RASMUSSEN College - MDC III EXAM 2 WITH COMPLETE SOLUTIONS 2024 latest update, Exams of Nursing

Download RASMUSSEN College - MDC III EXAM 2 WITH COMPLETE SOLUTIONS 2024 latest update and more Exams Nursing in PDF only on Docsity! RASMUSSEN College - MDC III EXAM 2 WITH COMPLETE SOLUTIONS 2024 latest update 1. A nursing student is teaching a client about their new diagnosis of pulmonary fibrosis. The student would include which of the following in their teaching? A. A sputum culture may show the presence of mycobacterium B. This is incurable, autosomal recessive genetic disease that affects many organs. C. Inflammation of the mucous membranes in the airways can trigger an attack. D. Most clients have progressive disease with a life expectancy of less than5 years. 2. A nurse is providing discharge instructions to a client recently diagnosed with Tb. Which statement by the client indicates correct understanding of the teaching? A. “I will follow up with my healthcare provider regularly.” B. “My family does not require testing” C. “I need to strictly adhere to my medication schedule.” D. “ I will avoid alcoholic beverages while on this treatment plan”. E. “ I will visit the clinic every week for injections of medication” 3. The nurse is teaching the client about post-rhinoplasty care. Which statement by the client indicates an understanding of the instructions? A. “ I should remain supine if possible.” B. “ I should take over-the counter-nonsteroidal anti-inflammatory drug ( NSAIDs).” c. “ I will have nasal packing and mustache dressing.” d. “ I will be able to breathe only from my nose” 4. Which statement from a client with seasonal influenza requires additional teaching? A. “ I’m contagious only when symptoms are present. B. “I can reduce my risk by implementing good hand hygiene.” C. I should receive a new influenza vaccine every year” D. “I can be diagnosed on presentation of symptoms” 5. A nurse is providing teaching to a client recently diagnoses with sleep apnea. Which of the following statements by the client indicates an understanding of the teaching. A. Sleep apnea only has an impact on my mental concentration.” B. “ I should contact the provider if my oxygen level is below 90%. C. “ I should begin treatment only if my snoring impacts my partner.” D. “ I should contact the provider for a prescription for sleep medication.” 6. A nurse is preparing to administer dextromethorphan 30mg PO now. The amount available is dextromethorphan oral liquid 7.5 mg/5ml. How many ml should the nurse administer per dose? ( Record answer as a whole number) 20 7. A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? SATA. A. Weight gain B. Wheezing C. Tachypnea 21. Which intervention promotes comfort in dyspnea management for a client with lung cancer? A. Provide supplemental oxygen via nasal cannula or mask B. Place the client in a supine position with a pillow under the knees and legs. C. Encourage exercise and independent ambulation around the room. D. Administer morphine only when the client request it 22. 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 23. 54. A nurse is caring for several older client in the hospital that the nurse identifies as being at high risk for healthcare-associated pneumonia. To reduce this risk, what activities should the nurse delegate to the unlicensed assistive personnel (UAP)? a. Provide oral care every 4 hours. b. Encourage between-meal snacks c. Report any new onset of cough d. Monitor temperature every 4 hour 24. . 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. Large amounts of thick mucus b. Barrel chest c. nutritional status d. clubbing of fingers 25. In planning care for a client with chronic obstructive pulmonary disease (COPD), the nurse acknowledges what statement is true regarding nutritional needs? a. COPD can Increase metabolism, and the client should consume supplements additional calories and protein. b. COPD has no effect on calories and protein needs, meal tolerance, appetite, and weight. c. A client with COPD should decrease intake of calories and protein as dyspnea causes activity intolerance. d. COPD can cause an anabolic state, which creates conditions for building strengths and body mass. 26. A nurse is providing education to a client recently diagnosed with pulmonary hypertension. What is the goal of drug therapy for this client? A. Increase the pulmonary vascular pressure to slow cor pulmonale. B. Increase the client’s systemic blood pressure with vasoconstriction. C. Reduce the pulmonary pressure to slow cor pulmonale. D. Decrease the client’s pain and make the client comfortable. 27. A nurse is caring for a client who has been diagnosed with chronic obstructive pulmonary disease. Which of the following would be a treatment priority for the client? A. Improve gas exchange. B. Blood pressure control. C. Prevention of infection. D. Increase activity level. 28. The nurse is caring for a client who was recently diagnosed with asthma and is providing education on triggers of asthma. Which of the following can potentially trigger the disease process? (SATA) A. Cigarette smoking B. Animal dander c. Pollution. d. Exercise e. Dust. 29. A 47-year-old male client 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 have gotten progressively worse. He states that it feels like his nose is blocked up all the time. Based on these symptoms, which of the following diagnostic tests would the nurse expect the provider to order? a. Liver function test b. Complete blood count c. Tumor mapping d. Computer tomography (CT) scan of the face 30. A client who has chronic obstructive pulmonary disease (COPD) and asthma is receiving oxygen at 2 liters per minute. A family member tells a nurse. ” My mother did not look good, so I turned her oxygen up to 7 liters”. Which of these nursing actions is best? a. Notify the healthcare provider immediately about the family member. b. Thank the family member and continue to observe the client on this oxygen level. c. Decrease the oxygen to 2 liters per minute and assess the client. d. Elevate the head of the bed to make the client more comfortable. 32. A nurse is caring for a client with cystic fibrosis. Which of the following are assessment findings for a client with this disorder? (Select all that apply.) a. Thick sticky mucus. b. Steatorrhea. c. Decrease forced vital capacity (FVC) d. Recurrent respiratory infections. e. Gastroesophageal reflux disease (GERD) 33. A client arrives in the emergency department with epistaxis. What is the nurse’s priority intervention? a. Position the client upright with the head forward. b. Monitor the color and the amount of blood. c. Apply an ice pack to the nose. d. Place the nasal packing. 34. a client has been taking isoniazid for 3 weeks. What information gathered by the public health nurse needs to be reported to the healthcare provider immediately? a. Client is drinking 4-6 alcoholic beverages per day. b. Client was recently started on varenicline to quit smoking. c. Client has been taking isoniazid daily as prescribed. d. Client smokes 1.5 packs cigarette per day. 36. The nurse is caring for a 60-year-old female client who presented to the emergency room status post motor vehicle accident. The client was an unrestrained passenger who hit the windshield and has multiple facial lacerations and dyspnea. Which is a priority nursing intervention for this client? a. Insert the intravenous catheter. b. Evaluate the pulse and blood pressure c. Assess and maintain the airways. d. Assess the client’s breathing pattern. 37. Anxiety is common among clients who are diagnosed with chronic obstructive pulmonary disease. Which of the following interventions can assist in reducing a client’s anxiety? (SATA.) a. Starting a vigorous exercise routine. b. Plan out periods of rest throughout the day. c. Professional counselling. d. Written plan for dealing with anxiety e. Relaxation techniques 38. A client presents with signs and symptoms that are often associated with lung cancer. Which clinical manifestations does the nurse expect to observe in this client? (SATA.) a. Hypothermia b. Hoarseness c. Peripheral edema d. Frank hemoptysis e. Chest tightness 39. A nurse is teaching a 78-year-old client about the importance of the pneumonia vaccination. Which statement by the client indicates an understanding of the teaching? a. “I ’ve already had pneumonia, so I only need one vaccination.” b. “I only need pneumonia vaccination upon admission to a nursing home.” c. “I need two different vaccinations to prevent pneumonia.” d. “Only the flu vaccination is recommended at my age.”