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nsg 170 final Exam Prep Questions and Answers (100% Pass)
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©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AMnsg 170 final Exam Prep Questions and Answers (100% Pass)
1. The nurse admits a patient who has a diagnosis of an acute asthma attack. Which
statement indicates that the patient may need teaching regarding medication use?
a."I have not had any acute asthma attacks during the last year."
b."I became short of breath an hour before coming to the hospital."
c."I've been taking Tylenol 650 mg every 6 hours for chest-wall pain."
d."I've been using my albuterol inhaler more frequently over the last 4 days." - ✔️✔️I've been
using my Albuterol inhaler more frequently over the last 4 days
2. The nurse analyzes the results of a patients arterial blood gases (ABGs). Which finding
would require immediate action?
a.The bicarbonate level (HCO3-) is 31 mEq/L.
b.The arterial oxygen saturation (SaO2) is 92%.
c.The partial pressure of CO2 in arterial blood (PaCO2) is 31 mm Hg.
d.The partial pressure of oxygen in arterial blood (PaO2) is 59 mm Hg. - ✔️✔️The partial
pressure of oxygen in the arterial blood (PaO2) is 59 mmHg
The lab has just called with the arterial bloos gas (ABG) results on four patients. Which
result is most important for the nurse to report immediately?
a.pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97%
b.pH 7.35, PaO2 85 mm Hg, PaCO2 45 mm Hg, and O2 sat 95%
c.pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98%
d.pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96% - ✔️✔️pH 7.31, PaO2 91 mm
Hg, PaCO2 50 mm Hg and O2 sat 96%
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, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
The nurse asses a patient with COPD who has been admitted with increasing dyspnea over
the last 3 days. Which finding is important for the nurse to report to the healthcare provider?
a.Respirations are 36 breaths/minute.
b.Anterior-posterior chest ratio is 1:1
.c.Lung expansion is decreased bilaterally.
d.Hyperresonance to percussion is present. - ✔️✔️Respirations are 36 breaths/min
which information will the nurse include in the asthma teaching plan for a patient being
discharged?
a.Use the inhaled corticosteroid when shortness of breath occurs.
b.Inhale slowly and deeply when using the dry powder inhaler (DPI).
c.Hold your breath for 5 seconds after using the bronchodilator inhaler.
d.Tremors are an expected side effect of rapidly acting bronchodilators. - ✔️✔️Tremors are an
expected side effect of rapidly acting bronchodilators
The ED nurse is evaluating the effectiveness of therapy for a patient who has received
treatment during an asthma attack. Which assessment finding is the BEST indicator that the
therapy had been effective?
a.No wheezes are audible.
b.Oxygen saturation is >90%.
c.Accessory muscle use has decreased.
d.Respiratory rate is 16 breaths/minute. - ✔️✔️O2 saturation is > 90%
A 28 year old patient who denies any history of smoking is seen in the clinic with a new
diagnosis of COPD. The nurse should plan to teach the patient about
a. a1-antitrypsin testing.
b. use of the nicotine patch.
c. continuous pulse oximetry.
d. effects of leukotriene modifiers. - ✔️✔️a1-antitrypsin testing
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, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
the nurse is caring for a patient with COPD. Which information obtained from the patient
would prompt the nurse to consult with the health care provider before administering the
prescribed theophylline?
a. The patient reports a recent 15-pound weight gain.
b. The patient denies any shortness of breath at present.
c. The patient takes cimetidine (Tagamet) 150 mg daily.
d. The patient complains about coughing up green mucus. - ✔️✔️The patient takes cimetidine
(Tagamet HB) daily.
The home health nurse is visiting a patient with COPD. Which nursing action is appropriate
to implement for a nursing diagnosis of impaired breathing pattern related to anxiety?
Titrate oxygen to keep saturation at least 90%.
b. Discuss a high-protein, high-calorie diet with the patient.
c. Suggest the use of over-the-counter sedative medications.
d. Teach the patient how to effectively use pursed lip breathing. - ✔️✔️Teach the patient how
to use pursed-lip breathing
a patient with COPD has a nursing diagnosis of imbalanced nutrition: less than body
requirements. Which intervention would be the MOST appropriate for the nurse to include in
the plan of care?
a. Encourage increased intake of whole grains.
b. Increase the patient's intake of fruits and fruit juices.
c. Offer high-calorie snacks between meals and at bedtime.
d. Assist the patient in choosing foods with high vegetable and mineral content. - ✔️✔️Offer
high calorie protein snacks between meals and at bedtime.
The nurse takes admission history on a patient with possible asthma who had new-onset
wheezing and shortness of breath. Which information may indicate a need for a change in
therapy?
a.
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, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
The patient has chronic inflammatory bowel disease.
b.
The patient has a history of pneumonia 6 months ago.
c.
The patient takes propranolol (Inderal) for hypertension.
d.
The patient uses acetaminophen (Tylenol) for headaches. - ✔️✔️The patient takes
propranolol(Inderal) for hypertension
The nurse assesses a patient with a history of asthma. which assessment finding indicates the
nurse should take IMMEDIATE action?
a.Pulse oximetry reading of 91%
b.Respiratory rate of 26 breaths/minute
c.Use of accessory muscles in breathing
d.Peak expiratory flow rate of 240 L/minute - ✔️✔️use of accessory muscles in breathing
what is a common trigger for asthma attacks in children?
a. febrile episodes
b. dehydration
c. exercise
d. seizures - ✔️✔️exercise
a parent of a child with asthma asks if his child can still participate in sports. What response
by the nurse is best?
a. Children with asthma are usually restricted from physical activities.
b. Children can usually play any type of sport if their asthma is well controlled.
c. Avoid swimming because breathing underwater is dangerous for people with asthma.
d. Even with good asthma control, I would advise limiting the child to one athletic activity
per school year - ✔️✔️"Children can usually play any type of sport if their asthma is well
controlled"
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