Download Nurs-B260 Fundamentals Exam #3 Practice Questions well answered and more Exams Nursing in PDF only on Docsity! Nurs-B260 Fundamentals Exam #3 Practice Questions A nurse is caring for a client who has nausea and is vomiting. The nurse should identify the client is at risk for which of the following acid-base imbalances? a. respiratory alkalosis b. respiratory acidosis c. metabolic alkalosis d. metabolic acidosis c. metabolic alkalosis We have an expert-written solution to this problem! A nurse is planning to provide preoperative teaching for a client. Which of the following actions should the nurse plan to take? a. Start with the least important information b. Provide educational material written at an eighth grade level c. Ensure privacy for the client d. Dim the lights in the client's room c. Ensure privacy for the client A nurse is assessing a client who is receiving a unit of PRBCs. Which of the following findings is a manifestation of an allergic transfusion reaction? a. Elevated BP b. Wheezing c. Distended neck veins d. Flank pain b. Wheezing A nurse is caring for a client who is receiving a continuous IV infusion through a short-peripheral device. Which of the following actions should the nurse take? a. Change the client's IV tubing every 96 hours b. Check the client's IV site every 8 hours c. Replace client's transparent IV dressing every 24 hours d. Ensure client's IV solution is changed every 48 hours a. Change the client's IV tubing every 96 hours A nurse is assessing a client two has respiratory acidosis. Which of the following findings should the nurse expect? a. dry skin b. lethargy c. numbness of fingers d. abdominal pain b. lethargy A nurse is assisting with the care of a client who has metabolic alkalosis. Which of the following actions should the nurse take? a. Plan to administer sodium bicarbonate to the client b. Have the client breathe into a paper bag c. Encourage the client to breathe slowly d. Place the client on seizure precautions d. Place the client on seizure precautions b. discussion A nurse is caring for a client who is receiving a continuous IV through a peripheral intravenous device. The nurse notes the catheter site is warm and painful to touch. Which of the following actions should the nurse take? a. Place the affected extremity below the level of the client's heart b. Apply a warm compress to the IV site c. Place a pressure dressing over the IV site d. Slow the IV infusion b. Apply a warm compress to the IV site A nurse is planning to administer a unit of PRBCs for a client. Which of the following actions should the nurse plan to take? a. Flush the transfusion tubing with 5% dextrose in water b. Administer the blood transfusion over 1 hour c. Ensure 2 nurses check the label on the unit of blood d. Stay with the client for the first 10 minutes after starting the transfusion c. Ensure 2 nurses check the label on the unit of blood A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning? a. Ask the client to demonstrate walking with crutches b. Show the client a video of walking with crutches c. Describe the steps of walking with crutches d. Encourage the client to ask questions about walking with crutches a. Ask the client to demonstrate walking with crutches A nurse is teaching a client who wishes to stop smoking cigarettes. Which of the following teaching methods uses the affective domain of learning? a. Review strategies for smoking cessation with the client b. Create short term goals to assist the client in smoking cessation c. Discuss the benefits of smoking cessation with the client d. Encourage the client to share their feelings about smoking cessation d. Encourage the client to share their feelings about smoking cessation A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing? a. Return demonstration b. Role play c. Discussion d. Question and answer a. Return demonstration A nurse is preparing to teach a client who has impaired cognition. Which of the following actions should the nurse include in the plan? a. Avoid making eye contact with the client during the education session b. Involve the client's family in the educational session c. Speak quickly to the client d. Provide long educational sessions b. Involve the client's family in the educational session A nurse is teaching a newly licensed nurse about a non rebreather oxygen mask. Which of the following instructions should the nurse include? a. Use a nonrebreather mask to deliver low flow oxygen b. A nonrebreather mask dries a client's mucous membrane c. The reservoir bag on a nonrebreather mask should collapse with exhalation d. A nonrebreather mask should fit snugly over a client's face d. A nonrebreather mask should fit snugly over a client's face A nurse is teaching a client who has a new colostomy. Which of the following outcomes should the nurse expect? a. increase in need for pain medication b. report of empowerment c. increase in length of care in the health care facility d. report of anxiety b. report of empowerment A nurse is teaching a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include? a. Use petroleum based ointments to moisturize lips b. Keep oxygen tanks 4 ft away from an electric stove c. Store oxygen tanks upright d. Choose a wool blanket when using oxygen c. Store oxygen tanks upright Which of the following findings require further action by the nurse? (select all that apply) a. Temperature 99.5F b. Respirations of 10/min A nurse is assessing a client who is experiencing anxiety. Which of the following findings should the nurse expect? a. Hyperventilation b. Bradycardia c. Peripheral vasodilation d. Drowsiness a. Hyperventilation A nurse is caring for a client who is receiving a continuous infusion through a peripheral IV device. The nurse notes the catheter site is cool, swollen, blanched and painful to touch. Which of the following actions should the nurse take first? a. Slow the IV infusion rate b. Place a pressure dressing over the IV site c. Aspirate fluid from the IV cannula d. Place the affected extremity below the level of the client's heart c. Aspirate fluid from the IV cannula (to remove fluid that could cause further damage) A nurse is planning to calculate a client's cardiac output. Which of the following data should the nurse obtain to calculate the cardiac output? a. respiratory rate b. temperature c. heart rate d. blood pressure c. heart rate A nurse is caring for a client who has netabolic alkalosis. Which of the ofllowing actions should the nurse take? a. have the client breathe into a paper bag b. encourage the client to breathe slowly c. place the client on seizure precautions d. plan to administer sodium bicarbonate to the client c. place the client on seizure precautions Which of the following place the client at an increased risk for heart disease? a. history of hypertension b. history of smoking c. daily exercise d. history of rheumatoid arthritis e. increased cholesterol level f. high fasting glucose level a. history of hypertension b. history of smoking e. increased cholesterol level A nurse is teaching a client how to perform a dressing change. The nurse asks the client to explain the information in their own words. Which of the following types of teaching methods is the nurse utilizing? a. teach back b. role ply c. lecture d. question and answer a. teach back A patient is admitted to the hospital with severe dyspnea and wheezing. ABG levels on admission are: pH 7.21, PaCO2 53 mmHg, PaO2 66 mmHG, and HCO3- 24. The nurse interprets these values to indicate which acid base imbalance? respiratory acidosis A patient is hyperventilating from acute pain. Interventions to manage his pain and oxygenation will decrease his risk of which acid-base imbalance? respiratory alkalosis We have an expert-written solution to this problem! A client presents to the ED after 48 hours of severe diarrhea. ABG results show: pH 7.3, CO2 38, HCO3 18. Which Acid Base Imbalance is this patient experiencing? metabolic acidosis A nurse teaches a client how to use an incentive spirometer. Which projected client outcome supports the conclusion that the use of the incentive spirometer was effective? a. expiratory volume will be decreased b. inspiratory volume will be increased c. sputum will be expectorated d. coughing will be stimulated b. inspiratory volume will be increased An incentive spirometer measures a. how long the patient can hold their breath b. the patient's inspiratory volume A primary health-care provider prescribes oxygen for a client to be delivered at a high flow rate. Which additional nursing action is necessary when implementing a high-liter flow as opposed to a low-liter flow? a. attaching a flowmeter to the wall outlet b. providing oral hygiene whenever necessary c. using an oil-based lubricant when caring for the nares d. humidifying oxygen before it is delivered to the client d. humidifying oxygen before it is delivered to the client A nurse is teaching a client how to use an incentive spirometer. Which position should the nurse assist the client to assume during this procedure? a. sitting b. side-lying c. orthopneic d. low-fowler a. sitting Which is the most important action by the nurse after a client has a chest tube inserted to treat a pneumothorax? a. ensure client's intake is at least 3,000mL of fluid per 24 hours b. provide client with adequate medication for pain relief c. maintain the integrity of the client's chest tube d. reposition the client every 2 hours c. maintain the integrity of the client's chest tube A nurse is caring for a client who has a chest tube after thoracic surgery. Which of the following should the nurse implement when caring for this client? Select all that apply. a. encourage the client to cough and deep breathe at regular intervals b. clamp the tube when providing for activities of daily living c. position of the collection device below the level of the chest d. maintain an airtight dressing over the puncture wound e. empty the drainage from the device once every shift f. avoid using pins to secure tubing a. encourage the client to cough and deep breathe at regular intervals c. position of the collection device below the level of the chest d. maintain an airtight dressing over the puncture wound f. avoid using pins to secure tubing A nurse is caring for a client receiving oxygen via a nasal cannula. Which of the following should the nurse implement? Select all that apply. a. Apply a water-based lubricant to the client's nares b. Adjust the flowmeter to the prescribed oxygen flow rate c. Reassess nares/ cheeks/ and ears for signs of pressure every 2 hours d. Place the nasal prongs so that they curve downward when in the nares e. Loop the tubing over the client's ears and adjust it gently under the chin ABCDE Which of the following indicates normal respiratory function? a. symmetrical chest expansion b. nasal flaring c. use of accessory muscles d. lip pursing a. symmetrical chest expansion We have an expert-written solution to this problem! When palpitating the thorax, which of the following would be an abnormal finding? a. tenderness b. pulsations c. masses d. all of the above d. all of the above We have an expert-written solution to this problem! When percussing the thorax, which of the following would be a normal finding? a. dullness over the lung fields b. resonance over the lung fluids c. dullness over the ribs, heart, diaphragm d. B & C d. B & C We have an expert-written solution to this problem! Normal breath sounds include: a. vesicular sounds b. rhonchi c. wheezes d. crackles a. vesicular sounds When auscultating the lungs, it is important to: a. rales b. bounding pulse c. tachycardia d. bulging neck veins c. tachycardia A patient is admitted to the hospital and is currently receiving hypertonic fluids. Nursing management for the client includes monitoring for all of the following potential complications except: a. water intoxication b. fluid volume excess c. cellular dehydration d. cell shrinkage a. water intoxication (Water intoxication is a potential complication associated with hypotonic fluid administration) A patient is scheduled to receive an isotonic solution; which one of the following is an example of such a solution? a. D10 Dextrose b. 0.45% saline c. 0.9% saline d. 3% saline c. 0.9% saline (0.45% is hypotonic and 3% is hypertonic) Which of the following arterial blood gas (ABG) values indicates uncompensated metabolic alkalosis? a. pH 7.48, PaCO2 42, HCO3 30 b. pH 7.48, PaCO2 46, HCO3 30 c. pH 7.48, PaCO2 34, HCO3 20 d. pH 7.48, PaCO2 34, HCO3 26 a. pH 7.48, PaCO2 42, HCO3 30 The body's compensation of metabolic alkalosis involves: a. increasing the respiratory rate b. decreasing the respiratory rate c. increasing urine output d. decreasing urine output b. decreasing the respiratory rate When assessing a patient for metabolic alkalosis, the nurse would expect to find: a. low potassium b. changes in urine output c. hypotension d. increased CVP a. low potassium (aka hypokalemia) Which of the following blood products should be infused rapidly? a. packed RBCs b. fresh frozen plasma c. platelets d. dextran c. platelets Which of the following statements provides the rationale for using a hypotonic solution for a patient with FVD (fluid volume deficit)? a. A hypotonic solution provides free water to help the kidneys eliminate the solute b. A hypotonic solution supplies an excess of sodium in chloride ions c. excessive volumes are recommended in the early postoperative period d. a hypotonic solution is used to treat hyponatremia a. A hypotonic solution provides free water to help the kidneys eliminate the solute