NURS 332 Final Exam Questions - Cohort's
NCLEX, Quizzes and Exam Review ONLY
Questions and Correct Answers
A patient who has a history of chronic obstructive pulmonary disease (COPD) was
hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels
of 89% to 90%). In planning for discharge, which action by the nurse will be most
effective in improving compliance with discharge teaching?
A. Have the patient repeat the instructions immediately after teaching
B. Accomplish the patient teaching just before the scheduled discharge
C. Arrange for the patient's caregiver to be present during the teaching
D. Start giving the patient discharge teaching during the admission process
✓ ~~~ C. Arrange for the patient's caregiver to be present during the teaching
A patient is scheduled for a computed tomography (CT) scan of the chest with
contrast media. Which assessment findings should the nurse report to the healthcare
provider before the patient goes for the CT? Select all that apply.
A. Allergy to shellfish
B. Patient reports claustrophobia
C. Elevated serum creatinine level
D. Recent bronchodilator inhaler use
,E. Inability to remove a wedding band
✓ ~~~ ANS: A, C
Because the contrast media is iodine-based and may cause dehydration and
decreased renal blood flow, asking about iodine allergies (such as allergy to
shellfish) and monitoring renal function before the CT scan are necessary. The other
actions are not contraindications for CT of the chest, although they may be for other
diagnostic tests, such as magnetic resonance imaging (MRI) or pulmonary function
testing (PFT).
A patient arrives in the ear, nose and throat clinic complaining of a piece of tissue
being "stuck up my nose" and which foul-smelling nasal drainage from the right nare.
Which action should the nurse take first?
A. Notify the clinic health care provider
B. Obtain aerobic culture specimens of the drainage
C. Ask the patient about how the cotton got into the nose
D. Have the patient occlude the left nare and blow the nose
✓ ~~~ D. Have the patient occlude the left nare and blow the nose
Because the highest priority action is to remove the foreign object from the nare, the
nurse's first action should be to assist the patient to remove the object. The other
actions are also appropriate but should be done after attempting to clear the nose.
,A patient with a possible pulmonary embolism complains of chest pain and difficulty
breathing. The nurse finds a heart rate of 142 beats/min, blood pressure of 100/60
mmHg, and respirations of 42 breaths/min. Which action should the nurse take first?
A. Administer anticoagulant drug therapy
B. Notify the patient's health care provider
C. Pressure patient for a spiral computed tomography (CT)
D. Elevate the head of the bed to a semi-Fowler's position
✓ ~~~ D. Elevate the head of the bed to a semi-Fowler's position
The emergency department nurse is evaluating the effective of therapy for a patient
who has received treatment during an asthma attack. Which assessment finding is
the best indicator that the therapy has been effective?
A. No wheezes are audible
B. O2 saturation is >90%
C. Accessory muscle use has decreased
D. Respiratory rate is 16 breaths/minute
✓ ~~~ B. O2 saturation is >90%
, A patient in the clinic with cystic fibrosis (CF) reports increased sweating and
weakness during the summer months. Which action by the nurse would be most
appropriate?
A. Teach the patient signs of hypoglycemia
B. Have the patient add dietary salt to meals
C. Suggest decreasing intake of dietary fat and calories
D. Instruct the patient about pancreatic enzyme replacements
✓ ~~~ B. Have the patient add dietary salt to meals
The nurse is caring for a patient with aortic stenosis. Which assessment data
obtained by the nurse would be most important to report to the health care provider?
A. The patient complains of chest pressure when ambulating
B. A loud systolic murmur is heard along the right sternal border
C. A thrill is palpated at the second intercostal space, right sternal border
D. The point of maximum impulse (PMI) is at the left midclavicular line
✓ ~~~ A. The patient complains of chest pressure when ambulating
Which are clinical findings in a person with an acute lower extremity VTE? Select all
that apply.
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