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GNRS 555 EXAM 2 NEWEST 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client with asthma reports shortness of breath. Which of these findings does the nurse anticipate when assessing this client's chest?
- Expiratory wheezing not cleared by coughing
- Bronchial breath sounds over the trachea
- Crackles throughout the lung fields
- Bronchovesicular breath sounds in the lung bases -
ANSWER-1. Expiratory wheezing not cleared by coughing
Rationale: In a client with asthma and shortness of breath,
the nurse expects to hear expiratory wheezing not cleared by coughing. Wheezes are squeaky, musical, continuous sounds associated with bronchospasm, typical with asthma. They may be heard without a stethoscope and usually do not clear with coughing.Bronchial breath sounds are normal breath sounds, heard over the trachea and larynx. Crackles, an adventitious breath sound, will sound like popping, 1 / 4
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discontinuous sounds caused by air moving into previously deflated airways or coarse rattling sounds caused by fluid.Bronchovesicular breath sounds are normal breath sounds heard over major bronchi where fewer alveoli are located.They are best heard between the scapula and anterior chest.
The RN and the LPN/LVN are working together to provide care for a group of clients on a medical surgical unit. Which of these actions is most appropriate for the RN to perform?
- Administer purified protein derivative (PPD) for tuberculosis
- Assess vital signs and the puncture site one day post
- Monitor oxygen saturation using pulse oximetry every 4
- Plan client and family teaching regarding upcoming
testing.
thoracentesis.
hours.
pulmonary function testing. - ANSWER-4. Plan client and family teaching regarding upcoming pulmonary function testing.
Rationale: The most appropriate action for the RN to
perform is developing the teaching plan for upcoming pulmonary function test. These skills are complex, requiring use of the nursing process, and are not in the scope of 2 / 4
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practice of the LPN/LVN.Medication administration and monitoring of vital signs and client status after procedures can be accomplished by the LPN/LVN. Monitoring of oxygen saturation by pulse oximetry can also be included in the vital signs assessment.
The nurse is assessing a client with chronic bronchitis who smoked 3 packs of cigarettes daily for 32 years. How does the nurse document pack-year history of smoking in the medical record?
- Client has a 32 pack-year history
- Client has a 96 pack-year history
- Client smoked 3 packs for years
- Client was a passive smoker for 32 years - ANSWER-2.
Client has a 96 pack-year history
Rationale: This client has a 96-year pack history. Pack-year
history refers to the number of packs per day multiplied by the number of years the client smoked.
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The nurse is caring for a client with heart failure and acute kidney injury. For which of these breath sounds will the nurse assess?
- Crackles
- Rhonchi
- Pleural friction rub
- Wheeze - ANSWER-1. Crackles
Rationale: When caring for a client with heart failure and
acute kidney disease, the nurse would assess for crackles.Crackles are described as a popping, discontinuous sound caused by air moving into previously deflated airways or areas of fluid.Rhonchi are low-pitched, coarse snoring sounds caused by thick secretions in larger airways. A pleural friction rub sounds grating, loud, or scratchy as inflamed surfaces of the pleura rub together. Wheezes are frequently referred to as musical or squeaky sounds caused by bronchospasm. They may occur on inspiration or on expiration as air rushes through narrowed airways.
The nurse in the outpatient clinic is scheduling a client for pulmonary function tests. When teaching the client about
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