pg. 1
NURS172 FINAL NEWEST 2024 TEST BANK
COMPLETE ACTUAL EXAM QUESTIONS WITH
VERIFIED ANSWERS (100% CORRECT ANSWERS)
GRADED A+
When the client asks the nurse about the best method of diagnosing heart failure, what teaching would the nurse provide?
- radionuclide studies
- echocardiography
- multigated acquisition (MUGA) scan
- pulmonary artery catheter - Correct Answer - b. echocardiography
Which early symptoms indicate to the nurse that a client's HF is getting worse and pulmonary edema is developing? (SATA)
- crackles in the lung bases
- frothy, blood-tinged sputum
- dyspnea at rest
- cyanosis
- disorientation
- level of crackles rises higher in the lungs - Correct Answer - a. crackles in the lung
- dyspnea at rest
- disorientation
bases
Which interventions would the nurse expect to include in the care of a client with pulmonary edema caused by HF? (SATA)
- sodium restriction
- fluid restriction 1 / 4
pg. 2
- administration of potassium supplement
- position client in semi-Fowler or high-Fowler
- weekly weight monitoring
- administration of loop diuretics - Correct Answer - a. sodium restriction
- position client in semi-Fowler or high-Fowler
- administration of loop diuretics
When a client has an ejection fraction of less than 30%, about which potential treatment does the nurse prepare to educate the client?
- heart transplant
- implantable cardioverter/defibrillator
- ventricular reconstructive procedure
- implanted mechanical pump - Correct Answer - b. implantable
cardioverter/defibrillator
In what situations will the nurse consider oxygen therapy as possibly beneficial for a client? (SATA)
- anemia
- hypoxia
- hypothermia
- hypertension
- pneumonia
- venous insufficiency - Correct Answer - a. anemia
- hypoxia
- pneumonia
Which manifestations in a client receiving oxygen therapy at 60% for more than 24 hours alerts the nurse to the possibility of oxygen toxicity?
- oxygen saturation greater than 100%
- decreased rate and depth of respiration 2 / 4
pg. 3
- wheezing on inhalation and exhalation
- discomfort or pain under the sternum - Correct Answer - d. discomfort or pain under
the sternum
Which condition does the nurse suspect when noting that a client who is receiving 40% oxygen therapy now has new onset of crackles and decreased breath sounds on auscultation?
- alveolar drying
- arterial hypoxemia
- chronic hypercarbia
- absorptive atelectasis - Correct Answer - d. absorptive atelectasis
What is the priority action for the nurse to take to prevent harm when caring for a client who is receiving oxygen at 5 L/min by nasal cannula?
- switch to a mask delivery system
- humidify the oxygen with sterile water
- add extension tubing for client mobility
- check to ensure the delivery equipment is plugged into a grounded outlet - Correct
Answer - b. humidify the oxygen with sterile water
Which parameters will the nurse monitor to ensure that a client's gas exchange response to oxygen therapy is adequate? (SATA)
- level of consciousness
- respiratory pattern
- oxygen flow rate
- pulse oximetry
- respiratory rate
- blood pressure - Correct Answer - a. level of consciousness
- respiratory pattern
- pulse oximetry 3 / 4
pg. 4
- respiratory rate
With which client prescribed to receive oxygen therapy does the nurse suggest using a face tent rather than a nasal cannula?
- client with severe sleep apnea
- client with facial trauma
- client who is confused
- an unconscious client - Correct Answer - b. client with facial trauma
Which actions are most important for a nurse to take to prevent harm when caring for a client who is receiving oxygen therapy with a nasal cannula? (SATA)
- making sure that the prongs on the nasal cannula are properly positioned in the nares
- applying a water-soluble gel to the nares as needed
- adjusting the flow rate between 1 and 8 L/min based on the client's report of dyspnea
- removing the cannula during meals
- checking the client's skin under the cannula and behind the ears
- maintaining a flow rate below 20% - Correct Answer - a. making sure that the prongs
- applying a water-soluble gel to the nares as needed
- checking the client's skin under the cannula and behind the ears
on the nasal cannula are properly positioned in the nares
Which priority action does the nurse perform to prevent harm for a client receiving oxygen therapy through a nonrebreather mask?
- preventing the reservoir bag from inflating to more than one-half full
- ensuring that valves and flaps are patent, functional, and not stuck
- switching to partial rebreather mask for more precise FiO2
- ensuring that the flow rate does not exceed 6 L/min - Correct Answer - b. ensuring
- / 4
that valves and flaps are patent, functional, and not stuck