Question 36
Type: MCMA
The nurse is conducting a health history for a client with a respiratory disorder. What should the nurse include in
this assessment?
Standard Text: Select all that apply.
1. Lifestyle
2. Presence of cough
3. Sputum production
4. Pain
5. Diet
Question 37
Type: MCMA
A client is concerned about maintaining a healthy respiratory system. What should the nurse instruct the client to
do to promote a healthy respiratory status?
Standard Text: Select all that apply.
1. Use pursed-lip breathing.
2. Exercise regularly.
3. Do not smoke.
4. Breathe through the nose.
5. Breathe through the mouth.
Question 38
Type: MCSA
Which client statement indicates to the nurse that instruction about the use of a humidifier has been effective?
1. “A humidifier takes moisture out of the air.”
2. “A humidifier tightens secretions.”
3. “A humidifier prevents my lungs from getting too dry.”
4. “A humidifier replaces the use of oxygen.”
Question 39
Type: MCSA
The nurse documents that a prescribed expectorant has been effective for a client. What did the nurse evaluate in
this client?
1. Respiratory rate 24 and labored
2. Audible wheeze upon auscultation
3. High-pitched cough present
4. Presence of a productive cough
Question 40
Type: MCSA
The nurse is performing nasotracheal suctioning of a client. What should the nurse do when suctioning this client?
1. Apply suction for 5–10 seconds.
2. Plan to suction for 10 minutes.
3. Apply suction while inserting the catheter.
4. Apply suction for 20–30 seconds.
Question 41
Type: MCSA
The nurse wants to delegate the Yankauer suctioning of a client to UAP. What will the nurse ensure that UAP
know before delegating this activity?
1. How to apply suction during the insertion of the catheter
2. Not to apply suction during the insertion of the catheter
3. How to maintain sterile technique
4. How to listen for lung sounds
Question 42
Type: MCMA
The nurse has completed nasopharyngeal suctioning of a client. What should the nurse document about this
procedure?
Standard Text: Select all that apply.
1. Amount, consistency, color, and odor of sputum
2. Amount of sterile solution used to flush the catheter
3. Lung sounds before the procedure
4. Lung sounds after the procedure
5. Oxygen saturation after the procedure
Question 43
Type: MCMA
The nurse is documenting the completion of tracheostomy suctioning and tracheostomy care in a client’s medical
record. What should this documentation include?
Question 44
Type: MCSA
The nurse is planning care for a client who was admitted after having a myocardial infarction. Based upon this
history, the nurse’s greatest concern is that this client might develop which health problem?
1. Chronic renal failure
2. A gastric ulcer
3. Hypoxemia
4. A cerebral vascular accident
Question 45
Type: MCMA
Before administering the prescribed medication propranolol (Inderal) to a client, the nurse contacts the health care
provider to question the order. What health problems did the client have that caused the nurse to question the
medication order?
Standard Text: Select all that apply.
1. COPD
2. Asthma
3. Arthritis
4. Gastritis
5. Heart failure
Question 46
Type: MCMA
The nurse is planning care for a client with an oral endotracheal tube. Which interventions should be included in
this client’s plan of care?
Standard Text: Select all that apply.
1. Insert an oropharyngeal airway.
2. Provide nasal care every 2 to 4 hours.
3. Provide oral hygiene every 2 to 4 hours.
4. Adjust non-humidified airflow as prescribed.
5. Move the tube to opposite sides of the mouth every 8 hours.
