Question 1

A client who just had abdominal surgery does not want to participate in coughing and deep breathing exercises. What response by the nurse is best?

Accepted Answer

A)  Re-educate the client on how to perform coughing and deep breathing exercises. 
B)  Tell the client he/she can just ambulate instead of coughing and deep breathing. 
C)  Assess the client for pain, then explain the importance of these activities. 
D)  Have the client use the spirometer 5 times an hour instead of coughing and deep breathing. 
A)  Re-educate the client on how to perform coughing and deep breathing exercises. 
B)  Tell the client he/she can just ambulate instead of coughing and deep breathing. 
C)  Assess the client for pain, then explain the importance of these activities. 
D)  Have the client use the spirometer 5 times an hour instead of coughing and deep breathing.

Question 2

The nurse who works with clients receiving oxygen understands which principles when working with the high-pressure cylinders? (Select all that apply.)

Accepted Answer

A)  Keep cylinders stored in designated stands. 
B)  Turn flowmeters off when cylinder is not in use. 
C)  Carry the cylinder carefully to where it is needed. 
D)  Let the flowmeter to blow off extra oxygen after use. 
E)  Determine how much oxygen is left in the cylinder before use. 
A)  Keep cylinders stored in designated stands. 
B)  Turn flowmeters off when cylinder is not in use. 
C)  Carry the cylinder carefully to where it is needed. 
D)  Let the flowmeter to blow off extra oxygen after use. 
E)  Determine how much oxygen is left in the cylinder before use.

Question 3

The nurse has taught a preoperative client about deep breathing plus coughing, and incentive spirometry. The client asks why both activities are needed. What response by the nurse is best?

Accepted Answer

A)  "They really work best when done together." 
B)  "The incentive spirometer will make you cough." 
C)  "This is the standard for postoperative clients." 
D)  "You have the right to refuse doing either one." 
A)  "They really work best when done together." 
B)  "The incentive spirometer will make you cough." 
C)  "This is the standard for postoperative clients." 
D)  "You have the right to refuse doing either one."

Question 4

A nurse has placed a client on oxygen via a non-rebreather mask. Before leaving the room, what action by the nurse is most appropriate?

Accepted Answer

A)  Ensures the flowmeter is not set above 6 L/minute 
B)  Determines that the reservoir bag is fully inflated 
C)  Double checks that all entry/exit holes on the mask are closed 
D)  Checks the level of water in the humidification reservoir 
A)  Ensures the flowmeter is not set above 6 L/minute 
B)  Determines that the reservoir bag is fully inflated 
C)  Double checks that all entry/exit holes on the mask are closed 
D)  Checks the level of water in the humidification reservoir

Question 5

The nurse is performing tracheostomy care. What action by the nurse is inconsistent with best practice?

Accepted Answer

A)  Keeps oxygen source running close to the client's stoma 
B)  Scrubs the inner cannula clean with the supplied brush 
C)  Carefully cuts a slit in a gauze dressing to fit under the flange 
D)  Shakes off excess saline from inner cannula before reinserting 
A)  Keeps oxygen source running close to the client's stoma 
B)  Scrubs the inner cannula clean with the supplied brush 
C)  Carefully cuts a slit in a gauze dressing to fit under the flange 
D)  Shakes off excess saline from inner cannula before reinserting

Question 6

The nurse is suctioning a client who has a new tracheostomy and notes the secretions to be bloody. What action by the nurse is most appropriate?

Accepted Answer

A)  Documents the findings in the client's chart 
B)  Applies more lubricant to the suction catheter 
C)  Turns the suction down to 60 mm Hg 
D)  Notifies the surgeon immediately 
A)  Documents the findings in the client's chart 
B)  Applies more lubricant to the suction catheter 
C)  Turns the suction down to 60 mm Hg 
D)  Notifies the surgeon immediately

A client who just had abdominal surgery does not want to participate in coughing and deep breathing exercises. What response by the nurse is best?

The nurse who works with clients receiving oxygen understands which principles when working with the high-pressure cylinders? (Select all that apply.)

The nurse has taught a preoperative client about deep breathing plus coughing, and incentive spirometry. The client asks why both activities are needed. What response by the nurse is best?

A nurse has placed a client on oxygen via a non-rebreather mask. Before leaving the room, what action by the nurse is most appropriate?

The nurse is performing tracheostomy care. What action by the nurse is inconsistent with best practice?

The nurse is suctioning a client who has a new tracheostomy and notes the secretions to be bloody. What action by the nurse is most appropriate?

Foundations of Safe Client Care

Personal Care and Hygiene

Vital Signs and Vital Measurements

Performing an Assessment

Nutrition and Gastrointestinal Tube Therapy

Supporting Mobility and Immobilization

Comfort Care

End-Of-Life Care

Sterile Technique

Medication Administration

Venous Access

Central Venous Access

Bowel Management

Urinary Elimination

Wound Care

Perioperative Care

Advanced Respiratory Management

Advanced Cardiovascular Care

Advanced Neurologic Care

Filters

Exam 9: Airway and Breathing

A client who just had abdominal surgery does not want to participate in coughing and deep breathing exercises. What response by the nurse is best?

The nurse who works with clients receiving oxygen understands which principles when working with the high-pressure cylinders? (Select all that apply.)

The nurse has taught a preoperative client about deep breathing plus coughing, and incentive spirometry. The client asks why both activities are needed. What response by the nurse is best?

A nurse has placed a client on oxygen via a non-rebreather mask. Before leaving the room, what action by the nurse is most appropriate?

The nurse is performing tracheostomy care. What action by the nurse is inconsistent with best practice?

The nurse is suctioning a client who has a new tracheostomy and notes the secretions to be bloody. What action by the nurse is most appropriate?

Foundations of Safe Client Care

Personal Care and Hygiene

Vital Signs and Vital Measurements

Performing an Assessment

Nutrition and Gastrointestinal Tube Therapy

Supporting Mobility and Immobilization

Comfort Care

End-Of-Life Care

Sterile Technique

Medication Administration

Venous Access

Central Venous Access

Bowel Management

Urinary Elimination

Wound Care

Perioperative Care

Advanced Respiratory Management

Advanced Cardiovascular Care

Advanced Neurologic Care

Filters