A client reports to the nurse that they feel suddenly short of breath when in the supine position. The nurse should document this finding as which of the following?

Tachycardia

Retractions

Tachypnea

Orthopnea

Answer and Explanation

The Correct Answer is D

A. Tachycardia: Tachycardia is a rapid heart rate; it describes pulse, not the positional dyspnea the client reports.

B. Retractions: Retractions are visible inward movement of chest wall with respiratory effort and indicate severe respiratory distress; the report of dyspnea when supine is better described by a different term.

C. Tachypnea: Tachypnea is rapid breathing (increased respiratory rate); the symptom described is difficulty breathing while supine, not specifically an increased rate.

D. Orthopnea: Orthopnea is shortness of breath that occurs or worsens when lying flat and improves when upright; documenting orthopnea matches the symptom of sudden dyspnea in the supine position.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Percussion, inspection, palpation, and auscultation: Beginning with percussion before visually inspecting the abdomen disrupts the standard flow of assessment; inspection is normally the first step to note contour, scars, or distension.

B. Inspection, auscultation, palpation, and percussion: Starting with inspection then auscultation follows recommended practice (listen before you manipulate); percussion and palpation are then listed, but most textbook guidance places percussion before palpation to avoid altering bowel sounds.

C. Inspection, palpation, auscultation, and percussion: Palpation before auscultation can change bowel sounds and is generally avoided because palpation may introduce or alter bowel noises.

D. Palpation, auscultation, inspection, and percussion: Palpation first can disturb findings and inspection should come before hands-on techniques; this sequence does not follow standard abdominal assessment order.

A. 88 B. 122 C. 110 D. 93

Correct Answer is C

Explanation

MAP = (145 + 2×92) ÷ 3 = (145 + 184) ÷ 3 = 329 ÷ 3 = 109.67

rounded = 110 mmHg.

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 client reports to the nurse that they feel suddenly short of breath when in the supine position. The nurse should document this finding as which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands, when performing an abdominal assessment, which order is correct:

Correct Answer is B

Explanation

A client has a blood pressure of 145/92. What is the MAP? Formula provided: [systolic BP + (2x diastolic BP)] /3

Correct Answer is C

Explanation

The nurse is caring for a post-operative client who underwent a left above-the-knee amputation 6 hours prior. Which of the following clinical findings should the nurse be most concerned with?

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious lung sounds?

The nurse assesses a patient who reports chest pain during inhalation and exhalation. The nurse notes upon auscultation, coarse sounds in rhythm with the breathing. The name of this clinical finding is which of the following?

A nurse notes a client's intercostal muscles are pulling inwards and reports difficulty breathing. The nurse would document which of the following to describe this type of abnormal breathing pattern:

The physician prescribes Gabapentin 20 mg PO QID. The pharmacy has available Gabapentin syrup 10 mg/5 ml. The client should receive ml per day?

The nurse is caring for a client who is 24 hours postoperative. Which finding would require immediate attention by the nurse?

The nurse is educating a client following a wound debridement to increase which protein in their diet to aid in wound healing. The nurse should educate the client to consume which of the following foods: Select all that apply:

When assessing a client's pulse rate, the nurse records 125 beats per minute. The nurse understands which of the following describes a heart rate of 125 beats per minute for an adult client.