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VSIM FOR NURSING - PHARMACOLOGY EXAM 1 QUESTIONS AND ANSWERS -2
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VSIM FOR NURSING - PHARMACOLOGY EXAM 1 QUESTIONS AND ANSWERS -2
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VSIM FOR NURSING | PHARMACOLOGY EXAM 1 QUESTIONS ANDANSWERS #2
Expected assessment findings of a patient with pneumonia may included which of the
following?
Select all that apply
Tachypena
Malasie
Enuresis
Use of accessory muscles
Fever - correct answer fever, malaise, tachy, use of accessory muscles
Rationale: Enuresis is not an assessment finding associated with pneumonia
A patient is semi-fowler's position is having difficulty breathing. What is the priority
action of the nurse?
Conduct a pain assessment
Raise the head of the bed
Auscultate the lung
Call respiratory therapy - correct answer raise HOB
Rationale: other answer may be appropriate AFTER HOB has been raised
Patient demonstrate correct use of the incentive spirometer when the patient places the
mouthpiece in the mouth and does which of the following?
Exhales quickly and forcefully
Inhales quickly and forcefully
Inhales slowly and deeply
Exhales slowly and deeply - correct answer inhales slowly and deeply
The patient should then hold the breath for 5 seconds before exhaling.
Patient with newly diagnosed pneumonia has an oxygen saturation of 94% room air, an
increased respiratory rate, and an increased pulse. The pt is pale, anxious. The nurse
questions the o2 saturation results and looks up which of the following lab results?
WBC count
Hemoglobin
Chest X-ray
Gram Stain - correct answer Hemoglobin
Rationale: Pulse Ox measures hemoglobin. Gram stain determines type of bacteria
causing the illness. WBC shows infection. X-ray is used to diagnose pneumonia.
, A pt states he does not want to use the incentive spirometer because it makes the
patient cough up too much sputum, and it is difficult to breathe. What is the correct
information to teach the pt about the use of incentive spirometer?
A. You should wait to use it until you are not coughing so much sputum
B. You have to use your incentive spirometer because your provider has ordered it for
you
C. It helps you maximize lung function and minimize risk of atelectasis
D. It will cause you to cough less because you are moving more air through the lungs -
correct answer C
Rationale: Using it will likely cause the patient to cough up sputum because the pt is
breathing deeply. It WILL NOT decrease amount fo sputum. Informing pt has to do it will
not teach the pt. Pt should should it to maximize lung function, preventing complications
of atelectasis.
The nurse titrates the pt's o2 to 3L per nasal cannula in order to maintain an oxygen
saturation of at least 94%, per the provider's orders. What is the rationale for this order?
Select all that apply.
A. Prevents atelectasis in pt with pneumonia
B. Allows the pt to receive 100% o2
C. Allows the body to meet metabolic demands
D. Promotes a decrease in myocardial workload
E. Promotes a decrease in respiratory effort - correct answer E, D, C
Rationale: o2 administered decreases respiratory AND cardiac workload and offers
increased oxygenation to meet metabolic demands. Oxygen per nasal cannula does
NOT provide 100% oxygen. Deep breathing exercises help prevent atelectasis in a
patient with pneumonia not maintaining oxygen saturation greater than 94%
While completing discharge instructions with a patient, the nurse notices the pt is SOB.
What is the priority nursing action at this time?
A. Determine if pt has questions
B. Listen to the pt lungs
C. Reassure the pt
D. Ask if pt has a support at home - correct answer B
Provider orders abcs for Mona Hernandez, who has pneumonia. What is the best
explanation for this order?
A. Pt has fever and malaise
B. Pt has productive cough and rust colored sputum
C. Pt has a history of smoking 1/2 pack of ciggs a day
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