NSG 4100 AH III Exam 3 Final Competency Certification Study Guide Exam Questions with Certified for Accuracy Answers 2024/2025
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Course
NSG 4100
Institution
NSG 4100
NSG 4100 AH III Exam 3 Final Competency Certification Study Guide Exam Questions with Certified for Accuracy Answers 2024/2025
The nurse is performing an assessment on a pt who has been diagnosed with cancer of the larynx. Part of the nurse’s assessment addresses the pt's general state of nutr...
NSG 4100 AH III Exam 3 Final Competency
Certification Study Guide Exam Questions with
Certified for Accuracy Answers 2024/2025
The nurse is performing an assessment on a pt who has been diagnosed w/ cancer of
the larynx. Part of the nurses assessment addresses the pt's general state of nutrition.
Which lab values would be assessed when determine the nutritional status of the pt?
Select all that apply.
A. WBC count
B. Protein level
C. Albumin level
D. Platelet count
E. Glucose level - correct answer B, C, E
The nurse recognizes that aspiration is a potential complication of a laryngectomy. How
should the nurse best manage this risk?
A. Facilitate total parenteral nutrition (TPN)
B. Keep a complete suction setup at the bedside
C. Feed the pt several small meals daily
D. Refer the pt for occupational therapy - correct answer B
The nurse is providing care for a pt who has just been admitted to the post surgical unit
following a laryngecotomy. What assessment should the nurse prioritize?
A. The pt's swallowing ability
B. The pt's airway patency
C. The pt's carotid pulses
D. S/s of infection - correct answer B
The nurse has noted the emergency of a significant amount of fresh blood at the drain
site of a pt who is postoperative day 1 following total laryngecomy. How should the
nurse respond to this development?
,A. Remove the pt's drain and apply pressure w/ a sterile gauze
B. Assess the pt, reposition the pt supine, and apply wall suction to the drain
C. Rapidly assess the pt and notify the surgeon about the pt's bleeding
D. Administer a STAT dose of vitamin K to aid coagulation - correct answer C
The nurse is creating a care plan for a pt who is status post-total laryngectomy. Much of
the plan consists of a ling-term postoperative communication plan for alaryngeal
communication. What form of alaryngeal communication will likely be chosen?
A. Esophageal speech
B. Electric larynx
C. Tracheoesophageal puncture
D. American sign language (ASL) - correct answer C
The nurse is performing preoperative teaching w/ a pt who has cancer of the larynx.
After completing the pt teaching, what would be most important for the nurse to do?
A. Give the pt his/her cell phone number
B. Refer pt to a social worker or psychologist
C. Provide the pt w/ audiovisual materials about the surgery
D. Reassure the pt and family that everything will be alright - correct answer C
A pt's total laryngectomy has created a need for alaryngeal speech which will be
achieved through the use of tracheoesophageal puncture. What action should the nurse
describe to the pt when teaching him about this process?
A. Training on how to perform controlled bleeding
B. Use of an electronically enhanced artificial pahrynx
C. Insertion of a specialized nasogastric tube
D. Fitting for a voice prosthesis - correct answer D
A preoperative nurse is caring for a postop pt. The pt has a shallow respiratory pattern
and is reluctant to cough or to begin mobilizing. The nurse should address the pt's
increased risk for what complication?
,A. Acute respiratory distress syndrome (ARDS)
B. Atelectasis
C. Aspiration
D. Pulmonary embolism - correct answer B
A pt has been brought to the ED by the paramedics. The pt is suspected of having
ARDS. What intervention should the nurse first anticipate?
A. Preparing to assist w/ intubating the pt
B. Setting up oxygen at 5L/min by nasal cannula
C. Performing deep suctioning
D. Setting up a nebulizer to administer corticosteroids - correct answer A
The nurse is caring for a pt who is scheduled for a lobectomy for diagnosis of lung
cancer. Which assisting with a subclavian vein central line insertion, the nurse notes the
pt's oxygen saturation rapidly dropping. The pt c/o SOB and becomes tachypneic. The
nurse suspects a pneumothorax has developed. Further assessment findings
supporting the present of a pneumothorax include what?
A. Diminished or absent breath sounds on the affected side
B. Paradoxical chest wall movement w/ respirations
C. Sudden loss of consciousness
D. Muddled heart sounds - correct answer A
An x-ray of a trauma pt reveals rib fractures and the pt is dx w/ a small flail chest injury.
Which intervention should the nurse include in the pt's plan of care?
A. Suction the pt's airway secretions
B. Immobilize the ribs w/ an abdominal binder
C. Prepare the pt for surgery
D. Immediately sedate and intubate the pt - correct answer A
, The nurse is assessing an adult pt following a MVA. The nurse observes that the pt has
an increased use of accessory muscles and is complaining of chest pain and SOB. The
nurse should recognize the possibility of what condition?
A. Pneumothorax
B. Anxiety
C. Acute bronchitis
D. Aspiration - correct answer A
The nurse is caring for a pt suspected of having ARDS. What is the most likely
diagnostic test ordered in the early stages of this ds to differentiate the pt's sx from
those of a cardiac etiology?
A. Carboxyhemoglobin level
B. Brain natriuretic peptide (BNP) level
C. C-reactive protein (CRP) level
D. Complete blood count - correct answer B
The school nurse is presenting a class on smoking cessation at the high school. A
participant in the class asks the nurse about the risk of lung cancer in those who smoke.
What response to risk for lung cancer in smokers is most accurate?
A. The younger you are when you start smoking, the higher your risk of lung cancer
B. The risk for lung cancer never decreases once you have smoked, which is why
smokers need annual chest x-rays
C. The risk for lung cancer is determines mostly by what type of cigarettes you smoke
D. The risk for lung cancer depends on the other risk factors for cancer that you have -
correct answer A
The nurse is assessing a pt who has a 35 pack-year hx of cigarette smoking. In light of
this known risk factor for lung cancer, what statement should prompt the nurse to refer
the pt for further assessment?
A. Lately, I have this cough that just never seems to go away
B. I find that I don't have nearly the stamina that I used to
C. I seem to get nearly every cold that goes around my workplace
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