Test 5 Study Questions

Front 1

Which of the following clients is most at risk for a problem with transport of oxygen from the lungs to the tissues
1- a client who has anemia
2- a client who has an infection
3- a client who has a fractured rib
4- a client who has a tumor of the medulla

Back 1

1- a client who has anemia

Front 2

Which of the following terms is most descriptive of a client experiencing Dyspnea when lying down I must assume an upright or sitting position to breathe more comfortably and effectively.
1- dyspnea
2- hypernea
3- orthopnea
4- acapnea

Back 2

3- orthopnea

Front 3

The nurse is to teach a client with chronic obstructive pulmonary disease safety precautions for using oxygen at home. The nurse knows that the client understands the safety principles discussed when he says the following:
1- smoking is permitted when oxygen is in use
2- fire extinguisher do not need to be stored
3- avoid materials that generate static electricity
4- acetone oil and alcohol are appropriate substances to use with client who are using oxygen

Back 3

3- avoid materials that generate static electricity

Front 4

A neighbor recently has been diagnosed with congestive heart failure and seeks information on the cost of the disease. In a discussion with the neighbor it is related that be functional mechanism for heart failure is:
1- that the heart is not able to keep up with the body's needs for oxygen and nutrients to tissues due to a variety of reasons
2- due primary to smoking from the stress it causes on the respiratory system.
3- due to excessive white which always causes the heart to work harder than necessary.
4- due to an end tact heart conduction system that is working effectively

Back 4

1- that the heart is not able to keep up with the body's needs for oxygen and nutrients to tissue due to a variety of reasons

Front 5

A middle aged woman presents to a primary care providers office with a complaint of aching legs and swelling every evening. Her occupation is waitress. She wears walking shoes to work is 30 pounds overweight and smokes half a pack of cigarettes a day. Which of the following interventions restated to the nurse by the clients shows that there is still a misunderstanding in the concept being presented
1- not smoking
2- maintaining one's ideal weight
3- use of antiembolic stockings
4- resting as much as possible with legs crossed

Back 5

4- resting as much as possible with legs crossed

Front 6

The Cardinal sign of cardiac arrest includes all of the following signs except:
1- apnea
2- absence of pulse
3- gurgling sounds in the lungs
4- Dilated pupils

Back 6

3- gurgling sounds in the lungs

Front 7

When assessing any client coming to see a primary care provider heart rate assessment is common practice. I'll be client assessment performed for which client would most concern the nurse?
1- a one month old healthy infant with a heart rate of 120
2- 18 year old with a cold and a heart rate of 100
3- the 50 year old hypertensive executive with a heart rate of 130
4- the 80-year-old Alzheimers client with a heart rate of

Back 7

3- the 50 year old hypertensive executive with a heart rate of 130

Front 8

Be competent nursing student nerve be quiet needs further education when which of the following statements is made.
1- when I exercise my cardiac output is increased
2- the higher the afterload the harder the heart has to work
3- the left ventricle work harder than the right to pump into pulmonary circulation
4- preload is increased when ventricular muscle stretches

Back 8

3- the left ventricle works harder than the right to pump into pulmonary circulation

Front 9

When a client suffers from uncontrolled hypertension medications are administered to:
1- increase afterload
2- decrease afterload
3- increase preload
4- decrease preload

Back 9

2- decrease afterload

Front 10

A 25 year old female client is admitted to the hospital for complaints of dizziness the following lab work is attained. Which should be documented as abnormal?
1- platelet count 185, 000/mm^3
2- RCB 3.2 MILLION/ mm^3
3- Hgb13g/dl
4- Hct 38%

Back 10

2- RCB3.2 MILLION mm/^3

Front 11

The nurse is performing discharge teaching for a client following his third heart attack. B client asked I just don't understand. Why are cigarettes so bad for you. What exactly do they do. The nurse's best response is:
1- cigarettes cause hypertrophy of the right and left ventricles
2- cigarettes cause increased blood sugar which cause you to develop atherosclerosis
3- cigarettes increase the heart rate and cause vasoconstriction
4- cigarettes increase the workload of the heart and decrease 02 demand

Back 11

3 - cigarettes increase the heart rate and cause vasoconstriction

Front 12

A client is diagnosed with congestive heart failure. To distinguish which taught the competent nursing student performs a cardiac assessment. Which of the following statements would indicate right side heart failure.
1- I wake up exhausted sometimes I wake up at night and I can't breathe.
2- I have had to go to shoe sizes in the last month.
3- sometimes I think I am NOT going to make it all the way 2d back without getting out.
4- I have the worst cough but nothing comes up but this old red phlegm.

Back 12

2- I have had to go up to shoe sizes in the last month.

Front 13

A nurse is performing a cardiac assessment on a client auscultate as for science. The nurse is aware that this sound represents which of the following.
1- atrial gallop
2- ventricular gallop
3- closure of the aortic valve
4- closure of pulmonic valves

Back 13

2- ventricular gallop

Front 14

A nurse is assessing a client who has respiratory insufficiency. Which of the following findings should the nurse recognized as a early sign of inadequate oxygen.
1- diaphoresis
2- combativeness
3- oliguria
4- restlessness

Back 14

4- restlessness

Front 15

A client is being discharged with oxygen therapy through a cannula. Which of the following instructions should the nurse give to the client and family.
1- use battery operated equipment instead of electrical equipment
2- use petroleum jelly for the nares to prevent chafing
3- wear cotton clothing to avoid static electricity
4- use baby oil to protect facial hair

Back 15

3- wear cotton clothing to avoid static electricity

Front 16

An oxygen delivery system is ordered for a client with COPD to deliver a precise oxygen concentration which of the following types of oxygen delivery devices would be anticipate to be prescribed.
1- face tent
2- venturi mask
3- aerosol mask
4- tracheostomy collar

Back 16

2 - venturi mask

Front 17

A nurse in a medical unit is caring for a client with heart failure. B client suddenly develops extreme Disney tachycardia and lung crackles and the nurse aspects pulmonary edema. The nerf inmediately ask another nurse to contact the physician's and prepares to implement which priority nursing intervention? Select all that apply.
1- administering oxygen
2- inserting a Foley catheter
3- administering lasix
4- administering morphine
5- transport the client to the unit
6- placing the client in a load Fowler side lying position

Back 17

1-2 -3 -4 morphine reduces preload reduces the work of breathing