NUR2571/NUR2571FinalExam 100 ANSWERED QUESTIONS:ProfessionalNursingIIFinal Exam / PN2 Fina, Exams of Nursing

Download NUR2571/NUR2571FinalExam 100 ANSWERED QUESTIONS:ProfessionalNursingIIFinal Exam / PN2 Fina and more Exams Nursing in PDF only on Docsity! NUR2571/NUR2571FinalExam 100 ANSWERED QUESTIONS:ProfessionalNursingIIFinal Exam / PN2 Final Exam Review (Latest 2023/2024)Rasmussen QuestionI Aclientwhohascompletelyeliminatedfatsfromthediet shouldbeassessedforadeficiencyof: l. bile. 2. minerals.sa lt. vitaminsA,D,E,andK.Qu estion2 ThenurseisplanningcareforaclientdiagnosedwithGraves'disease.Whichofthefollowingnursing interventionswouldbeappropriateforthisclient'scare? Providefrequentmeals. Question3 A pregnant client is receiving treatment for hyperthyroidism. Which of the following medications would theNurseexpecttosee? 1 Propylthiouracil Question4 Whichstatement madebytheolderadultclientalertsthenurseneedsforfurtherassessment specificallyforfluidandelectrolyteimbalances? "ldon'tdrink liquids after5 PMsoIdonthavetogetup atnight." Aclient has hypokalemia.Whichquestionbythenurseobtains themost informationon apossiblecause? b;"Doyouuscdiureticsorlaxatives?" 2 b."Let'sseeiftheoccupationaltherapistcanprovideyouwithsomeutensilsthatareeasierforyou to use 5 Question11 WhichactionbythenurseismosteffectivetopreventbecomingexposedtotheHumanImmunodefici encyVirus? AlwaysusestandardprecautionswithallclientsintheworkplaceQues tion12 ThenurseiscaringforaclientwithAIDSwhohasjustbeendiagnosedwithcryptococcalmeningitis.Wh ichis thebestnursing intervention forthisclient? InitiateseizureprecautionswithpaddedsiderailsQ uestion13 AclientwithAIDShasbeenadmittedwithfever,nightsweats,andweightlossof6poundsin 2weeks.Theclient'spurifiedproteinderivativetest,placed3daysagointheclinic,isnegative.Which actionby thenurseis most appropriate? Placethe clientinAirborneprecautionsQuestion1 4 AclientwhoisreceivingHighlyActiveAntiretroviralTherapytellsthenurse,"The doctor saidthatmyviralload isreduced.Whatdoesthismean?"Whatisthenurse'sbestresponse? 6 TheHAARTmedicationsareworkingwellrightnowQues tion15 Iout ofIpoints Whatinterventiondoesthenurseimplementtoprovideforclientsafetyduringintrade rmalallergy testing? aStaywiththeclientandensurethat emergencyequipmentisintheroom. 7 b. ClientwithanSa02levelof92%at rest c. Clientwhoseexpiratoryphaseislongerthantheinspiratoryphased.T heclient whoseheartrateis 120beats/min Question21 Whichstatementindicatesthataclientunderstandsteachingaboutthecorrectuseofacorticosteroid medication? "Thisdrugiseffectivein decreasingthefrequencyofmyasthmaattacks."Question22 Thenurseassessesaclientwithasthmaandfinds wheezingthroughoutthelungfieldsanddecreased pulse oxygen saturation. In addition, the nurse notes suprasternal retraction oninhalation.Uponfurtherassessmentwhatinterventionisexpectedbythenurse's? a. Performpeakexpiratoryflowreadings. b. Assessforamidlinetrachea. c. Administeroxygenandarescueinhaler. d. Callacode. Question23 Oout ofIpoints Aclientwithchronicobstructivepulmonarydiseasereportssocialisolation.Whatisthenursemost appropriateaction to do forthisclient? a. JoinasupportgroupforpeoplewithCOPD. b. Asktheclient'sphysicianforanantianxietyagent.cV erbalizehis orherthoughtsandfeelings. 10 d.Participateincommunityactivities. Question24 11 Iout OfIpoints 12 bMyshoesfitreallytightlately."Qu estion29 Aclientwithheartfailureisexperiencingacuteshortnessofbreath.Whatisthenurse'spriorityaction? aPlacetheclientinahighFowler'sposition.Que stion30 0OF1 Theclientwithheartfailurehasbeenprescribedintravenousnitroglycerinandfurosemideforpulmo nary edema.Which is theprioritynursingintervention? bMonitortheclient'sbloodpressure.Q uestion31 Aclientistakingtriamterene-hydrochlorothiazideandfurosemide.Whatassessment findingrequiresactionbythenurse? Potassium of 2.9 mEq/LANS:D Question 32IoutorI Aclientwithhighcholesterolisbeginningtreatmentwithsimvastatin.Whatpriorityinstruction does thenurse givethis client? Reportanymuscletendernesstoyourhealthcareprovider." Question 33Iout OfI Thenurseisassessingaclientwhoreportsclaudicationafterwalkingadistanceofoneblock. The nurse notes a painful ulcer on the fourth toe of the client's right foot. Whatconditiondo thesefindings correlate with? 15 Peripheralarterialdisease Question34 IofI 16 ThenurseiscaringforaclientwithBuerger's disease.Whatclienteducation doesthenurseprovideto minimizediseaseprogression? Abstainfromallformsoftobacco."Q uestion35 ThenurseisdischarginghomeaclientatriskforvenousthromboembolismonIow- molecular-weightheparin.Whatinstructiondoesthenurseprovidetothisclient? c.'Notifyyourhealthcareproviderif yourstoolsappeartarry." Question36 Thenurseisprovidinghealtheducationtoaclientwithchronicvenousstasisulcers.Whatpriorityinstr uction does thenurseinclude? a"Applyautomobilismstockingsbeforegettingoutofbedinthemorning." Question37 Oout OfIpoints Thenurseassessesaclient'slegs.Whichassessmentfindingindicatesarterialinsufficiency? 17 Potassium level of 5L5 mg/dLQuestion44 Iout ofIpoints Aclientwithepilepsydevelopsstiffeningofthemusclesofthearmsandlegs,followedbyan immediate loss of consciousness and jerking of all extremities. How does the nursedocumentthis seizureactivity? 20 Tonic-clonicseizure 21 Question45 0 outofIpoints Thenurseiscaring foraclientwithParkinson'sdisease.Whichinterventiondoesthenurse implementtopreventrespiratorycomplicationsintheclient? Elevation of the back rest will help with aspirationsMaintainingthebackrest elevationatgreaterthan30degrees Question46 Iout ofIB)ints Thenurseisprovidinghealtheducationatacommunitycenter.Whichinstructiondoesthenurseinclu deas partofclient education fortheprevention oflowbackpain? aParticipateinan exerciseprogramtostrengthenmuscles."Question47 Iout ofIpoints Emergencymedicalservicesarrivetotheemergencydepartmentwithaclientwhohasa cervicalspinalcordinjury.Whichpriorityassessmentdoestheemergencydepartmentnurseperf ormat this time? Respiratory pattern and airwayQuestion48 (J orIr»ints ThenurseassessesaclientwhohasGuillain- Barrésyndrome.Whichclinicalmanifestationdoesthenurseexpect tofind in this client? 22 duringthenightbutwasgoneuponawakeningin themorning.Whichfinding doesthenurseexpect to observeduring theclient'sphysicalassessment? PurulentfluidISpresentmthecarcanal.Qu estion54 Aclientwitharupturedtympanicmembraneasksthenursewhetherhearingwillbe affectedpermanently.Whichisthenurse'sbestresponse? PossiblyTheeardrumusuallyhealsin1 to 2Anypersistenthearingproblem should be 25 evaluated." Question 55IoutofI ThenurseiscaringforaclientwithMéniére's disease.Theclientasksthenursehowtoprevent another acute episode from occurring. Which is the nurse's best response?"Stoporreducesmoking " Question56 Iout ofIpoints Thenurseconductsaphysicalassessmentforaclientwithabdominalpain.WhichfindingI leadsthenursetosuspectappendicitis? Severs.steadyrightlower(RLQ)painorPositiveobturatorandiliopaoAmuscletestQuesti on57 Thenurseiscaringforaclientwithulcerativecolitisandseverediarrhea.Whichnursingassessmentis thehighest priority? Heartrateandrhythm Question58 ThenursereviewsahealthteachingforaclientwithCrohn'sdisease,Whichinstruction doesthenurseprovidefortheclient? 26 A."Youshouldhaveacolonoscopyeveryfewyears."Que stion59 Ioutof Irx»ints Thenurseispreparingaclientwithdiverticulitisfordischargefromthehospital.Whichstatement by theclientindicates thatadditionalteaching is needed? 27 Aclienthasundergoneacompletethyroidectomy.Whichstatementbytheclientindicatesthatfurthe rinstructionis needed? "Aftersurgery,Iwon’tneedtotakethyroidmedication." ANS:B Question65 AnOlderclientwithbenignprostatichyperplasiaandhypertensionisbeingtreatedwithdoxazosin while staying in the hospital. Which activity does the nurse delegate to theunlicensed assistivepersonnelas apriority? b.Assistingthe clientwheneverhegetsout ofbedQuestion66 Of thefollowingbloodgasvalues,whichwouldindicatethenurseneedstofurtherevaluatetheclient? Question67 During change-of-shift report. the surgical unit charge nurse learns that a client who had atransurethralresectionoftheprostatethepreviousdayisexperiencingbladderspasmsand "ketchup-like"urinarydrainage.Whichofthefollowingstaffmemberswillbebesttoassign to carefortheclient? 30 Question68 Iout ofIpoults 31 A client has the following arterial blood gases: pH 7.30, HC03— 17 mEq/L, PC02 25 mmHg'. P0298mmHg.Whichinterventionbythenurseis most appropriate? cAssistthephysicianindetermining thecause.Partiallycompensated metabolicacidosis Question69 IoutorIIx»ints Aclienthasthefollowingarterialbloodgases(ABGS):pH7.30,HC03—22mEq/ L,PC0255mHg,P0286mmHg.Whichinterventionby thenurse takespriority? aAssessingtheairwayAN S.A Question70 Aclientasksthenurseifthereisanantihistaminethatdoesnotcausedrowsiness.Whichofthefollowin gmedicationswould thisclientmostlikely prefertotreatallergicrhinitis? 4.Fexofenadine Fexofenadine (Allegra) is a second-generation antihistamine, and second- generationantihistaminesexhibitlesssedationthanfirst- generationmedicationssuchasdiphenhydramine,chlorpheniramine Question 71IoutofI Thenurseisassessingaclientdiagnosedwithasthma.Theclient'sbreathsoundsinitiallyhad wheezing but are diminishing until no audible sounds are heard. This has occurredbecause? 32 HydroxyzincHCLisanantihistamineusedtorelievepruritisassociatedwithcontact dermatitis.Covering the area with a warm compress could cause the area to itch more. The client should beinstructedto avoid scratching.Ambulationwill nothelp reducctheitchiness. Question77 Iout orIpoints 35 Thenursebeginstoexperiencered,itchyhandsafterusingglovesforclientcare.WhichOf thefollowingshouldthenurseconsiderascausingthesesymptoms? LatexAllergy . Question78 Aclientisdemonstratingsignsofananaphylacticreaction.WhichOfthefollowingshouldthenursedo ? Selectallthat apply. I.Placethe clientinthesupineposition. 2. Assist the client to ambulate.3.Maintaintheair- way, 4. Provideoralfluids. 5. Beginanintravenousaccessline. 6. Place the client in the prone position.ANS:1.3, 5 Question79 Aclientisdiagnosedwithcellulitis.Whichofthefollowingwillthenursemostlikelyassessinthis client? Select allthat apply. IHeat 2 Redness3 36 Swelling4 Pain 5Glossy,stretchedskinappearance6 Thirst ANS: Question80 37 Question84 Aclientjustexperiencedanepisodeofrefluxwithregurgitation.Whatassessmentbythenurseis thepriority? Auscultatethelungsforcrackles Question85 Aclientbeingtreatedforaspinalcordinjuryneedsimmediateventilatorsupport.Thenurserealiz es that thisclient's level ofinjuryismostlikely: C3 Question86 A client receiving care for a spinal cord injury complains of a pounding headache, flushedskin. cardiac dysrhythmias and has a blood pressure of 200/100 mmHg. What is the firstactionthenurseshouldtake? . Checkthebladderfordistension. Question87 A client who is taking Spironolactone at home arrives in the emergency departmentcomplainingofunrelievededemainthelegs.Thenursesharewhatdatawiththephysici anthatindicates a need to withholdthemedication? Potassium(s/ shyperkalemia)Question88 40 WhichOfthefollowingrecurringconditionsmostcommonlyoccursininclientswithcardiomyopathy ? Heartfailure • Question89 41 Aclienthasaserumpotassiumlevelof2.9mEq[L.WhichOfthefollowingshouldbedonetoassist this client? Select allthat apply. Implementcontinuouscardiacmonitoring. 2. Check for an elevated ST segment.Assess muscle strength, tone, and reflexes.4Monitordigoxin levels. 5.Monitorforseizureactivity.Q uestion90 The nurse is concerned that a client with a gastrostomy feeding tube is developing acomplication.Whichofthefollowingareconsideredcomplicationsassociatedwiththistype offeedingtube?Selectallthatapply. NauseaVo mitingAsp iration Abdominaldistention 5. Legcramps 6. Muscle painANS: 1, 2, 3, 4Question91 Inassessingaclient'swound.whichfindingassiststhenurseindeterminingthatthewoundisinfected ? Select allthat apply. 42 pulmonarydisease?Selectallthatapply. AvoiddrinkingfluidsJustbeforeandduringmeals.""Re stbeforemealsifyouhavedyspnea." "HaveaboutsmallmealsadavQ uestion93 A client who previously had a Bacillus Calmette-Guérin vaccine has a positive tuberculosistest. What symptoms assist in determining that the client has active tuberculosis disease?Selectallthat apply. NauseaWeig ht lossNight sweatsQues tion94 Aclientwithacute- angleglaucomahasseveralmedicationsordered.Whichmedicationsdoesthenursequestion? Selectall thatapply. AtropineEpi nephrineQu estion95 Iout ofIpoints Whichofthefollowingassessmenttechniques canthenurseusetodetermineif aclientisexperiencinghypocalcemia? Select allthat apply. I.AllentestChvostek' ssign 45 Percussionofthe abdomen 4. AuscultationofthelungsT rousseau•s Sign 46 Question96 47