1. After a bronchoscopy with biopsy, the nurse assesses the client. The nurse should report which finding to the health care provider?

• laryngeal stridor

2. A client has a plural chest tube following removal of the lower lobe of the lung. Two days after surgery, the tube is accidentally pulled out of the chest wall. What should the nurse do first?

• Apply an occlusive dressing such as petroleum jelly gauze.

3. The client asks the nurse, “Why won’t the health care provider tell me exactly how much of my leg he is going to take off? Don’t you think I should know that?” On which information should the nurse base the response?

• the adequacy of the blood supply to the tissues

4. An unlicensed assistive personnel (UAP) tells the nurse, “I think the client is confused. He keeps telling me he has to void, but that’s not possible because he has a catheter in place that is draining well.” What should the nurse tell the UAP?

• "The urge to void is usually created by the large catheter, and he may be having some bladder spasms."

5. When assessing a client with advanced chronic obstructive pulmonary disease (COPD) which are expected findings?

• increased anteroposterior chest diameter

6. The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for 30 minutes. Which factors would require the nurse to discontinue prone positioning and return the client to the supine position? Select all that apply.

• The SpO2 and PO2 have decreased.

• The client is tachycardic with drop in blood pressure.

• The face has increased skin breakdown and edema.

7. The nurse is planning care for a client who has just returned to the medical-surgical unit following repair of an aortic aneurysm. What is a priority assessment for this client?

• decreased urinary output

8. Which is the most important initial postprocedure nursing assessment for a client who has had a cardiac catheterization?

• Observe the puncture site for swelling and bleeding.

9. A client has had a cerebrovascular accident, which has affected the left side of the client’s brain. The nurse should assess the client for which symptom?

• aphasia

10. The nurse is instructing an unlicensed assistive personnel (UAP) to collect a urine specimen from an indwelling catheter. Which statement indicates that the UAP understands the instructions?

• “I’ll get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container.”

11. A client comes to the physician's office for a follow-up visit 4 weeks after suffering a myocardial infarction (MI). The nurse takes this opportunity to evaluate the client's knowledge of the ordered cardiac rehabilitation program. Which evaluation statement suggests that the client needs more instruction?

• "Client walks 4 miles (6.4 kilometers) in 1 hour every day."

12. A client undergoes a craniotomy with supratentorial surgery to remove a brain tumor. On the first postoperative day, the nurse notes the absence of a bone flap at the operative site. How should the nurse position the client's he