NUR2571 Exam Questions: Professional Nursing II, Exams of Nursing

Download NUR2571 Exam Questions: Professional Nursing II and more Exams Nursing in PDF only on Docsity! 100%COMPLETE NUR2571 Exam 1: PN2 Exam 2 REVIEW QUESTIONS WITH VERIFIED ANSWERS Review Latest 2023/2024 ALREADY GRADED A+ 1.The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with infective endocarditis (IE) based on which assessment finding(s)? a. Fever, chills, and diaphoresis *b. Blood pressure of 85/48 mmHg c. Petechiae on the inside of the mouth and conjunctiva d. Increase in heart rate of 15 beats/minute while walking. 2. A patient who has a history of pulmonary valve stenosis tells the healthcare provider, “I don’t have a lot of energy anymore, and both of my feet get swollen in the late afternoon.” Which of these problems does the healthcare provider conclude is the likely cause of these clinical findings? a. Acute pericarditis b. Peripheral arterial disease c. Deep vein thrombosis *d. Right side heart failure 3. A patient is diagnosed with heart failure and is prescribed digoxin (Lanoxin) and furosemide (Lasix). Before administering the furosemide to the patient, which laboratory result should the healthcare provider to review? a. Serum calcium *b. Serum potassium c. Serum sodium d. Serum phosphorous 4. You are educating a patient with newly diagnosed Vitamin B12 deficiency anemia. Which of the following statements indicate a need for further teaching? *a. I will limit my intake of dried beans and citrus fruit. b. I will drink fluids with electrolytes while exercising. c. I will increase my intake of animal proteins and eggs. d. I will keep my follow up appointment with my provider. 5. You are providing patient education on their new medication, Amlodipine (Norvasc). Which statement by the patient indicates patient understanding? a. I will weigh myself daily at the same time every day. *b. I will need to avoid grapefruit juice and grapefruit while taking this medication. c. I will need to avoid green leafy vegetables while taking this medication. d. I will take this medication only when I remember. 100%COMPLETE NUR2571 Exam 1: PN2 Exam 2 REVIEW QUESTIONS WITH VERIFIED ANSWERS Review Latest 2023/2024 ALREADY GRADED A+ 6. A nurse is assessing a client diagnosed with Buerger’s disease. While assessing this client and extremities, the nurse correlates which clinical manifestations with this disease process? *a. ulcerations on digits and complaints of claudication b. Cold and pale, with bounding radial and pedal pulses c. Cyanotic, with hyporeflexive distal deep tendon reflexes d. Brownish, with hyperreflexive distal deep tendon reflexes NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 a. Furosemide b. Hydrochlorothiazide *c. Spironolactone d. Bumetanide 13. The nurse determines which client as at greatest risk for acidosis? a. The anxious client who is hyperventilating b. The young adult client with persistent vomiting c. The adult client with peptic ulcer disease *d. The adult client with pneumonia NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 14. Which intervention will the nurse plan to implement to reduce a client’s pain during a sickle cell crisis? a. Encourage ambulation to promote circulation. b. Offer the client cool compresses for comfort. c. Keep the room temperature at a cool 68-72° F. *d. Provide warm blankets and a warm environment. 15. A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan? a. Oranges b. Cashews *c. Red meat d. Yogurt 16. Which symptom is most characteristic of a factor VIII deficiency? *a. Excessive bleeding from a cut b. Back pain c. Nausea and vomiting d. Temperature of 101° F 17. A nurse is caring for a client who has hemophilia A and hemarthrosis of the left knee. Which of the following actions should the nurse take? a. Administer low dose aspirin for mild pain. b. Apply heat to affected knee c. Prepare to administer IV fluids *d. Assess client for s/s of bleeding 18. A client is admitted with arterial blood gas (ABGs) results of pH 7.30, PaCO2 60, HCO3 22. The nurse concludes this client has which acid-base imbalance?? a. Compensated Respiratory Acidosis *b. Uncompensated Respiratory Acidosis c. Uncompensated Metabolic Acidosis d. Compensated Metabolic Acidosis 19. Which ABG values are expected with anxiety induced hyperventilation? a. pH 7.29; PaCO2 55 mm Hg b. pH 7.49; PaCO2 56 mm Hg c. pH 7.28; PaCO2 31 mm Hg *d. pH 7.48; PaCO2 32 mm Hg 20. The nurse is caring for a client with COPD and is reviewing the new ABGs. Which of the following arterial blood gas values is consistent with fully compensated respiratory acidosis? a. pH 7.28, HCO3– 12 mEq/L, PCO2 45 mm Hg, PO2 96 mm Hg NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 b. pH 7.36, HCO3– 17 mEq/L, PCO2 25 mm Hg, PO2 98 mm Hg *c. pH 7.37, HCO3– 36 mEq/L, PCO2 65 mm Hg, PO2 78 mm Hg d. pH 7.48, HCO3– 12 mEq/L, PCO2 35 mm Hg, PO2 85 mm Hg NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 27. The nurse is assessing a client diagnosed with asthma. The client's initial breath sounds heard by the nurse consisted of wheezing but have diminishing until no audible sounds are heard. This has occurred due to which of the following? a. The asthma attack has passed. *b. Increased airway constriction is blocking the airway. c. The client used an inhaler. d. No mucus is present. 28. The health care provider has just prescribed the client Warfarin Sodium. The nurse knows that this client is still receiving intravenous heparin. Which is the nurse’s best action? *a. Administer the medications as prescribed. b. Turn off the heparin drip for 1 hour before administration of the warfarin. c. Discontinue the heparin drip completely before warfarin administration. d. Hold the dose of warfarin. 29. Which of the following conditions is most commonly responsible for right heart failure? a. Aortic stenosis *b. Left heart failure c. Pulmonic valve stenosis d. Murmur 30. A nurse is caring for a client who arrived at an emergency department with status asthmaticus. Based on the Progress Note: BP 140/90, P 104, and T. 98.4 F, RR 34, diminishing wheezing. ABG results pH 7.22, PaCO2 69, and HCO3- 26. The nurse suspects that the client has what abnormality? *a. Uncompensated Respiratory acidosis. b. Uncompensated Metabolic acidosis. c. Compensated Respiratory alkalosis. d. Uncompensated Metabolic alkalosis. 31. A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take? *a. Administer a short-acting-beta2-agonist (SABA) b. Obtain arterial blood gas levels (ABGs) c. Encourage use of incentive spirometer d. Ask patient about the onset, duration, and triggers of these episodes. 32. The nurse notes that the international normalized ratio (INR) of a client with aortic valve replacement who is taking warfarin is 3.2. What is the priority intervention at this time? a. Prepare to administer Vitamin K, the antidote to warfarin. b. Hold the next scheduled dose and notify the provider. NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 *c. Administer the daily dose of warfarin as ordered. d. Prepare to administer protamine sulfate, the antidote to warfarin. 33. You are the nurse caring for a client newly diagnosed with a deep vein thrombosis. You receive an order to infuse heparin 1250 units/hr. The IV bag contains 25,000 units of heparin in 250mL D5W. Calculate the IV rate in mL/hr. mL/hr (Round the answer to the nearest tenth. Type only the numbers, not the units.) NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 a. 12.5 34. A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? Tablets (Round the answer to the nearest tenth. Use a leading zero if it applies. Type only the numbers, not the units.) a. 0.5 MA 35. The nurse recognizes that which of the following client conditions would be responsible for increased PCO2 levels? (Select all that apply) a. Hyperventilation *b. Asthma *c. Pneumonia d. Anxiety *e. Airway obstruction f. Overventilation/hyperventilation of COPD patients MA 36. The nurse is assigned to a client who just arrived to the emergency room after a motor vehicle accident and has multiple rib fractures. Knowing the client could potentially have a pneumothorax, what are the signs and symptoms the nurse would correlate with this condition? (Select all that apply) *a. Tachypnea *b. Decreased breath sounds on affected side *c. Respiratory distress d. Respiratory alkalosis *e. Decreased oxygen saturation MA 37. A nurse is assessing a male client who has a new diagnosis of peripheral artery disease (PAD). Which of the following findings should the nurse expect to find on the affected extremity? (Select all that apply) *a. Pain b. Purpura *c. Paresthesia d. Psoriasis *e. Poikilocythermia *f. Pallor MA 38. Which of the following conditions are caused by left-sided heart failure? (Select NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 *d. hemoptysis *e. dyspnea *f. recurrent pneumonia 45. Patient teaching for a patient taking warfarin should include to only eat small amounts of foods rich in vitamin K each day. Which of the following food sources would the nurse note as rich in vitamin K? NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 *a. Broccoli b. Carrots c. Potatoes d. Celery 46. You are the nurse preparing to give a client 1 unit of packed red blood cells. As you prepare, you know that which of the following is true? *a. Severe reactions usually occur within the first 50mL of blood b. You are required to stay with the patient for the first 35 minutes of the transfusion c. You are required to confirm the patient’s identification with two other nurses d. Clinical manifestations of a transfusion reaction include irritability and confusion 47. You are working in the clinic today, which of your patients is at highest risk for developing essential hypertension? a. A 50 year old female who is premenopausal, not taking oral contraceptives *b. A 61 year old Caucasian male who drinks 6-7 cups of coffee every day c. A 30 year old African American female, who eats a balanced diet and exercises 3- 4 days a week. d. A 45 year old Caucasian male who denies any significant health history and has a current blood pressure reading of 118/72 48. The nurse is assessing a client diagnosed with asthma. The client's initial breath sounds heard by the nurse consisted of wheezing but have diminishing until no audible sounds are heard. This has occurred due to which of the following? a. The asthma attack has passed. *b. Increased airway constriction is blocking the airway. c. The client used an inhaler. d. No mucus is present. 49. The nurse is caring for a client who has hypertension is being prescribed Digoxin for their newly diagnosed heart failure. When going over discharge instructions related to diet, which of the following would be included in these instructions? a. “If you miss a dose of digoxin, eat a food item with plenty of potassium in it.” *b. “Adhere to a Heart Healthy Diet (DASH Diet) and reduce your sodium intake.” c. “You need to try to consume the same amount of Vitamin K containing food items each day.” d. “Instead of adding salt to food items, use a salt substitute that contains potassium.” 50. A client diagnosed with asthma is receiving instructions about the use of Albuterol. The client should be aware that albuterol may cause which of the following? a. Drowsiness and bradycardia. b. Nasal congestion and mouth ulcers. NUR 2571 / NUR2571 Exam 1: Professional Nursing II Exam 1 / PN2 Exam 2 Review (Latest 2022/2023) Rasmussen NUR 2571 *c. Nervousness and tachycardia. d. Bronchoconstriction.