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1. The practical nurse is caring for a client experiencing an acute asthma attack. The client stops wheezing and breath sounds are not audible. What is the most likely reason for the change?
a) The airways are swollen, and air cannot get through
b) Crackles have replaced the wheezes
c) The airway swelling is decreased
2. What does the practical nurse see as the most important pre-op teaching for the cient scheduled for abdominal surgery
a) deep breathing and coughing exercise
b) Caring for the wound
c) Meds used during surgery
d) Post-op drains and tubes
3. Mr.Jones develop a fever of 38.5 degrees c post-op. Which one of the following is the most appropriate nursing action
a) Assist Mr. Jones to do deep breathing and coughing exercises
b) Page the family doctor in anticipation of an order for IV antibiotics
c)Tell Mrs. Jones that he will not require Tylenol for her post-op fever
d) Recognize and document that Mrs Jones is like developing a wound infection
4. Which one of the following is the most important initial nursing action when assessing pain
a) Comprehensive data collection to determine the amount, type, and location of pain
b) Health teaching the client about pain
c) Providing appropriate treatment to achieve pain control
d) Recognizing addictive behaviors when clients ask for frequent pain medication
5. Mrs. Jones returns from the operating room with a PA (Patient-controlled analgesia) pump. She is very worried about her post-op pain. Which of the following is the most appropriate nursing action?
a) Use a pain scale to assess Mrs. Jones’s pain regularly
b) Assess respiration every 15 minutes
c) Give hour doses of pain medication to Mrs. Jones whiles she is sleeping
d) Instruct Mr. Jones how to use the PCA pump so his wife will not get behind in her pain medication
6. A client who smokes cigarettes is going to have surgery that requires a general anesthetic. What is the most important intervention for the practical nurse to complete before surgery
a) Auscultate the client’s lung for normal and abnormal lung sounds
b) Calculate the number of packs and the number of years the client has smoked
c) Encourage the client to stop smoking during the post-op period
d) Tell the client that smoking increases the risk of post-op complications
7. A client who was admitted the previous day with pneumonia states they have a sharp pain in the chest when they take a deep breath, which of the following is the first nursing action?
a) Listen to the client’s lungs
b) Check their 02 saturation
c) Ask the client to cough forcefully
d) Notify the doctor
8. Which of the following statements about the oxy-hemoglobin dissociation curve is true?
a) A Pa02 is less than 40 mm hg would likely be indicative of tissue hypoxia and cardiac arrhythmias
b) 02 saturation can provide the same information as Pa02 in an invasive procedure
c) The practical nurse should page the doctor if the Pa02 is between 80 to 100 mm hg
d) Pa02 is the amount of oxygen that is bound to and carried by Hgb (hemoglobin) expressed as a
percentage
9. To protect susceptible clients in the hospitals from aspiration pneumonia, What one of the following should the nurse do?
a) Turn clients with altered consciousness to a lateral position
b) Turn and reposition immobile clients every 2 hours
c) monitor for respiratory symptoms in those clients who are immunosuppressed
d) Plan client room assignments to prevent infected clients from placements with surgical clients
10. A client experiences a flail chest because of a car accident. Which one of the following would the nurse expect to see in this client, with this condition?
a) A paradoxical chest movement
b) Bloody sputum
c) Persistent coughing
d) Regular respirations
SCIENCE
HEALTH SCIENCE
NURSING
NURSING NRSG1006
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