PN2 EXAM 1 QUESTIONS AND ANSWERS A client has a tracheostomy tube in place. When the nurse suctions the client,
food particles are noted. What
... [Show More] action by the nurse is best?
b. Measure and compare cuff
pressures. ANS: B
2. A nurse assesses a client after an open lung biopsy. Which assessment
finding is matched with the correct intervention?
c. Client has reduced breath sounds. Nurse calls physician
immediately. ANS: C
3. A nurse assesses a clients respiratory status. Which information is of
highest priority for the nurse to obtain?
d. Occupation and
hobbies ANS: D
2. A nurse assesses a client who is experiencing an acid-base imbalance.
The clients arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2
38 mm Hg, and HCO3 19 mEq/L. Which assessment should the nurse
perform first?
a. Cardiac rate and
rhythm ANS: A
6. A nurse assesses a client who is admitted with an acid-base imbalance. The clients
arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and
HCO3 16 mEq/L. What action should the nurse take next?
a. Assess clients rate, rhythm, and depth of respiration.
7. A nurse is assessing a client who is recovering from a lung biopsy.
Which assessment finding requires immediate action?
b. Absent breath
sounds ANS: B
8. A nurse is caring for a client who has just experienced a 90-second tonic-clonic
seizure. The clients arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60
mm Hg, and HCO3 22 mEq/L. Which action should the nurse take first?
a. Apply oxygen by mask or nasal cannula.
8. A nurse is caring for a client who is scheduled to undergo a
thoracentesis. Which intervention should the nurse complete prior to the
procedure?
d. Validate that informed consent has been given by the client.
ANS: D
9. A nurse assesses a client after a thoracentesis. Which assessment
finding warrants immediate action?
d. The trachea is deviated toward the opposite side of the neck.
ANS: D
1.A nurse is caring for a client who has just had a central venous access line
inserted. Which action should the nurse take next?
b. Ensure an x-ray is completed to confirm
placement. ANS: B
3.A nurse teaches a client who is being discharged home with a
peripherally inserted central catheter (PICC). Which statement should the
nurse include in this clients teaching?
a. Avoid carrying your grandchild with the arm that has the central
catheter. ANS: A
5.A nurse is caring for a client who is receiving an epidural infusion for pain
management. Which assessment finding requires immediate intervention
from the nurse?
b. Report of headache and stif f
neck ANS: B
7.A nurse is assessing clients who have intravenous therapy prescribed.
Which assessment finding for a client with a peripherally inserted central
catheter (PICC) requires immediate attention?
d. Upper extremity swelling is
noted. ANS: D
13.A nurse teaches a client who is prescribed a central vascular access device.
Which statement should the nurse include in this clients teaching? [Show Less]