NUR 134 TEST 2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION

NUR 134 TEST 2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION A nurse is reviewing information with a client who is scheduled for pulmonary function tests. Which of the following statements should the nurse make? A. "Do not use inhaler medications for 6 hr following the test." B. "Do not smoke tobacco for 6 to 8 hr prior to the test." C. "You will be asked to bear down and hold your breath during the test." D. "The arterial blood flow to your hand will be evaluated as part of the test." - (ANS) B A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse report to the provider? A. Blood-tinged sputum B. Dry, nonproductive cough C. Sore throat D. Bronchospasms - (ANS) D A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should the nurse ensure are in the client's room? Select all that apply. A. Oxygen equipment B. Incentive spirometer C. Pulse oximeter D. Sterile dressing E. Suture removal kit - (ANS) A, C, D A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client upright, leaning over the bedside table. B. Explain the procedure to the client. C. Perform an Allen's test on the client. D. Administer benzocaine spray to the client. - (ANS) A A nurse is assessing a client following a thoracentesis. Which of the following findings should the nurse report? Select all that apply. A. Dyspnea B. Localized bloody drainage on the dressing C. Fever D. Hypotension E. Report of pain at the puncture site - (ANS) A, C, D A nurse is preparing to care for a client who is having a chest tube placed. Which of the following items should be available in the client's room? Select all that apply. A. Oxygen B. Sterile water C. Enclosed hemostat clamps D. Indwelling urinary catheter E. Occlusive dressing - (ANS) A, B, C, E A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following actions should be included in the plan of care? Select all that apply. A. Encourage the client to cough and deep breathe. B. Check for continuous bubbling in the suction chamber. C. Strip the chest tube drainage tubing every 4 hr. D. Clamp the chest tube once a day. E. Obtain a chest x-ray. - (ANS) A, B, E A nurse is caring for a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. In what order should the nurse perform the following actions? 1. Assess respiratory status. 2. Apply sterile gauze to the insertion site. 3. Obtain a chest x-ray. 4. Place tape around the insertion site. - (ANS) 2, 4, 1, 3 A nurse is assessing a client who has a chest tube and drainage system in place. Which of the following are expected findings? Select all that apply. A. Continuous bubbling in the water seal chamber B. Gentle constant bubbling in the suction control chamber C. Rise and fall in the level of water in the water seal chamber with inspiration and expiration. D. Exposed sutures without dressing E. Drainage system upright at chest level - (ANS) B, C A nurse is assisting a provider with the removal of a chest tube. Which of the following actions should the nurse take? A. Instruct the client to lie prone with arms by the sides. B. Complete a surgical checklist on the client. C. Remind the client that there is minimal discomfort during the removal process. D. Place an occlusive dressing over the site once the tube is removed. - (ANS) D A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which of the following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client? A. Non-rebreather mask B. Nasal cannula C. Venturi mask D. Tracheostomy collar - (ANS) C A nurse is caring for a client who is experiencing respiratory distress. Sort the following manifestations of hypoxemia by whether it is an early or late manifestation of hypoxemia. 1. Early manifestation 2. Late manifestation A. Cyanosis B. Tachycardia C. Tachypnea D. Anxiety and restlessness E. Bradycardia - (ANS) Early manifestation: B, C, D Late manifestation: A, E A nurse is caring for a group of clients who require mechanical ventilation. Match each type of support with its description. 1. Positive end expiratory pressure (PEEP) 2. Airway pressure release ventilation (APRV) 3. Independent lung ventilation (ILV) 4. Synchronized intermittent mandatory ventilation (SIMV) 5. Continuous positive airway pressure (CPAP) A. Requires two ventilators B. Added to ventilator settings to treat persistent hypoxemia C. Ventilator rate and tidal volume are preset, and the rate and volume of client-initiated breaths are controlled by the client. D. Allows alveolar gas to be expelled using the natural recoil of the lungs E. Ventilator only delivers breaths when used with SIMV - (ANS) A3, B1, C4, D2, E5