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NUR 336 Gas Exchange Final Exam Practice Questions With Complete Solutions
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NUR 336 Gas Exchange Final Exam Practice Questions With Complete Solutions
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NUR 336 Gas Exchange Final Exam Practice QuestionsWith Complete Solutions
. The patient has been wearing the partial no rebreather mask for
over 4 hours. When you go into the room you notice skin
breakdown on the patient's cheeks from the elastic band. What
intervention is needed?
a. Reposition the elastic band and apply cushions under the band
b. Leave the elastic band where it is
c. Contact the physician
d. Apply lotion under the elastic band Correct Answers A.
Reposition the elastic band and apply cushions under the band
Rationale: To prevent skin breakdown
**A 3-month-old infant is at increased risk for developing
anemia. The nurse would identify which principle contributing
to this risk?
a. The infant is becoming more active.
b. There is an increase in intake of breast milk or formula.
c. The infant is unable to maintain an adequate iron intake.
d. A depletion of fetal hemoglobin occurs. Correct Answers D.
A depletion of fetal hemoglobin occurs
**A client is on mechanical ventilation and the clients spouse
wonders why ranitidine (Zantac) is needed since the client only
has lung problems. What response by the nurse is best?
a. It will increase the motility of the gastrointestinal tract.
,b. It will keep the gastrointestinal tract functioning normally.
c. It will prepare the gastrointestinal tract for enteral feedings.
d. It will prevent ulcers from the stress of mechanical
ventilation. Correct Answers D. It will prevent ulcers from the
stress of mechanical ventilation
**A client is wearing a Venturi mask to deliver oxygen and the
dinner tray has arrived. What action by the nurse is best?
a. Assess the clients oxygen saturation and, if normal, turn off
the oxygen.
b. Determine if the client can switch to a nasal cannula during
the meal.
c. Have the client lift the mask off the face when taking bites of
food.
d. Turn the oxygen off while the client eats the meal and then
restart it. Correct Answers B. Determine if the client can switch
to nasal cannula during the meal
**A client presents to the emergency department in sickle cell
crisis. What intervention by the nurse takes priority?
a. Administer oxygen.
b. Apply an oximetry probe.
c. Give pain medication.
d. Start an IV line. Correct Answers C. Give pain medication
**A nurse assesses a client after a thoracentesis. Which
assessment finding warrants immediate action?
a. The client rates pain as a 5/10 at the site of the procedure.
,b. A small amount of drainage from the site is noted.
c. Pulse oximetry is 93% on 2 liters of oxygen.
d. The trachea is deviated toward the opposite side of the neck.
Correct Answers D. The trachea is deviated toward the opposite
side of the neck
**A nurse assesses a client who is prescribed fluticasone
(Flovent) and notes oral lesions. Which action should the nurse
take?
a. Encourage oral rinsing after fluticasone administration.
b. Obtain an oral specimen for culture and sensitivity.
c. Start the client on a broad-spectrum antibiotic.
d. Document the finding as a known side effect. Correct
Answers A. Encourage oral rinsing after fluticasone
administration
**A nurse teaches a client who has chronic obstructive
pulmonary disease. Which statements related to nutrition should
the nurse include in this clients teaching? (Select all that apply.)
a. Avoid drinking fluids just before and during meals.
b. Rest before meals if you have dyspnea.
c. Have about six small meals a day.
d. Eat high-fiber foods to promote gastric emptying.
e. Increase carbohydrate intake for energy. Correct Answers A.
Avoid drinking fluids just before and during meals
B. Rest before meals if you have dyspnea
C. Have about six small meals a day
, **The nurse is assigned a group of patients. Which patient
would the nurse identify as being at increased risk for impaired
gas exchange? A patient
a. with a blood glucose of 350 mg/dL
b. who has been on anticoagulants for 10 days
c. with a hemoglobin of 8.5 g/dL
d. with a heart rate of 100 beats/min and blood pressure of
100/60 Correct Answers C. With a hemoglobin of 8.5 g/dL
A client admitted for sickle cell crisis is distraught after learning
her child also has the disease. What response by the nurse is
best?
a. Both you and the father are equally responsible for passing it
on.
b. I can see you are upset. I can stay here with you awhile if you
like.
c. Its not your fault; there is no way to know who will have this
disease.
d. There are many good treatments for sickle cell disease these
days. Correct Answers B. I can see you are upset. I can stay
here with you awhile if you like.
A client has a sickle cell crisis with extreme lower extremity
pain. What comfort measure does the nurse delegate to the
unlicensed assistive personnel (UAP)?
a. Apply ice packs to the clients legs.
b. Elevate the clients legs on pillows.
c. Keep the lower extremities warm.
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