CCC3 Exam 2 Practice Quiz

A female client is scheduled to have a chest x-ray. What question is most important for the nurse assessing this client?

"Is there any possibility that you could be pregnant?"

When a client is diagnosed with a healthcare-acquired infection, the infection must be acquired within what time frame?

<48 hours

What drug is considers part of the rescue drugs?

Albuterol

A 75 year old female with pneumonia may appear with which of the following manifestation first?

Altered mental status and dehydration

During the lecture, the nursing instructor showed an x-ray of lungs with pneumonia. The student asked about consolidation. How would the instructor explain consolidation?

An abnormal solidification with lack of air spaces

When examining the chest of a client with asthma, what will the physical exam reveal?

Antero/posterior to transverse diameter is a 4:4

The nurse is preparing to assess the client's free flap. What is the nurse's priority when assessing the free flap?

Assess capillary refill

Client returns from a free flap surgical procedure to treat head and neck cancer. What would the nurse want to monitor first?

Assess clients airway for patency

The nurse is assessing a client with OSA (Obstructive Sleep Apnea) who is post-surgical procedure. What will the nurse assess for possible obstruction?

Assess the size and shape of the oropharynx

The nurse knows the client understands the use of bronchodilators, when the client states which of the following?

Bronchodilators relaxes smooth muscles

Inflammation in clients with asthma can lead to damage of the airway and the loss of what other process?

Cellular regulation

The term "blue bloater" refers to a client with which condition?

Chronic obstructive condition

Which risk factor for puts patients at higher risk of tuberculosis (tb)?

Constant, frequent contact with untreated

Clients on pandemic influenza type isolation are usually on what type of isolation?

Contact, Airborne, and Droplet Precautions

When COPD worsens, what condition results causing right side heart failure caused by pulmonary disease

Cor Pulmonale

When assessing the client with tb what manifestation will the nurse document? Select all that apply.

Crackles Bronchial breath sounds Dullness with percussion Tactile fremitus absent

What are systemic changes that take place in the clients with sleep apnea?

Decreases gas exchange

Influenza vaccines are different between adults < 50 and those > 65 years old. What is the nursing student understanding of this difference?

Designed to be more effective based on the client's age

Mr. Jones has returned to his room following a radiation treatment. Which side effects will the nurse educate the client to monitor for? SATA

Dry mouth Hoarseness Fatigue Skin problems

The nurse is monitoring a patient with oxygen toxicity. What are the clinical manifestation of oxygen toxicity? SATA

Dyspnea Nausea/vomiting Crackles

The client has return from a rhinoplasty, what should the nurse observe for in the client? Select all that apply.

Edema Bleeding Skin integrity

On admission the nurse starts planning her discharge. What other planning should the nurse start at admission?

Education on the care needed for transition to home

What information should the nurse give a patient on Bedaquiline?

Frequent ECG monitoring will be needed

Clients with chronic illnesses are more likely to contract pneumonia in what type of situations?

Group living

What is the pathophysiological mechanism that occur in the lung parenchyma which follows pneumonia to develop?

Inflammation

The nurse is educating the client on using the respiratory inhaler. Which action by the client indicated a need for further teaching?

Inhales the mist and quickly exhales

When dealing with facial trauma, the nurse needs to anticipate what type of intervention?

Intubation

When treating upper airway obstruction, what will the nurse assess as a cause of the obstruction?

Laryngeal edema

When teaching a client with COPD to converse energy, the nurse should teach the client to lift the objects, doing what technique?

Lift while exhaling through pursed lips

With nose and sinus cancers, what is the reason for the cancer development?

Loss of cellular regulation

Upper airway obstruction would include what structures? Select all that apply

Nose Mouth Pharynx Larynx

The nurse is preparing to perform a physical assessment. Beginning with observation, the nurse notice the lower jaw of the client is retracted, with a small neck, and small chin. What condition would the nurse suspect the client has?

Obstructive Sleep Apnea

The student nurse is intervening with a client with epistaxis. Why is it important to identify if the bleeding is coming from the posterior region of the nose?

Posterior bleeds are considered a medical emergency

Why is proper oral care important for hospitalized patients

Prevention of inspissated secretions

Why are exercises important for postoperative care?

Prevents cardiovascular complications

Why is it highly recommended for clients with chronic obstructive pulmonary disease (COPD) to have Pneumovax and flu vaccinations?

Respiratory infections can cause severe hypoxia and possibly death in these clients

What triggers should the nurse educate the client with asthma to avoid? Select all that apply

Smoke Fumes Pets Insects

The client is receiving albuterol sulfate inhalation. The nurse is educating the client on the side effects. Which side effect would the nurse instruct the client to monitor?

Tachycardia

When supervising the delegation of care to the post laryngectomy client to a Patient Care Tech (PCT), what should the nurse take into consideration?

The PCT's ability to perform the delegated care

When developing interventions for the client with respiratory disorders, What would the nurse instruct the client on when using the incentive spirometer

The client should inhale spontaneously

What is the benefit of exercise in patients with COPD?

It improves respiratory muscle strength

What is the most common type of head and neck cancer?

Squamous cell carcinoma

What organism occurs most commonly in community-acquired pneumonia in adults?

Streptococcus pneumoniae

A 48 year old client comes into the clinic. The history includes smoking one to two packs of cigarettes a day, chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based in your data collection, the client most likely has which condition?

Emphysema

The term "pink puffer" refers to a client with which condition?

Emphysema

The nurse is explaining to the client the need to take the rifampin as prescribed and do not stop the dosage. What is the reasoning for this instruction?

It can take 6 mos to 18mos for treatment

Aminophylline (theophylline) is prescribed for a client with acute bronchitis. What will the nurse teach the client about the primary action of the medication?

Relax smooth muscles of the bronchial airway

Metered Dose inhalers (MDIs) are used often to deliver medication to the client. What is the preferred way to use this type of medication?

Spacer is preferred

The nursing instructor is educating the nursing student on cues to recognize in patients with sleep apnea. The instructor knows the nursing student understands the assessment of the client with Sleep Apnea when the nursing student makes which statement?

The client states he has multiple episodes of waking up with GERD

When auscultating the lungs of a clit with asthma, what breath sounds do you anticipate?

Wheezing