NUR 2571 / NUR2571 Final Exam Review, Exams of Nursing

Download NUR 2571 / NUR2571 Final Exam Review and more Exams Nursing in PDF only on Docsity! NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen NURSING QUESTIONS AND ANSWERS\GRADE A Question I A client who has completely eliminated fats from the diet should be assessed for a deficiency of: l. bile. 2. mineral s. 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? NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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?" NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen b. "Let's see if the occupational therapist can provide you with some utensils that are easier for you to use NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen safety during intradermal allergy testing? a Stay with the client and ensure that emergency equipment is in the room. NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) 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? NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen I out Of I points NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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? NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen Tonic-clonic seizure NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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? NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) 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? NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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? NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen A client has undergone a complete thyroidectomy. Which statement by the client indicates that further instruction is needed? "After surgery, I won’t need to take thyroid medication." ANS: B Question 65 An Older client with benign prostatic hyperplasia and hypertension is being treated with doxazosin while staying in the hospital. Which activity does the nurse delegate to the unlicensed assistive personnel as a priority? b. Assisting the client whenever he gets out of bed Question 66 Of the following blood gas values, which would indicate the nurse needs to further evaluate the client? Question 67 During change-of-shift report. the surgical unit charge nurse learns that a client who had a transurethral resection of the prostate the previous day is experiencing bladder spasms and "ketchup-like" urinary drainage. Which of the following staff members will be best to assign to care for the client? NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen Question 68 I out of I poults NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen Swelling 4 Pain 5 Glossy, stretched skin appearance 6 Thirst ANS: Question 80 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen Question 84 A client just experienced an episode of reflux with regurgitation. What assessment by the nurse is the priority? Auscultate the lungs for crackles Question 85 A client being treated for a spinal cord injury needs immediate ventilator support. The nurse realizes that this client's level of injury is most likely: C3 Question 86 A client receiving care for a spinal cord injury complains of a pounding headache, flushed skin. cardiac dysrhythmias and has a blood pressure of 200/100 mmHg. What is the first action the nurse should take? . Check the bladder for distension. Question 87 A client who is taking Spironolactone at home arrives in the emergency department complaining of unrelieved edema in the legs. The nurse share what data with the physician that indicates a need to withhold the medication? Potassium (s/s hyperkalemia) Question 88 Which Of the following recurring conditions most commonly occurs in in NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen clients with cardiomyopathy? Heart failure • Question 89 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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 Vomitin g Aspirati on Abdominal distention 5. Leg cramps 6. Muscle pain ANS: 1, 2, 3, 4 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) 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 Epinephri ne Question 95 I out of I points NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen Question 96