NUR2571 Professional Nursing II Final Exam Questions with Detailed Answers (2024), Exams of Nursing

Download NUR2571 Professional Nursing II Final Exam Questions with Detailed Answers (2024) and more Exams Nursing in PDF only on Docsity! 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen Question I A client who has completely eliminated fats from the diet should be assessed for a deficiency of: l. bile. 2. minerals. salt. vitamins A, D, E, and K. Question 2 The nurse is planning care for a client diagnosed with Graves' disease. Which of the following nursing interventions would be appropriate for this client's care? Provide frequent meals. Question 3 A pregnant client is receiving treatment for hyperthyroidism. Which of the following medications would the Nurse expect to see? Propylthiouracil Question 4 Which statement made by the older adult client alerts the nurse needs for further assessment specifically for fluid and electrolyte imbalances? "l don't drink liquids after 5 PM so I dont have to get up at night." A client has hypokalemia. Which question by the nurse obtains the most information on a 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen possible cause? b; "Do you usc diuretics or laxatives?" 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen Question 11 Which action by the nurse is most effective to prevent becoming exposed to the Human Immunodeficiency Virus? Always use standard precautions with all clients in the workplace Question 12 The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis. Which is the best nursing intervention for this client? Initiate seizure precautions with padded siderails Question 13 A client with AIDS has been admitted with fever, night sweats, and weight loss of 6 pounds in 2 weeks. The client's purified protein derivative test, placed 3 days ago in the clinic, is negative. Which action by the nurse is most appropriate? Place the client in Airborne precautions Question 14 A client who is receiving Highly Active Antiretroviral Therapy tells the nurse, "The doctor said that my viral load is reduced. What does this mean?" What is the nurse's best response? The HAART medications are working well right now Question 15 I out of I points What intervention does the nurse implement to provide for client safety during intradermal allergy testing? a Stay with the client and ensure that emergency equipment is in the room. 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen Question 16 A client has received diphenhydramine and is currently oriented but drowsy. What is the best action for the nurse to take? Document the response and continue to monitor. . Question 17 0 out of I EX)ints A client is receiving an IV infusion of an antibiotic. The client calls the nurse about feeling uneasy and uncomfortable due to acute congestion. Which action by the nurse is most appropriate? b Have another nurse call the Rapid Response Team. question 18 Which skin integrity intervention best assists a client with pruritus? a. 'Keep your fingernails cut short and keep them clean." . "Drinking extra fluids decreases stimulation of itch receptors." c. "Wear soft. breathable clothing made from material like cotton." d. "Avoid immersing the areas in water and dry thoroughly aftcr bathing." Question 19 A client has a furuncle in the axilla. Which statement by the client indicates a good understanding of how to care for this condition? a. "I'll apply cortisone cream to reduce the inflammation." b. "l will squeeze the lesion until all pus is removed." c. "l'll keep my arm down at my side to prevent spread." "l will cleanse the area and apply warrn compress and antibiotic cream." Question 20 The nurse is caring for four clients with asthma. Which client does the nurse assess first? a. Client with a barrel chest and clubbed fingernails 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen b. Client with an Sa02 level of 92% at rest c. Client whose expiratory phase is longer than the inspiratory phase d. The client whose heart rate is 120 beats/min Question 21 Which statement indicates that a client understands teaching about the correct use of a corticosteroid medication? "This drug is effective in decreasing the frequency of my asthma attacks." Question 22 The nurse assesses a client with asthma and finds wheezing throughout the lung fields and decreased pulse oxygen saturation. In addition, the nurse notes suprasternal retraction on inhalation. Upon further assessment what intervention is expected by the nurse's? a. Perform peak expiratory flow readings. b. Assess for a midline trachea. c. Administer oxygen and a rescue inhaler. d. Call a code. Question 23 O out of I points A client with chronic obstructive pulmonary disease reports social isolation. What is the nurse most appropriate action to do for this client? a. Join a support group for people with COPD. b. Ask the client's physician for an antianxiety agent. c Verbalize his or her thoughts and feelings. d. Participate in community activities. Question 24 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen b My shoes fit really tight lately." Question 29 A client with heart failure is experiencing acute shortness of breath. What is the nurse's priority action? a Place the client in a high Fowler's position. Question 30 0 OF 1 The client with heart failure has been prescribed intravenous nitroglycerin and furosemide for pulmonary edema. Which is the priority nursing intervention? b Monitor the client's blood pressure. Question 31 A client is taking triamterene-hydrochlorothiazide and furosemide. What assessment finding requires action by the nurse? Potassium of 2.9 mEq/L ANS: D Question 32 I out or I A client with high cholesterol is beginning treatment with simvastatin. What priority instruction does the nurse give this client? Report any muscle tenderness to your health care provider." Question 33 I out Of I The nurse is assessing a client who reports claudication after walking a distance of one block. The nurse notes a painful ulcer on the fourth toe of the client's right foot. What condition do these findings correlate with? Peripheral arterial disease Question 34 I of I 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen The nurse is caring for a client with Buerger's disease. What client education does the nurse provide to minimize disease progression? Abstain from all forms of tobacco." Question 35 The nurse is discharging home a client at risk for venous thromboembolism on Iow- molecular-weight heparin. What instruction does the nurse provide to this client? c. 'Notify your health care provider if your stools appear tarry." Question 36 The nurse is providing health education to a client with chronic venous stasis ulcers. What priority instruction does the nurse include? a "Apply automobilism stockings before getting out of bed in the morning." Question 37 O out Of I points The nurse assesses a client's legs. Which assessment finding indicates arterial insufficiency? Dependeent mottling and absence of hair Question 38 O out or I points The nurse assesses that a client has a smooth, beefy red tongue. Which intervention does the nurse implement for this client? Provide a diet high In green leafy vegetables Question 39 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen O out of I B"ints Which risk factor does the nurse assess for to determine a client's cause of anemia? Chronic alcoholism Question 40 A client is newly diagnosed with sickle cell anemia. Which clinical manifestation does the nurse expect to see in this client? fatigue weakness general malaise skin pallor, tachycardia, SOB Dyspnea with activity Question 41 I out or I points A client is newly diagnosed with sickle cell anemia. Which information does the nurse included in the client's discharge instructions? Be aware of symptoms crisis Question 42 I out of I points A client who is receiving a unit of red blood cells begins to report chest and lower back pain. Which action does the nurse take first? Stop the transfusion, Question 43 The nurse is preparing to transfuse a third unit of red blood cells to a client. Which laboratory result is the nurse most concerned about? Potassium level of 5L5 mg/dL Question 44 I out of I points A client with epilepsy develops stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How does the nurse document this seizure activity? 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen nurse expect to observe in this client? Inability to perform the cardinal positions of gaze Question 50 A client suspected to have myasthenia gravis is scheduled for the edrophonium chloride test. Which prescribed medication does the nurse prepare to administer if complications of this test occur? Atropine sulfate Question 51 I out of i points Which assessment alerts the nurse to the possible presence of a cataract in a client? Blurred vision and reduced color perception Question 52 I out Of I A client with macular degeneration would like to watch television. Where does the nurse place the television for best visualization of the screen? On either Side of the client Question 53 The nurse is caring for a client with otitis media. The client reports that the pain was severe during the night but was gone upon awakening in the morning. Which finding does the nurse expect to observe during the client's physical assessment? Purulent fluid IS present m the car canal. Question 54 A client with a ruptured tympanic membrane asks the nurse whether hearing will be affected permanently. Which is the nurse's best response? Possibly The eardrum usually heals in 1 to 2 Any persistent hearing problem should be 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen evaluated." Question 55 I out of I The nurse is caring for a client with Méniére's disease. The client asks the nurse how to prevent another acute episode from occurring. Which is the nurse's best response? "Stop or reduce smoking " Question 56 I out of I points The nurse conducts a physical assessment for a client with abdominal pain. Which finding I leads the nurse to suspect appendicitis? Severs. steady right lower (RLQ) pain or Positive obturator and iliopaoA muscle test Question 57 The nurse is caring for a client with ulcerative colitis and severe diarrhea. Which nursing assessment is the highest priority? Heart rate and rhythm Question 58 The nurse reviews a health teaching for a client with Crohn's disease, Which instruction does the nurse provide for the client? A. "You should have a colonoscopy every few years." Question 59 I out of I rx»ints The nurse is preparing a client with diverticulitis for discharge from the hospital. Which statement by the client indicates that additional teaching is needed? 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen "l will take a senna laxative at bcdtime to avoid becoming constipated. " Question 60 I of I rx-ants The nurse is caring for a client who is a vegan and has developed B 12 deficiency. Which foods does the nurse encourage the client to incl e in the diet? animal proteins like eggs fortified cereal tofu Question 61 I out of I mints The nurse is caring for a client who was started on total parenteral nutrition 2 days previously. The client reports blurred vision, dry mouth, and frequent urination. Which is the nurse's Asssess client blood sugar Question 62 I out of I points Which dietary modification does the nurse provide for a client with hyperthyroidism? a. Decreased calories and proteins and increased carbohydrates b. Elimination of carbohydrates and increased proteins and fats c Increased calories, proteins, and carbohydrates Supplemental vitamins and reduction of calories Question 63 I out of I points A client has hypothyroidism and has been started on levothyroxine. Which assessment finding leads the nurse to conclude that the treatment is effective? Heartrate is 70 beats/min and regular. Question 64 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen bulky, foul-smelling stool. Question 73 O out Of I r»ints When the nurse is analyzing the results of a patient's arterial blood gases, which finding indicates the need for most immediate action? 'The partial pressure of oxygen in arterial blood (Pa02) is 59 mm Hg. Question 74 A client is receiving treatment for the diagnosis of hemophilia A. Which of the following should the nurse assess in this client? Question 75 I out or I F»ints A client is experiencing a transplantation rejection. The nurse realizes that this rejection is which type of hypersensitive reaction? Type 4 Question 76 I of I B'ints A client is experiencing intense pruritus from contact dermatitis. Which of the following would be helpful for this client? Administer hydroxyzine HCL as prescribed. Hydroxyzinc HCL is an antihistamine used to relieve pruritis associated with contact dermatitis. Covering the area with a warm compress could cause the area to itch more. The client should be instructed to avoid scratching. Ambulation will not help reducc the itchiness. Question 77 I out or I points 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen The nurse begins to experience red, itchy hands after using gloves for client care. Which Of the following should the nurse consider as causing these symptoms? Latex Allergy . Question 78 A client is demonstrating signs of an anaphylactic reaction. Which Of the following should the nurse do? Select all that apply. I. Place the client in the supine position. 2. Assist the client to ambulate. 3. Maintain the air-way, 4. Provide oral fluids. 5. Begin an intravenous access line. 6. Place the client in the prone position. ANS: 1.3, 5 Question 79 A client is diagnosed with cellulitis. Which of the following will the nurse most likely assess in this client? Select all that apply. I Heat 2 Redness 3 Swelling 4 Pain 5 Glossy, stretched skin appearance 6 Thirst ANS: Question 80 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen I out of I mints A client's wound is being debrided surgically. This type Of debridement is called: Question 81 A client is admitted with cutaneous infection caused by reactivation of the varicella chickenpox virus. This can be a sign of: Question 82 O of I points A middle-age male is experiencing itching, erythema, and circular red scaly lesions on his face. The lesions have a honey-colored crust. The nurse realizes that the child is most likely experiencing: I candidiasis. 2 herpes simplex. 3 impetigo. tinca corporis. ANS: 3 Impetigo is a common, superficial skin infection beginning as a focal erythema and progressing to pruritic vesicles, erosions, and honey-colored crusts. Oral herpes simplex would look like a cold sore. Tinca corporis has a circular, red, scaly border, and candidiasis is a proliferation of the normal yeast flora. Question 83 The nurse is instructing a client diagnosed with type 2 diabetes mellitus on diagnostic tests used to evaluate the control Of the disorder. The nurse should instruct the client on which of the following diagnostic tests that will provide this information? Fasting plasma glucose Glycosylated hemoglobin 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen What information about nutrition does the nurse teach a client with chronic obstructive 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen pulmonary disease? Select all that apply. Avoid drinking fluids Just before and during meals." "Rest before meals if you have dyspnea." "Have about small meals a dav Question 93 A client who previously had a Bacillus Calmette-Guérin vaccine has a positive tuberculosis test. What symptoms assist in determining that the client has active tuberculosis disease? Select all that apply. Nausea Weight loss Night sweats Question 94 A client with acute-angle glaucoma has several medications ordered. Which medications does the nurse question? Select all that apply. Atropine Epinephrine Question 95 I out of I points Which of the following assessment techniques can the nurse use to determine if a client is experiencing hypocalcemia? Select all that apply. I. Allen test Chvostek's sign Percussion of the abdomen 4. Auscultation of the lungs Trousseau •s Sign 100%COMPLETE NUR2571 Final Exam: Professional Nursing II Final Exam QUESTIONS WITH DETAILED VERIFIED ANSWERS(Latest 2024) Rasmussen Question 96