Rn Nclex Questions Already Passed

The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which findings would the nurse expect to note on assessment of this client? Select all that apply. A. A low arterial PCo2 level B. A hyperinflated chest noted on the chest x-ray C. Decreased oxygen saturation with mild exercise D. A widened diaphragm noted on the chest x-ray E. Pulmonary function tests that demonstrate increased vital capacity {Ans: B, C Rationale: Clinical manifestations of chronic obstructive pulmonary disease (COPD) include hypoxemia, hypercapnia, dyspnea on exertion and at rest, oxygen desaturation with exercise, and the use of accessory muscles of respiration. Chest x-rays reveal a hyperinflated chest and a flattened diaphragm if the disease is advanced. Pulmonary function tests will demonstrate decreased vital capacity.}The clinic nurse assesses the skin of a client with psoriasis after the client has used a new topical treatment for 2 months. The nurse identifies which characteristics as improvement in the manifestations of psoriasis? Select all that apply. A. Presence of striae B. Palpable radial pulses C. Absence of any ecchymosis on the extremities D. Thinner and decrease in number of reddish papules E. Scarce amount of silvery-white scaly patches