1.Dr. Jones prescribes albuterol sulfate Proventil for a patient with newly diagnosed asthma.

1.Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnosed asthma.When teaching the patient about this drug, the nurse should explain that it may cause: A.Nasal congestion B.Nervousness C.Lethargy D.Hyperkalemia 2.Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In a acute rhinitis,

nasal drainage normally is:

A.Yellow B.Green C.Clear D.Gray 3.A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?A.Nausea or vomiting B.Abdominal pain or diarrhea C.Hallucinations or tinnitus D.Lightheadedness or paresthesia 4.Before administering ephedrine, Nurse Tony assesses the patient’s history. Because of

ephedrine’s central nervous system (CNS) effects, it is not recommended for:

A.Patients with an acute asthma attack B.Patients with narcolepsy C.Patients under age 6 D.Eldery Patient 5.A female patient suffers adult respiratory distress syndrome as a consequence of shock. The patient’s condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high pressure alarm on the mechanical ventilator, alarm sounds, the nurse starts to check for the cause. Which condition triggers the high pressure alarm?A.Kinking of the ventilator tubing B.A disconnected ventilator tube

C.An endotracheal cuff leak D.A change in the oxygen concentration without resetting the oxygen level alarm 6.A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as needed. Which assessment finding indicates that the patient needs another pancuronium dose?A.Leg movement B.Finger movement C.Lip movement D.Fighting the ventilator 7.On auscultation, which finding suggests a right pneumothorax?A.Bilateral inspiratory and expiratory crackles B.Absence of breaths sound in the right thorax C.Inspiratory wheezes in the right thorax D.Bilateral pleural friction rub 8.Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses sees many abbreviations. What does a lowercase “a” in ABG value present?A.Acid-base balance B.Arterial Blood C.Arterial oxygen saturation D.Alveoli 9.A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient?A.Activity intolerance related to fatigue B.Anxiety related to actual threat to health status C.Risk for infection related to retained secretions D.Impaired gas exchange related to airflow obstruction 10.Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will

deviate toward the:

A.Contralateral side in a simple pneumothorax B.Affected side in a hemothorax C.Affected side in a tension pneumothorax D.Contralateral side in hemothorax

11.After undergoing a left pneumonectomy, a female patient has a chest tube in place for

drainage. When caring for this patient, the nurse must:

A.Monitor fluctuations in the water-seal chamber B.Clamp the chest tube once every shift C.Encourage coughing and deep breathing D.Milk the chest tube every 2 hours 12.What is the most common complication of an MI?A.Cardiogenic shock B.Heart failure C.Arrhythmias D.Pericarditis 13.With which of the following disorders is jugular vein distention most prominent?A.Abdominal aortic aneurysm B.Heart failure C.MI D.Pneumothorax

14.Toxicity from which of the following medications may cause a client to see a green-yellow halo around lights?A.Digoxin B.Furosemide (Lasix) C.Metoprolol (Lopressor) D.Enalapril (Vasotec) 15.Which of the following symptoms is most commonly associated with left-sided heart failure?A.Crackles B.Arrhythmias C.Hepatic engorgement D.Hypotension 16.In which of the following disorders would the nurse expect to assess sacral edema in a bedridden client?A.Diabetes B.Pulmonary emboli C.Renal failure D.Right-sided heart failure 17.Which of the following symptoms might a client with right-sided heart failure exhibit?A.Adequate urine output B.Polyuria

C.Oliguria D.Polydipsia 18.Which of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?A.Beta-adrenergic blockers B.Calcium channel blockers C.Diuretics D.Inotropic agents 19.Stimulation of the sympathetic nervous system produces which of the following responses?A.Bradycardia B.Tachycardia C.Hypotension D.Decreased myocardial contractility 20.Which of the following conditions is most closely associated with weight gain, nausea, and a decrease in urine output?A.Angina pectoris B.Cardiomyopathy