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RNSG 1343complex final review 2020
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RNSG 1343complex final review 2020The nurse is assessing patients with acid-base imbalances. Which patient has a diagnosis that correctly
correlates with the patient’s manifestation?
-Patient A has metabolic acidosis.
How often does the nurse assess wound healing in a postoperative patient after the health care provider
removes the initial dressing? Record your answer using a whole number. Every 8 hours
The nurse is preparing a patient for thoracentesis. What action does the nurse take?
-Ensures that all personnel and assistants wear goggles and masks
A patient who had an earlier bronchoscopy has the following vital signs: heart rate 132, respiratory rate 26,
and blood pressure 98/50. The patient is anxious and his skin is cyanotic. What is the nurse's first action?
Administer Oxygen
The patient expresses a desire to quit smoking but says the depression and irritation experienced with
withdrawal have made past attempts unsuccessful. Which therapy does the nurse recognize that may be
beneficial? Bupropion
The RN has received report about all of these patients. Which patient needs the most immediate
assessment?
-Patient with acute asthma who has an oxygen saturation of 89% by pulse oximetry
A patient receiving oxygen via a simple facemask has a pulse oximetry level of 96% and a respiratory rate
of 14 breaths per minute. Oxygen is being delivered at a flow rate of 4 L/min. What is the correct action by
the nurse?
-Increase the oxygen flow rate to 5 L/min and review the provider's orders
A patient has just been admitted to the emergency department and requires high-flow oxygen therapy
after suffering facial burns and smoke inhalation. Which oxygen delivery device should the nurse use
initially?
-Face Tent
When assessing the adequacy of a patient's oxygenation, which information is important for the nurse
to note?-Partial pressure of arterial oxygen (PaO 2
Which of these are causative factors for hypoxia in a patient with tracheostomy? Select all that apply.
1. Frequent Suctioning
4. Excessive suction pressure
5. Ineffective suction pressure before, during, or after suctioning
The nurse is educating a patient and the caregivers at the time of discharge about home care after a
tracheostomy. Which teachings would be beneficial for the patient? Select all that apply.
-“Perform airway care.”
-“Wear a shower shield.”
-"Wear a medical alert bracelet.”
Which of these instructions reflects best practices for suctioning the artificial airway? Select all that apply.
-“Wash hands.”
-“Don protective eye wear.”
-“Maintain standard precautions.”
Which clinical manifestation requires immediate action by the nurse for a patient with laryngeal trauma?
-Tachypnea
,RNSG 1343complex final review 2020
A patient is scheduled for a total laryngectomy. Which statement by the patient indicates the need for
further teaching about the procedure? -"I will have to take special care not to aspirate while eating."
A patient has undergone nasal surgery. Which finding indicates a safety priority to the nurse?
-Frequent swallowing
Which interventions should the nurse include in the plan of care for a patient undergoing radiation therapy
who develops a sore throat and difficulty swallowing? Select all that apply.
-Sucking on ice chips
-Gargling with saline water
-Using mouthwashes and throat sprays
Which is the least likely effect of sleep apnea on body metabolism? -Increased pH
A patient with sleep apnea who has a new order for continuous positive airway pressure (CPAP) with a
facemask returns to the outpatient clinic after 2 weeks with a report of ongoing daytime sleepiness. Which
action should the nurse take first? -Ask the patient whether CPAP has been used consistently at night.
What is the most important reason for ordering inhaled, rather than oral, corticosteroids for patients
with asthma? -Oral corticosteroids have more adverse effects.
Which statements are correct regarding the drug management of asthma? Select all that apply.
-Reliever medications are used to stop an asthma attack once it has started
-Control therapy medications are used to prevent asthma attacks from occurring.
-Control therapy medications are used to reduce airway responsiveness
A patient with pulmonary arterial hypertension (PAH) is prescribed digoxin and diuretics, supported by oxygen
therapy. On evaluation, which condition indicates effective action of the drug?
-Decrease in Dyspnea
Which is a common exclusion criterion for a patient with cystic fibrosis preparing for lung transplantation?
-Systemic Infection
Which complication does the nurse expect when finding puffiness or crackling at the site of chest tube
insertion in a patient with lung cancer?
-subcutaneous emphysema
Which pulmonary diseases are caused by cigarette smoking? Select all that appl
-Lung Cancer
-Chronic Bronchitis
What questions should the nurse ask to determine an older adult patient's risk for developing
pneumonia? Select all that apply.
-"Do you have a habit of smoking?"
-"Have you had a pneumococcal vaccination in the last 3 years?"
-"Have you had any symptoms of influenza in the previous months?"
A patient is about to begin drug therapy for the treatment of tuberculosis (TB). What information
is most important for the nurse to give to this patient prior to the start of therapy?
-“Do not drink alcohol.”
A community health nurse is preparing teaching materials for an upcoming community health fair. What risk
factors will the nurse include when teaching about community-acquired pneumonia? Select all that apply.
,RNSG 1343complex final review 2020
-Increased age
-Presence of chronic condition
-Administration of influenza vaccine within 3 years
Which points does the nurse include when educating an older patient and family about pneumonia
prevention? Select all that apply.
-Avoiding dehydration
-Avoiding crowded public places
-Decreasing exposure to air pollutants
-Receiving an annual influenza vaccine
A co-worker tells the nurse that she will not get the flu shot because she believes it is better to develop her
own immunity to the flu. What does the nurse tell this co-worker?
-“ you are putting your patients at an increased risk for serious respiratory illnesses.”
The nurse is teaching a patient about isoniazid (INH) and rifampin (RIF) drug therapy for tuberculosis (TB). The
nurse instructs that while on these medications, the patient should avoid consuming which food?
-Alcohol
What is the priority for the nurse in caring for a patient with sickle cell anemia who is in crisis?
Restoring tissue perfusion
The nurse is auscultating a patient's abdomen and hears a "swooshing" sound known as a bruit. What
should the nurse's best response be? Notify the health care provider.
The clinic nurse is assessing an anemic adult patient. Why is it important for the nurse to advise
the patient to seek follow-up care from a health care provider? Gastrointestinal bleeding is the
most
frequent cause of anemia.
A patient is prescribed a fecal occult blood test (FOBT). What teaching does the nurse provide to
the patient about the test? "Avoid vitamin C–rich foods before the test."
The student nurse is learning about premalignant lesions of the mouth. Which statement by the student
indicates effective learning? "Erythroplakia demonstrates more malignant changes than leukoplakia."
The patient has a salivary gland tumor. What assessment finding suggests that the tumor has invaded
the hypoglossal nerve? Impaired movement of the tongue
, RNSG 1343complex final review 2020
What dietary change does the nurse recommend to a patient with primary stomatitis?
Avoid custards and puddings
A patient is prescribed 15 mL of 2% viscous lidocaine to control pain due to stomatitis. What does
the nurse instruct the patient about its use? Take care when consuming hot liquids
A patient in a long-term care facility has a history of gastroesophageal reflux disease (GERD).
Which symptom alerts the nurse to notify the patient's provider? Progressive dysphagia and
weight loss
What key features should be assessed when a patient is diagnosed with an esophageal tumor? Select
all that apply. Dysphagia Odynophagia Regurgitation
A patient newly diagnosed with gastroesophageal reflux disease (GERD) asks the nurse what the
prescribed medications are intended to do. What does the nurse tell the patient? "One goal of
drug therapy is to prevent severe complications."
The nurse is counseling a patient who has been diagnosed with mild gastroesophageal reflux
disease (GERD). What does the nurse teach the patient initially about managing this condition?
Altering dietary and eating habits
The nurse is teaching a patient about dietary choices to prevent dumping syndrome after gastric
bypass surgery. Which statement by the patient indicates a need for further teaching?
"I can eat ice cream in moderation."
A patient diagnosed with pernicious anemia reports indigestion, heartburn that is unrelieved
by antacids, and pain in the epigastric and retrosternal region. Which disorder does the nurse
suspect from these findings? Early gastric cancer
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