recommended by the nurse is intended to prevent lung disease?
a. Treat workers with pulmonary fibrosis.
b. Teach about symptoms of lung disease.
c. Require the use of protective equipment.
d. Monitor workers for coughing and wheezing.: c. Require the use of
protective equipment.
The nurse monitors a patient in the emergency department after
chest tube placement for a hemopneumothorax. The nurse is most
concerned if which assessment finding is observed?
NUR
, 2
NUR 417
a. A large air leak in the water-seal chamber
b. 400 ml of blood in the collection chamber
c. Complaint of pain with each deep inspiration
d. Subcutaneous emphysema at the insertion site: b. 400 ml of blood in
the collection chamber
The large amount of blood may indicate that the patient is in danger of
developing hypovolemic shock. An air leak would be expected
immediately after chest tube placement for a pneumothorax
A patient experiences a chest wall contusion as a result of being
struck in the chest with a baseball bat. The emergency department
nurse would be most concerned if which finding is observed during
the initial assessment? A. Paradoxical chest movement c. Heart rate of
110 beats/minute
B. Complaint of chest wall pain d. Large bruised area on the chest: a.
Paradoxical chest movement
NUR
, 3
NUR 417
Paradoxical chest movement indicates that the patient may have flail chest,
which can severely compromise gas exchange and can rapidly lead to
hypoxemia. When a person has a flail chest, the nurse should stabilize the
chest with positive pressure and call a surgeon for surgery.
When assessing a patient who has just arrived after an *automobile
accident*, the emergency department nurse notes tachycardia and
*absent breath sounds* over the right lung. For which intervention
will the nurse prepare the patient?
A. Emergency pericardiocentesis
C. Bronchodilator administration
B. Stabilization of the chest wall
D. Chest tube connected to suction: d. Chest tube connected to suction
The patient's history and *absent breath sounds* suggest a *right-sided
pneumothorax* or hemothorax, which will require treatment with a *chest
tube and drainage to suction*.
NUR
, 4
NUR 417
A patient who has a right-sided chest tube after a thoracotomy has
continuous bubbling in the suction-control chamber of the collection
device. Which action by the nurse is appropriate?
a. Adjust the dial on the wall regulator.
b. Continue to monitor the collection device.
c. Document the presence of a large air leak.
d. Notify the surgeon of a possible pneumothorax.: b. Continue to
monitor the collection device.
Continuous bubbling is expected in the suction-control chamber and
indicates that the suction-control chamber is connected to suction.
The nurse provides *preoperative instruction* for a patient
scheduled for a *left pneumonectomy*. Which information should the
nurse include about the patient's postoperative care?
a. Bed rest for the first 24 hours
b. Positioning only on the right side
c. Frequent use of an incentive spirometer
NUR
