NURS 370 PRACTICE QUESTIONS AND CORRECT DETAILED
ANSWERS ,A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST EXAM RATED TO SCORE A+
The client just returned to the nursing unit following surgery. Which observation by the
RN requires the most immediate intervention?
A. The client is sleepy
B. The client coughed up blood-tinged sputum
C. Oxygen saturation level is 82%
D. Jackson-Pratt wound drain is half full - CORRECT ANSWERS C. Oxygen saturation
level is 82%
At 0730 hours, the oncoming RN is planning care for four clients. Which client should
the RN plan to assess first?
A.The 23-year-old client with cystic fibrosis who has pulmonary function tests
scheduled in ten minutes
B.The 35-year-old client admitted the previous day with bacterial pneumonia and now
has a temperature of 39.4oC
C.The 46-year-old client who had a chest tube removed an hour ago and now has
dyspnea
D.The 77-year-old client with tuberculosis who has four anti-tubercular medications
due at 08:00 hours - CORRECT ANSWERS C. The 46-year-old client who had a chest
tube removed an hour ago and now has dyspnea
What is the purpose of the ABCDE approach? - CORRECT ANSWERS To provide life-
saving treatment
To break down complex clinical situations into more manageable parts
To serve as an assessment and treatment algorithm
To establish common situational awareness among all treatment providers
To buy time to establish a final diagnosis and treatment (identifies priority needs and
guides nursing practice)
Can be initiated without any equipment and more advanced interventions can be
applied on arrival of emergency medical services, in a clinic, or at the hospital.
Assessments should be repeated until the patient is stable, regularly, and/or at any sign
of deterioration.
What are strategies for prioritizing care? - CORRECT ANSWERS Central focus on
prioritization of Client care:
-Priority 1 - life threatening illness (ex: airway obstruction, myocardial infarction)
,NURS 370 PRACTICE QUESTIONS AND CORRECT DETAILED
ANSWERS ,A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST EXAM RATED TO SCORE A+
-Priority 2 - safety (ex: of patient and family, nurse and health professionals)
-Priority 3 - client priorities (ex: pain, nausea)
-Priority 4 - nurse priorities (ex: a nursing intervention appropriate for the situation)
What are normal/expected airway findings? - CORRECT ANSWERS Patient responds in
a normal voice
Regular and visible respirations
A 4-year-old is brought to Emergency by his parents, who report he swallowed a small
toy. What symptom suggests complete airway obstruction by a foreign body?
A. Gagging
B. Coughing
C. Inability to speak
D. Rapid respirations - CORRECT ANSWERS C. Inability to speak
The adult client is newly admitted to the ward following surgery. Which assessment
finding should be the RN's priority?
A.The surgical site dressing has a scant amount of bright red blood.
B.The client is sleeping but easily arouses when touched.
C.The client's respirations are 6 to 8 breaths per minute.
D.The client's blood pressure is 100/68 mm Hg. - CORRECT ANSWERS C. The client's
respirations are 6 to 8 breaths per minute.
The nurse is caring for a client who had a total hip replacement four days ago. Which
assessment requires the nurse's immediate attention?
A."I have bad pain in my lower leg"
B."I just can't 'catch my breath"
C. "I have to use the bedpan to pee at least every hour."
D. "The pain medication is not working today." - CORRECT ANSWERS B. "I just can't
'catch my breath"
There has been a train derailment and four people are injured. Which patient should the
RN see first?
A.Client who is 20 years of age who has unequal pupils and is tachypneic
,NURS 370 PRACTICE QUESTIONS AND CORRECT DETAILED
ANSWERS ,A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST EXAM RATED TO SCORE A+
B.Client who is 80 years old complaining of a "racing heart" and has a laceration on his
arm
C.Client who is 10 years old with a swollen wrist
D.Client who is 25 years old with an open chest wall wound - CORRECT ANSWERS D.
Client who is 25 years old with an open chest wall wound
Because of open-chest wall wound = at risk for pneumothorax or hemothorax = life-
threatening.
What are abnormal/unexpected airway findings? - CORRECT ANSWERS Partial
obstruction = voice changes, noisy breathing, and increased breathing effort
Complete obstruction = there is no respiration despite great effort, unconscious
What are possible airway interventions? List them. - CORRECT ANSWERS Head tilt and
chin tilt to open airway
Suction of the airways
Removal of foreign bodies
Conscious - 5 back blows or 5 abdominal thrusts
High oxygen flow should be given ASAP
Endotracheal tube
What are normal/expected breathing findings? - CORRECT ANSWERS Respiratory rate
appropriate for age, normal O2Sat
Symmetrical and visible movements of the thoracic
Percussed unilateral dullness or resonance
What are abnormal/unexpected breathing findings? - CORRECT ANSWERS Cyanosis
Distended neck veins
Lateralization of the trachea
Tension pneumothorax (air trapped in pleural space)
Bronchospasms
What are possible breathing interventions? List them. - CORRECT ANSWERS Seat
comfortably
, NURS 370 PRACTICE QUESTIONS AND CORRECT DETAILED
ANSWERS ,A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST EXAM RATED TO SCORE A+
Rescue breaths
Tension pneumothorax (relieve immediately by inserting cannula between 2nd
intercostal space (needle thoracentesis)
Treat with oxygen
Inhalations of meds (ex: Ventolin)
Assisted ventilation (bag mask or intubation)
Elevate head of bed
What are normal/expected circulation findings? - CORRECT ANSWERS Capillary refill
within range
Pulse rate appropriate for age (equal/bilateral)
Inspect skin colour
Blood pressure within normal limits
What are abnormal/unexpected circulation findings? - CORRECT ANSWERS Colour
changes, sweating, and decreased LOC = decreased perfusion
Hypotension/hypertension
Hypovolemia
(grey/blue skin)
What are possible circulation interventions? List them. - CORRECT ANSWERS Stop
bleeding
IV access, infuse saline
Heart auscultation
Electrocardiography
Blood pressure measurements
Elevating legs and placing patient in recovery position (supine)
What are normal/expected disability findings? - CORRECT ANSWERS LOC intact
A - alert
V - voice
P - pain responsive
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