NURS 1102 Passpoint - Respiratory {Revised} – Fairleigh Dickinson University | NURS1102 Passpoint - Respiratory {A Grade}

NURS 1102 Passpoint-Respiratory – Fairleigh Dickinson University 200+ pages of Questions and answers Question 1 See full question A client with asthma has been taking theophylline as ordered. Now, the client's blood theophylline level is 4.8 mcg/ml. Which dosage change will the physician order? You Selected: • Maintain the dose. Correct response: • Increase the dose. Explanation: Remediation: Question 2 See full question A nurse notices that a client admitted for exacerbation of chronic obstructive pulmonary disease is short of breath. The client has signed an advance directive indicating that he doesn't want to be resuscitated. The nurse should: You Selected: • not provide any care. Correct response: • check the client's oxygen saturation. Explanation: Remediation: Question 3 See full questionThe nurse is teaching a client who will be undergoing a lung resection. The client is told that two chest tubes will be placed during surgery. The nurse explains that the purpose of the lower chest tube is to: You Selected: • remove air. Correct response: • remove fluid. Explanation: Remediation: Question 4 See full question The nurse is planning to teach the client how to properly use a metered-dose inhaler to treat asthma. The nurse should tell the client to: You Selected: • cough and deep-breathe before inhaling the medication. Correct response: • rinse the mouth after each use of a steroid inhaler. Explanation: Question 5 See full question The nurse has administered aminophylline to a client with emphysema. The medication is effective when there is: You Selected: • efficient pulmonary circulation. Correct response: • relaxation of smooth muscles in the bronchioles.Explanation: Question 6 See full question An adolescent with cystic fibrosis has been hospitalized several times. On the latest admission, the client has labored respirations, fatigue, malnutrition, and failure to thrive. Which initial nursing actions are most important? You Selected: • applying an oximeter and initiating respiratory therapy Correct response: • applying an oximeter and initiating respiratory therapy Explanation: Remediation: Question 7 See full question After a total laryngectomy, the client has a feeding tube. The feeding tube is effective if the tube feedings: You Selected: • prevent fistula formation. Correct response: • meet the fluid and nutritional needs of the client. Explanation: Remediation: Question 8 See full question A client with bacterial pneumonia is to be started on IV antibiotics. Which diagnostic tests must be completed before antibiotic therapy begins? You Selected:• red blood cell count Correct response: • sputum culture Explanation: Remediation: Question 9 See full question The nurse assesses the respiratory status of a client who is experiencing an exacerbation of chronic obstructive pulmonary disease (COPD) secondary to an upper respiratory tract infection. Which findings is expected? You Selected: • coarse crackles and rhonchi Correct response: • coarse crackles and rhonchi Explanation: Remediation: Question 10 See full question A client is prescribed metaproterenol via a metered-dose inhaler, two puffs every 4 hours. The nurse instructs the client to report which adverse effect? You Selected: • decreased pulse rate Correct response: • irregular heartbeat Explanation: Question 11 See full questionA client who underwent a lobectomy and has a water-seal chest drainage system is breathing with a little more effort and at a faster rate than 1 hour ago. The client's pulse rate is also increased. The nurse should: You Selected: • check the tubing to ensure that the client is not lying on it or kinking it. Correct response: • check the tubing to ensure that the client is not lying on it or kinking it. Explanation: Remediation: Question 12 See full question Which action should the nurse anticipate in a client who has been diagnosed with acute respiratory distress syndrome (ARDS)? You Selected: • use of a nasal cannula Correct response: • mechanical ventilation Explanation: Remediation: Question 13 See full question When performing the Heimlich maneuver on a conscious adult victim, the rescuer delivers inward and upward thrusts specifically: You Selected: • above the umbilicus. Correct response:• below the xiphoid process and above the umbilicus. Explanation: Remediation: Question 14 See full question While reviewing the arterial blood gas values of a client with emphysema, the nurse should identify which PaCO2 values as indicating the need for immediate intervention? You Selected: • 80 mm Hg Correct response: • 80 mm Hg Explanation: Remediation: Question 15 See full question An expected outcome of theophylline ethylenediamine when administered to a client with chronic obstructive pulmonary disease is: You Selected: • strengthen myocardial contractions. Correct response: • relax bronchial smooth muscle. Explanation: Question 16 See full question After suctioning a client’s tracheostomy tube, the nurse waits a few minutes before suctioning again. The nurse should use intermittent suction primarily to help prevent: You Selected:• depriving the client of sufficient oxygen supply. Correct response: • depriving the client of sufficient oxygen supply. Explanation: Remediation: Question 17 See full question Which assessment finding puts a client at increased risk for epistaxis? You Selected: • History of nasal surgery Correct response: • Cocaine use Explanation: Remediation: Question 18 See full question A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on continuous mechanical ventilation. Which equipment is most important for the nurse to keep at this client's bedside? You Selected: • Oxygen analyzer Correct response: • Manual resuscitation bag Explanation: Remediation:Question 19 See full question A client is receiving supplemental oxygen. When determining the effectiveness of oxygen therapy, which arterial blood gas value is most important? You Selected: • Bicarbonate (HCO3–) Correct response: • Partial pressure of arterial oxygen (PaO2) Explanation: Remediation: Question 20 See full question A client with influenza is admitted to an acute care facility. The nurse monitors the client closely for complications. What is the most common complication of influenza? You Selected: • Pulmonary edema Correct response: • Pneumonia Explanation: Remediation: Question 21 See full question A home health nurse is visiting a home care client with advanced lung cancer. Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of 10 breaths/minute. These signs are associated with which condition? You Selected: • DeliriumCorrect response: • Hypoxia Explanation: Remediation: Question 22 See full question The amount of air inspired and expired with each breath is called: You Selected: • vital capacity. Correct response: • tidal volume. Explanation: Remediation: Question 23 See full question For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the care plan? You Selected: • Keeping the collection chamber at chest level Correct response: • Measuring and documenting the drainage in the collection chamber Explanation: Remediation: Question 24 See full questionBefore weaning a client from a ventilator, which assessment parameter is the most important for the nurse to obtain? You Selected: • Electrocardiogram (ECG) results Correct response: • Baseline arterial blood gas (ABG) levels Explanation: Remediation: Question 25 See full question A nurse provides care for a client receiving oxygen from a nonrebreather mask. Which nursing intervention has the highest priority? You Selected: • Posting a "No smoking" sign over the client's bed Correct response: • Assessing the client's respiratory status, orientation, and skin color Explanation: Remediation: Question 26 See full question A nurse is developing a teaching plan for a client with asthma. Which teaching point has the highest priority? You Selected: • Avoid goose down pillows. Correct response: • Take ordered medications as scheduled.Explanation: Remediation: Question 27 See full question During the insertion of a rigid scope for bronchoscopy, a client experiences a vasovagal response. The nurse should expect: You Selected: • the client to experience bronchodilation. Correct response: • a drop in the client's heart rate. Explanation: Remediation: Question 28 See full question When caring for a client with acute respiratory failure, the nurse should expect to focus on resolving which set of problems? You Selected: • Hypotension, hyperoxemia, and hypercapnia Correct response: • Hypercapnia, hypoventilation, and hypoxemia Explanation: Remediation: Question 29 See full question Which intervention is most appropriate for a client with an arterial blood gas (ABG) of pH 7.5, a partial pressure of arterial carbon dioxide (PaCO2) of 26 mm Hg, oxygen (O2) saturation of 96%, bicarbonate (HCO3-) of 24 mEq/L, and a PaO2 of 94 mm Hg?You Selected: • Administer an ordered decongestant. Correct response: • Instruct the client to breathe into a paper bag. Explanation: Remediation: Question 30 See full question Which statement by the mother of a neonate diagnosed with bronchopulmonary dysplasia (BPD) indicates effective teaching? You Selected: • "My baby may have seizures later on in life because of this condition." Correct response: • "My baby may require long-term respiratory support." Explanation: Remediation: Question 31 See full question What is an expected outcome for an adult client with well-controlled asthma? You Selected: • Temperature remains lower than 100° F (37.8° C). Correct response: • Breath sounds are clear. Explanation: Remediation:Question 32 See full question When attempting to check the pupils of a client scheduled to receive general anesthesia, the nurse notices that the client has trouble tilting the head back. What is the primary concern related to this finding? You Selected: • The client is at risk for postoperative neck pain. Correct response: • The client is at risk for difficult intubation. Explanation: Remediation: Question 33 See full question A nurse is caring for a client with pneumonia who was prescribed ceftriaxone oral suspension 600 mg once daily. The medication label indicates that the strength is 125 mg/5 ml. How many milliliters of medication would the nurse pour to administer the correct dose? Record your answer as a whole number. Your Response: • 24 Correct response: • 24 Explanation: Remediation: Question 34 See full question Which of the following may occur with respiratory acidosis? You Selected:• Decreased pulse Correct response: • Increased intracranial pressure (ICP) Explanation: Remediation: - - - - - - - - - - Continued