RESPIRATORY + FUNDAMENTALS QUIZ

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This Quiz is powered by Achievers Consult - www.achieversnclexrn.com. BEST OF LUCK! PASSMARK 14/20.

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Q1. A nurse is caring for a client who is confused and uncooperative. The assistive personnel (AP) who is working with the client asks if the client can be placed in restraints. The nurse should tell the AP that this action is a violation of the client's rights and is an example of which of the following torts?

1 point

A. Slander

B. Invasion of privacy

C. Malpractice

D. False imprisonment

Q2. The charge nurse is performing safety rounds on clients in the nursing unit. Which observation requires follow-up? A client with

1 point

A. an indwelling urinary catheter hanging from the bed frame.

B. right-sided weakness with their cane on the left side of the bed.

C. a history of falling given a bedside commode.

D. a belt restraint was applied and secured over the chest.

Q3. The nurse in the same-day surgery prepares a preschool-age client for discharge after a tonsillectomy. It is most important to give the parent which instruction?

1 point

1. Observe for frequent swallowing.

2. Place the child in a high-Fowler position.

3. Increase the child 's fluid intake.

4. Look for white patches on the throat.

Q4. A preschool-age client is recovering from a tonsillectomy and adenoidectomy. The client is discharged home with the parents. Which instructions will the nurse give to the parents? (Select all that apply.) *

1 point

1. Monitor the child for continuous swallowing.

2. Encourage the child to deep breathe and cough every 2 hours.

3. Administer pain medication such as acetaminophen, as needed.

4. Administer codeine elixir routinely for pain.

5. Monitor the child for restlessness and difficulty breathing.

Required

Q5. While working in the emergency department, the nurse is assigned a 5 year old client with a chief complaint of sore throat. The father states that the client has been complaining of throat pain for 2 days, and when he looks in the child's throat it appears red with white patches. The nurse confirms the red throat with white patches during the throat assessment. Based on these findings, the nurse expects which of the following diagnostic tests to be ordered? *

1 point

A. Basic metabolic panel

B. Extended respiratory virus panel

C. Throat culture

D. Complete blood count

Q6. Which discharge teaching instructions should the nurse provide to the parents of a 2-year-old with group A streptococcal pharyngitis? Select all that apply.

1 point

1.Complete all the antibiotics even if your child is feeling better

2.Cool liquids and soft diet are recommended

3.Keep your child home from daycare for at least a week

4.Replace your child's toothbrush 24 hours after starting antibiotics

5.Throat lozenges may soothe your child's sore throat

Required

Q7. The nurse provides care for a school-age child newly diagnosed with asthma. The nurse teaches the child's parent about the child's return to school. Which instruction does the nurse include in the teaching? *

1 point

1. Provide the child's teacher with the inhaler and instructions on its use.

2. Have the child use the inhaler before going to school to prevent an attack.

3. Tell the child to carry the inhaler and spacer in a pocket at all times.

4. Provide the school nurse with an inhaler, spacer, prescription, and directions for use.

Q8. After providing drug education to the client prescribed albuterol for asthma, which statement made by the client will the nurse identify as a need for further drug education?
*

1 point

1. “I am going to learn how to monitor my heart rate when I take this drug.”

“I will need to take this drug every day to 2. prevent an asthma attack.”

3. “It is important that I use the administration device as I was taught.”

4. “I will need to keep this drug with me at all times, even when not at home.”

Q9. The nurse provides discharge teaching to a client recently diagnosed with asthma. Which prescribed medication should the nurse instruct the client to use during an acute asthma episode?
*

1 point

1. Fluticasone.

2. Guaifenesin.

3. Theophylline.

4. Albuterol.

Q10.The nurse counsels the parent of a school-age client diagnosed with asthma. The health care provider prescribes albuterol and beclomethasone via metered dose inhaler. Which statement by the parent indicates that teaching is effective?
*

1 point

1. "Albuterol should be taken as needed when my child is short of breath. The beclomethasone should be taken every day to prevent asthma attacks."

2. "Both of the medications should be taken on a regular basis, at the same time each day."

3. "The beclomethasone is to be used only when my child is wheezing and is short of breath."

4. "Both inhalers should be used immediately before my child participates in physical exercise."

Q11. The nurse provides care for a preschool-age client diagnosed with epiglottitis. Which action is appropriate for the nurse to implement?

1 point

1. Ask the nursing assistive personnel (NAP) to take the child to radiology.

2. Use a padded tongue blade to assess the child 's gag reflex.

3. Obtain a blood culture and ABGs as prescribed by the health care provider.

4. Apply a pulse oximeter and start an IV infusion.

Q12. Which of the following medication classes are considered quick-relief or rescue medications for a child having an acute asthma attack?
Select all that apply.

*

1 point

A. Corticosteroids

B. Leukotriene modifiers

C. Short-acting beta-2 agonists

D. Anticholinergics

Required

Q13. A client with acute asthma is prescribed short-term corticosteroid therapy. What is the rationale for the use of steroids in clients with asthma? *

1 point

A. Corticosteroids promote bronchodilation.

B. Corticosteroids act as an expectorant.

C. Corticosteroids have an anti-inflammatory effect.

D. Corticosteroids prevent development of respiratory infections.

Q14.The nurse plans to teach a local community group about chronic obstructive pulmonary disease (COPD). Which information does the nurse include? (Select all that apply.)
*

1 point

1. Uncontrolled COPD can lead to cardiac disease.

2. Asthma in childhood leads to COPD later in life.

3. Cigarette smoking is the leading COPD risk factor.

4. More females are affected by COPD than males.

5. Co-existing illness may cause COPD exacerbation.

Required

Q15. A client with chronic obstructive pulmonary disease (COPD) has oxygen therapy ordered. Which principle should guide the nurse in managing the delivery of oxygen to this client?

*

1 point

a. Clients with COPD should receive low concentrations (2-3 L) of oxygen since the stimulus to breathe is their low PaO2.

b. Clients with COPD require higher concentrations (6-8 L) of oxygen since hypoxemia is their stimulus to breathe.

c. The concentration of oxygen should be low since the stimulus to breathe in clients with COPD is an elevated PaCO2.

d. The concentration of oxygen should be high since the stimulus to breathe in clients with COPD is an elevated PaCO2

Q16. A client is hospitalized for acute exacerbation of his COPD. The nurse taking care of him would expect to find which assessment finding? *

1 point

A. A Carbon dioxide level of 31 mm hg from his ABGs.

B. An overinflated chest on the chest x-ray.

C. Improving oxygen saturation upon exercise.

D. A wide diaphragm on the chest x-ray.

Q17. The critical care charge nurse is responsible for the care of four patients receiving mechanical ventilation. Which patient is most at risk for failure to wean and ventilator dependence? *

1 point

1. A 68-year-old patient with a history of smoking and emphysema

2. A 57-year-old patient who experienced a cardiac arrest

3. A 49-year-old postoperative patient who had a colectomy

4. A 29-year-old patient who is recovering from flail chest

Q18. A patient has chronic obstructive pulmonary disease (COPD). Which intervention for airway management should the nurse delegate to the unlicensed assistive personnel (UAP)?

1 point

1. Assisting the patient to sit up on the side of the bed

2. Instructing the patient to cough effectively

3. Teaching the patient to use incentive spirometry

4. Auscultating breath sounds every 4 hours

Q19. Pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?

*

1 point

1. Encouraging the client to drink three glasses of fluid daily.

2. Keeping the client in semi-Fowler’s position.

3. Using a high-flow Venturi mask to deliver oxygen as prescribed.

4.Administering a sedative as prescribed.

Q20. Which of the following diets would be most appropriate for a client with COPD?
*

1 point

A. Low fat, low cholesterol

B. Bland, soft diet

C. Low-Sodium diet

D. High calorie, high-protein diet

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