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Med Surg 29,30,31
Med surg exam 29,30,31 filled with NCLEX style questions
| Question | Answer |
|---|---|
| A nurse is caring for a client with thick pulmonary secretions. Which intervention should the nurse implement to thin secretions? | Encourage fluid intake |
| A client with a pneumothorax is assessed. Which findings should the nurse expect? | Absent breath sounds, Hyperresonance on percussion, Decreased chest expansion |
| An older adult client is admitted with respiratory distress. Which age-related change contributes to this condition? | Decreased cough reflex |
| A client with COPD is taught pursed-lip breathing. What is the primary purpose? | Promote CO2 elimination |
| A client reports shortness of breath. Which position should the nurse implement FIRST? | High Fowler's |
| A nurse explains chest physiotherapy to a family member. Which statement is appropriate? | "It loosens mucus for easier removal" |
| A client presents with epistaxis. Which action should the nurse take? | Apply pressure to soft part of nose |
| Which finding indicates flail chest? | Paradoxical chest movement, Severe pain, Respiratory distress |
| A client with TB has been on medications for 2 weeks. Which statement indicates understanding? | "I am no longer contagious if compliant" |
| Which describes the action of an expectorant? | Thins mucus |
| Which clients are at risk for DVT? | Post-op patients, Pregnant client, Obese client, Client on bedrest |
| A V/Q scan is ordered. What does this test evaluate? | Airflow and blood flow in lungs |
| A client with obstructive sleep apnea requires treatment. What is first-line therapy? | CPAP |
| Which are manifestations of asthma exacerbation? | Wheezing, Chest tightness, Accessory muscle use |
| A client with pleural effusion is assessed. Which finding is expected? | Dullness to percussion |
| Which medication is contraindicated in asthma? | Beta-blockers |
| Which are risk factors for lung cancer? | Smoking, Asbestos exposure, Air pollution |
| A client with bronchiectasis will most likely present with: | Productive cough |
| Which tests confirm tuberculosis? | Sputum culture, Chest X-ray, PPD test, IGRA |
| A client with bacterial pneumonia will most likely have: | Productive cough |
| A nurse assesses a client with laryngeal cancer. Which risk factors are present? | Smoking, Alcohol use, Male gender |
| A nurse assesses diminished breath sounds on one side. What is the priority concern? | Pneumothorax |
| A client is using humidifier. What is the expected outcome? | Thinner secretions |
| Which interventions help thin secretions? | Hydration, Antihistamines, Nebulizer therapy |
| A nurse prioritizes care for a client with dyspnea. What is the FIRST action? | Position upright |
| A client with pneumothorax has hyperresonance. What does this indicate? | Air in pleural space |
| Which findings indicate worsening asthma? | Silent chest, Severe dyspnea, Tachycardia, Confusion |
| A nurse is caring for a client with OSA. Which statement requires correction? | "I should take sedatives before bed." |
| A client has pleural effusion. Which procedure may be performed? | Thoracentesis |
| Which findings are expected with pneumonia? | Fever, Crackles, Productive cough, Elevated WBC |
| A client with TB asks why long-term meds are needed. Best response? | "To prevent resistance and relapse" |
| Which interventions improve airway clearance? | Huff coughing, Chest physiotherapy, Hydration, Incentive spirometer |
| A client with epistaxis should avoid: | Nose blowing |
| A client with respiratory distress is using accessory muscles. This indicates: | Increased work of breathing |
| Which findings are seen in flail chest? | Hypoxia, Pain, Paradoxica movement, Respiratory distress |
| A nurse explains CPAP. Which is correct? | Maintains constant airway pressure |
| A client is at risk for PE. Which symptom is most concerning? | Sudden dyspnea |
| Which increase risk for respiratory infection in elderly? | Weak cough, Decreased immunity, Reduced mucociliary clearance |
| A nurse hears wheezing. This indicates: | Narrowed airways |
| A client with bronchiectasis priority intervention? | Promote secretion clearance |
| Which are signs of respiratory distress? | Cyanosis, Tachypnea, Use of accessory muscles, Nasal flaring |
| A client has diminished breath sounds and dyspnea. Priority? | Assess oxygen saturation |
| A nurse is teaching about smoking cessation. Which is effective? | Nicotine replacement |
| Which interventions improve oxygenation? | High fowler's, Oxygen therapy, Incentive spirometer, Deep breathing |
| A client has hypercapnia. Which intervention helps? | Pursed-lip breathing |
| A nurse assesses dullness to percussion. This indicates: | Fluid or solid tissue |
| Which are signs of TB? | Chronic cough, Weight loss, Night sweats, Fever |
| A client with pneumonia priority? | Airway clearance |
| A nurse is caring for a post-op client at risk for atelectasis. Best intervention? | Incentive spirometer |
| Which interventions prevent PE? | Early ambulation, Compression devices, Bedrest, Hydration |
Created by:
efilchner
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