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NURS 324 - EXAM 1 - EVOLVE QUESTIONS NEWEST 2026
EXAM QUESTIONS LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
A client with respiratory failure has been intubated and placed on a ventilator
and is requiring 100% oxygen delivery to maintain adequate oxygenation.
Twenty-four hours later, the nurse notes new-onset crackles and decreased
breath sounds, and the most recent arterial blood gases (ABGs) show a PaO2
level of 95 mm Hg. The ventilator is not set to provide positive end-expiratory
pressure (PEEP). Why is the nurse concerned?
A. The low PaO2 level may result in oxygen toxicity.
B. The 100% oxygen delivery requirement indicates immediate extubation.
C. Lung sounds may indicate absorption atelectasis.
D. The level of oxygen delivery may indicate absorption atelectasis.
C. Lung sounds may indicate absorption atelectasis.
A client who has experienced a panic attack is being transferred to the
medical-surgical ward. The transfer nurse reports that the client is doing much
better after receiving bronchodilators via nebulizer and a small dose of oral
diazepam (Valium) 4 hours ago in the emergency department. Vital signs are
stable with oxygen delivered at 4 L/min via simple facemask. Why is this client
at high risk for subsequent respiratory distress?
A. The client is not being treated for asthma.
B. The client has a mental disorder.
C. The client received a dose of Valium.
D. The client is receiving oxygen at 4 L/min.
D. The client is receiving oxygen at 4 L/min.
A client with a tracheostomy is at increased risk for aspiration. Which nursing
interventions will reduce this risk? (Select all that apply.)
A. Encourage frequent sipping from a cup.
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B. Encourage water with meals.
C. Inflate the tracheostomy cuff during meals.
D. Maintain the client upright for 30 minutes after eating.
E. Provide small, frequent meals.
F. Teach the client to "tuck" the chin down in the forward position to swallow.
D. Maintain the client upright for 30 minutes after eating.
E. Provide small, frequent meals.
F. Teach the client to "tuck" the chin down in the forward position to swallow.
The nursing assistant has taken vital signs of the ventilated postoperative
client who has had radical neck surgery. What does the nurse tell the assistant
to be especially vigilant for?
A. Continuous oozing of bright-red blood
B. Decreased level of consciousness
C. Effective pain management
D. Heart rate and blood pressure trending up over several hours
A. Continuous oozing of bright-red blood
The nurse answers a client's call light and realizes that the client has an upper
airway obstruction. What is the nurse's first action?
A. Attempt to remove the obstruction.
B. Call the Rapid Response Team to intubate immediately.
C. Call the Rapid Response Team to perform an emergency cricothyroidotomy.
D. Determine the cause of the obstruction.
D. Determine the cause of the obstruction.
Which two factors in combination are the greatest risk factors for head and
neck cancer?
A. Alcohol and tobacco use
B. Chronic laryngitis and voice abuse
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C. Marijuana use and exposure to industrial chemicals
D. Poor oral hygiene and use of chewing tobacco
A. Alcohol and tobacco use
The nurse is planning care for the non-English-speaking client who is on
complete voice rest. What alternative method of communication does the
nurse implement?
A. Alphabet board
B. Picture board
C. Translator at the bedside
D. Word board
B. Picture board
Which clinical manifestation requires immediate action by the nurse for a
client with laryngeal trauma?
A. Aphonia
B. Hemoptysis
C. Hoarseness
D. Tachypnea
D. Tachypnea
The nurse is assessing a client who underwent nasoseptoplasty 24 hours ago.
Which finding requires immediate intervention by the nurse?
A. Ecchymosis
B. Edema
C. Excessive swallowing
D. Sore throat
C. Excessive swallowing
A client has received packing for a posterior nosebleed. In reviewing the
client's orders, which order does the nurse question?
A. "Give ibuprofen 800 mg every 8 hours as needed for pain."
B. "Encourage bedrest, with the head of the bed elevated 45 to 60 degrees."
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C. "Provide humidified air."
D. "Suction at the bedside."
A. "Give ibuprofen 800 mg every 8 hours as needed for pain."
Which clinical manifestation in the client with facial trauma is the nurse's first
priority?
A. Bleeding
B. Decreased visual acuity
C. Pain
D. Stridor
D. Stridor
A client admitted for sleep apnea asks the nurse, "Why does it seem like I
wake up every 5 minutes?" What is the nurse's best response?
A. "Because your body isn't getting rid of carbon dioxide. This is what
stimulates your body to wake up and breathe."
B. "Because your body isn't getting enough oxygen. Not getting enough
oxygen is what stimulates you to wake up and breathe."
C. "Because your tongue may be blocking your throat, and you wake up
because you are choking."
D. "It isn't really that often. It just feels that way."
A. "Because your body isn't getting rid of carbon dioxide. This is what stimulates your
body to wake up and breathe."
Which statement by a client with a laryngectomy indicates a need for further
discharge teaching?
A. "I must avoid swimming."
B. "I can clean the stoma with soap and water."
C. "I can project mucus when I laugh or cough."
D. "I can't put anything over my stoma to cover it."
D. "I can't put anything over my stoma to cover it."
A client is scheduled for a total laryngectomy. Which statement by the client
indicates the need for further teaching about the procedure?
NURS 324 - EXAM 1 - EVOLVE QUESTIONS NEWEST 2026
EXAM QUESTIONS LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
A client with respiratory failure has been intubated and placed on a ventilator
and is requiring 100% oxygen delivery to maintain adequate oxygenation.
Twenty-four hours later, the nurse notes new-onset crackles and decreased
breath sounds, and the most recent arterial blood gases (ABGs) show a PaO2
level of 95 mm Hg. The ventilator is not set to provide positive end-expiratory
pressure (PEEP). Why is the nurse concerned?
A. The low PaO2 level may result in oxygen toxicity.
B. The 100% oxygen delivery requirement indicates immediate extubation.
C. Lung sounds may indicate absorption atelectasis.
D. The level of oxygen delivery may indicate absorption atelectasis.
C. Lung sounds may indicate absorption atelectasis.
A client who has experienced a panic attack is being transferred to the
medical-surgical ward. The transfer nurse reports that the client is doing much
better after receiving bronchodilators via nebulizer and a small dose of oral
diazepam (Valium) 4 hours ago in the emergency department. Vital signs are
stable with oxygen delivered at 4 L/min via simple facemask. Why is this client
at high risk for subsequent respiratory distress?
A. The client is not being treated for asthma.
B. The client has a mental disorder.
C. The client received a dose of Valium.
D. The client is receiving oxygen at 4 L/min.
D. The client is receiving oxygen at 4 L/min.
A client with a tracheostomy is at increased risk for aspiration. Which nursing
interventions will reduce this risk? (Select all that apply.)
A. Encourage frequent sipping from a cup.
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B. Encourage water with meals.
C. Inflate the tracheostomy cuff during meals.
D. Maintain the client upright for 30 minutes after eating.
E. Provide small, frequent meals.
F. Teach the client to "tuck" the chin down in the forward position to swallow.
D. Maintain the client upright for 30 minutes after eating.
E. Provide small, frequent meals.
F. Teach the client to "tuck" the chin down in the forward position to swallow.
The nursing assistant has taken vital signs of the ventilated postoperative
client who has had radical neck surgery. What does the nurse tell the assistant
to be especially vigilant for?
A. Continuous oozing of bright-red blood
B. Decreased level of consciousness
C. Effective pain management
D. Heart rate and blood pressure trending up over several hours
A. Continuous oozing of bright-red blood
The nurse answers a client's call light and realizes that the client has an upper
airway obstruction. What is the nurse's first action?
A. Attempt to remove the obstruction.
B. Call the Rapid Response Team to intubate immediately.
C. Call the Rapid Response Team to perform an emergency cricothyroidotomy.
D. Determine the cause of the obstruction.
D. Determine the cause of the obstruction.
Which two factors in combination are the greatest risk factors for head and
neck cancer?
A. Alcohol and tobacco use
B. Chronic laryngitis and voice abuse
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C. Marijuana use and exposure to industrial chemicals
D. Poor oral hygiene and use of chewing tobacco
A. Alcohol and tobacco use
The nurse is planning care for the non-English-speaking client who is on
complete voice rest. What alternative method of communication does the
nurse implement?
A. Alphabet board
B. Picture board
C. Translator at the bedside
D. Word board
B. Picture board
Which clinical manifestation requires immediate action by the nurse for a
client with laryngeal trauma?
A. Aphonia
B. Hemoptysis
C. Hoarseness
D. Tachypnea
D. Tachypnea
The nurse is assessing a client who underwent nasoseptoplasty 24 hours ago.
Which finding requires immediate intervention by the nurse?
A. Ecchymosis
B. Edema
C. Excessive swallowing
D. Sore throat
C. Excessive swallowing
A client has received packing for a posterior nosebleed. In reviewing the
client's orders, which order does the nurse question?
A. "Give ibuprofen 800 mg every 8 hours as needed for pain."
B. "Encourage bedrest, with the head of the bed elevated 45 to 60 degrees."
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C. "Provide humidified air."
D. "Suction at the bedside."
A. "Give ibuprofen 800 mg every 8 hours as needed for pain."
Which clinical manifestation in the client with facial trauma is the nurse's first
priority?
A. Bleeding
B. Decreased visual acuity
C. Pain
D. Stridor
D. Stridor
A client admitted for sleep apnea asks the nurse, "Why does it seem like I
wake up every 5 minutes?" What is the nurse's best response?
A. "Because your body isn't getting rid of carbon dioxide. This is what
stimulates your body to wake up and breathe."
B. "Because your body isn't getting enough oxygen. Not getting enough
oxygen is what stimulates you to wake up and breathe."
C. "Because your tongue may be blocking your throat, and you wake up
because you are choking."
D. "It isn't really that often. It just feels that way."
A. "Because your body isn't getting rid of carbon dioxide. This is what stimulates your
body to wake up and breathe."
Which statement by a client with a laryngectomy indicates a need for further
discharge teaching?
A. "I must avoid swimming."
B. "I can clean the stoma with soap and water."
C. "I can project mucus when I laugh or cough."
D. "I can't put anything over my stoma to cover it."
D. "I can't put anything over my stoma to cover it."
A client is scheduled for a total laryngectomy. Which statement by the client
indicates the need for further teaching about the procedure?
