A nurse in the emergency department is caring for a patient who was injured in a motor-vehicle crash. The patient reports dyspnea and severe pain.
The nurse notes that the patient’s chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?

Flail chest

Hemothorax

Atelectasis

Pneumothorax

Answer and Explanation

The Correct Answer is A

Choice A rationale

The symptoms described, including the paradoxical movement of the chest wall (moving inward during inspiration and outward during expiration), are indicative of a flail chest, which is a life-threatening condition that occurs when a segment of the rib cage breaks due to trauma and becomes detached from the rest of the chest wall.

Choice B rationale

Hemothorax is a collection of blood in the space between the chest wall and the lung (the pleural cavity). It’s often caused by chest trauma. It does not cause the chest to move inward during inspiration and outward during expiration.

Choice C rationale

Atelectasis is a complete or partial collapse of the entire lung or area (lobe) of the lung. It does not cause the chest to move inward during inspiration and outward during expiration.

Choice D rationale

Pneumothorax is a collapsed lung. It does not cause the chest to move inward during inspiration and outward during expiration.

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Correct Answer is B

Explanation

A. “I should pad the mattress in my baby’s crib so that he will be more comfortable when he sleeps.”. B. “I will place my baby on his stomach when he is sleeping.”. C. “I should remove extra blankets from my baby’s crib.”. D. “I should place my baby’s crib next to the heater to keep him warm during the winter.”. .

Correct Answer is C

Explanation

Choice A rationale

Padding the mattress in a baby’s crib can pose a suffocation risk and is not recommended for crib safety22.

Choice B rationale

Placing a baby on their stomach for sleep, known as prone sleeping, increases the risk of sudden infant death syndrome (SIDS). Babies should always be placed on their back to sleep22.

Choice C rationale

Removing extra blankets from a baby’s crib is a key part of crib safety. Loose bedding can pose a suffocation risk22.

Choice D rationale

Placing a baby’s crib next to a heater could lead to overheating, which is a risk factor for SIDS. It’s important to keep the baby’s sleep environment at a comfortable temperature22.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is educating a new parent about crib safety.Which statement by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a child who is allergic to penicillin. Which prescription should the nurse verify with the provider?

A patient is starting celecoxib to treat osteoarthritis.What adverse effects should the nurse instruct the patient to monitor and report?

A nurse is instructing a female client on how to collect a midstream urine sample. Which statement from the client indicates they understand the procedure?

A nurse is educating a patient with multiple sclerosis who has been prescribed baclofen. What guidance should the nurse include in the education?

A nurse is caring for a patient who is 9 days postoperative following a total laryngectomy. The nurse removes the patient’s NG tube and initiates oral feedings. Which of the following statements should the nurse make?

A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching?

A nurse is providing teaching to a patient who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse give?