NUR 280 EXAM 4 NEWEST 2024 ACTUAL EXAM

• | P a g e

NUR 280 EXAM 4 NEWEST 2024 ACTUAL EXAM

COMPLETE 200 QUESTIONS AND CORRECT

DETAILED ANSWERS ( VERIFIED ANSWERS )

|ALREADY GRADED A+

What information would a home care nurse provide to a client who is measuring peak expiratory flow rate at home?

• "Although the test is uncomfortable, it is not painful."
• "You will be asked to forcefully exhale into a mouthpiece."
• "The test is used to determine how much air you inhale."
• "You will do this each morning while still lying in bed." - ANSWER-

b

What does pulse oximetry measure?

• Cardiac output
• Peripheral blood flow
• Arterial oxygen saturation
• V enous oxygen saturation - ANSWER- c

• Of all factors, what is the most important risk factor in pulmonary

disease?

NURSINGKING.COM

• Air pollution from vehicles 1 / 4

• | P a g e

• Dangerous chemicals in the workplace
• Active and passive cigarette smoke
• Loss of the ozone layer of the atmosphere - ANSWER- c

A nurse is caring for a client who suddenly begins to have respiratory difficulty. In what position would the nurse place 18. the client to facilitate respirations?

• Supine
• Prone
• High-Fowler's
• Dorsal recumbent - ANSWER- c

A nurse is educating a preoperative client on how to effectively deep breathe. Which of the following would be 19. included?

• "Make each breath deep enough to move the bottom ribs."
• "Breathe through the mouth when you inhale and exhale."
• "Breathe in through the mouth and out through the nose."
• "Practice deep breathing at least once each week." - ANSWER- a

A nurse is educating a home care client on how to do pursed-lip breathing. What is the therapeutic effect of this 20. procedure?

• Using upper chest muscles more effectively
• Replacing the use of incentive spirometry
• Reducing the need for p.r.n. pain medications 2 / 4

• | P a g e

• Prolonging expiration to reduce airway resistance - ANSWER- d

A nurse is explaining a chest tube to family members who do not understand where it is placed. What would the nurse 21. tell them?

• "It is inserted into the space between the lining of the lungs and the

ribs."

• "I don't exactly know, but I will make sure the doctor comes to

explain."

• "It is inserted directly into the lung itself, connecting to a lung

airway."

• "It is inserted into the peritoneal space and drains into the lungs." -

ANSWER- a

What prevents air from re-entering the pleural space when chest tubes are inserted?

• The location of the tube insertion
• The sutures that hold in the tube
• A closed water-seal drainage system
• Respiratory inspiration and expiration - ANSWER- c

A nurse is educating a client who has congested lungs how to keep secretions thin, and more easily coughed up and 23. expectorated. What would be one self-care measure to teach?

• Limit oral intake of fluids to less than 500 mL per day.
• Increase oral intake of fluids to two to three quarts per day. 3 / 4

• | P a g e

• Maintain bed rest for at least three days.
• Take warm baths every night for a week. - ANSWER- b

What category of medications may be administered by nebulizer or metered-dose inhaler to open narrowed airways?

• Bronchoconstrictors
• Antihistamines
• Narcotics
• Bronchodilators - ANSWER- d

A physician prescribes the use of water-seal chest tube drainage for a client at a health care facility. What should the 25. nurse ensure when using the water-seal chest tube drainage?

• Filters need to be cleaned regularly to avoid unpleasant taste or smell.
• The chest tube should not be separated from the drainage system

unless clamped.

• A nasal cannula should be used to administer oxygen when cleaning

the opening.

• A secondary source of oxygen should be available in case of power

failure. - ANSWER- b

A nurse uses a nasal cannula to deliver oxygen to a client who is extremely hypoxic and has been diagnosed with 26. chronic lung disease. What is the most important thing to remember when using a nasal cannula?

• It can cause the nasal mucosa to dry in case of high flow.
• / 4