A nurse is performing a focused assessment on a client who has a history of COPD and is experiencing dyspnea. Which of the following findings should the nurse expect?

Pulse oximetry reading of 95%

Decreased depth of respirations

Flaring of the nostrils

Respiratory rate of 16/min

Answer and Explanation

The Correct Answer is C

A. Pulse oximetry reading of 95%. COPD clients often have lower baseline oxygen levels (88-92%), making this reading unexpectedly high.

B. Decreased depth of respirations. COPD typically causes shallow and rapid breathing due to air trapping.

C. Flaring of the nostrils: Nostril flaring is a sign of increased respiratory effort, which is common in COPD exacerbations.

D. Respiratory rate of 16/min. → Normal range (12-20/min), not an expected finding during dyspnea.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. "I think you will regret it if you don't have this surgery." – This is non-therapeutic and pressures the client rather than encouraging discussion.

B. "It's too late to cancel your cataract surgery." – This is false information; clients have the right to refuse treatment at any time.

C. "This surgery is painless, so you shouldn't worry." – This minimizes the client’s concerns and dismisses their feelings.

D. "Share with me more about the thoughts that are concerning you." – This therapeutic response encourages the client to express their concerns, allowing the nurse to address them appropriately.

A. Pull the fire alarm. B. Close the fire doors. C. Evacuate the room. D. Extinguish the fire.

Correct Answer is C

Explanation

A. Pull the fire alarm. While activating the alarm is crucial, the immediate priority is client safety, meaning evacuation comes first.

B. Close the fire doors. Closing doors helps contain the fire, but ensuring client safety is the priority.

C. Evacuate the room. According to the RACE (Rescue, Alarm, Contain, Extinguish) protocol, the first step is to Rescue clients in immediate danger, then pull the alarm.

D. Extinguish the fire. Attempting to put out the fire is only appropriate if the fire is small and manageable. If the fire is significant, evacuating clients takes precedence.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is performing a focused assessment on a client who has a history of COPD and is experiencing dyspnea. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for cataract surgery. The client states, "I see Just fine and have decided to cancel my surgery." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse enters a client's room and sees smoke coming from the trash can. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is completing an admission assessment for a client who has hearing loss. Which of the following actions should the nurse take?

A nurse is performing a focused assessment on a client who has a history of COPD and is experiencing dyspnea. Which of the following findings should the nurse expect?

A nurse is monitoring a client who has been receiving intermittent enteral feedings which of the following findings should the nurse identify as an indication of intolerance to the feeding?

A nurse is teaching a group of assistive personnel about the expected Integumentary changes in older adult clients. Which of the following findings should the nurse include in the teaching?

A nurse is assessing the pain level of a client who has dementia and difficulty communicating. Which of the following pain assessment techniques should the nurse use?

A community health nurse is teaching a group of clients about first aid for different types of wounds. Which of the following client statements Indicates an understanding of the teaching?

A nurse is documenting client care. Which of the following entries should the nurse identify as an example of implementation of client care?

A nurse is caring for a client who has just learned that their partner died. Which of the following actions should the nurse take first?