The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
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Question 2 of 66
A terminally ill cancer patient is scheduled for an NGT feeding today. How should you position the patient?
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Question 3 of 66
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?
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Question 4 of 66
A nurse is caring for a patient with a history of asthma. The patient is experiencing an asthma attack. What is the priority intervention?
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Question 5 of 66
Which of the following is considered as the main muscle of respiration?
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Question 6 of 66
A patient with acute appendicitis is scheduled for surgery. Which action should the nurse take to prepare the patient for surgery?
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Question 7 of 66
In the oxygen cycle, the movement of oxygen takes place within
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Question 8 of 66
A nurse is caring for a patient with a history of hypertension who is complaining of dizziness and headache. What is the priority action?
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Question 9 of 66
A client is experiencing respiratory acidosis. What is the nurse's priority intervention?
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Question 10 of 66
A client is prescribed a long-acting beta-agonist (LABA) for asthma management. What should the nurse explain as the primary purpose of this medication?
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Question 11 of 66
Which of the following is the site of the most important chemical digestion?
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Question 12 of 66
Which assessment finding is most concerning for a patient receiving treatment for pneumonia?
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Question 13 of 66
The client with ARDS who is likely to have the poorest outcome is
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Question 14 of 66
A patient with asthma reports increased use of a rescue inhaler. What is the nurse's priority intervention?
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Question 15 of 66
A patient with tuberculosis is started on isoniazid. What should the nurse monitor for?
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Question 16 of 66
It is especially dangerous to cause a spark in a room where which of the following gases is used?
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Question 17 of 66
A client with pneumonia is placed on a fluid restriction of 1500 mL per day. How should the nurse manage the fluid intake?
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Question 18 of 66
Which intervention should the nurse implement for a patient with a chest tube and continuous bubbling in the water-seal chamber?
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Question 19 of 66
What exercise regimen is recommended for a COPD patient?
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Question 20 of 66
The nurse is preparing a patient with suspected pulmonary embolism for diagnostic tests. Which test should the nurse prioritize?
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Question 21 of 66
A nurse is assessing a client with suspected pulmonary embolism. Which clinical finding is most concerning?
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Question 22 of 66
A nurse obtains the health history of a client who is newly admitted to the medical unit. Which statement by the client would alert the nurse to the presence of edema?
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Question 23 of 66
A patient is being admitted with an exacerbation of chronic obstructive pulmonary disease (COPD). What is the priority nursing action?
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Question 24 of 66
A nurse is caring for a client who has pneumonia. Which of the following assessments is the priority?
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Question 25 of 66
The nurse is planning care for a client diagnosed with chronic obstructive pulmonary disease (COPD). When planning care for this client, which interventions are appropriate to enhance the client's breathing pattern? Select one that doesn't apply.
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Question 26 of 66
Of the following, which is the highest level of evidence for research studies?
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Question 27 of 66
A nurse is caring for a patient with a history of stroke who is exhibiting facial drooping. What is the priority intervention?
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Question 28 of 66
The nurse is teaching a client with obstructive sleep apnea about CPAP therapy. Which statement by the client indicates a need for further teaching?
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Question 29 of 66
You are requested to give an aerosol treatment with 10 mL of a 1:200 solution of Isuprel. How many mg would you be administering to the patient?
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Question 30 of 66
A nurse is caring for a toddler who is having an acute asthmatic attack with copious mucus and difficulty breathing. The childs skin is cyanotic, respirations are labored and rapid, and pulse is rapid. What nursing diagnosis would have priority for care of this child?
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Question 31 of 66
Which of the following is the primary genetic mutation associated with cystic fibrosis?
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Question 32 of 66
Absent breath sounds on the right side suggest what treatment?
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Question 33 of 66
A 55-yr-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD). When teaching a patient about pulmonary spirometry for this condition, what is the most important question the nurse should ask?
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Question 34 of 66
A client with a pleural effusion is scheduled for a thoracentesis. What is the nurse's priority pre-procedure intervention?
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Question 35 of 66
A PEFR less than 80% of the personal best indicates that the patient is in the yellow zone where changes in therapy are needed to prevent progression of the airway narrowing.
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Question 36 of 66
A patient with asthma is being treated with corticosteroids. Which statement by the patient indicates the need for further education?
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Question 37 of 66
Normal cardiac output is 4 to 6 L/min in a healthy adult at rest. Which of the following is the correct formula to calculate cardiac output?
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Question 38 of 66
The nurse prepares to administer a new order for a non-rebreather mask. Which action is most important for the nurse to take?
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Question 39 of 66
For a patient with a lung abscess, which treatment is most effective?
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Question 40 of 66
A patient with pulmonary embolism (PE) is receiving heparin therapy. What lab result should the nurse monitor closely?
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Question 41 of 66
The nurse is caring for a patient with a tracheostomy who has thick secretions. Which action is most appropriate?
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Question 42 of 66
A patient with a tracheostomy tube exhibits difficulty breathing and thick secretions. What action should the nurse take?
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Question 43 of 66
A nurse is suctioning an oropharyngeal airway for a patient who vomits when it is inserted. Which priority nursing action should be performed by the nurse related to this occurrence?
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Question 44 of 66
A woman with severe preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is
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Question 45 of 66
Which method will not help assess that your intubation was successful?
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Question 46 of 66
The nurse is assessing a client with pulmonary hypertension. Which symptom is most commonly associated with this condition?
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Question 47 of 66
A nurse is suctioning a client's tracheostomy using an open system. Which of the following actions should the nurse take?
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Question 48 of 66
The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis. How should the nurse position the patient?
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Question 49 of 66
The nurse is reviewing the medical records for five patients who are scheduled for their yearly physical examinations in September. Which patients should receive the inactivated influenza vaccination (select one that doesn't apply)?
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Question 50 of 66
Pressure support ventilation is:
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Question 51 of 66
A client reports a sore tongue and the inability to eat. What action by the nurse is best?
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Question 52 of 66
The nurse observes continuous bubbling in the water-seal chamber of a chest tube. What does this indicate?
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Question 53 of 66
The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed?
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Question 54 of 66
The nurse is responding to a new mother who asks, 'I have heard that sudden infant death syndrome (SIDS) is caused by immunizations. Should I immunize my baby?' Which response by the nurse is appropriate?
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Question 55 of 66
Among the following foods, which food should you emphasize giving on an Alcoholic client?
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Question 56 of 66
A patient with bacterial pneumonia has coarse crackles and thick sputum. Which action should the nurse plan to promote airway clearance?
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Question 57 of 66
A client with chronic bronchitis reports worsening shortness of breath. What is the nurse's priority intervention?
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Question 58 of 66
A nurse is caring for a postoperative patient who is complaining of severe pain. What is the priority nursing intervention?
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Question 59 of 66
Which assessment finding indicates that the nurse should take immediate action for an older patient?
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Question 60 of 66
A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?
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Question 61 of 66
Which of the following is a primary reason to teach pursed lip breathing to clients with emphysema?
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Question 62 of 66
The patient's clinical manifestations are consistent with streptococcal pharyngitis, and the nurse will anticipate the need for which of the following?
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Question 63 of 66
Which assessment finding would the nurse identify as a key manifestation of respiratory acidosis?
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Question 64 of 66
Which waveform represents ventricular depolarization on an ECG?
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Question 65 of 66
What is the correct technique for palpating chest excursion?
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Question 66 of 66
Which assessment finding in a patient with pneumonia requires the nurse to intervene immediately?
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