NUR2571 Professional Nursing II Final Exam Review for 2024/2025, Exams of Nursing

Download NUR2571 Professional Nursing II Final Exam Review for 2024/2025 and more Exams Nursing in PDF only on Docsity! NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Question I A client who has completely eliminated fats from the diet should be assessed for a deficiency of: l. bile. 2. NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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? 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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." NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen b. "Let's see if the occupational therapist can provide you with some utensils that are easier for you to use NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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? NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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? NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Tonic-clonic seizure NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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. NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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? NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Question 68 I out of I poults NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 Rednes s 3 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Which Of the following recurring conditions most commonly occurs in in clients with cardiomyopathy? Heart failure • Question 89 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen What information about nutrition does the nurse teach a client with chronic obstructive NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen 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 NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Presence of bleeding Fluid balance Disorders that cause red blood cell destruction 6) Disorders that reduce the production of red blood cells Question 99 A client tells the nurse that he is anemic because of a "poor diet." Which deficiencies cause nutritional anemias? Select all that apply. Iron deficiency Folic acid deficiency NUR2571 Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Vitamin B-12 deficiency Question 100 The nurse is caring for a client "with a history of chronic renal failure The appearance of a tall wave on the electrocardiogram should alert the nurse to check which lab value Potassium