Solutions
A. "I use my corticosteroid when I am short of breath"
this is for long term use, not a rescue inhaler Correct Answer
Which statement by the patient with asthma warrants
FURTHER teaching?
A. "I use my corticosteroid when I am short of breath"
B) "I get a flu shot every year"
C) "I use my inhaler before I visit my sister who has cats"
D) "I walk 30 minutes per day and sometimes use my
bronchodilator inhaler before walking to prevent shortness of
breath"
A. 5 Correct Answer A nurse is caring for a client who has
rhabdomyolysis. The provider prescribes 0.9% sodium chloride
to infuse at a rate of 200 mL/hr. How many hours will it take for
a 1-L bag of IV fluid to infuse?
A. 5
B. 2
C. 4
D. 3
A. a puncture at the radial artery Correct Answer You are
caring for a client who is in respiratory distress. The physician
orders arterial blood gases (ABGs) to determine various factors
related to blood oxygenation. What site can ABGs be obtained
from?
,A. a puncture at the radial artery
B. the trachea and bronchi
C. a catheter in the arm vein
D. the pleural surfaces
A. Arrange for directly observed therapy (DOT) by a public
health nurse Correct Answer A patient with active TB
continues to have positive sputum cultures after 6 months of
treatment. She says she cannot take the medication all the time.
What is the best action for the nurse to take?
A. Arrange for directly observed therapy (DOT) by a public
health nurse
B. Schedule the patient to come to the clinic every day to take
the medication.
C. Have a patient who has recovered from TB tell the patient
about his successful treatment
D. Schedule more teaching sessions so that the patient will
understand the risks of noncompliance.
A. Ask the client about color and quantity of sputum
D. Question the client about shortnes of breath Correct Answer
Which interventions should the nurse perform while collecting
subjective data from a client during a focused respiratory
assessment? Select all that apply.
A. Ask the client about color and quantity of sputum
B. Palpate the chest and back for massess
C. Check the H&H values
D. Question the client about shortnes of breath
,E. Inspect the skin and nails for integrity and color
A. Assessment
Collecting data for how many to take Correct Answer A nurse
identifies that a patient is unable to identify the correct number
of oral medications to take each morning. Which step of the
nursing process does this problem involve?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
A. Atelectasis Correct Answer Which would th nurse consider
to be a potential respiratory system-related complication of
surgery?
A. Atelectasis
B. Wound dehiscence
C. Hyperthermia
D. Shock
A. Avoiding any type of injury to the patient Correct Answer
What is the primary goal of the circulating nurse during
preparation of the operating room, transferring and positioning
the patient, and assisting the anesthesia team?
A. Avoiding any type of injury to the patient
B. Maintaining a clean environment for the patient
, C. Providing for patient comfort and sense of well-being
D. Preventing breaks in aseptic technique by the sterile members
of the team
A. Confusion Correct Answer A nurse is caring for an older
adult client who is physically frail and who has been in bed for
more than a week. Which of the following non-specific clinical
manifestations indicates to the nurse that the client is developing
pneumonia?
A. Confusion
B. Chest Pain
C. Chills
D. Cough
A. Contact and inform the provider about the temperature
Correct Answer A nurse records a patient's temperature just
prior to transferring a patient into the preanesthesia unit. The
patient's temperature is 102.2 degrees. What actions should the
nurse take?
A. Contact and inform the provider about the temperature
B. Transfer the client to the unit and notify the nurse receiving
the patient
C. Administer 650mg of acetaminophen and recheck the
temperature in 1 hour
D. Apply a cooling blanket and recheck the client's temperature
in 30 min
A. Decreased pH and metabolic acidosis Correct Answer A
nurse is caring for a client with the following arterial blood