Adult Health Exam 3 Practice
Questions & Answers
A 15 year old female presents in the ED with shortness of breath and
wheezing. What other clinical manifestation is a classic sign of an acute
asthma attack?
A. Increased HR
B. Decreased sputum
C. Inability to speak in full sentences
D. Diplopia - -C. Inability to speak in full sentences
-In a patient diagnosed with asthma, which of the following medications
would a nurse expect to administer? Select all that apply.
A) Beta1 adrenergic agonist
B) Bronchodilator
C) Antiinflammatory agent
D) Anticholinergic agent
E) Beta blocker - -B) Bronchodilator
C) Antiinflammatory agent
D) Anticholinergic agent
-A patient presents to the emergency department with status asthmaticus.
What is the nurse's priority action at this point?
A. Administer oxygen
B. Start IV fluids
C. Administer systemic corticosteroids
D. Start endotracheal intubation - -A. Administer oxygen
-Following patient education on pursed lip breathing, which statement by
the asthma patient indicates that learning has occurred?
A. A breathing technique to breath faster, I should use this when I am having
an asthma attack.
B. A breathing technique that increases CO2, I should not do it.
C. A breathing technique that constricts the airway, shortening exhalation.
D. A breathing technique that keeps the airway open longer and prolongs
exhalation, increasing time for gas exchange. - -D. A breathing technique
that keeps the airway open longer and prolongs exhalation, increasing time
for gas exchange.
-A patient has been diagnosed with chronic obstructive pulmonary disease
(COPD). Which of the following are appropriate treatments? Select all that
apply.
a) administer bronchodilators
b) provide O2
, c) provide small, frequent meals with dietary supplements
d) Insert a Foley catheter
e) Position the patient in semi-Fowler's - -a) administer bronchodilators
b) provide O2
c) provide small, frequent meals with dietary supplements
e) Position the patient in semi-Fowler's
-You are providing teaching to a patient with chronic COPD on how to
perform pursed lip breathing. This technique helps do the following:*
A. Increase the breathing rate to prevent hypoxemia
B. Decrease the use of the abdominal muscles
C. Encourages CO2 elimination.
D. Strengthen the diaphragm - -C. Encourages CO2 elimination.
-A 52 year old patient presents to the ED with symptoms related to COPD.
These symptoms include (Select all that apply):
A. Sputum production
B. Use of accessory muscles
C. Pursed-lip breathing
D. Tachypnea
E. Hyperventilation - -A. Sputum production
B. Use of accessory muscles
C. Pursed-lip breathing
-A nurse is caring for a post-op leg fracture patient and is suspicious that a
PE has occurred. What lab results should the nurse monitor for further
confirmation? Select all that apply.
A. Positive Plasma D-dimer
B. Hemoglobin 14 g/dL
C. PaO2 less than 80 mm Hg
D. PaCO2 less than 35 - -A. Positive Plasma D-dimer
C. PaO2 less than 80 mm Hg
D. PaCO2 less than 35
-You are caring for a 45-year old American Indian man with a Pulmonary
Embolism. Which medications could he receive as a part of his treatment?
SELECT ALL THAT APPLY:
A. Heparin
B. Altepase
C. Diazapam
D. Chloroquine
E. Isotonic Fluid - -A. Heparin
B. Altepase
E. Isotonic Fluid
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