211 FINAL - Practice Questions And
Answers (Guaranteed A+)
A home health nurse is visiting a client with severe COPD who is complaining increased
shortness of air. The client is on home oxygen at 2L/min by nasal canula with a respiratory rate
of 23 breaths/min. The most appropriate nursing action is to:
a. Reassure the client of being unnecessarily anxious
b. Call emergency service to come to home
c. Consider increasing the oxygen to 4L/min during the home visit
d. Conduct further assessment of the client's respiratory status - answer✔D
The nurse assesses a college age client complaining of shortness of breath after jogging and
tightness in his chest. Upon further question, the client denies sore throat, fever, or productive
cough. The nurse notifies the physician that this client's clinical manifestation is most likely
related to:
a. Pneumonia
b. Aspiration
c. Bronchitis
d. Asthma - answer✔D
The nurse is caring for a client with COPD who becomes dyspneic. The nurse should?
a. Assist the client with pursed lip breathing
b. Administer oxygen at 6L/min via nasal cannula
c. Instruct client to breath into a paper bag
d. Place the client in high Fowler's position - answer✔A
When teaching a client with COPD about oxygen therapy by cannula, the nurse should also
instruct the client's family to:
a. Remind the client to keep mouth closed
ALL RIGHTS RESERVED.
b. Avoid smoking near the client
c. Adjust the liter flow to 10 as needed
d. Turn off oxygen during meals - answer✔B
An oxygen delivery system is prescribed for a male client with COPD to deliver precise oxygen
concentration. Which of the following types of oxygen delivery systems would the nurse
anticipate being prescribed?
a. A simple face masks
b. Venturi mask
c. Nasal Cannula
d. Tracheostomy collar - answer✔B
Setting a time frame for outcomes of care serves which of the following purposes?
a. Assists in determining which outcomes are priority
b. Assist in determining if the outcome is realistic and individualized
c. Indicates the time it takes to complete an intervention
d. Indicates when the patient is expected to respond in desired manner - answer✔D
1. In caring for a patient who is immobile, it is important for the nurse to understand that:
a. Nurses need to assist with ADLs in the older adult to prevent injury
b. Immobility helps maintain sleep-wake patterns
c. Changes in role and self-concept may lead to depression
d. Immobile patients are often eager to help in their own care - answer✔C
An older patient presents to the emergency department after stepping in front of a car at a
crosswalk. When interviewing the patient, which of the following comments would require
follow-up by the nurse?
a. "I try to exercise so I walk that block everyday"
b. "I waited and stepped out when I thought it was okay to go"
c. "The car was going too fast; the speed limit is 20"
d. "I was so surprised; I didn't see or hear the car coming" - answer✔D
The nurse is assessing the quality of a patient's sleep the nurse utilizes which of the following
tools to determine a patient's satisfaction with their quality of sleep?
ALL RIGHTS RESERVED.
a. Visual Analogue Scale
b. OUCHER Scale
c. FACES Scale
d. Glasgow Coma Scale - answer✔A
A public health nurse volunteered to assist in providing medical care in Haiti following an
earthquake crisis. Upon arrival in Haiti, the medical personnel were making determinations
about who should receive what services based on the limited resources that were available the
nurse knows the main ethical principle that should guide their decision-making is _________
a. Privacy
b. Nonmaleficence
c. Freedom
d. Distributive Justice - answer✔D
Which is not a risk factor for malnutrition in an older adult?
a. Decreased thirst drive
b. Increased BMR
c. Atrophy of oral mucosa
d. Chronic Disease - answer✔B
Which patient is most likely to have a low Albumin level on admission?
a. 60-year-old patient with 2-day viral diarrhea and no appetite
b. 70-year-old patient on a med flood with a chronic cough, vegan diet
c. 23-year-old with AIDS, non-adherent, has wasting and leg wounds
d. 18-year-old, IV drug abuse history of BMI of 21 - answer✔C
Which finding is concerning regarding older adult patients
a. Presbyopia
b. Presbycusis
c. Apathy
d. Senile Lentigo Spots - answer✔C
Which technique is NOT correct for preventing UTIs?
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