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Rasmussen - MDC III Exam 2 Questions with
Answers
1. A nursing student is teaching a client about their new diagnosis of pul- monary fibrosis. The student would
include which of the following in their teaching?: C. Inflammation of the mucous membranes in the airways can trigger an attack.
2. 2. A nurse is providing discharge instructions to a client recently diagnosed with Tb. Which statement by the
client indicates correct understanding of the teaching? SATA: A. "I will follow up with my healthcare provider regularly." B. "My family does not require testing" C. "I need to strictly adhere to my medication schedule." D. " I will avoid alcoholic beverages while on this treatment plan".
3. 3. The nurse is teaching the client about post-rhinoplasty care. Which state- ment by the client indicates an
understanding of the instructions?: C. " I will have nasal packing and mustache dressing."
4. 4. Which statement from a client with seasonal influenza: A. " I'm contagious only when symptoms are present.
5. A nurse is providing teaching to a client recently diagnoses with sleep apnea. Which of the
following statements by the client indicates an understanding of the teaching.- : B. " I should contact the provider if my oxygen level is below 90%.
6. 6. A nurse is preparing to administer dextromethorphan 30mg PO now. The amount available is
dextromethorphan oral liquid 7.5 mg/5ml. How many ml should the nurse administer per dose? ( Record answer as a whole number)- : 20
7. 7. A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect
to assess in this client? SATA.: B. Wheezing C. Tachypnea D. Barrel chest E. Distended jugular vein
8. 8. A client with suspected TB is admitted to the hospital. A long with a private room, which of the following is
appropriate related to isolation procedures?: D. Negative airflow room with a specially fitted respirator
9. 9. A nurse admits a client from the emergency department with new onset of dyspnea and productive cough
with suspected pneumonia. The client has an oxygen saturation of 96% on 2L of O2 via nasal canula, and crackles in bilateral lung bases. Oral temperature 98.9 F, heart rate 103, respiratory rate 18. The provider enters the following orders, which will the nurse perform First?: d. Collect sputum sample for culture
10. 10. An 84-year-old client is diagnosed with rhinosinusitis. The nurse ques- tions which medication that she
sees on the client's PRN medication list?: c. Antihistamine
11. 11. A nurse caring for a 60-year-old male client recently diagnosed with neck cancer. Which of the
following assessment findings is not consistent with this diagnosis?: A. Aphonia
12. 12. The nurse is assessing a client who reports being struck in the face and head several times. During this
assessment, the nurse observes pink-tinged drainage from the client's nares. What nursing.. data? (Select One): B. Place a drop of drainage on filter paper and look for a yellow ring
13. 13. The nurse knows which of the following tests is needed to confirm a tuberculosis diagnosis?: B. Sputum
culture
14. 14. A homeless client is being discharged from a long-term therapy floor for tuberculosis (TB). What
referral by the nurse is most appropriate?: A. Outpatient public health visiting nurses for direct observation.
nurse identifies as being at high risk for healthcare-associated pneumonia. To reduce this risk, what activities should the nurse delegate to the unlicensed assistive personnel (UAP)?: A. Provide oral care every 4 hours.
24. 24. A client with chronic bronchitis often shows signs of hypoxia. Which of the following is the priority to
monitor for in this client?: A. oxygen saturation level. Large amounts of thick mucus
25. 25. In planning care for a client with chronic obstructive pulmonary disease (COPD), the nurse acknowledges
what statement is true regarding nutritional needs?: A. COPD can Increase metabolism, and the client should consume sup- plements additional calories and protein.
26. 26. A nurse is providing education to a client recently diagnosed with pulmonary hypertension. What is the
goal of drug therapy for this client?: C. Reduce the pulmonary pressure to slow cor pulmonale.
27. 27. A nurse is caring for a client who has been diagnosed with chronic obstructive pulmonary disease.
Which of the following would be a treatment priority for the client?: A. Improve gas exchange.
28. 28. The nurse is caring for a client who was recently diagnosed with asthma and is providing education on
triggers of asthma. Which of the following can potentially trigger the disease process? (SATA): A. Cigarette smoking B. Animal dander (pets)
c. Pollution.
d. Exercise
e. Dust.
29. 29. A 47-year-old male client presented to the emergency room with com- plaints of nasal and facial pain and
bloody discharge. He states the symptoms started approximately three months ago and have gotten progressively worse. He states that it feels like his nose is blocked up all the time. Based on these symptoms, which of the following diagnostic tests would the nurse expect the provider to order?: D. Computer tomography (CT) scan of the
face
30. 30. A client who has chronic obstructive pulmonary disease (COPD) and asthma is receiving oxygen at 2
liters per minute. A family member tells a nurse. " My mother did not look good, so I turned her oxygen up to 7 liters". Which of these nursing actions is best?: C. Decrease the oxygen to 2 liters per minute and assess the client.
31. 32. A nurse is caring for a client with cystic fibrosis. Which of the following are assessment findings for a
client with this disorder? (Select all that apply.)- : A. Thick sticky mucus. B. Steatorrhea. C. Decrease forced vital capacity (FVC) E Gastroesophageal reflux disease (GERD)
32. 33. A client arrives in the emergency department with epistaxis. What is the nurse's priority intervention?: A.
Position the client upright with the head forward.
33. 34. A client has been taking isoniazid for 3 weeks. What information gath- ered by the public health nurse
needs to be reported to the healthcare provider immediately?: A. Client is drinking 4-6 alcoholic beverages per day.
34. 36. The nurse is caring for a 60-year-old female client who presented to the emergency room status post
motor vehicle accident. The client was an unrestrained passenger who hit the windshield and has multiple facial lacerations and dyspnea. Which is a priority nursing intervention for this client?: C. Assess and maintain the airways.
35. 37. Anxiety is common among clients who are diagnosed with chronic ob- structive pulmonary disease.
Which of the following interventions can assist in reducing a client's anxiety? (SATA.): B. Plan out periods of rest throughout the day. C. Professional counselling. D. Written plan for dealing with anxiety
finding?: B. CO2 50mm Hg
44. 46. Which of the following is a common problem associated with cystic fibrosis in adults?: D.
Osteoporosis.
45. 47. The nurse is providing education to a client who is prescribed a
long-acting beta-agonist medication. Which statement by the client indicates the client understands the teaching?: B. "I will take this medication every morning to help prevent an acute attack."
46. 48. The nurse teaches a client with asthma to monitor for which problem while exercising?: a. Wheezing
from bronchospasm.
47. 49. The nurse is performing medication teaching for a client with chronic airflow limitation. What is the
correct sequence for administering inhaled medications?: C. Bronchodilator should be taken at least 5 minutes before other inhaled drugs.
48. 50. The change of shift report has just been completed on the medical surgical unit. Which client will the
oncoming nurse plan to assess first?: B. Client with cystic fibrosis (CF) who has an elevated temperature and a newly increased respiratory rate of 38 breaths/min.
49. 50. Nurse caring for a client recently diagnosed with asthma. Which is not related?: Obesity
50. Nurse caring for client underwent laryngectomy. Appropriate post opera- tive care?: Pain management,
alternative means of communication, diet modifica- tion, stress reduction
51. A client with suspected TB is admitted to hospital. Isolation precautions?-
: Negative airflow room with specialty fitted respirator
52. Which statement by client shows understanding of radiation for neck cancer?: My voice initially be
hoarse but should improve over time
53. Which of the following is a problem with cystic fibrosis in adults?: Osteo- porosis
54. The nurse knows which of the following is the purpose of a fluticasone inhaler?: Reduces obstruction of
airways by decreases inflammation
55. The nurse is teaching a client about post rhinoplasty care: I should try and avoid coughing, sneezing, and
blocking my nose
