NUR2502 MDC3 Exam 2
The nurse has identified a nursing diagnosis of ineffective airway clearance with
bronchospasms for client with pneumonia. What nursing intervention will help to
conduct refractive air clearance for a client with pneumonia?
A. increase liters of humidified oxygen perfect marks
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
C. Handheld bronchodilator always as needed
D. Prednisone via inhaler or IV to reduce the inflammation - CORRECT ANSWER-B.
Scheduled and PRN albuterol nebulizer bronchodilator treatment
The nurse is teaching a client about post-rhinoplasty care. Which statement by the
clients indicate an understanding of the instructions? SATA
A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
C. There will be swelling that will cause a loss of sense of smell
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
F. I will be able to breathing only from my nose
G. I should take a stool softener to prevent straining during bowel movements -
CORRECT ANSWER-A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
G. I should take a stool softener to prevent straining during bowel movements
A 27yr old male presents to the E.R with difficulty breathing, respiratory rate is 36 bpm,
O2 is 85% on RA. Breaths are diminished bilaterally. Which of the following is a nursing
intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV - CORRECT ANSWER-B. Secure the airway
Nurse is teaching a client with COPD about energy conservation. What does the nurse
advise the patient to avoid?
A. performing activities at a relaxed pace through the day with rest periods
B. Working on activities that require using the arms at chest level or lower
C. Eating 3 large meals per day
D. Talking and performing activity separately - CORRECT ANSWER-C. Eating 3 large
meals per day
,Which statement by the patient indicates understanding about radiation therapy for neck
cancer?
A. I will need to wear sunscreen or protect my skin with clothing at all times/ my cousin
may initially be hoarse but should improve over time
B. There are not side effects other than a hoarse voice
C. Radiation does not cause a dry mouth
D. My throat is not directly affected by radiation - CORRECT ANSWER-A. I will need to
wear sunscreen or protect my skin with clothing at all times/ my cousin may initially be
hoarse but should improve over time
Which intervention promotes comfort in dyspnea management for a patient with lung
cancer?
A. Administer morphine on a routine, scheduled basis
B. Place the patient in a supine position with a pillow under the knees and legs
C. Encourage coughing, deep breathing and independence ambulation
D. Provide nitroglycerine as prescribed/provide supplemental oxygen via nasal cannula
or mask - CORRECT ANSWER-A. Administer morphine on a routine, scheduled basis
A client with chronic bronchitis often shows signs of hypoxia. Which of the following is
the priority to monitor for in this client?
A. O2 levels
B. Barrel chest
C. Nutritional Status
D. Clubbing of fingers - CORRECT ANSWER-A. O2 levels
Which of the following positions offers no benefit to relieve dyspnea in a client with
chronic air flow limitation?
A. sitting at the edge of the chair, leaning forward with his arms folded and resting on a
table
B. A low- semi reclining positions with shoulders back and niche apart
C. Leaning forward in a chair with feet spread apart and elbows placed on knees
D. upright with head slightly flexed, with feet spread apart and shoulders relaxed -
CORRECT ANSWER-B. A low- semi reclining positions with shoulders back and niche
apart
The nurse knows that which of the following test is not used to identify potential
tuberculosis
A. sputum culture
B. Chest x-ray
C. Mantoux skin test
D. Saliva swab - CORRECT ANSWER-D. Saliva swab
37 year old male client presented to the emergency room with complaints of nasal,
facial pain and bloody discharge. He states the symptoms started approx. 3 mon ago
has gotten worse. He states that he feels like his nose is blocked up all the time. Based
, on symptoms which of the following diagnosis test would the nurse anticipate to
provide?
A. CT scan of the face
B. Liver function test
C. complete blood counts
D, Tumor mapping - CORRECT ANSWER-A. CT scan of the face
Patient with cystic fibrosis is admitted to the medicare surgical unit for elective surgery.
Which infection control measure is best for the patients?
A. Best to put 2 clients with CF in the same room
B. Standard precautions, including handwashing are sufficient
C. Client to be placed on contact isolation
D. Measure that limit close contacts between 2 people with CF are needed - CORRECT
ANSWER-B. Standard precautions, including handwashing are sufficient
A nurse is caring for a client with end stage emphysema. All of the following are
expected findings except?
A. Increase CO2
B. Decrease PO2
C. decreased pH
D. Increased pH
e. Decreased CO2 - CORRECT ANSWER-C. decreased pH
e. Decreased CO2
nurse is caring for a client who was recently diagnosed with asthma and is providing
education on causes and triggers of asthma. Which of the factors is not responsible for
triggering the disease process?
A. Dust/air pollutants
B. Frequent sinus infections
C. Cigarette smoking
D. Animal dander
E. obesity
F. Genetics - CORRECT ANSWER-B. Frequent sinus infections
E. obesity
F. Genetics
Nurse is helping a client learn about managing their asthma. What does the nurse
instruct the client to do?
A. Keep symptoms diary to identify what triggers the asthma attack
B. make an appointment with an allergist for allergies
C. Take a low-dose of aspirin every day for the anti-inflammatory action
D. Drink large amounts of clear fluid to keep mucus thin and watch free - CORRECT
ANSWER-A. Keep symptoms diary to identify what triggers the asthma attack
A nurse is caring for a client who has been diagnosed with COPD. Which of the
following should be a treatment priority for this client?
The nurse has identified a nursing diagnosis of ineffective airway clearance with
bronchospasms for client with pneumonia. What nursing intervention will help to
conduct refractive air clearance for a client with pneumonia?
A. increase liters of humidified oxygen perfect marks
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
C. Handheld bronchodilator always as needed
D. Prednisone via inhaler or IV to reduce the inflammation - CORRECT ANSWER-B.
Scheduled and PRN albuterol nebulizer bronchodilator treatment
The nurse is teaching a client about post-rhinoplasty care. Which statement by the
clients indicate an understanding of the instructions? SATA
A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
C. There will be swelling that will cause a loss of sense of smell
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
F. I will be able to breathing only from my nose
G. I should take a stool softener to prevent straining during bowel movements -
CORRECT ANSWER-A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
G. I should take a stool softener to prevent straining during bowel movements
A 27yr old male presents to the E.R with difficulty breathing, respiratory rate is 36 bpm,
O2 is 85% on RA. Breaths are diminished bilaterally. Which of the following is a nursing
intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV - CORRECT ANSWER-B. Secure the airway
Nurse is teaching a client with COPD about energy conservation. What does the nurse
advise the patient to avoid?
A. performing activities at a relaxed pace through the day with rest periods
B. Working on activities that require using the arms at chest level or lower
C. Eating 3 large meals per day
D. Talking and performing activity separately - CORRECT ANSWER-C. Eating 3 large
meals per day
,Which statement by the patient indicates understanding about radiation therapy for neck
cancer?
A. I will need to wear sunscreen or protect my skin with clothing at all times/ my cousin
may initially be hoarse but should improve over time
B. There are not side effects other than a hoarse voice
C. Radiation does not cause a dry mouth
D. My throat is not directly affected by radiation - CORRECT ANSWER-A. I will need to
wear sunscreen or protect my skin with clothing at all times/ my cousin may initially be
hoarse but should improve over time
Which intervention promotes comfort in dyspnea management for a patient with lung
cancer?
A. Administer morphine on a routine, scheduled basis
B. Place the patient in a supine position with a pillow under the knees and legs
C. Encourage coughing, deep breathing and independence ambulation
D. Provide nitroglycerine as prescribed/provide supplemental oxygen via nasal cannula
or mask - CORRECT ANSWER-A. Administer morphine on a routine, scheduled basis
A client with chronic bronchitis often shows signs of hypoxia. Which of the following is
the priority to monitor for in this client?
A. O2 levels
B. Barrel chest
C. Nutritional Status
D. Clubbing of fingers - CORRECT ANSWER-A. O2 levels
Which of the following positions offers no benefit to relieve dyspnea in a client with
chronic air flow limitation?
A. sitting at the edge of the chair, leaning forward with his arms folded and resting on a
table
B. A low- semi reclining positions with shoulders back and niche apart
C. Leaning forward in a chair with feet spread apart and elbows placed on knees
D. upright with head slightly flexed, with feet spread apart and shoulders relaxed -
CORRECT ANSWER-B. A low- semi reclining positions with shoulders back and niche
apart
The nurse knows that which of the following test is not used to identify potential
tuberculosis
A. sputum culture
B. Chest x-ray
C. Mantoux skin test
D. Saliva swab - CORRECT ANSWER-D. Saliva swab
37 year old male client presented to the emergency room with complaints of nasal,
facial pain and bloody discharge. He states the symptoms started approx. 3 mon ago
has gotten worse. He states that he feels like his nose is blocked up all the time. Based
, on symptoms which of the following diagnosis test would the nurse anticipate to
provide?
A. CT scan of the face
B. Liver function test
C. complete blood counts
D, Tumor mapping - CORRECT ANSWER-A. CT scan of the face
Patient with cystic fibrosis is admitted to the medicare surgical unit for elective surgery.
Which infection control measure is best for the patients?
A. Best to put 2 clients with CF in the same room
B. Standard precautions, including handwashing are sufficient
C. Client to be placed on contact isolation
D. Measure that limit close contacts between 2 people with CF are needed - CORRECT
ANSWER-B. Standard precautions, including handwashing are sufficient
A nurse is caring for a client with end stage emphysema. All of the following are
expected findings except?
A. Increase CO2
B. Decrease PO2
C. decreased pH
D. Increased pH
e. Decreased CO2 - CORRECT ANSWER-C. decreased pH
e. Decreased CO2
nurse is caring for a client who was recently diagnosed with asthma and is providing
education on causes and triggers of asthma. Which of the factors is not responsible for
triggering the disease process?
A. Dust/air pollutants
B. Frequent sinus infections
C. Cigarette smoking
D. Animal dander
E. obesity
F. Genetics - CORRECT ANSWER-B. Frequent sinus infections
E. obesity
F. Genetics
Nurse is helping a client learn about managing their asthma. What does the nurse
instruct the client to do?
A. Keep symptoms diary to identify what triggers the asthma attack
B. make an appointment with an allergist for allergies
C. Take a low-dose of aspirin every day for the anti-inflammatory action
D. Drink large amounts of clear fluid to keep mucus thin and watch free - CORRECT
ANSWER-A. Keep symptoms diary to identify what triggers the asthma attack
A nurse is caring for a client who has been diagnosed with COPD. Which of the
following should be a treatment priority for this client?
