#1. Which of the following would be most appropriate for a male client with an arterial blood gas (ABG) of pH 7.5, PaCO2 26 mm Hg, O2 saturation 96%, HCO3 24 mEq/L, and PaO2 94 mm Hg?
#2. For a male client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the plan of care?
#3. A black male client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the:
#4. . At 11 p.m., a male client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He’s anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At 11:30 p.m., the client’s arterial blood oxygen saturation is 86% and he’s still wheezing. The nurse should plan to administer:
#5. You're teaching a class on critical care concepts to a group of new nurses. You're discussing the topic of acute respiratory distress syndrome (ARDS). At the beginning of the lecture, you assess the new nurses understanding about this condition. Which statement by a new nurse demonstrates he understands the condition?
#6. Which patient below is at MOST risk for developing ARDS and has the worst prognosis?
#7. . You’re precepting a nursing student who is assisting you care for a patient on mechanical ventilation with PEEP for treatment of ARDS. The student asks you why the PEEP setting is at 10 mmHg. Your response is:
#8. A male elderly client is admitted to an acute care facility with influenza. The nurse monitors the client closely for complications. What is the most common complication of influenza?
#9. How long after tuberculin skin test, the nurse will assess the skin?
#10. At what rate oxygen is to be administered to a chronic emphysema patient?
#11. Mr.X is admitted with suspected atelectasis. Which clinical inidicator does the nurse expect to identify during the assessment of client?
#12. Which of the following would the patient most likely report as triggers for asthma attack? Select all that apply
Select all that apply:
#13. What is the "hygiene hypothesis" in asthma?
#14. .A patient has been administered isoniazid for the treatment of tuberculosis (TB). Which statement made by the nurse would be the most appropriate when teaching the client about this medication?
#15. Which of the following side effects would you most likely expect when providing an asthmatic patient with continuous nebulizer therapy?
#16. To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?
#17. .The emergency department (ED) nurse receives report that a seriously injured patient involved in a motor vehicle crash is being transported to the facility with an estimated arrival in 5minutes. In preparation for the patient’s arrival, the nurse will obtain
#18. A 63 year old female client is newly admitted to the hospital for pneumococcal pneumonia. The nurse recognizes that this patient will most likely exhibit certain symptoms associated with this condition. Which clinical findings are most commonly consistent with pneumococcal pneumonia?
#19. .Which finding is the best indicator that the fluid resuscitation for a 90-kg patient with hypovolemic shock has been effective?
#20. The nurse is instructing a client with moderate persistent asthma on the proper method for using MDI’s (multi-dose inhalers). Which medication should be administered FIRST?
#21. patient with septic shock has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?
#22. The nurse assesses fluctuations in the water seal chamber of a client’s closed chest drainage system. The nurse evaluates this finding as indicating
#23. When preparing a client to collect a sputum specimen, it would be essential for the nurse to explain which of the following aspects of the procedure?
#24. The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider?
#25. .A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient?
#26. During change-of-shift report, the nurse is told that a patient has been admitted with dehydration and hypotension after having vomiting and diarrhea for 4 days. Which finding is most important for the nurse to report to the health care provider?
#27. A diabetic patient’s arterial blood gas (ABG) results are pH 7.28; PaCO2 34 mm Hg; PaO2 85 mm Hg; HCO3– 18 mEq/L. The nurse would expect which finding?
#28. .The nurse palpates the posterior chest while the patient says “99” and notes absent fremitus. Which action should the nurse take next?
#29. The following interventions are ordered by the health care provider for a patient who has respiratory distress and syncope after eating strawberries. Which will the nurse complete first?
#30. After change-of-shift report in the progressive care unit, who should the nurse care for first?
#31. .After reviewing the information shown in the accompanying figure for a patient with pneumonia and sepsis, Physical Assessment Laboratory Data Vital Signs ·Petechiae noted on chest and legs ·Crackles heard bilaterally in lung bases ·No redness or swelling at central line IV site ·Blood urea nitrogen (BUN) 34 mg/Dl ·Hematocrit 30% ·Platelets 50,000/µL ·Temperature 100°F(37.8°C) ·Pulse 102/min ·Respirations 26/min ·BP 110/60 mm Hg ·O2 saturation 93%on 2L O2 via nasal cannula Which information is most important to report to the health care provider?
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