327 EXAM 2 PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS| BRAND NEW VERSION!
A patient with emphysema informs the nurse, "The surgeon will be removing about 30% of my lung so
that I will not be so short of breath and will have an improved quality of life." What surgery does the
nurse understand the surgeon will perform? - CORRECT ANSWERS-A lung volume reduction
The nurse should monitor a client receiving mechanical ventilation for which of the following
complications? - CORRECT ANSWERS-Gastrointestinal hemorrhage
A client has a nursing diagnosis of ineffective airway clearance related to excessive mucus production.
The best short-term goal is for the client to - CORRECT ANSWERS-Report decreased
congestion
The nurse practitioner treats a patient diagnosed with the common cold by recommending the most
common treatment. What is that treatment? - CORRECT ANSWERS-Antihistamines
The nurse is caring for a client following a tonsillectomy and adenoidectomy. Two hours after the
procedure, the client begins to vomit large amounts of dark blood at frequent intervals and is
tachycardic and febrile. After notifying the surgeon, the nurse - CORRECT ANSWERS-obtains a
light, mirror, gauze, and curved hemostats.
A mechanically ventilated client is receiving a combination of atracurium and the opioid analgesic
morphine. The nurse monitors the client for which potential complication? - CORRECT
ANSWERS-Venous thromboemboli
An x-ray of a trauma client reveals rib fractures and the client is diagnosed with a small flail chest injury.
Which intervention should the nurse include in the client's plan of care? - CORRECT
ANSWERS-Suction the client's airway secretions.
, The nurse, caring for a patient with emphysema, understands that airflow limitations are not reversible.
The end result of deterioration is: - CORRECT ANSWERS-Respiratory acidosis.
A nursing student is taking a pathophysiology examination. Which of the following factors would the
student correctly identify as contributing to the underlying pathophysiology of chronic obstructive
pulmonary disease (COPD)? Choose all that apply.
Decreased goblet cells
Mucus secretions that block airways
Overinflated alveoli that impair gas exchange
Inflamed airways that obstruct airflow - CORRECT ANSWERS-Mucus secretions that block
airways
Overinflated alveoli that impair gas exchange
Inflamed airways that obstruct airflow
The nurse is assigned to care for a patient in the ICU who is diagnosed with status asthmaticus. Why
does the nurse include fluid intake as being an important aspect of the plan of care? (Select all that
apply.)
To loosen secretions
To facilitate expectoration
To assist with the effectiveness of the corticosteroids
To combat dehydration
To relieve bronchospasm - CORRECT ANSWERS-To combat dehydration
To loosen secretions
To facilitate expectoration
Limitations of Pulse Oximetry - CORRECT ANSWERS-anemia, abnormal hemoglobin, high
carbon monoxide level, the use of dyes (methylene blue), or if the patient has dark skin or is wearing nail
polish. Bright light, particularly sunlight, fluorescent and xenon lights also affect accuracy. SpO2 values
cannot reliably detect hypoventilation when oxygen is in use. HYPOTHERMIA, HYPOTENSION.