17. List the order of blood flow through the heart beginning with the UNOXYGENATED blood coming back to the heart and ending with the OXYGENATED blood leaving the heart. If you do not have a separate mouse, you will need to use the left side of you laptop mousepad to grab the answer and use the right side of your mousepad to move the answer into the position you want.

Begin with blood coming back to heart

Right atrium

Aorta

Left ventricle

Pulmonary vein

Pulmonary artery

Left atrium

Answer and Explanation

The Correct Answer is A,E,D,F,C,B

Unoxygenated blood flows from the body into the right atrium, then passes through the pulmonary artery to the lungs. After receiving oxygen in the lungs, blood flows back to the heart via the pulmonary vein into the left atrium. It then moves into the left ventricle and is finally pumped out to the body through the aorta.

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Correct Answer is C

Explanation

A. Supine is not recommended, as it can make breathing more difficult by limiting chest expansion.
B. Trendelenberg is not suitable for someone with breathing difficulties, as this position can worsen dyspnea.
C. High-Fowler is the best position for an asthma patient experiencing shortness of breath as it promotes lung expansion and allows for maximum chest wall movement.
D. Semi-Fowler may help but is less effective than High-Fowler in cases of acute respiratory distress.
E. Left-lateral does not optimize chest expansion and is not typically recommended for respiratory distress.

A. Performing chest percussion on a client with atelectasis B. Auscultate lungs on a client with audible wheezing C. Taking vital signs on a male client with severe dyspnea D. Suctioning a client with hemoptysis (bloody sputum) E. Setting up a meal tray for a client with COPD

Correct Answer is E

Explanation

A. Chest percussion is a specialized skill that should be performed by a nurse or respiratory therapist due to the risk of complications.
B. Lung auscultation requires assessment skills and clinical judgment, which is within the RN’s scope of practice, not the CNA’s.
C. Taking vital signs on a client with severe dyspnea may require immediate interpretation and intervention, best handled by an RN.
D. Suctioning requires skill and knowledge of the procedure and potential complications, which should be performed by the RN.
E. Setting up a meal tray is an appropriate task for a CNA, as it does not require nursing judgment and supports the client’s nutritional needs.

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Naxlex Comprehensive Predictor Exams

In which position would the nurse place a 20 year old adult with asthma who is short of breath?

Correct Answer is C

Explanation

The RN and certified nursing assistant/patient care assistance (CNA/PCA) are caring for five clients on a medical/surgical unit. Which of the following tasks would be most appropriate for the nurse to delegate to the CNA/PCA?

Correct Answer is E

Explanation

A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally responsive care?

How would the nurse document mild, slight pitting edema of the ankles, where there can be no perceptible swelling seen, the indentation depth will be less than 2mm, and the indentation will disappear in less than 10 seconds?

When performing a respiratory assessment on a patient, the nurse notices a costal vertebral angle (CVA) of approximately 160 degrees. How would finding?

The nurse wants to prevent venous thrombus (DVT) formation in a client after surgery. What action should the nurse delegate to the certified nursing assistant/patient care assistant to help prevent DVT formation in the client?

When listening to heart sounds, which valve closures are heard best at the base of the heart. Select all that apply.

A client is admitted with a venous insufficiency of the right leg. What assessment findings does the nurse expect to find with this condition?

The nurse receives orders for an opiate pain medication for a client with severe pain. What other order does the nurse anticipate getting?