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Nội dung text COMPRE - POST TEST - RESPI & HEMA (Mr. Yamsuan) SC

TOP RANK REVIEW ACADEMY, INC. Page 1 | COMPREHENSIVE PHASE POST TEST RESPIRATORY AND HEMATOLOGIC NURSING Prepared by: Mr. Niño Pocholo F. Yamsuan, RN, MAN, USRN NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. The nurse is caring for an ICU patient with a Swan-Ganz catheter. After inflating the balloon, the nurse is unable to obtain a wedge waveform reading. What action would the nurse recognize as the highest priority? A. Notify physician. B. Reposition the patient C. Gently pull back on the syringe to deflate the balloon. D. Prepare patient for a chest x-ray. 2. The nurse receives her assignment for the day and is caring for each of the following clients. Whom should the nurse assess first? A. A patient in Buck’s traction B. An unstable patient dependent on mechanical ventilation C. A patient postoperative from a CABG procedure getting ready for discharge. D. A new admission diagnosed with a sickle cell pain crisis. 3. A nurse hears various alarms sounding from different client rooms. Which alarm will the nurse address first? A. Distal occlusion alarm on an infusion pump infusing heparin B. Low-pressure limit alarm on a ventilator C. Monitor alarm for a low respiratory rate of 11 breaths/min D. Occlusion alarm on a continuous enteral feeding pump 4. A client with emphysema arrives at the clinic for a routine follow-up visit. Which manifestations are characteristic of emphysema? Select all that apply. A. Activity intolerance B. Barrel chest C. Hyperresonance on percussion D. Stridor E. Tracheal deviation 5. A 15 year old with Asthma wants to exercise. Which of the following activities should the nurse suggest to improve breathing A. Soccer B. Swimming C. Track D. Gymnastics 6. An adolescent with chest pain goes to the school nurse. The nurse determine that the teenager has history of asthma but has ha no problems for years. Which of the following should the nurse do next? A. Call the parents B. Have the adolescent lie down for 30 minutes C. Obtain a peak flow reading D. Five two puffs of short acting bronchodilator. 7. The nurse is assisting with the care of a client with a chest tube. The nurse knows which of the following interventions would be appropriate when caring for this client?Select all that apply. A. Periodically check that all connections are secure B. Tape the tubing to the bed C. Check the tubing frequently for kinks and dependent loops D. Refill the water-seal chamber once a shift 8. The nurse is teaching a patient who is scheduled for a thoracentesis. Which of the following information should the nurse include? Select all that apply. A. “This procedure will require you to receive general anesthesia.” B. “You will need to report any shortness of breath following the procedure.” C. “You will need to empty your bladder before this procedure.” D. “After the procedure. a follow-up chest x-ray will be done.” E. “You will need to be on a clear liquid diet one day before the procedure. 9. The nurse is assisting in the monitoring of a client with a chest tube. The nurse documents each of the following assessments. Which of these assessments are expected findings?Select all that apply. A. Drainage system at a level below the patient’s chest B. Vigorous bubbling in the water-seal chamber C. Stable water in the tube of the water-seal chamber during inhalation and exhalation. D. Occlusive dressing over the chest-tube 10. The nurse is helping a client with a chest tube ambulate to the bathroom. The client turns suddenly, and the chest tube becomes dislodged.What is thepriorityaction for the nurse to take? A. Immediately re-insert the tube and call for help. B. Place your hand over the chest tube site and yell for help. * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH


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