and Answers 2026 Exam
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A client diagnosed with chronic obstructive lung disease who is receiving
oxygen at 1.5 liters per minute via nasal cannula is complaining of
shortness of breath. What action should the nurse take? - ANSWER
✔✔Have the client breathe through pursed lips
The client is experiencing severe shortness of breath, but is not
cyanotic. What laboratory value should the nurse review in an attempt to
understand this phenomenon? - ANSWER ✔✔hemoglobin and
hematocrit
,A client has a medical condition that often results in the development of
metabolic acidosis. The nurse should observe this client for the
development of which breathing pattern as a result of this condition? -
ANSWER ✔✔Kussmauls
The nurse has just initiated oxygen by nasal cannula for a client with the
medical diagnosis of chronic obstructive pulmonary disease. What is the
nurses next action? - ANSWER ✔✔Pad the tubing where it contacts
the client's ears.
The nurse who is performing care for a client with a new tracheostomy
needs to change the ties.
What is the best method for changing these ties? - ANSWER
✔✔Have an assistant hold the tracheostomy tube in place, remove the
soiled ties, and replace the ties.
The nurse is planning the care of a client who has need for frequent
suctioning. What should the nurse delegate to the UAP? - ANSWER
✔✔Only oral suctioning
A client is experiencing atelectasis. The nurse anticipates that this client
will have an alteration in: - ANSWER ✔✔Ventilation
, A client is demonstrating signs of hypoxia. What laboratory value will
help the nurse determine the clients degree of effective gas exchange? -
ANSWER ✔✔arterial blood gas
The nurse is documenting the completion of tracheostomy suctioning
and tracheostomy care in a clients medical record. What should this
documentation include?
Standard Text: Select all that apply. - ANSWER ✔✔1) Lung sounds
before and after suctioning
2) Characteristics of suctioned sputum
3) Integrity of the skin around the stoma
4) Side on which the tracheostomy tie knot is located
5) Flow rate of oxygen
The nurse is attending to a client who was diagnosed with heart failure.
During the examination, the nurse observes that the client is dyspneic
with crackles upon auscultation. Which symptoms would manifest for a
client with excess fluid volume? - ANSWER ✔✔Hypertension
A client diagnosed with heart failure has been receiving intravenous (IV)
diuretics. Which finding would the nurse expect to assess from this client
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