NURS 370 FINAL EXAM 400+ Questions
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LATEST UPDATE 2024-2025
A 4-year-old is brought to Emergency by his parents, who report he
swallowed a small toy. What symptom suggests complete airway
obstruction by a foreign body?
A. Gagging
B. Coughing
C. Inability to speak
D. Rapid respirations - CORRECT ANSWER>>C. Inability to speak
The adult client is newly admitted to the ward following surgery. Which
assessment finding should be the RN's priority?
A.The surgical site dressing has a scant amount of bright red blood.
B.The client is sleeping but easily arouses when touched.
C.The client's respirations are 6 to 8 breaths per minute.
D.The client's blood pressure is 100/68 mm Hg. - CORRECT
ANSWER>>C. The client's respirations are 6 to 8 breaths per minute.
The nurse is caring for a client who had a total hip replacement four days
ago. Which assessment requires the nurse's immediate attention?
A."I have bad pain in my lower leg"
B."I just can't 'catch my breath"
C. "I have to use the bedpan to pee at least every hour."
D. "The pain medication is not working today." - CORRECT ANSWER>>B.
"I just can't 'catch my breath"
,There has been a train derailment and four people are injured. Which
patient should the RN see first?
A.Client who is 20 years of age who has unequal pupils and is tachypneic
B.Client who is 80 years old complaining of a "racing heart" and has a
laceration on his arm
C.Client who is 10 years old with a swollen wrist
D.Client who is 25 years old with an open chest wall wound - CORRECT
ANSWER>>D. Client who is 25 years old with an open chest wall wound
Because of open-chest wall wound = at risk for pneumothorax or
hemothorax = life-threatening.
The client just returned to the nursing unit following surgery. Which
observation by the RN requires the most immediate intervention?
A. The client is sleepy
B. The client coughed up blood-tinged sputum
C. Oxygen saturation level is 82%
D. Jackson-Pratt wound drain is half full - CORRECT ANSWER>>C.
Oxygen saturation level is 82%
At 0730 hours, the oncoming RN is planning care for four clients. Which
client should the RN plan to assess first?
A.The 23-year-old client with cystic fibrosis who has pulmonary function
tests scheduled in ten minutes
B.The 35-year-old client admitted the previous day with bacterial
pneumonia and now has a temperature of 39.4oC
C.The 46-year-old client who had a chest tube removed an hour ago and
now has dyspnea
D.The 77-year-old client with tuberculosis who has four anti-tubercular
medications due at 08:00 hours - CORRECT ANSWER>>C. The 46-year-
old client who had a chest tube removed an hour ago and now has
dyspnea
What is the purpose of the ABCDE approach? - CORRECT
ANSWER>>To provide life-saving treatment
,To break down complex clinical situations into more manageable parts
To serve as an assessment and treatment algorithm
To establish common situational awareness among all treatment providers
To buy time to establish a final diagnosis and treatment (identifies priority
needs and guides nursing practice)
Can be initiated without any equipment and more advanced interventions
can be applied on arrival of emergency medical services, in a clinic, or at
the hospital.
Assessments should be repeated until the patient is stable, regularly,
and/or at any sign of deterioration.
What are strategies for prioritizing care? - CORRECT ANSWER>>Central
focus on prioritization of Client care:
-Priority 1 - life threatening illness (ex: airway obstruction, myocardial
infarction)
-Priority 2 - safety (ex: of patient and family, nurse and health
professionals)
-Priority 3 - client priorities (ex: pain, nausea)
-Priority 4 - nurse priorities (ex: a nursing intervention appropriate for the
situation)
What are normal/expected airway findings? - CORRECT
ANSWER>>Patient responds in a normal voice
Regular and visible respirations
What are abnormal/unexpected airway findings? - CORRECT
ANSWER>>Partial obstruction = voice changes, noisy breathing, and
increased breathing effort
Complete obstruction = there is no respiration despite great effort,
unconscious
What are possible airway interventions? List them. - CORRECT
ANSWER>>Head tilt and chin tilt to open airway
Suction of the airways
Removal of foreign bodies
, Conscious - 5 back blows or 5 abdominal thrusts
High oxygen flow should be given ASAP
Endotracheal tube
What are normal/expected breathing findings? - CORRECT
ANSWER>>Respiratory rate appropriate for age, normal O2Sat
Symmetrical and visible movements of the thoracic
Percussed unilateral dullness or resonance
What are abnormal/unexpected breathing findings? - CORRECT
ANSWER>>Cyanosis
Distended neck veins
Lateralization of the trachea
Tension pneumothorax (air trapped in pleural space)
Bronchospasms
What are possible breathing interventions? List them. - CORRECT
ANSWER>>Seat comfortably
Rescue breaths
Tension pneumothorax (relieve immediately by inserting cannula between
2nd intercostal space (needle thoracentesis)
Treat with oxygen
Inhalations of meds (ex: Ventolin)
Assisted ventilation (bag mask or intubation)
Elevate head of bed
What are normal/expected circulation findings? - CORRECT
ANSWER>>Capillary refill within range
Pulse rate appropriate for age (equal/bilateral)
Inspect skin colour
Blood pressure within normal limits
What are abnormal/unexpected circulation findings? - CORRECT
ANSWER>>Colour changes, sweating, and decreased LOC = decreased
perfusion
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