Download NUR 2502 & MDC3 Exam 2 Review: 65 Questions & Answers and more Exams Nursing in PDF only on Docsity!
2024 - 2025 NUR 2502 EXAM 2/ MDC3 EXAM 2/
QUESTIONS WITH CORRECT VERIFIED ANSWERS AND
ADDITONAL REVIEW QUESTIONS /MULTIDIMENSIONAL
CARE 3 EXAM 2 |ALREADY GRADED A+|RASMUSSEN
COLLEGE
- A client with chronic bronchitis often shows signs of hypoxia. Which of the following is the priority to monitor for in this client? a. oxygen saturation level. b. Barrel chest c. nutritional status d. clubbing of fingers
- Which of the following positions offers no benefit to relieve dyspnea in a client with chronic Air flow limitation? a. Sitting at the edge of the chair, leaning forward with his arms folded and resting on a table. b.A low- semi reclining position with the shoulders back and niche apart. c. Leaning forward in a chair with feet spread apart and elbows placed on knees. d. Upright with head slightly flexed, with feet spread apart and shoulders relaxed.
- The nurse knows that which of the following test is not used to identify potential tuberculosis (TB) a. Sputum culture b. chest Xray c. Mantoux skin test d. saliva swab
- The nurse has identified a nursing diagnosis of ineffective airway Clarence with Bronchospasms for a client with pneumonia. What nursing intervention will help to conducts refractive airway Clarence for a client with pneumonia? a. Increase liters of humidified oxygen perfect marks b. scheduled and PRN albuterol nebulizer bronchodilator treatment c. Handheld bronchodilator always as needed d. Prednisone via inhaler or IV to reduce the inflammation
- The nurse Is teaching a client about post-rhinoplasty care. Which statement by the clients indicates an understanding of the instructions? 556 a. I will have a very large dressing on my nose b. I may have a very dry mouth and throat c. there will be swelling that will cause a loss of sense of smell d. my nose will be 3 times its normal size for three weeks
e. I will have bruising around my eyes, nose, and face. f. I should limit coughing, sneezing, and blowing my nose. g. I will be able to breathe only from my nose h. I should take over the counter NSAIDs for pain i. I should remain supine if possible. j. I should take a stool softener to prevent straining during bowel movements.
- A 27 - year-old Male presents to the emergency Department with difficulty breathing, is respiratory rate is 36 per minute and pause oximeter reading is 85% on room air appears assessments is breaths and a diminished bilaterally which of the following is a nursing intervention priority? a. Completes patient history b. secure the airway c. draw labs d. starts an IV
- The nurse Is teaching a client with COPD about energy conservation. What does the nurse advise the patient to avoid? a. Performing activities at a relaxed pace throughout the day with rest periods b. working on activities that require using the arms at chest level or lower c. eating three large meals per day d. talking and performing activity separately
- Which statement by the client indicates understanding about radiation therapy for neck cancer? a. I will need to wear sunscreen or protect my skin with clothing at all times / my voice may initially be hoarse but should improve overtime. b. there are no side effects other than a hoarse voice c. radiation does not cause a dry mouth d. my throat is not directly affected by radiation
- Which intervention promotes comfort in dyspnea management for a patient with lung cancer? a. Administer morphine on a routine, scheduled basis. b. place the patient in a supine position with a pillow under the knees and legs c. encourage coughing and deep breathing and independence ambulation d. provide Nitroglycerine as prescribed/ provide supplemental oxygen via nasal cannula or mask
- A 37 - year-old male clients presented to the emergency room with complaints of nasal and facial pain and bloody discharge. He states the symptoms started approximately three months ago and I've got sent progressively worse. He states that it feels like his nose is blocked up all the time. Based on these symptoms which of the following diagnosis test what did nurse anticipate provide that to order? a. CT scan of the face b. liver function test
d. Tumor mapping
- The client with cystic fibrosis is admitted to the Medicare surgical unit for elective surgery. Which infection control measure is best for the patients? online a. It is best to put two clients with CF in the same room b. Standard precautions, including handwashing, are sufficient c. The client to be placed on contact isolation d. Measures that limit close Contacts between two people with CF are needed
- A Nurse is caring for client with end stage emphysema. All of the following are expected finding except? a. Increase CO b. decrease P O c. decreased pH d. increased pH e. decrease co f. decreased CO
- The nurse is caring for a client who was recently diagnosed with asthma and is providing education on causes and triggers of asthma. Which of the factors is not responsible for the triggering the disease process? a. Dust or air pollutants- it is b. frequent sinus infections c. cigarette smoking- it is d. animal dander- it is e. obesity f. genetics- gentic asthma is a thing
- The nurse Is helping a client learn about managing their asthma. What does the nurse instruct the client to do? 568 a. Keep a symptoms diary to identify what triggers the asthma attack b. make an appointment with an allergist for allergies c. take a low-dose of aspirin every day for the anti-inflammatory action d. drink large amounts of clear fluid to keep Mucus thin and watch free.
- A nurse Is caring for a client who has been diagnose with chronic obstructive pulmonary disease. Which of the following should be a treatment priority for this client? a. improve gas exchange b. increase activity level c. blood pressure control d. prevention of infection
- The nurse is providing discharge instruction for a client diagnosed with pneumonia. Which information is the nurse sure to include? class a. Complete antibiotics as prescribed, rest, drink fluids, and minimize contact with crowds. b. Take all antibiotics as ordered, resume all activity as before hospitalization. c. No restrictions regarding activities, diet, and rest because the client is fully recovered when discharge. d. Continue antibiotics only also no further sign of pneumonia is present avoid exposing immunosuppressant individuals.
- A nurse is Caring for a client who recently underwent a laryngectomy for neck cancer. which of the following multidimensional nursing strategy can be used to care of these clients? (Select all that apply.) 552 a. alternative means of communication b. diet modification c. Oral cares d. pain management e. Aerobic exercise
- A Patient with a recent diagnosis of sinus cancer states that he want another cause of antibiotics because he believes he has another sinus infection. What is the best nurse response? a. I will call the physician to request an order for the antibiotics b. why are you doubting your doctor's diagnosis? c. let me bring you a brochure about sinus cancer d. what education did the doctor provide to you about your condition
- A patient presented to the emergency room with difficulty breathing. Upon examination, the client has pus behind the tonsil and swelling on the right side of her neck. She is diagnosed with a peritonsillar abscess. Which of the following is a treatment priority for the patient? a. Maintain a patient airway b. oxygen therapy c. analgesics d. antibiotics: bacteria
- A nurse is Provide education recently diagnosed with pulmonary hypertension. What is the goal of drug therapy for these clients? a. Dilate pulmonary vessel and prevent clot formation b. Decrease pain and make the client comfortable c. Improve or maintain gas exchange d. Maintain and manage pulmonary exacerbation.
- A nurse is Caring for a client with chronic obstructive pulmonary disease. The client asked the nurse what the treatment options are. All of the following are considered to treat the disease excep t.
- A client Is experiencing a sudden asthma attack. Which assessment finding does the nurse expect for this patient? 556 a. Slow, deep, pursed-lip respirations b. breathlessness and difficulty completing sentences c. clubbing of the fingers and cyanosis of the nailbeds d. bradycardia an irregular pulse
- The nurse is assessing a client who report being struck in the face and head several times. During the assessment, the nurse observes pink-tinged drainage from the client nares. which of the nurse action provides relevant assessment data? 556 a. Have the client gently blow their nose and observe the bloody mucus. b. Test the drainage with a reagent to check the pH c.Ask the client to describe the appearance of the face before the injury d. place a drop of the drainage on filter paper and look for a yellow ring 556
- What should the nurse instructed the clients to do when using an incentive spirometer device? a. inhale deeply and exhale forcefully through the device b. put lips on the device and slowly inhale as long as possible c. use pursed lip within before and after usage d. exhale slowly through the nose, and then inhale by sniffing
- The nurse plans for all of the following nursing care interventions that should be included for a client who is diagnosed with nasal fracture except? a. Prepare the patient for surgery b. pack nasal cavity c. Provide emotional supports d. manage pain
- A 32 - year-old male presented to the emergency department status post-motor vehicle accident. He was the unrestrained driver who hit a ….. He has lacerations on his face and blood coming from his nose. Based on the events and assessment findings, which of the following disorders is the client exhibiting? a. Head cancer b. Sinus cancer c. Nasal fracture d. Epistaxis
- You are caring for a client who was recently diagnosed with cystic fibrosis. Which of the following is a treatment option for this patient? a. Tracheostomy b. weight reduction
c. nebulizer treatments/ Chest physiotherapy d. pain management
- A nurse is caring for a client with cystic fibrosis. Which of the following findings are common assessment findings for a client with the disorder? (Select all that apply) a. Headache b. foul smelling, pale tool with high fat content c. hyperglycemia d. weight gain e. distended abdomen f. gastroesophageal reflux g. cough with sputum production h. low O2 saturation
- In planning care for a client with COPD which chronic difficulty breathing the nurse acknowledge what condition is present in the client? a. Decreased levels of calories and protein since dyspnea cause activity intolerance b. COPD has no effect on calorie and protein needs, milk tolerance, appetite and weight c. COPD causes an increased metabolism and the need for additional calories and protein supplements d.Anabolic state, which creates conditions for building body strength and muscle mass.
- You are providing discharge education to a client with chronic obstructive pulmonary disease. Which of the following would be a treatment priority for this client? a. Prevention of respiratory infection b. energy conservation c. weight loss d. yearly influenza vaccination
- The client with chronic asthma ask the nurse, what does it mean that my doctor said I have a barrel chest? What is the best respond by the nurse? class a. your chest has become barrel shaped because you breathe hard, and your muscles have increased the force b. when a person has chronic asthma, air gets trapped in the lungs, and this gradually change the first 2 black sheep in your chest c. it is nothing to worry about. It's just mean that because you have COPD, your chest looks like a barrel d. I’ll ask did doctor to come back and explain it to you. It is scary when strange terms are used.
a. Maintain a patent airway b. pain management c. prepare the patient for testing d. draw labs
- A client presents with sign and symptoms that are often associated with lung cancer. Which clinic car manifestation does the nurse expect to observe in these clients? a. Hemoptysis, hoarseness, cough, and shortness of breath b.Abdominal distention, steatorrhea, and dyspnea c. Wheezing, Clubbing of the nails, cyanosis and dyspnea d. fever, fatigue display near and peripheral edema
- Which of the following common problems associated with cystic fibrosis in adults? 582 a. Obesity b. impaired glucose control (diabetes Mellitus happens, also osteoporosis/bone fractures!) c. hypotension/hypertension/ d.Asthma
- The nurse is performing Medication teaching for a client with chronic air flow limitation. What is the correct sequence for administering inhaled medications? a. Bronchodilator should be taken 5 to 10 minutes after the steroid b. bronchodilator should be taken at least 5 minutes before the inhaled drug c. bronchodilator should be taken immediately after the steroid d. bronchodilator and steroid are two different classes of drugs so sequence is irrelevant
- The nurse knows That's which of the following medication are used to treats a client experiencing an asthma attack? (Select all that apply) a. antibiotics b. beta blockers c. bronchodilators d. long-acting beta-agonists e. steroids
- The nurse knows which of the following is the purpose of a fluticasone inhaler for a client with asthma? a. Relax smooth muscles of the airway b. act as a bronchodilator in severe episode c. reduce obstruction of the airways by decreasing inflammation d. reduces the histamine effect of the triggering agents
- A client asks a positive skin test results from TB. what explanation does the nurse give to the clients?
a. There is active disease, but you are not infectious to others
a. Using modafinil (Provigil) can cure my obstructive sleep apnea b. It is possible that my sleep apnea will be corrected if I exercise and watch my diet c. I will stop using my continuous positive airway pressure machine if it makes too much noise d. I should wait to take my sleep aid until I am ready for bed.
- A nurse admits a client from the emergency department with new onset of dyspnea and productive cough with suspected pneumonia. The client has an oxygen saturation of 96% on 2L of O2 via nasal canula, and crackles in bilateral lung bases. Oral temperature 98.9 F, heart rate 103, respiratory rate
- The provider enters the following orders, which will the nurse perform First? a. Collect blood sample for complete blood count b.Administer PO antipyretic for temperature over 101 degrees 101 degrees Fahrenheit c.Administer broad spectrum antibiotic through IV d. Collect sputum sample for culture
- A nurse is providing discharge instructions to a client recently diagnosed with Tuberculosis (TB). Which statements by the client indicates the need for further teaching? a. I will continue treatment for my TB for 26 weeks b. My family is not at risk and does not require testing c. I will follow up with my healthcare providers regularly d. I will avoid alcoholic beverage while on this treatment plan
- The nurse is caring for a client with a diagnosis of asthma. The nurse notes wheezing throughout the lung fields, decreased pulse oxygen saturation, and suprasternal retraction inhalation. Which is the priority action by the nurse based on these findings? a. Administer oxygen and a rescue inhaler b. Call a Code Blue and begin CPR c.Assess for a midline trachea d. Perform peak expiratory flow readings.
- A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3g/ ml. how many ml should the nurse administer per dose?
- A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What information gathered by the public health nurse need to be reported to the healthcare provider immediately. a. Client has been taking isoniazid daily as prescribed b. Client smokes 1.5 packs of cigarettes per day c. Client is drinking 4 - 6 alcoholic beverages per day d. Client was recently started on Chantix to quit smoking
- An 84 - year-old client is diagnosed with rhinosinusitis. The nurse questions which medication that she sees on the client’s PRN medication list?
a. Analgesic b. Nasal spray c.Antihistamine d.Antipyretic.
- A client is assessing a client with pneumonia and notes decreased lung sounds on the left side and decreased lung expansion. What is the nurse’s priority action? a. Check oxygen saturation and notify the health care provider b. Perform an arterial blood gas analysis c. Have the client cough and deep breathe d. Increase oxygen flow to 10/min
- A pulmonary nurse cares for patients who have chronic obstructive pulmonary disease (COPD). Which patient would the nurse assess first? a. A 46 - year-old with a 30 - pack-year history of smoking b.A 52 - year-old in a tripod position using accessory muscles to breathe c.A 68 - year-old who has dependent edema and clubbed fingers d.A 74 - year-old with a chronic cough and thick, tenacious secretions.
- A patient has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority? a. Educating the patient on adherence to the treatment regimen. b. Encouraging the patient to eat a well-balanced diet c. Informing the patient about follow-up sputum cultures d. Teaching the patient ways to balance rest with activity.
- After teaching a patient who is prescribed a long-acting beta2 agonist medication, a nurse assesses the patients understanding. Which statement indicates that the patient comprehends the teaching? a. I will carry this medication with me at all times in case I need it b. I will take this medication when I start to experience an asthma attack c. I will take this medication every morning to help prevent an acute attack d. I will be weaned off this medication when I no longer need it. (These are additional questions that were gathered in my quest to review and confirm the above document.) A nurse is providing discharge instructions to a client recently diagnosed with tuberculosis (TB). Which statement by the client indicate correct understanding of the teaching? (Select all that apply) a) “I need to strictly adhere to my medication schedule.” (6mos-2yr tx plan)
5. A nurse is caring for a client who is one-hour post-op following a thoracentesis. Which of the following is a priority assessment finding? a) persistent cough (indicates tension pneumothorax) 6. Which of the following nursing care interventions should not be included for a client who is diagnosed with a nasal fracture (Select One) a) Prepare the patient for surgery b) Manage pain c) Oxygen delivered vias nasal cannula (nothing in nose, no packing, no nasal canula) d) Provide emotional support 7. Which of the following assessment findings are expected for a client with asthma? (Select all that apply) (S/S: audible wheeze, increased respiratory rate, dyspnea, coughing, SOB, chest tightness, increased mucus) a) Dyspnea b) Wheezing c) Warm pink skin d) Decreased respiratory rate 8. Logan, a 27-year-old male presents to the emergency department with difficulty breathing. His respiratory rate is 36 per minute and pulse oximeter in 85% on room air. He appears anxious. Upon assessment, his breathing diminished bilaterally. Which of the following is a nursing intervention priority? (Select One) a) Secure the airway (ABC’s) b) Draw labs c) Start an IV d) Complete client history 9. Anxiety is a common amongst clients are diagnosed with chronic obstructive pulmonary disease. All of the following interventions can assist in reducing the client's anxiety, except? (Select One) a) Relaxation techniques b) Written plan for dealing with anxiety c) Increase activity (decrease activity and plan rest periods) d) Professional counseling 10. You are caring for a client who recently underwent a tracheostomy. Which of the following is a nursing intervention priority for post-operative care? (Select One) a) Pain management (comes after airway and breathing) b) Oxygen administration (administer if needed after confirmed patent airway) c) Turn and reposition (maintain airway and reposition for effective breathing) d) Maintain client airway (ABC’s- airway) 11. A nurse is caring for a client recently diagnosed with a lung cancer. Which of the following are treatment options for this client? (Select all that apply) a) Pneumonectomy (surgical removal of 1 lung) b) Chemotherapy (Nonsurgical targeted therapy effective for Small Cell Lung Cancer) c) Thoracotomy (surgical procedure for lung cancer)
d) Radiation (Non-surgical effective for localized cancers confined within chest)
12. Which of the following is not a treatment option for a client with facial fractures? (Select One) (Maintain airway, emergency intubation, tracheotomy, or cricothyroidotomy, Fixed occlusions, Internal fixations, bone grafting) a) Suture lacerations b) Internal fixation c) Pain Management d) Blood transfusion 13. A nurse is caring for a client diagnosed with pneumonia. All of the following are anticipated interventions, except? (Select One) a) Pain management b) Oxygen therapy c) Coughing and deep breathing d) Antibiotics 14. Repeated question 15. A nurse caring for a 56-year-old male client recently diagnosed with neck cancer. Which of the following assessment findings is not consistent with this diagnosis? (Select One) (refer to Nolesfan112233 quizlet for all S/S) a) Dry cough b) Sore throat c) Hoarseness d) Ear pain 16. A 68 - year-old male presents to the emergency department with fatigue. His respiratory rate is 36 per minute and labored, and pulse oximeter is 88% on room air. The patient has a history of hypertension, diabetes, and smoking. Based on his current condition. Which of the following tests would you not anticipate the physician will order? (Select one) a) Chest x-ray b) Electrocardiogram c) Arterial blood gas d) Sputum culture (because tb, pneumonia and other bacterial infection isn’t suspected) 17. Which of the following should not be included in the education for a client who has been diagnosed with obstructive sleep apnea? (Select One) a) “You may require surgical intervention.” b) Use sleep aids (need to avoid sleep aides and sedatives) c) Weight reduction d) Use of CPAP machine 18. Which of the following are treatment options for a client who is diagnosed with a nasal fracture? (Select One) a) Tracheotomy b) Silver nitrate c) Nasal packing d) Rhinoplasty
26. The nurse is caring for a client who was recently diagnosed with asthma. Which of the following interventions will be included in the care of this client? (Select all that apply) a) Instruct the patient on pursed lipped breathing (manages SOB) b) Monitor arterial blood gas c) Keep head of bed flat (semi-fowler is preferred) d) Monitor vital signs 27. Repeat question # 28. All of the following are nursing car interventions for a client with chronic obstructive pulmonary disease, except? (Select One) a) Suctioning b) Oxygen therapy c) Breathing exercises d) Low-calorie diet (due to an increase metabolism, a higher calorie diet is necessary) 29. Which of the following tests is utilized to diagnose pulmonary fibrosis? (Select One) a) Complete blood count b) Chest x-ray c) Sweat chloride test d) High-resolution computed tomography (Pulmonary function tests show decreased forced vital capacity (FVC). High-resolution computed tomography (HRCT) shows a “honeycomb” pattern in affected lung tissue) 30. Which of the following is not a treatment option for tuberculosis? (Select One) a) Thoracotomy (a small opening to help drain the lungs) b) Droplet Isolation precautions (airborne exclusive, practice all safety precautions, air, drop and contact) c) Chest physiotherapy d) Antimicrobial therapy (antivirus and antibacterial tx’s) 31. A nurse is caring for a patient with chronic obstructive pulmonary disease. The client asked the nurse what the treatment options are. All of the following are utilized to treat this disorder, except? (Select One) a) Chest physiotherapy (indirect way to help secretion removal) b) Noninvasive ventilation (uses positive pressure to keep alveoli open and improve gas exchange without the dangers of intubation) c) Tracheotomy (used mainly when airway is completely blocked) d) Corticosteroids (reduce inflammation) 32. Joe, a 64-year-old male, has been admitted to your unit with a difficulty breathing. Joe has a history of chronic obstructive pulmonary disease. Upon arrival to your unit, joe appears short of breath on 4L/min via nasal cannula. All of the following should be priority to closely monitored for this client, except? (Select One) (COPD affects gas exchange and the oxygenation of all tissues. Complications include hypoxemia, acidosis, respiratory infection, cardiac failure, dysrhythmias, and respiratory failure) a) Blood pressure b) Cardiac rhythm c) Pulse oximetry
d) Respiratory rate
33. Which of the following medications are not used to treat a client experiencing an acute asthma attack? (Select all that apply) a) Bronchodilators b) Antibiotics (asthma is a reversable and intermittent airway obstruction, not bacteria related) c) Steroids d) Beta-blockers 34. Status asthmaticus is a severe life-threatening condition that requires prompt intervention. True 35. A nursing priority for a patient with Epistaxis is to control the bleeding. True 36. Emphysema is classified as panlobular, centrilobular, and paraseptal. True 37. Nasal and sinus cancer are caused by smoking True 38. Cystic Fibrosis is a genetic disorder with no cure True 39. Bronchitis is an inflammation of the bronchi and bronchioles caused by exposure to irritants especially cigarette smoke True
