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NSG 4100 (AH III) Exam 3 Questions With Complete Solutions
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NSG 4100 (AH III) Exam 3 Questions With Complete Solutions
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NSG 4100 (AH III) Exam 3 Questions With CompleteSolutions
56 y/o male pt has been admitted to the cardiac unit w
exacerbations of HF sx. The nurse has given him a nursing dx of
↓CO r/t HF as evidenced by poor ejection fraction, weakness,
edema, & ↓UO. Which of the following nursing interventions is
most appropriate in this situation?
a. administer stool softeners as ordered
b. administer IV fluid boluses to increase urine output
c. maintain pt in Trendelenburg position while in bed
d. increase activity by encouraging ambulation Correct Answer
C
A 48 y/o man presents to ED complaining of severe substernal
CP radiating down left arm. He is admitted to the coronary care
unit (CCU) with a diagnosis of myocardial infarction (MI).
What nursing assessment activity is a priority on admission to
the CCU?
a. begin ECG monitoring
b. obtain information about family hx of heart disease
c. ausculate lung fields
d. determine if pt smokes Correct Answer A
A 54y/o man has just been diagnosed with small cell lung
cancer. The pt asks the nurse why the doctor is not offering
surgery as a treatment for his cancer. What fact about lung
cancer tx should inform the nurses response?
a. the cells in small cell cancer of the lung are not large enough
to visualize in surgery
,b. small cell lung cancer is self-limiting in many pt's and surgery
should be delayed
c. pt's w/ small cell lung cancer are not normally stable enough
to survive surgery
d. small cell cancer of the lung grows rapidly and metastasizes
early and extensively Correct Answer D
A cardiac pt's resistance to left ventricular filling has caused
blood to back up into the pt's circulatory system. What health
problem is likely to result?
a. acute pulmonary edema
b. right-sided HF
c. right ventricular hypertrophy
d. left-sided HF Correct Answer A
A cardiovascular pt w/ a previous hx of pulmonary embolism
(PE) is experiencing a sudden onset of dyspnea, rapid breathing,
and CP. The nurse recognizes the characteristic s/s of a PE.
What is the nurses best action?
a. rapidly assess the pt's cardiopulmonary status
b. arrange for an ECG
c. increase height of pt's bed
d. manage pt's anxiety Correct Answer A
A client presents to the walk-in clinic complaining of dry,
irritating cough and production of a minute amount of mucus-
like sputum. The pt c/o soreness in her chest in the sternal area.
The nurse should suspect that the primary care provider will
assess the pt for what health problem?
a. pleural effusion
b. pulmonary embolism
,c. tracheobronchitis
d. tuberculosis Correct Answer C
A client with a chest injury has suffered flail chest. The nurse
assesses the client for which most distinctive sign of flail chest?
a. cyanosis
b. hypotension
c. paradoxical chest movement
d. dyspnea, especially on exhalation Correct Answer C
A critical care nurse is caring for a client w an endotracheal tube
who is on a ventilator. The nurse knows that meticulous airway
management is necessary for this pt. What is the main rationale
for this?
a. maintaining a patent airway
b. preventing need for suctioning
c. maintain sterility of pt's airway
d. increasing pt's lung compliance Correct Answer A
A firefighter was trapped in a fire and is admitted to the ICU for
smoke inhalation. After 12 hrs, the firefighter is exhibiting signs
of ARDS and is intubated. What other supportive measures are
initiated in the pt with ARDS?
a. psychological counseling
b. nutritional support
c. high-protein oral diet
d. occupational therapy Correct Answer B
A new employee asks the occupational health nurse about
measures to prevent inhalation exposure of the substances.
, Which statement by the nurse will decrease the pt's exposure
risk to toxic substances?
a. position a fan blowing on the toxic substances to prevent the
substance from becoming a stagnant in the air
b. wear protecting attire and devices when working w/ a toxic
substance
c. make sure that you keep your immunizations UTD to prevent
respiratory distress resting from toxins
d. always wear a disposable paper face mask when you are
working with inhale toxins Correct Answer D
A nurse educator is reviewing the indications for chest drainage
systems w/ a group of medical nurses. What indications should
the nurses identify? Select all that apply.
a. post thoracotomy
b. spontaneous pneumothorax
c. need for postural drainage
d. chest trauma resulting in pneumothorax
e. pleurisy Correct Answer A, B, D
A nurse is assessing a pt who is suspected of having
bronchiectasis. The nurse should consider which of the
following potential causes? Select all that apply.
a. pulmonary HTN
b. airway obstruction
c. pulmonary infections
d. genetic disorders
d. atelectasis Correct Answer B, C, D
A nurse is caring for a pt who has been admitted with an
exacerbation of chronic bronchiectasis. The nurse should expect
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