NUR2571-Professional Nursing 2 Exam 3-with verified answers-2024-2025.docx, Exams of Nursing

Download NUR2571-Professional Nursing 2 Exam 3-with verified answers-2024-2025.docx and more Exams Nursing in PDF only on Docsity! NUR2571-Professional Nursing 2 Exam 3-with verified answers-2024-2025 1. A client is experiencing bilateral cloudy vision and difficulty seeing at night. Suspecting cataracts, the nurse would also expect which of the following findings as well? (Select all that apply.) *a. color distortion b. unilateral pain in eye *c. painless d. loss of peripheral vision, central vision intact e. floaters f. elevated IOP (intraocular pressure) of 26mmHg 2. A client is diagnosed with glaucoma and is prescribed medication to treat it. The nurse knows that which of the following best explains the purpose of the medication? a. This medication helps dry up excess secretions. b. This medication lowers extraocular pressure. c. It strengthens the muscles of the eye. *d. This medication lowers intraocular pressure. 3. A client has been diagnosed with cataracts. The patient fears permanent loss of vision. The nurse responds to the patient verbalizing which of the following treatments for cataracts? a. Medical management with eye drops b. Phototherapy c. Cryopexy *d. Surgical removal of the lens 4. A client is experiencing a loss of central vision but not a loss of peripheral vision. Upon further assessment of the suspected cause, the nurse would also expect which of the following findings as well? (Select all that apply.) *a. mid-visual field blind spots *b. blurred vision c. flashes of light d. floaters or bursts of spots *e. gradual painless loss of vision 5. A 70-year-old client is taking timolol (Timoptic) for glaucoma. Which of the following statements made by the client indicates an understanding of how to safely use this medication? a. “I do not need to monitor my pulse because I am not ingesting this medication.” b. “I should take this medication whenever I feel irritation in my eye.” c. “I will ensure that the tip of the applicator is touching the inner corner of my eye during administration.” *d. “I will put pressure on the corner of my eye near my nose right after I put in my eye drops.” 6. A client complains of a shadow or curtain moving down into the visual field and complains of floaters. The nurse suspects the patient is experiencing a detached retina, the nurse would further assess for which of the following correlated findings? (Select all that apply.) a. mid-visual field blind spots b. blurred vision *c. loss of side vision *d. bursts of spots e. unilateral eye pain 7. A client is being discharged after surgery to correct a retinal detachment. Which symptoms will the nurse teach the client to immediately report to the health care provider? (Select all that apply.) *a. Purulent discharge in the affected eye. *b. Fever of 102 F. 21. A client receiving treatment for human immunodeficiency virus infection is demonstrating signs of resistance to the medication. Which of the following does this suggest to the nurse? a. The medication dosages need to be increased. b. The client needs to be taken off of all medications. c. The client needs additional medication to treat side effects. *d. The client is not adhering to the prescribed medication schedule. 22. You are a nurse caring for a patient who has frequent complaints of dizziness, unilateral ringing in ears and unilateral hearing loss with a feeling of pressure/fullness that cause her to have to remain in bed for days at a time. You recognize these symptoms as being correlated to which of the following conditions? a. Otitis media b. Vertigo *c. Meniere’s Disease d. Otitis externa 23. A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions? *a. Candidiasis b. Gingivitis c. Xerostomia d. Halitosis 24. A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the teaching was effective when the client identifies which of the following as a factor that can exacerbate SLE? a. Sedentary lifestyle b. Cold temperatures c. Dehydration *d. Sunlight 25. The nurse is planning care for a client diagnosed with rheumatoid arthritis. Which of the following should be included in this plan of care? (Select all that apply.) a. Complete bed rest *b. Range of motion exercises *c. Hot or cold compress *d. Pain relief with NSAIDS or ASA e. Joint massage f. High impact exercise 26. A client who arrived to the emergency department is experiencing an allergic reaction after being stung by a bee. The nurse realizes that this type of reaction is which type of hypersensitive reaction? *a. Type 1 b. Type 2 c. Type 3 d. Type 4 27. A client is experiencing intense pruritus from contact dermatitis. Which of the following would be helpful for this client? *a. Administer hydroxyzine HCL as prescribed. b. Cover the area with a warm compress. c. Instruct to scratch the skin with finger pads. d. Increase ambulation when itching occurs. 28. The nurse is caring for a client who was exposed to poison ivy and has begun to experience red, itchy skin all over their body. What type of hypersensitivity reaction is she experiencing? a. Type 1 b. Type 2 c. Type 3 *d. Type 4 29. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations specific to hypoglycemia? (Select all that apply.) a. Polyuria *b. Blurred or double vision c. Polydipsia *d. Tachycardia *e. Moist, clammy skin 30. A client is demonstrating signs of an anaphylactic reaction. Which of the following should the nurse do? (Select all that apply.) *a. Maintain patent airway b. Assist the client out of bed to chair *c. Place the client in Trendelenburg position to aid in preventing shock d. Provide oral fluids *e. Begin administering ordered intravenous fluids f. Place the client in the prone position 31. A client is diagnosed with cellulitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) *a. Heat b. Pallor *c. Swelling *d. Pain e. Dusky bluish skin appearance f. Thirst 32. The nurse has just taken change-of-shift report on a group of clients on the medical-surgical unit. Which client does the nurse assess first? a. Client taking repaglinide (Prandin) who has nausea and back pain. *b. Client taking glyburide (Diabeta) who is dizzy and sweaty. c. Client taking metformin (Glucophage) who has abdominal cramps. d. Client taking pioglitazone (Actos) who has bilateral ankle swelling. 33. A client has what has the appearance of a bacterial infection or warts on her fingertips. The nurse realizes this could actually be which of the following? a. Herpes gladiatorum b. Herpes simplex c. Herpes zoster *d. Herpetic whitlow 34. The nurse knows that a patient in diabetic ketoacidosis will have which of the following labs associated with the condition? a. pH 7.35, HCO3 22, Blood sugar 605 *a. Acetazolamide b. Atropine c. Furosemide d. Urokinase 49. A labyrinthectomy can be performed to treat Meniere’s syndrome. The nurse knows this procedure will result in which of the following? a. Anosmia b. Occasional ringing on the affected side *c. Permanent irreversible deafness on affected side d. Reduction in cerumen 50. The nurse suspects a client is experiencing rheumatoid arthritis when which of the following are assessed? (Select all that apply.) a. Brief morning stiffness. *b. Arthritis of three or more joints. *c. Arthritis of the hand joints. d. Pain in the left hand only. *e. Nodules over bony prominences f. Bruising