NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review, Study Guides, Projects, Research of Nursing

Download NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review and more Study Guides, Projects, Research Nursing in PDF only on Docsity! NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024) 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 possible cause? b; "Do you usc diuretics or laxatives?" A client has metabolic alkalosis. Which laboratory results is the nurse most likely to assess as I consistent with this condition? Hyponatremia, hypokalemia, hypochloremia A client presented in the ED with an injury to the right ankle after a fall. On assessment, the nurse notes that it is red and inflamed but skin intact. The nurse adds interventions to the care plan that address which factor? Inflammation and pain The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid arthritis. Which precautions does the nurse give the client about taking this medication? "Take this medication at bedtime because it \ull make you sleepy " b.Take calcium and vitamin D supplements daily." c. "Eat a high-fiber diet ith lots of lean meats." d. "Wash your face twice a day with an antlbacterial soap." Question 9 A client is suspected to have rheumatoid arthritis. What commonly early clinical manifestations does the nurse assess this client carefully for? Low-grade fever, fatigue, anorexia, with weight loss Question 10 The nurse is working with a client who has severe rheumatoid arthritis in her hands. The client states that she is frustrated at mealtime because it is difficult for her to manage cups and silverware. What is the nurse's best response? a. "l'll have the nursing assistants set up your meal trays while you arc in the hospital." b. "Let's see if the occupational therapist can provide you with some utensils that are easier for you to use c. 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 I out Of I points The nurse assesses a client with pneumonia and notes no audible lung sounds on the left side and decreased lung expansion. What is the nurse's best action? Further assess lung sounds, Vitals, Notify Healthcare Provider Question 25 I out of I points Which is the highest priority goal to set for a client with pneumonia? a. Absence of cyanosis b Maintenance of Sa02 of 95% c. Walking 20 feet three times daily d. Absence of confusion ANS: B Question 26 I out of I points A client with systolic dysfunction has an ejection fraction of 38%. The nurse assesses for which physiologic change? Decrease In tissue perfusion Question 27 The nurse is assessing a client in an outpatient clinic. Which client statement alerts the nurse to possible left-sided heart failure? c• I have to stop halfway up the stairs to catch my breath." Question 28 The nurse is assessing a client admitted to the cardiac unit. What statement made by the client alerts the nurse to the possibility of right-sided heart failure? 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 Question 45 0 out of I points The nurse is caring for a client with Parkinson's disease. Which intervention does the nurse implement to prevent respiratory complications in the client? Elevation of the back rest will help with aspirations Maintaining the back rest elevation at greater than 30 degrees Question 46 I out of I B)ints The nurse is providing health education at a community center. Which instruction does the nurse include as part of client education for the prevention of low back pain? a Participate in an exercise program to strengthen muscles. " Question 47 I out of I points Emergency medical services arrive to the emergency department with a client who has a cervical spinal cord injury. Which priority assessment does the emergency department nurse perform at this time? Respiratory pattern and airway Question 48 (J or I r»ints The nurse assesses a client who has Guillain-Barré syndrome. Which clinical manifestation does the nurse expect to find in this client? Progressive, ascending weakness and paresthesia Question 49 0 out of I rx»ints The nurse assesses a client who has myasthenia gravis. Which clinical manifestation does the 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 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? A client has the following arterial blood gases: pH 7.30, HC03— 17 mEq/L, PC02 25 mm Hg' . P02 98 mm Hg. Which intervention by the nurse is most appropriate? c Assist the physician in determining the cause. Partially compensated metabolic acidosis Question 69 I out or I Ix»ints A client has the following arterial blood gases (ABGS): pH 7.30, HC03— 22 mEq/L, PC02 55 m Hg, P02 86 mm Hg. Which intervention by the nurse takes priority? a Assessing the airway ANS. A Question 70 A client asks the nurse if there is an antihistamine that does not cause drowsiness. Which of the following medications would this client most likely prefer to treat allergic rhinitis? 4. Fexofenadine Fexofenadine (Allegra) is a second-generation antihistamine, and second-generation antihistamines exhibit less sedation than first-generation medications such as diphenhydramine, chlorpheniramine Question 71 I out of I The nurse is assessing a client diagnosed with asthma. The client's breath sounds initially had wheezing but are diminishing until no audible sounds are heard. This has occurred because? swelling has increased, and it has blocked airways. Question 72 O of I points The nurse is to collect a stool specimen from a client diagnosed with cystic fibrosis. The nurse would expect to see? 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 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 A client has a serum potassium level of 2.9 mEq[L. Which Of the following should be done to assist this client? Select all that apply. Implement continuous cardiac monitoring. 2. Check for an elevated ST segment. Assess muscle strength, tone, and reflexes. 4 Monitor digoxin levels. 5. Monitor for seizure activity. Question 90 The nurse is concerned that a client with a gastrostomy feeding tube is developing a complication. Which of the following are considered complications associated with this type of feeding tube? Select all that apply. Nausea Vomiting Aspiration Abdominal distention 5. Leg cramps 6. Muscle pain ANS: 1, 2, 3, 4 Question 91 In assessing a client's wound. which finding assists the nurse in determining that the wound is infected? Select all that apply. It is Inflamed. It has an odor. It has heavy exudates. Question 92 What information about nutrition does the nurse teach a client with chronic obstructive 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