NUR 211 Module 8 Exam – 76.25 ALL ANSWERS 100%
CORRECT SPRING FALL-2022 SOLUTION GUARANTEED
GRADE A+
Question 1 – Hinkle 634
Which outcome would be identified by the RN for the nursing diagnosis Ineffective
Breathing Pattern in a patient diagnosed with chronic obstructive pulmonary disease
(COPD)?
The patient will:
Maintain an oxygen saturation of 95% or greater on room air.
Have clear breath sounds in both upper and both lower lobes.
Demonstrate purse lip breathing.
Ambulate 100 feet without dyspnea.
Question 2 – Hinkle 571
Which nursing interventions should the RN implement to prevent atelectasis? Select all
that apply.
Obtain order for daily chest x-ray.
Assist with coughing and deep breathing exercises.
Change patient position frequently.
Limit the use of opioids to manage pain.
Encourage early ambulation.
Question 3 – Hinkle 583
Which etiology would the RN identify for the nursing diagnosis Imbalanced nutrition: less
than body requirements in a patient with pneumonia?
Shortness of breath.
Elevated body temperature.
Retained secretions.
Insensible fluid loss.
Question 4
The RN administers the prescribed sedation to the intubated patient with acute
respiratory distress syndrome (ARDS). What is the primary rationale for this intervention?
To decrease oxygen consumption.
To reduce the production of secretions.
To promote lung volume expansion.
To prevent mechanical ventilator malfunction.
Question 5
The RN is assessing a patient with pneumonia who is reporting chest pain during
inspiration and expiration. Which assessment data would be associated with this
symptom?
Muffled heart sounds.
Expiratory wheeze.
Absent breath sounds.
Pleural friction rub.
,Question 6 – Hinkle 611
The RN assesses a patient admitted to the Emergency Department following a motor
vehicle accident. The RN notes a paradoxical chest rise, multiple bruises across the chest
and torso, crepitus and tachypnea. Which intervention will the RN anticipate that the
patient will need first?
Administration of analgesics
Stabilization of the airway.
Insertion of a chest tube.
Application of a chest binder.
Question 7
Which patient would the RN identify as being at increased risk for aspiration?
The patient with a non functioning nasogastric tube.
The patient in a side lying position following an endoscopy.
The patient with a tube feeding with the head of the bed at a 45 degree angle.
The patient with an endotracheal tube with a cuff pressure of 25 cm H2O.
Question 8 – Hinkle 620 Chart 24-4
The patient diagnosed with chronic obstructive pulmonary disease (COPD) is being
discharged on a new medication, budesonide (Pulmicort), which is administered by a
metered dose inhaler.
Place the steps below in the order that the RN should use to instruct the patient in the
correct use of a metered dose inhaler.
1 Shake the inhaler.
2 Position the inhaler 1 to 2 inches away from the open mouth
3 Breathe in slowly and deeply while pressing on the inhaler.
4 Hold your breath for a few seconds and then exhale.
5 Rinse mouth.
Question 9 – Hinkle 936
Which information should the RN provide when educating a patient with chronic
obstructive pulmonary disease (COPD) that is prescribed two metered dose inhalers,
salmeterol and fluticasone?
Wait at least one minute between each medication.
Self-administer the bronchodilator last.
Exhale through the device after administering the medication.
Rinse the mouth after administering each medication.
Question 10
Which outcome is most appropriate for the nursing diagnosis Activity intolerance for the patient with
chronic obstructive pulmonary disease (COPD)?
The patient will:
Drink at least 2,500 mL of water each day.
Ambulate 100 feet without experiencing dyspnea
Demonstrate purse lip breathing.
Shower immediately after waking up in the morning.
, Question 11
The RN observes the unlicensed assistive personnel (UAP) removing the nasal cannula
from the patient with chronic obstructive pulmonary disease (COPD) while ambulating
the patient to the bathroom. Which action should the RN take?
Praise the UAP since this prevents the patient from tripping on the oxygen tubing.
Discuss the action of the UAP with the charge nurse so appropriate action can be taken.
Place the oxygen on the patient and speak to the UAP in private concerning their actions.
Explain to the UAP in front of the patient that oxygen must be left in place at all times.
Question 12
The charge nurse is making patient assignments. Which patient should the RN assign to
the licensed practical nurse (LPN)?
The patient with pneumonia who has a pulse oximetry reading of 90%.
The patient with a hemothorax who has a hemoglobin of 9 g/dL and hematocrit of 20%.
The patient who had a bronchoscopy 4 hours ago and has stable vital signs.
The patient with a chest tube who has jugular venous distention and a blood pressure of
96/60.
Question 13
Which assessment finding in the client diagnosed with COPD would support a nursing
diagnosis of Impaired gas exchange?
Use of pursed lip breathing and three-point positioning.
Coarse crackles in bilateral upper and bilateral lower lobes.
Oxygen saturation of 90% when at rest.
Capillary refill of less than 3 seconds on index finger.
Question 14
Which nursing interventions would the RN implement for a patient with a nursing
diagnosis of Risk for Bleeding related to thrombocytopenia? Select all that apply.
Administer aspirin to manage fever.
Apply pressure for 5 minutes to injections sites.
Measure temperature using a rectal thermometer.
Encourage a diet high in fiber.
Assess neurological status with vital signs.
Question 15
The patient who has had bariatric surgery is experiencing fatigue and paresthesias of the
feet. Which medication will the nurse adminsiter to manage these symptoms?
Folic acid
Ferrous sulfate
Corticosteroids
Vitamin B12
CORRECT SPRING FALL-2022 SOLUTION GUARANTEED
GRADE A+
Question 1 – Hinkle 634
Which outcome would be identified by the RN for the nursing diagnosis Ineffective
Breathing Pattern in a patient diagnosed with chronic obstructive pulmonary disease
(COPD)?
The patient will:
Maintain an oxygen saturation of 95% or greater on room air.
Have clear breath sounds in both upper and both lower lobes.
Demonstrate purse lip breathing.
Ambulate 100 feet without dyspnea.
Question 2 – Hinkle 571
Which nursing interventions should the RN implement to prevent atelectasis? Select all
that apply.
Obtain order for daily chest x-ray.
Assist with coughing and deep breathing exercises.
Change patient position frequently.
Limit the use of opioids to manage pain.
Encourage early ambulation.
Question 3 – Hinkle 583
Which etiology would the RN identify for the nursing diagnosis Imbalanced nutrition: less
than body requirements in a patient with pneumonia?
Shortness of breath.
Elevated body temperature.
Retained secretions.
Insensible fluid loss.
Question 4
The RN administers the prescribed sedation to the intubated patient with acute
respiratory distress syndrome (ARDS). What is the primary rationale for this intervention?
To decrease oxygen consumption.
To reduce the production of secretions.
To promote lung volume expansion.
To prevent mechanical ventilator malfunction.
Question 5
The RN is assessing a patient with pneumonia who is reporting chest pain during
inspiration and expiration. Which assessment data would be associated with this
symptom?
Muffled heart sounds.
Expiratory wheeze.
Absent breath sounds.
Pleural friction rub.
,Question 6 – Hinkle 611
The RN assesses a patient admitted to the Emergency Department following a motor
vehicle accident. The RN notes a paradoxical chest rise, multiple bruises across the chest
and torso, crepitus and tachypnea. Which intervention will the RN anticipate that the
patient will need first?
Administration of analgesics
Stabilization of the airway.
Insertion of a chest tube.
Application of a chest binder.
Question 7
Which patient would the RN identify as being at increased risk for aspiration?
The patient with a non functioning nasogastric tube.
The patient in a side lying position following an endoscopy.
The patient with a tube feeding with the head of the bed at a 45 degree angle.
The patient with an endotracheal tube with a cuff pressure of 25 cm H2O.
Question 8 – Hinkle 620 Chart 24-4
The patient diagnosed with chronic obstructive pulmonary disease (COPD) is being
discharged on a new medication, budesonide (Pulmicort), which is administered by a
metered dose inhaler.
Place the steps below in the order that the RN should use to instruct the patient in the
correct use of a metered dose inhaler.
1 Shake the inhaler.
2 Position the inhaler 1 to 2 inches away from the open mouth
3 Breathe in slowly and deeply while pressing on the inhaler.
4 Hold your breath for a few seconds and then exhale.
5 Rinse mouth.
Question 9 – Hinkle 936
Which information should the RN provide when educating a patient with chronic
obstructive pulmonary disease (COPD) that is prescribed two metered dose inhalers,
salmeterol and fluticasone?
Wait at least one minute between each medication.
Self-administer the bronchodilator last.
Exhale through the device after administering the medication.
Rinse the mouth after administering each medication.
Question 10
Which outcome is most appropriate for the nursing diagnosis Activity intolerance for the patient with
chronic obstructive pulmonary disease (COPD)?
The patient will:
Drink at least 2,500 mL of water each day.
Ambulate 100 feet without experiencing dyspnea
Demonstrate purse lip breathing.
Shower immediately after waking up in the morning.
, Question 11
The RN observes the unlicensed assistive personnel (UAP) removing the nasal cannula
from the patient with chronic obstructive pulmonary disease (COPD) while ambulating
the patient to the bathroom. Which action should the RN take?
Praise the UAP since this prevents the patient from tripping on the oxygen tubing.
Discuss the action of the UAP with the charge nurse so appropriate action can be taken.
Place the oxygen on the patient and speak to the UAP in private concerning their actions.
Explain to the UAP in front of the patient that oxygen must be left in place at all times.
Question 12
The charge nurse is making patient assignments. Which patient should the RN assign to
the licensed practical nurse (LPN)?
The patient with pneumonia who has a pulse oximetry reading of 90%.
The patient with a hemothorax who has a hemoglobin of 9 g/dL and hematocrit of 20%.
The patient who had a bronchoscopy 4 hours ago and has stable vital signs.
The patient with a chest tube who has jugular venous distention and a blood pressure of
96/60.
Question 13
Which assessment finding in the client diagnosed with COPD would support a nursing
diagnosis of Impaired gas exchange?
Use of pursed lip breathing and three-point positioning.
Coarse crackles in bilateral upper and bilateral lower lobes.
Oxygen saturation of 90% when at rest.
Capillary refill of less than 3 seconds on index finger.
Question 14
Which nursing interventions would the RN implement for a patient with a nursing
diagnosis of Risk for Bleeding related to thrombocytopenia? Select all that apply.
Administer aspirin to manage fever.
Apply pressure for 5 minutes to injections sites.
Measure temperature using a rectal thermometer.
Encourage a diet high in fiber.
Assess neurological status with vital signs.
Question 15
The patient who has had bariatric surgery is experiencing fatigue and paresthesias of the
feet. Which medication will the nurse adminsiter to manage these symptoms?
Folic acid
Ferrous sulfate
Corticosteroids
Vitamin B12
