NURS 120_Quiz #5.docx

NURS 120_Quiz #5.docx QUIZ #5 1. A client admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the client questions this action, saying “I have been ...

NURS 120_Quiz #5.docx QUIZ #5 1. A client admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the client questions this action, saying “I have been drinking tons of water. How am I dehydrated?” What response by the nurse is best? 2. A nurse admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? 3. A nurse in a community health center is assessing the results of a tuberculin skin test she performed for a client. Which of the following results indicates exposure or a possible infection with tuberculosis (TB)? 4. A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored? 5. What finding on the nursing assessment would be associated with a diagnosis of pneumonia in the older adult? 6. A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin, and pyrazinamide. Which of the following instructions should the nurse include? • 7. A nurse is preparing to administer hydrocortisone sodium succinate 250 mg via IV bolus every 6 hr. Available is hydrocortisone sodium succinate 1000 mg/8 mL. How many mL should the nurse administer? 8. A patient taking isoniazid (INH) should be monitored for what deficiency? 9. Client has been prescribed Chlorpheniramine by the health care provider. The nurse is preparing discharge instructions for this client. Which of the following statements made by the nurse is most important while teaching about this drug? 10. A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take? 11. A nurse is instructing an assistive personnel (AP) about caring for a client who has a low platelet count as a result of chemotherapy. Which of the following instructions is the priority for measuring vital signs for this client? 12. A client has a tentative diagnosis of pulmonary tuberculosis (TB) and the chest x-ray film reveals a lesion in the right upper lobe. Which client compliant supports this diagnosis? 13. A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide? 14. A nurse is caring for a client with a tracheostomy. The client’s partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client’s discharge? 15. A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client? 16. A nurse is caring for a child who ingested kerosene. Which of the following assessments is the nurses’ priority? • Respiratory rate 17. Your patient is complaining of a cough, itchy watery eyes, sneezing and a runny nose. On assessment you note that the patient has pale swollen nasal cavity. What would you suspect as the cause of these symptoms if the patient has been exposed to pollen and mold? • Sinusitis • Common cold • Allergic rhinitis • Asthma 18. The healthcare provider is conducting teaching during a health fair about the causes of pneumonia. The healthcare provider demonstrates understanding of the causes when she states that community acquired pneumonia (CAP) can be caused by all of the following except: • Mycoplasma • Human papillomavirus • Hemophilus Influenza B • Streptococcus pneumoniae 19. Nurse has just admitted a client with Spironolactone overdose. Which ABG may be expected for this client? • Respiratory acidosis • Metabolic acidosis • Metabolic alkalosis • Respiratory alkalosis 20. Nurse is educating a newly diagnosed Pneumonia patient about Montelukast and its precautions. Which of the following statements made by the client requires further education? • I will have to call my physician in case I need to discontinue this drug • I will have to get my liver functions checked frequently • I will take this drug after meals • This drug is not efficient for acute asthma attacks 21. A client who is receiving continuous oxygen therapy by nasal cannula for an acute respiratory problem is becoming increasingly confused. What does the nurse do first? • Raise the head of the bed • Assess client’s pulse oximetry • Notify the health care provider • Document the observation 22. The nurse is taking a respiratory history for a patient who has come into the clinic with a chronic cough. What information should the nurse obtain from this patient? (SATA) • Social support • Previous history of smoking • Financial ability to pay the bill • Occupational and environmental influences • Previous history of lung disease in the patient or family 23. A nurse is caring for a patient admitted for pneumonia. Assessment findings include a temperature of 38.8 C (100.0 F), respirations 30/min, BP 130/76 and a SaO2 89% on room air. Which of the following is the nurses’ priority action? • Administer ordered oxygen therapy • Perform a sputum culture • Administer prescribed antibiotics • Administer an antipyretic 24. Mr. Noosy came into the clinic complaining of chills, fever, achy pain all over his body, headache, cough, runny nose, and sore throat. He said he started feeling horrible last night and it came on so fast. What would you suspect is the cause? • Pharyngitis • Sinusitis • Viral rhinitis • Influenza 25. During an abdominal examination, a nurse in a provider’s office determines that a client has abdominal distention. The protrusion is at midline, the skin over the area is taut, and the nurse notes no involvement of the flanks. Which of the following possible causes of distention should the nurse suspect? • Fat • Fluid • Flatus • Hernias 26. A nurse is teaching a client who has tuberculosis and is to start combination drug therapy. Which of the following medications should the nurse plan to administer? (SATA) • Rifampin • Acyclovir • Isoniazid • Pyrazinamide • Montelukast 27. Nurse has received ABG report for client with respiratory acidosis. Which ABG reflects the respiratory acidosis? • pH 7.30, CO2 68, HCO3 34, O2 90 • pH 7.30, CO2 42, HCO3 10, O2 94 • pH 7.48, CO2 22, HCO3 18, O2 100 • pH 7.50, CO2 60, HCO3 50, O2 100 28. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? • Constipation • Staining of teeth • Black colored stools • Body secretions turning a red-orange color 29. A client with acute viral rhinosinusitis is being seen in a clinic. The is providing discharge instructions and includes the following information: • Avoid air travel • Severe pain when palpating the sinuses is normal • Dehumidify the air in the home • Make sure to follow antibiotic therapy 30. A nurse is caring for a client who asks what her Snellen eye test results mean. The client’s visual acuity is 20/30. Which of the following responses should the nurse make? • "Your left eye can see the chart clearly at 20 feet, and your right eye can see the chart clearly at 30 feet." • "Your eyes see at 30 ft what visually unimpaired eyes see at 20 ft. " • "Your eyes see at 20 feet what visually unimpaired eyes see at 30 feet." • "Your right eye can see the chart clearly at 20 feet, and your left eye can see the chart clearly at 30 feet."