NUR2571 Professional Nursing II PN 2 Final Exam Study Guide.pdf, Exams of Biology

Download NUR2571 Professional Nursing II PN 2 Final Exam Study Guide.pdf and more Exams Biology in PDF only on Docsity! 1 NUR2571: Professional Nursing II / PN 2 Final Exam Study Guide 1. A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention should the nurse implement first? Apply oxygen by mask or nasal cannula 2. A nurse is caring for a client who has the following laboratory results: potassium 3.4 mEq/L, magnesium 1.8 mEq/L, calcium 8.5 mEq/L, sodium 144 mEq/L. Which assessment should the nurse complete first? Depth of respirations 3. . A nurse is assessing a client with hypokalemia, and notes that the clients handgrip strength has diminished since the previous assessment 1 hour ago. Which action should the nurse take first? Assess the clients respiratory rate, rhythm, and depth 4. A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L. Which manifestation should the nurse identify as an example of the clients compensation mechanism? Increased rate and depth of reaspirations 5. A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next? Assess client’s rate, rhythm, and depth of respiration 6. A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which client should the nurse see first? Client with a red, hot, swollen right wrist 7. A client with rheumatoid arthritis (RA) has an acutely swollen, red, and painful joint. What nonpharmacologic treatment does the nurse apply? Ice packs 8. The nurse providing direct client care uses specific practices to reduce the chance of acquiring infection with human immune deficiency virus (HIV) from clients. Which practice is most effective? Consistent use of Standard Precaution 9. A client with human immune deficiency virus (HIV) has had a sudden decline in status with a large increase in viral load. What action should the nurse take first? Assess the client for adherence to the drug regimen 10. A client with HIV wasting syndrome has inadequate nutrition. What assessment finding by the nurse best indicates that goals have been met for this client problem? Has a weight gain of 2 pounds/1 month 2 11. A client has just been diagnosed with human immune deficiency virus (HIV). The client is distraught and does not know what to do. What intervention by the nurse is best? Assess the client for support systems 12. A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea? A 55-year-old woman who is 50 pounds overweight 13. A pulmonary nurse cares for patients who have chronic obstructive pulmonary disease COPD. Which patient would the nurse assess first? A 52-year-old in the tripod position using accessory muscles to breathe 14. Chart: Initiate oxygenation therapy to increase saturation to 92%. 15. A patient admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the patient questions this action, saying “I have been drinking tons of water. How am I dehydrated?” What response by the nurse is best? Breathing so quickly can be dehydrating 16. A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority? Educating the client on adherence to the treatment regimen 17. A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need to be reported to the health care provider immediately? 18. Chart Alanine aminotransferase (ALT): 180 U/L Administer oxygen at 4 L per nasal cannula. 1T9hi.s sAtudnyusrosuerceawssaes sdoswenslopaadetidebnyt1s00o0n00a82c3a8r2d20ia32cfuronmitC.oWursheHicehrop.coamtieonn1t1w-2o0-u20ld21t0h0e:54n:0u6rsGeMiTd-e0n6:ti00fy as being at greatest risk for the development of left-sided heart failure? 5 Assess the client’s oxygen saturation 40. The patient’s chart indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause? Have you been exposed to loud noises? 41. A nurse assesses patients at a community health center. Which patient is at highest risk for the development of colorectal cancer? A 72-year-old who eats fast food frequently 42. A nurse cares for a client newly diagnosed with colon cancer who has become withdrawn from family members. Which action should the nurse take? Encourage the client to verbalize feelings about the diagnosis 43. A nurse assesses a client who has appendicitis. Which clinical manifestation should the nurse expect to find? Severe, steady right lower quadrant pain 44. After teaching a client with diverticular disease, a nurse assesses the clients understanding. Which menu selection made by the client indicates the client correctly understood the teaching? Baked fish with steamed carrots and a glass of apple juice 45. After teaching a client who has diverticulitis, a nurse assesses the clients understanding. Which statement made by the client indicates a need for additional teaching? I will take a laxative nightly at bedtime to avoid becoming constipated 46. A nurse assesses a client on the medical-surgical unit. Which statement made by the client should alert the nurse to the possibility of hypothyroidism? I am always tired, even with 12 hours of sleep 47. A nurse cares for a client who presents with bradycardia secondary to hypothyroidism. Which medication should the nurse anticipate being prescribed to the client? Levothyroxine sodium (Synthroid) 48. A nurse cares for a client who is recovering from a parathyroidectomy. When taking the clients blood pressure, the nurse notes that the client’s hand has gone into flexion contractions. Which laboratory result does the nurse correlate with this condition? Serum calcium: 6.9 mg/dL 49. A nurse is teaching a client with diabetes mellitus who asks, Why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dL? How should the nurse respond? Your brain needs a constant supply of glucose because it cannot store it. 50. A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement should the nurse include in this client’s plan of care to delay the onset of microvascular and macrovascular complications? Maintain tight glycemic control and prevent hyperglycemia. 6 51. A nurse teaches a client about self-monitoring of blood glucose levels. Which statement should the nurse include in this client’s teaching to prevent blood borne infections? Do not share your monitoring equipment 52. An emergency department nurse assesses a client with ketoacidosis. Which clinical manifestation should the nurse correlate with this condition? Increased rate and depth of respiration 53. A nurse assesses a patient who has diabetes mellitus. Which arterial blood gas values should the nurse identify as potential ketoacidosis in this patient? pH 7.28, HCO3 18 mEq/L, PCO2 28 mm Hg, PO2 98 mm Hg 54. A nurse cares for a client experiencing diabetic ketoacidosis who presents with Kussmaul respirations. Which action should the nurse take? Administration of intravenous insulin 55. A nurse assesses a client with diabetes mellitus 3 hours after a surgical procedure and notes the client’s breath has a fruity odor. Which action should the nurse take? Consult the provider to test for ketoacidosis 56. A nurse teaches a client with diabetes mellitus who is experiencing numbness and reduced sensation. Which statement should the nurse include in this client’s teaching to prevent injury? Use a bath thermometer to test the water temperature 57. .A nurse assesses a patient with diabetes mellitus. Which clinical manifestation should alert the nurse to decreased kidney function in this patient? This study source was downloaded by 100000823822032 from CoursPeHreersoe.cnomceono1f1p-2r0o-2t0e2i1n0i0n:5t4h:0e6 GuMriTne-06:00 7 58. When teaching a client recently diagnosed with type 1 diabetes mellitus, the client states, I will never be able to stick myself with a needle. How should the nurse respond? Tell me what it is about the injections that are concerning you 59. A nurse reviews the medication list of a client recovering from a computed tomography (CT) scan with IV contrast to rule out small bowel obstruction. Which medication should alert the nurse to contact the provider and withhold the prescribed dose?] Metformin (Glucophage) 60. A patient who has a positive test for human immunodeficiency virus (HIV) antibodies is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and CD4+ T-cell count of less than 200 cells/uL. Based on the diagnosis, according to the guidelines of by the Centers for Disease Control and Prevention (CDC), which statement by the nurse is correct? The patient has developed acquired immunodeficiency syndrome (AIDS) 61. A patient who is diagnosed with acquired immunodeficiency syndrome (AIDS) tells the nurse,"I feel obsessed with morbid thoughts about dying." Do you think I am just being morbid? Which response by the nurse is best? Can you tell me more about the thoughts that you are having?" 62. A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48, PaO285 mm Hg, PaCO232 mm Hg, and HCO325 mEq/L? Respiratory alkalosis 63. The nurse notes that a patient who was admitted with diabetic ketoacidosis has rapid, deep respirations. Which action should the nurse take? Administer the prescribed normal saline bolus and insulin 64. A patient who is lethargic and exhibits deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should the nurse interpret these results? Metabolic acidosis 65. The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which nursing action should the nurse include on the care plan? Encourage fluid intake up to 4000 mL every day 66. A nurse in the outpatient clinic is caring for a patient who has a magnesium level of 1.3 mg/dL. Which assessment would be most important for the nurse to make? Daily alcohol intake 67. An older patient receiving iso-osmolar continuous tube feedings develops restlessness, agitation, and weakness. Which laboratory result should the nurse report to the health care provider immediately? Na+ 154 mEq/L (154 mmol/L) 68. A nurse is caring for a client who has the following arterial blood values: pH 7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3– 22 mEq/L. Which clinical situation should the nurse correlate with these values? Bronchial obstruction related to aspiration of a hot dog 69. A patient who is taking rifampin (Rifadin) for tuberculosis calls the clinic and reports having orange discolored urine in tears. 10 88. The nurse will anticipate teaching a patient experiencing frequent heartburn about proton pump inhibitors 89. Which information will the nurse include when teaching a patient with peptic ulcer disease about the effect of ranitidine (Zantac)? Ranitidine decreases gastric acid secretion." 90. Which information about dietary management should the nurse include when teaching a patient with peptic ulcer disease (PUD)? "Avoid foods that cause pain after you eat them." 91. Which menu choice by the patient with diverticulosis is bestfor preventing diverticulitis?a.Navy bean soup and vegetable salad Navy bean soup and vegetable salad 92. Which information will the nurse include when preparing teaching materials for patients with exacerbations of rheumatoid arthritis? Application of cold packs before exercise may decrease joint pain. 93. The nurse suggests that a patient recently diagnosed with rheumatoid arthritis (RA) plan to start each day with A warm bath followed by a short rest. 94. An elderly client is demonstrating new signs of confusion. Which of the following should the nurse consider when caring for this client? ??? Can’t find in google 95. The nurse is assessing a client’s pulse pressure. His blood pressure reading is 130/82mmHg. Which of the following is the This sctuodryresocutrcpe uwlassedopwrnelsoasduerdeb?y 100000823822032 from CourseHero.com on 11-20-2021 00:54:06 GMT -06:00 48 11 96. A client is surprised to learn that she has high blood pressure. Which of the following should the nurse assess in this client? The presence or occurrence of: Headache 97. What findings are AIDs-defining characteristics? CD4+ cell count less than 200/mm3 or less than 14% Infection with Pneumocystis jiroveci Presence of HIV wasting syndrome 98. The nurse working in the emergency department knows that which factors are commonly related to aneurysm formation? (Select all that apply.) Atherosclerosis History of hypertension History of smoking 99. Which of the following components of the arterial blood gas will the nurse focus when determining a client’s acid-base status? Ph PCO2 HCO3 100. Math I got 30 (DO YOUR OWN MATH I MAY BE WRONG LOL) 12