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29. The nurse is caring for a male client with a chest tube and chest drainage system and the tube is accidentally disconnected from the patient. What is the most likely intervention should the nurses expected to do A. Place the end of the chest tube in a container of sterile saline B. Apply occlusive dressing and notify the physician C. Clamp the chest tube immediately D. Secure the chest tube with a tape 30. A female client is admitted to the central medical intensive care unit at Hiwot Fana compressive Specialized Hospital for treatment of chronic pulmonary obstructive disease.Which nursing diagnosis is most important for this client? A. Activity intolerance related to fatigue B. Anxiety related to the actual threat to health status C. Risk of infection related retained secretions D. Impaired gas exchange related to airflow obstruction 31. A 43 years old male client with cystic fibrosis is admitted to an acute care facility with an acute respiratory infection . Physician -prescribed respiratory treatment includes chest physiotherapy . When should the nurse perform this procedure? A. Immediately before a meal B. At least two hours after a meal C. When bronchospasms is occur D. When secretions have mobilized 32. A 23 -years-old client has been hit on the head with a baseball bat . The nurse notes clear fluid draining from his ear and nose.. Which of the following nursing interventions should be done first? A. Position the client flat in bed B. Check the fluid for dextrose with a dipstick C. Suction the noise to maintain airway patency D. Insert nasal and ear packing with sterile gauze 33. The nurse is discussing the purpose of electroence phalography (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousnes 3. It would be most accurate for the nurse to tell family members which of the following conditions? A. Extent of intracranial bleeding B. Sites of brain injury C. Activity of the brain D. Percent of function brain tissue 34. Assume you are on the duty in chronic OPD newly diagnosed with type 1 diabetes patient coming with you. You are teaching basic survival skills to the patient . What topic should be addressed for this patient? A. Signs and symptoms of diabetic nephropathy B . Management of diabetic ketoacidosis C. Effects of surgery and pregnancy on blood sugar levels D. Reco onition of h vpoglvcemia and hyperglvcemia

25. Because of the client's pleural effusion and advanced lung disease, the nurse frequently listens to the client's breath sounds . What would the nurse expect to hear when assessing the breath sounds? A. Wheezing in the upper lobes B. A friction rub posterior to the affected area C. Increased sounds over the involved area D. Decreased sounds over the involved area 26. An adult has a chest drainage system.Several hours after the chest tube was inserted the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling? A. The client's lungs have expanded B. There is an obstruction in the tubing coming from the client. C. There is a mechanical problem in the suction control chamber D. Air is leaking into the drainage apparatus. 27. A 79-year-old client was admitted to the hospital with a diagnosis of pneumonia .The client has dyspnea. The client's ; temperature was 102^circ F , respiration was 28 breaths per minute, and pulse was 90 beats per minute. Bed rest was ordered for this client primarily to __ A. Promote thoracic expansion. B. Prevent the development of atelectasis. C. Decrease work of breathing. D. Prevent other infections. 28. An adult patient is admitted with chronic obstructive pulmonary disease (COPD). The ward nurse notes that he has neck vein distention and slight peripheral edema The nurse continues frequent assessments because she/he knows that these signs indicate the onset of which of the following? A. Pneumothorax C. Cardiogenic shock B. Cor pulmonale D. Left-sided heart failure

D. Rise bed rails 25. Because of the client?pleural effusion and advanced lung disease , the nurse frequently listens to the client's breath sounds . What would the nurse expect to hear when assessing the breath sounds? A. Wheezing in the upper lobes B. A friction rub posterior to the affected area C. Increased sounds over the involved area D. Decreased sounds over the involved area 26. An adult has a chest drainage system . Several hours after the chest tube was inserted the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling? A. The client's lungs have expanded. B. There is an obstruction in the tubing coming from the client. C. There is a mechanical problem in the suction control chamber D. Air is leaking into the drainage apparatus. 27. A 79-year-old client was admitted to the hospital with a diagnosis of pneumonia . The client has dyspnea. The client's temperature was 102^circ F , respiration was 28 breaths per minute, and pulse was 90 beats per minute. Bed rest was ordered for this client primarily to __ A. Promote thoracic expansion. B. Prevent the development of atelectasis. C. Decrease work of breathing. D. Prevent other infections. 28. An adult patient is admitted with chronic obstructive pulmonary disease (COPD). The ward nurse notes that he has neck vein distention and slight peripheral edema The nurse continues frequent assessments because she/he knows that these signs indicate the onset of which of the following? A. Pneumothorax C. Cardiogenic shock B. Cor pulmonale D. Left-sided heart failure

19. A 6-year-old child with a congenital heart disorder is admitted with congestive heart failure . Digoxin 0.12 mg is ordered for the child. The bottle contains 0.05 mg of digoxin in 1 mL of solution. Which of the following amounts should the nurse administer to the child? A. 1.2 ml C. 4.2 ml B. 2.4 ml D. 3.5 ml 20. Which of the following position is used while administering enema for a patient? A. Lithotomy position B. High fowlers position C. Sim's position D. Lateral position 21. Which of the following terms denotes absence or failure to produce urine? A. Anuria C. Retention B. Oliguria D. Dysuria 22. Which of the following is not a common feature to all types of cancer? A. Abnormal cellular growth B. Capacity to invade other tissues C. Capacity to spread to distant organs D. Regulated growth of cells 23. Nurse Meti is caring for a COPD patient at HFSUH in the male medical ward . She teaches him about coughing and breathing exercise. The importance of doing this exercise is: A. To enhance the expelling of mucous B. To monitor respiratory rate C. To identify the sign of respiratory distress D. For safe mouth care 24. For respiratory disorder patients with a nursing diagnosis, of'ineffective airway clearance related to high mucus production which of the following is the correct nursing intervention? A. Facilitate drainage of oral secretion B.Administer ordered antibiotics C. Administer antipain D. Rise bed rails

19. A 6-year-old child with a congenital heart disorder is admitted with congestive heart failure . Digoxin 0.12 mg is ordered for the child. The bottle contains 0.05 mg of digoxin in 1 mL of solution. Which of the following amounts should the nurse administer to the child? A. 1.2 ml C. 4.2 ml B. 2.4 ml D. 3.5 ml 20. Which of the following position is used while administering enema for a patient? A. Lithotomy position B. High fowlers position C. Sim's position D. Lateral position 21. Which of the following terms denotes absence or failure to produce urine? A. Anuria C. Retention B. Oliguria D. Dysuria 22. Which of the following is not a common feature to all types of cancer? A. Abnormal cellular growth B. Capacity to invade other tissues C. Capacity to spread to distant organs D. Regulated growth of cells 23. Nurse Meti is caring for a COPD patient at HFSUH in the male medical ward . She teaches him about coughing and breathing exercise. The importance of doing this exercise is: A. To enhance the expelling of mucous B. To monitor respiratory rate C. To identify the sign of respiratory distress D. For safe mouth care 24. For respiratory disorder patients with a nursing diagnosis, of'ineffective airway clearance related to high mucus production'which of the following is the correct nursing intervention? A. Facilitate drainage of oral secretion B. Administer ordered antibiotics C. Administer antipain D. Rise bed rails 25. Because of the client's pleural effusion and advanced lung disease, the nurse frequently listens to the client's breath sounds . What would the nurse expect to hear when assessing the breath sounds? A. Wheezing in the upper lobes B. A friction rub posterior to the affected area C. Increased sounds over the involved area