NUR 325 EXAM 3 NEWEST ACTUAL
EXAM 2024-2025 QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES | A+ STUDYGUIDE 2025
A nurse is caring for a client who has PAD. Which of the
following symptoms should the nurse expect to find in the
early stage of the disease?
a. Intermittent claudication
b. Dependent rubor
c. Rest pain
d. Foot ulcers Correct Answer A (Intermittent
claudication is ischemic pain that is precipitated by
exercise, resolves with rest, and is reproducible. The
pain associated with claudication arises when cellular
oxygen demand exceeds supply. It occurs early in the
disease course, and is typically the initial reason
clients who have PAD seek medical attention.
Dependent rubber, rest pain, and foot ulcers, are all
manifestations that occur in later stages of PAD.)
A nurse is caring for a client who has asthma and is taking
fluticasone. The nurse should minor the client for which of
the following adverse effects?
a. Hypoglycemia
b. Hypertension
c. Polyuria
,d. Oral candidiasis Correct Answer D (Corticosteroids
can cause hyperglycemia. They do not cause
hypertension. They do not cause polyuria. They can
cause oral candidiasis, or thrush; therefore, the client
should rinse her mouth with water.)
A nurse is teaching a client who has COPD about ways to
facilitate eating. Which of the following statements
indicates a need for further teaching?
a. "I will rest for at least 30 minutes before eating."
b. "I will take my bronchodilators after meals."
c. "I will eat five or six small meals each day."
d. "I will choose foods that are not gas-forming." Correct
Answer B (Resting before meals decreases fatigue,
providing more energy during meals. This is an
appropriate statement by the client. Bronchodilators
should be taken before meals, not after, in order to
reduce shortness of breath. This statement by the
client indicates a need for further teaching. Eating
small, frequent meals decreases shortness of breath.
This is an appropriate statement by the client.
Abdominal bloating and a feeling of fullness often
prevent clients from eating a full meal. They tire easily
and tend to have anorexia. This is an appropriate
statement by the client.)
A nurse is caring for an older adult clients who has COPD
with pneumonia. The nurse should monitor the client for
which of the following acid-base imbalances?
,a. Respiratory alkalosis
b. Respiratory acidosis
c. Metabolic alkalosis
d. Metabolic acidosis Correct Answer B (Respiratory
acidosis is a common complication of COPD. This
complication occurs because clients who have COPD
are unable to exhale carbon dioxide due to a loss of
elastic recoil in the lungs.)
A nurse is providing instructions about pursed-lip
breathing for a client who has COPD with emphysema.
The nurse should explain that this breathing technique
accomplishes which of the following?
a. Increases oxygen intake
b. Promotes CO2 elimination
c. Uses intercostal muscles
d. Strengthens the diaphragm Correct Answer B (The
client who has COPD with emphysema should use
pursed-lip breathing when experiencing dyspnea. This
is one of the simplest ways to control dyspnea. It
slows the client's pace of breathing, making each
breath more effective. Pursed-lip breathing releases
trapped air in the lungs and prolongs exhalation to
slow the breathing rate. This improved breathing
pattern moves CO2 out of the lungs more efficiently.)
A nurse on a medical-surgical unit is caring for a client
who is postoperative following a hip replacement surgery.
The client reports feeling apprehensive and restless.
, which of the following findings should the nurse recognize
as an indication of pulmonary embolism?
a. Sudden onset of dyspnea
b. Tracheal deviation
c. Bradycardia
d. Difficulty swallowing Correct Answer A (Dyspnea
occurs due to reduced blood flow to the lungs.
Tachycardia is a clinical manifestation of pulmonary
embolism.)
A nurse is planning care for a client who has COPD and is
malnourished. Which of the following recommendations to
promote nutritional intake should the nurse include in the
plan?
a. Eat high calorie foods first.
b. Increase intake of water at meal times
c. Perform active ROM exercises before meals
d. Keep saltine crackers nearby for snacking Correct
Answer A (A client who has COPD often experiences
early satiety. Therefore, the client should eat calorie-
dense foods first. The client should limit intake of
water at mealtimes to reduce the felling of early
satiety. The client should rest before meals to
decrease dyspnea while eating. The client should
keep foods on hand for snacking, but should avoid
dry and salty foods, which can place the client at risk
for aspiration and make the client's mouth dry.)
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