NUR102 Unit 8+9 Quiz
A patient presents with barrel chest, anxiousness, and dyspnea on exertion. What is the patient most likely experiencing? A. Emphysema B. Bronchitis C. Asthma D. Cystic Fibrosis
A. Emphysema
For a patient with COPD, the nurse should titrate the O2 to maintain an O2 saturation of what? A. 95% B. 90-95% C. 88-92% D. 85-92%
C. 88-92%
You assist your patient with using their inhaler. The inhaler contains the medication Budesonide. Before administering the inhaler, you will want to connect what device to the inhaler to help decrease the patient from developing _______? A. peak flow meter; pneumonia B. incentive spirometer; thrush C. spacer; thrush D. peak flow meter; mouth sores
C. spacer; thrush
What is a clinical manifestation of otitis media? A. Nausea B. Blurry vision C. Hypotension D. Feeling of fullness in ear
D. Feeling of fullness in ear
Corticosteroids reduce edema in croup syndrome but cannot be administered if there is a history of which of the following? A. Restlessness B. Pneumonia C. SIDS
D. Varicella
What is the major goal in the care of a patient with rhinitis?
Preventing secondary infection
Treatment of sinusitis includes which of the following? Select all that apply. A. Relieving pain B. Promoting sinus drainage C. Ice packs over sinus area D. Antibiotics for at least 10 days E. Inhaling moist steam
A. Relieving pain B. Promoting sinus drainage D. Antibiotics for at least 10 days E. Inhaling moist steam
What treatments could be used to treat conjunctivitis? Select all that apply. A. Warm compress B. Antibiotics C. Cold compress D. Artificial tears E. Antihistamines
B. Antibiotics C. Cold compress D. Artificial tears E. Antihistamines
What nursing intervention should the LPN suggest to the RN to include in the plan of care for a client with conjunctivitis? A. Adequate rest B. Cold compress C. Increase fluid intake D. NPO
B. Cold compress
What should the nurse monitor for a patient taking albuterol? Select all that apply. A. Hyperkalemia B. Nervousness C. Bradycardia D. Headache E. Changes in Blood Pressure
B. Nervousness D. Headache E. Changes in Blood Pressure
A nurse is supervising a student nurse who is performing tracheostomy care for a client. Which of the following actions by the student requires the nurse to intervene? A. Replacing the inner cannula and cleaning the site of the stoma. B. Removing the inner cannula and cleaning using universal precautions. C. Changing the old tracheostomy ties and securing the tube in place. D. Suctioning the tracheostomy tube before performing care.
B. Removing the inner cannula and cleaning using universal precautions.
Sudden cessation of high pitched wheezing in a child may indicate which of the following? A. Improvement on child B. Respiratory arrest C. Child is probably sleeping D. Clear airway
B. Respiratory arrest
What is a side effect of albuterol? A. bradycardia B. Tachycardia C. Drowsiness D. Coldness
B. Tachycardia
Which statement indicates the patient needs further teaching about at-home trach care? A. "Anyone helping me with cleaning the trach will need to stand to the side of the stoma to avoid any expelled mucus." B. "The stoa will need to be cleaned with sterile water and sterile cotton-tipped applicators." C. "The tub needs to be removed and cleaned." D. "I will not cut gauze to place around the tube because loose threads are a aspiration risk."
C. "The tub needs to be removed and cleaned."
What would the LPN expect the HCP to order with a bacterial pharyngitis diagnosis? A. Lozenges B. Antiseptic sprays C. Antibiotic therapy D. Warm saline gargles
C. Antibiotic therapy
A child's parent refuse the H. influenza type B vaccine. What condition is this child most at risk for? A. SIDS B. RSV C. Epiglottitis D. Bronchitis
C. Epiglottitis
The nurse is performing an admission assessment on a patient who is scheduled for several diagnostic respiratory procedures. What symptoms reported by the patient would make the nurse suspect laryngeal cancer? A. Sleep apnea and snoring B. Anemia C. Persistent hoarseness D. Difficulty swallowing
C. Persistent hoarseness
What is a risk factor for a child to become reinfected with RSV? A. Family history B. Type 1 Diabetes C. Weekly daycare activity D. Obesity
C. Weekly daycare activity
Which statement said by the patient would indicate the need for further teaching? A. "I should avoid getting my flu shot because it might make me sick." B. "I stay away from people with infections." C. "I always wash my hands when I come home from the grocery store." D. "I am getting my pneumococcal vaccine, but I may need a second dose in 5 years."
A. "I should avoid getting my flu shot because it might make me sick."
A client is admitted to the medical department due to pneumonia associated with influenza. Which of the following interventions promote airway patency? A. Applying chest physiotherapy B. Providing a quiet environment C. Scheduling activities after treatment D. Frequent turning E. Increasing fluid intake F. Teaching the client to avoid stress
A. Applying chest physiotherapy D. Frequent turning E. Increasing fluid intake
A patient has been diagnosed with acute laryngitis. Which response by the nurse would be most appropriate? A. "You should whisper as much as possible when communicating to avoid straining your vocal cords." B. "Taking a decongestant will minimize mucus drainage and throat irritation." C. "Drink plenty of fluids to help prevent dehydration." D. "Performing vocal cord exercises will help strengthen ad heal your vocal cords."
C. "Drink plenty of fluids to help prevent dehydration."
Teaching of a croup tent has been effective when the patient states what? A. "I will keep my child in cool damn clothes while using the tent." B. "I will fan my child while in the tent to keep them cool." C. "I will change my child's clothes frequently while using the tent treatment." D. "I will stay inside the tent with my child at all times."
C. "I will change my child's clothes frequently while using the tent treatment."
What nutritional teaching should the nurse provide to a patient diagnosed with COPD? A. Drink 4-6 glasses of non-caffeinated fluids every day B. Eat a well-balanced diet with adequate carbohydrates C. Take in adequate calcium with dairy products, vegetables, and supplements D. Eat 3 meals per day with snacks in between
C. Take in adequate calcium with dairy products, vegetables, and supplements
During a 2 month well visit with a patient and her mother, you educate the parent on the most common cause of epiglottitis. You explain to the mother the most common cause of the condition is the _________. In addition, you explain ________ can help prevent most cases of this condition. A. respiratory syncytial virus; palivizumab B. influenza virus; annual flu shot C. haemophilus influenza type b; Hib vaccine D. rotavirus; RV vaccine
C. haemophilus influenza type b; Hib vaccine
An elderly patient presents with pneumonia. They have become increasingly confused and restless over the last few hours. Additionally, elevations in temperature, blood pressure, and pulse have been noted when compared to the previous assessment. What should the nurse do first. A. Assess oxygen saturation B. Auscultate breath sounds C. Administer mild sedative D. Administer analgesic
A. Assess oxygen saturation
On assessment, the patient states feeling SOB and has had a chronic and productive cough for the past few months. The nurse also notes cyanosis around the patient's mouth. What is the likely diagnosis of this patient? A. Chronic bronchitis B. Emphysema C. Asthma D. Sinusitis
A. Chronic bronchitis
An RN is observing a nursing student performing trach care for a patient. Which would require additional teaching? A. The student auscultating both lungs before suctioning B. When changing the velcro ties, the student places one hand behind the patient's head to hold in place C. The student uses sterile saline to clean around the stoma D. The student ties the new neck tie onto the trach holder before removing the old ties
B. When changing the velcro ties, the student places one hand behind the patient's head to hold in place
