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NUR 2502 Exam 2: Respiratory System and Related Disorders, Exams of Nursing

A comprehensive set of multiple-choice questions and answers covering key concepts related to the respiratory system and related disorders, including pulmonary fibrosis, tuberculosis, sleep apnea, pneumonia, and lung cancer. It is designed to help students prepare for nur 2502 exam 2 at rasmussen college. The questions cover a wide range of topics, including pathophysiology, clinical manifestations, diagnostic tests, treatment options, and nursing interventions. This resource can be valuable for students seeking to reinforce their understanding of respiratory system concepts and practice their knowledge.

Typology: Exams

2024/2025

Available from 12/09/2024

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2024-2025 NUR 2502 EXAM 2/NUR2502 EXAM 2 LATEST
EXAM ALL 50 QUESTIONS AND CORRECT
ANSWERS/MDC3 EXAM 2 /MULTIDIMENSIONAL
CARE 3 EXAM 2 |ALREADY GRADED A+|RASMUSSEN
COLLEGE
1. A nursing student is teaching a client about their new diagnosis of pulmonary fibrosis. The
student would include which of the following in their teaching?
A. A sputum culture may show the presence of mycobacterium
B. This is incurable, autosomal recessive genetic disease that affects many organs.
C. Inflammation of the mucous membranes in the airways can trigger an attack.
D. Most clients have progressive disease with a life expectancy of less than5 years.
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?
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”.
E. I will visit the clinic every week for injections of medication”
3. The nurse is teaching the client about post-rhinoplasty care. Which statement by the client
indicates an understanding of the instructions?
A. I should remain supine if possible.”
B. I should take over-the counter-nonsteroidal anti-inflammatory drug ( NSAIDs).”
c. I will have nasal packing and mustache dressing.”
d. I will be able to breathe only from my nose”
4. Which statement from a client with seasonal influenza requires additional teaching?
A. I’m contagious only when symptoms are present.
B. “I can reduce my risk by implementing good hand hygiene.”
C. I should receive a new influenza vaccine every year”
D. “I can be diagnosed on presentation of symptoms”
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.
A. Sleep apnea only has an impact on my mental concentration.”
B. I should contact the provider if my oxygen level is below 90%.
C. I should begin treatment only if my snoring impacts my partner.”
D. I should contact the provider for a prescription for sleep medication.”
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
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Download NUR 2502 Exam 2: Respiratory System and Related Disorders and more Exams Nursing in PDF only on Docsity!

2024 - 2025 NUR 2502 EXAM 2/NUR2502 EXAM 2 LATEST

EXAM ALL 50 QUESTIONS AND CORRECT

ANSWERS/MDC3 EXAM 2 /MULTIDIMENSIONAL

CARE 3 EXAM 2 |ALREADY GRADED A+|RASMUSSEN

COLLEGE

  1. A nursing student is teaching a client about their new diagnosis of pulmonary fibrosis. The student would include which of the following in their teaching? A. A sputum culture may show the presence of mycobacterium B. This is incurable, autosomal recessive genetic disease that affects many organs. C. Inflammation of the mucous membranes in the airways can trigger an attack. D. Most clients have progressive disease with a life expectancy of less than5 years.
  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? 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”. E. “ I will visit the clinic every week for injections of medication”
  3. The nurse is teaching the client about post-rhinoplasty care. Which statement by the client indicates an understanding of the instructions? A. “ I should remain supine if possible.” B. “ I should take over-the counter-nonsteroidal anti-inflammatory drug ( NSAIDs).” c. “ I will have nasal packing and mustache dressing.” d. “ I will be able to breathe only from my nose”
  4. Which statement from a client with seasonal influenza requires additional teaching? A. “ I’m contagious only when symptoms are present. B. “I can reduce my risk by implementing good hand hygiene.” C. I should receive a new influenza vaccine every year” D. “I can be diagnosed on presentation of symptoms”
  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. A. Sleep apnea only has an impact on my mental concentration.” B. “ I should contact the provider if my oxygen level is below 90%. C. “ I should begin treatment only if my snoring impacts my partner.” D. “ I should contact the provider for a prescription for sleep medication.”
  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
  1. 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. A. Weight gain B. Wheezing C. Tachypnea

C. Department of health for community infection control isolation D. Occupational therapy for employment placement and housing.

  1. The nurse knows which of the following is the purpose of montelukast for a client with asthma? A. Constricts the smooth muscles of the airway and bronchioles. B. Acts as a rapid bronchodilator in severe asthmatic episodes. C. Blocks leukotriene receptors to decrease inflammation. D. Reduces the histamine effect of the triggering agents.
  2. The nurse is providing discharge instruction for a client diagnosed with pneumonia. Which information is the nurse sure to include? class a. Complete antibiotics as prescribed, rest, drink fluids, and minimize contact with crowds. b. Take all antibiotics as ordered, resumed at an all activity as before hospitalisation. c. No restrictions regarding activities, diet, and rest because the client is fully recovered when discharge. d. Continue antibiotics only also no further sign of pneumonia is present avoid exposing immunosuppressant individuals.
  3. A Patient with a recent diagnosis of sinus cancer states that he want another cause of antibiotics because he believes he has another sinus infection. What is the best nurse response? A. “ Why are you doubting your doctor’s diagnosis?” B. “ Tell me more about your understanding of sinus cancer symptoms” C. “ Let me bring you a brochure about sinus cancer” D. I will tell the physician to order an antibiotic”
  4. The nurse is assessing a client admitted with status asthmaticus. Initially , the nurse heard wheezes in the lungs, but now the lung sounds are inaudible. What is the priority intervention? A. Administration of long- acting bronchodilator. B. Measures to reduce anxiety C. Education to prevent future exacerbations D. Activation of rapid response team to secure an airway
  5. A client was recently diagnosed with laryngeal cancer. When the nurse begins taking the client’s history , the client asks,” did you know that I have a throat cancer and may not survive?” A. B. C. D. Tell me more about your concerns.
  6. The nurse is caring for a client 1 day after receiving radiation therapy for neck cancer. Which finding would the nurse expect after radiation therapy? A. Expressive aphasia B. Excessive saliva C. Mucus secretion D. Voice hoarseness
  1. Which intervention promotes comfort in dyspnea management for a client with lung cancer? A. Provide supplemental oxygen via nasal cannula or mask B. Place the client in a supine position with a pillow under the knees and legs. C. Encourage exercise and independent ambulation around the room. D. Administer morphine only when the client request it
  2. A patient presented to the emergency room with difficulty breathing. Upon examination, the client has pus behind the tonsil and swelling on the right side of her neck. She is diagnosed with a peritonsillar abscess. Which of the following is a treatment priority for the patient? a. Maintain a patient airway b. oxygen therapy c. analgesics d. antibiotics
    1. A nurse is caring for several older client in the hospital that the 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. b. Encourage between-meal snacks c. Report any new onset of cough d. Monitor temperature every 4 hour 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 b. Barrel chest c. nutritional status d. clubbing of fingers
  3. 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 supplements additional calories and protein. b. COPD has no effect on calories and protein needs, meal tolerance, appetite, and weight. c. A client with COPD should decrease intake of calories and protein as dyspnea causes activity intolerance. d. COPD can cause an anabolic state, which creates conditions for building strengths and body mass.
  4. A nurse is providing education to a client recently diagnosed with pulmonary hypertension. What is the goal of drug therapy for this client? A. Increase the pulmonary vascular pressure to slow cor pulmonale. B. Increase the client’s systemic blood pressure with vasoconstriction. C. Reduce the pulmonary pressure to slow cor pulmonale. D. Decrease the client’s pain and make the client comfortable.

a. Position the client upright with the head forward. b. Monitor the color and the amount of blood. c. Apply an ice pack to the nose. d. Place the nasal packing.

  1. a client has been taking isoniazid for 3 weeks. What information gathered by the public health nurse needs to be reported to the healthcare provider immediately? a. Client is drinking 4 - 6 alcoholic beverages per day. b. Client was recently started on varenicline to quit smoking. c. Client has been taking isoniazid daily as prescribed. d. Client smokes 1.5 packs cigarette per day.
  2. 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? a. Insert the intravenous catheter. b. Evaluate the pulse and blood pressure c. Assess and maintain the airways. d. Assess the client’s breathing pattern.
  3. Anxiety is common among clients who are diagnosed with chronic obstructive pulmonary disease. Which of the following interventions can assist in reducing a client’s anxiety? (SATA.) a. Starting a vigorous exercise routine. b. Plan out periods of rest throughout the day. c. Professional counselling. d. Written plan for dealing with anxiety e. Relaxation techniques
  4. A client presents with signs and symptoms that are often associated with lung cancer. Which clinical manifestations does the nurse expect to observe in this client? (SATA.) a. Hypothermia b. Hoarseness c. Peripheral edema d. Frank hemoptysis e. Chest tightness
  5. A nurse is teaching a 78 - year-old client about the importance of the pneumonia vaccination. Which statement by the client indicates an understanding of the teaching? a. “I ’ve already had pneumonia, so I only need one vaccination.” b. “I only need pneumonia vaccination upon admission to a nursing home.” c. “I need two different vaccinations to prevent pneumonia.” d. “Only the flu vaccination is recommended at my age.”
  1. The nurse is caring for a postoperative client returning to the unit after surgical removal of cancer of the head. Which action(s) should the nurse take initially? (SATA), a. Ensure adequate gas exchange. b. Ambulation of the client postoperatively c. Assess the client’s hemodynamics status d. Monitor for airway maintenance e. Educate the client on anesthesia effects
  2. A client has positive Mantoux skin test result. What explanation does the nurse give to the client? a. “There is active disease, and you need immediate treatment.” b. “A repeat skin test is necessary because the test could give a false-positive result” c. “There is active disease, but you are not infectious to others” d. “You have been infected but this does not mean active disease is present.”
  3. A nurse is preparing to administer 250 mg of ceftriaxone IM stat. Available is ceftriaxone 1g/5 ml. how many ml should the nurse administer per dose? (Record the answer to the nearest hundredth, or two decimal places. Use a leading zero if it applies. Do not use a trailing zero. Answer numerically only, do not label) 1.
  4. The nurse is caring for a client who was recently diagnosed with cystic fibrosis. Which of the following is a treatment option for this disorder? a. pain management b. weight reduction c. Chest physiotherapy d. Tracheostomy
  5. Which of the following is a major diagnostic test for cystic fibrosis? a. Sweat chloride test b. Chest computed tomography test c. Arterial blood gas d. Chest x-ray
  6. A Nurse is caring for client with end stage emphysema. Which of the following would be an expected finding? a. pH 7. b. CO2 50mm Hg c. CO2 30 mm Hg d. HCO3 26 mEq/L
  7. Which of the following is a common problem associated with cystic fibrosis in adults?