N-525 PAST QUESTIONS

The nurse is providing teaching about long- term anticoagulant therapy to a client recovering from a pulmonary embolism. Which client statement indicates that intervention has been effective?

" i need to use a soft toothbrush and electric razor to avoid injuries"

The nurse is caring for a client who has had myocardial infarctions. The client states. "I have been smoking for 35 years, what good will quitting do? Which response is the best?

" your risk of continued coronary artery disease will decrease significantly when you stop"

Friends of a client hospitalized with asthma would like to bring a client a gift. Which gift should the nurse recommend to this client?

A book

Which form of peripheral vascular disease is characterized by thickening. Loss of elasticity, and calcification of arterial walls?

Arteriosclerosis

. The nurse is instructing a client with lifestyle changes to promote a healthy cardiovascular system . Which of the following should be included in this teaching session? Select all that apply?

Avoid cigarette smoking Reduce saturated fats

The structure of the respiratory system that serve as the site of gas exchange is the

ALVEOLI

A client admitted with the diagnosis of cardiomyopathy becomes short of breath with ambulation and eating and fatigued with routine care activities. Which nursing diagnosis does the nurse include in the client's plan of care?

Activity intolerance

28 The nurse is providing discharge teaching to a client recovering from deep vein thrombosis ( DVT). Which instructions are appropriate for the nurse to include in the teaching session. Select all that apply?

Avoid prolonged standing Take frequent walks Avoid crossing the legs. Avoid long car trips without frequent breaks to get out and walk around

. The nurse is reviewing the results of laboratory tests conducted on a client admitted with an alteration in respiratory function/ which laboratory finding would be most significant for this client?

Blood pH of 7.32

What causes brown pigmentation of the lower extremities in clients with venous stasis?

Break down of red blood cells in the congested tissues

. The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease(COPD) . Which condition will you include when you teach the clients family about the types of COPD?

Bronchitis and emphysema

. The is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD). Which factors in the client's history support the current suggestion? Select all that apply.

Current cigarette smoking Working in an industrial environment History of asthma

. What is the most common clinical manifestation of coronary artery disease ?

Chest pain

30. The nurse is evaluatingcare provided to a client diagnosed with chronic obstructive pulmonary disease (COPD). Which observationwould indicate the care provided to thisclient has been effective

Client conducts morning care and ambulates in room wile maintaining an oxygen saturation of 92% on room air per pulse oximeter reading

Which assessment by the nurse supports the diagnosis that a client has chronic bronchitis?

Cough and morning production of sputum

The nurse caring is caring for a client who is recovering from a hysterectomy. Which clinical manifestation support that the client is experiencing a pulmonary embolism (PE)

Dyspnea and Chest Pain

. The nurse is planning care for a client diagnosed with chronic obstructive pulmonary disease (COPD). When planning care for the client, which is the following is appropriate to enhance the client's breathing pattern? Select all that apply

Educate on relaxation techniques Assist with daily activities Provide adequate rest periods

A client reports morning headaches that extend into the neck and go away as the day wears on. Based on this initial data. Which assessment finding does the nurse anticipate?

Elevated Blood pressure

. Which of the following triggers can stimulate an acute asthma attack? Select all that apply

Exercise Animal dander Stress

A client diagnosed with cardiomyopathy asks the nurse to explain the different types of the disease. Which is inappropriate for the nurse to indicate in the teaching

Hypotrophic cardiomyopathy

The nurse teaches a client about lifestyle modifications to help manage hypertension. Which client statement indicates teaching has been effectives?

I know i need to give up my cigarettes and alcohol"

The nurse is providing teaching to a client diagnosed with cardiomyopathy. Which statement made by the client indicates the discharge teaching was effective?

I will see my cardiologist next week to discuss implanting a pacemaker"

Which physiological changes associated with aging increase the risk of hypertension in older adults?

Increase in Systolic Blood Pressure

A client diagnosed with asthma has a respiratory rate of 28 at rest with audible wheezes upon inspiration. Based on this data which nursing diagnosis takes priority?

Ineffective Breathing Pattern

. The nurse is planning care for a client with a pulmonary embolism. Which nursing action would assist with the clients decrease in cardiac output?

Monitor pulmonary and arterial pressures

Which independent nursing interventions are appropriate for a client who is experiencing an alteration in oxygenation ? Select all that apply

Monitoring activity intolerence Assisting with positioning Providing suctioning Encouraging deep breathing exercises Choose everything except " prescribing bronchodilators"

A client with chronic obstructive pulmonary disease (COPD) is prescribed oxygen at 2 L/min. Which is the best method to administer oxygen to this client?

Nasal Cannula.

The nurse is caring for a client who has not been adhering to treatment with ant-in hypertension medication. Which approach to addressing this issue should the nurse use?

Non judgemental

When planning to care for this client. Which does the nurse understand about systolic heart failure?

Occurs when ventricle fails to contract adequately to eject a sufficient volume of blood into the arterial system

. A client diagnosed with chronic obstructive pulmonary disease (COPD) has a pulse oximeter reading of 93%. Increased RBC and WBC count temperature of 101 F, pulse 100 bpm, respiration 35 bpm, and chest x-ray that showed a flattened digraph with infiltrates. Based on this data, which order does the nurse question for this patient?

Oxygen by Nasal Cannula at 3-4 liters/ minute

. The nurse is caring for a client with congestive heart failure (CHF) who frequently wakes during the night frightened and short of breath. Based on this data what is the client experiencing?

Paroxysmal nocturnal dyspnea

. During an assessment the patient states that at home he must use several pillows at night or he feels short of breath. The nurse ....review?

Patient experiences orthopnea when lying supine

The nurse is planning care for a client with Deep Vein Thrombosis (DVT). Which problems would be a priority for this client?

Peripheral Perfusion

The nurse is documenting assessment findings on a client with angina. Which term should the nurse use to describe chest pain that occurs at night and is unrelated to activity?

Prinzmetal angina

The nurse is teaching the client about the different types of angina. Which client statement indicates the need for follow up teaching?

Prinzmetal angina is atypical angina that occurs with strenuous exercise

. What is the best way nurses can help clients reduce the risk of COPD?

Providing smoking cessation resources

The nurse is positioning a client left-sided heart failure in bed. Which sleeping position is most appropriate for this client?

Reclining with 3 pillows under head

Vaccinations can help promote healthy oxygenation by

Reducing the transmission of preventable diseases

Blood pressure is influenced by all EXCEPT which factor?

Respiratory Rate

The nurse is planning care for a client experiencing dyspnea and a subsequent activity intolerance. What action by the nurse would be the most appropriate?

Space periods of activity with periods of rest

18. The nurse is completing an assessment on a newly admitted client. What finding would alert the nurse that the client may be experiencing a deep venous thrombosis (DVT)

Swelling in one leg with edema

The nurse is providing care to a client who has experienced several episodes of angina. Which agent does the client the nurse anticipate being ordered to indicate....... Was having ....episode?

The client will experience a relief of chest pain with nitrate therapy

. A patient with moderate heart failure complains of forgetfulness. The nurse states

The decreased level of oxygen caused by your heart failure may cause forgetfulness. Let's check your oxygen levels.

. A client asks why asthma medication is needed even though the client's last attack was several months ago. Which response by the nurse is appropriate?

The medication is still needed to decrease inflammation in your airways and help prevent an attack

The nurse instructs a client with asthma on bronchodilator therapy. Which statement indicates client understanding of how this drug works

The medication widens the airway by causing airway muscle relaxation

The nurse charge is observing a newly licensed nurse conduct an admission assessment on a client with asthma. Which action by the newly licensed nurse ...involve..... Intervention

The newly licensed nurse is observed continuing to ask the client questions regarding history while the client demonstrates difficulty breathing and signs of respiratory impairment

11. Which best describes the effects of the renal system on blood pressure?

The release of renin causes an increase in blood pressure

. The nurse is assessing a client being treated for congestive heart failure (CHF). Which physical finding would indicate that the condition is not improving? Select all that apply.

Urine output 160ml over 8 hours. Capillary refill time(CRT)>3 sec? Wheezing of breath sounds in all lobes.

The nurse is providing discharge instructions to an older adult client who is going home After having a total knee replacement. Which should the nurse include in the discharge teaching to decrease the client's risk for developing a thrombosis or pulmonary embolism (PE) ? Select all that apply.

Use compression stockings Continue leg exercises

The nurse is reviewing discharge instructions with a client who is newly diagnosed with asthma. Which client statement indicates a need for further teaching?

when inhaling two different medications. I should use my bronchodilator last"