NUR2571 Final Exam Professional Nursing II Final Exam PN2 Final Exam Review (Latest 2022, Exams of Nursing

Download NUR2571 Final Exam Professional Nursing II Final Exam PN2 Final Exam Review (Latest 2022 and more Exams Nursing in PDF only on Docsity! NUR 2571 / NUR2571 Final Exam: 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. minerals. 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 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 2024/2025) Rasmussen A client has metabolic alkalosis. Which laboratory results is the nurse most likely to assess as I consistent with this condition? Hyponatremia, hypokalemia, hypochloremia A client presented in the ED with an injury to the right ankle after a fall. On assessment, the nurse notes that it is red and inflamed but skin intact. The nurse adds interventions to the care plan that address which factor? Inflammation and pain The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid arthritis. Which precautions does the nurse give the client about taking this medication? "Take this medication at bedtime because it \ull make you sleepy " b.Take calcium and vitamin D supplements daily." c. "Eat a high-fiber diet ith lots of lean meats." d. "Wash your face twice a day with an antlbacterial soap." Question 9 A client is suspected to have rheumatoid arthritis. What commonly early clinical manifestations does the nurse assess this client carefully for? Low-grade fever, fatigue, anorexia, with weight loss Question 10 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." NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Question 16 A client has received diphenhydramine and is currently oriented but drowsy. What is the best action for the nurse to take? Document the response and continue to monitor. . Question 17 0 out of I EX)ints A client is receiving an IV infusion of an antibiotic. The client calls the nurse about feeling uneasy and uncomfortable due to acute congestion. Which action by the nurse is most appropriate? b Have another nurse call the Rapid Response Team. question 18 Which skin integrity intervention best assists a client with pruritus? a. 'Keep your fingernails cut short and keep them clean." . "Drinking extra fluids decreases stimulation of itch receptors." c. "Wear soft. breathable clothing made from material like cotton." d."Avoid immersing the areas in water and dry thoroughly aftcr bathing." Question 19 A client has a furuncle in the axilla. Which statement by the client indicates a good understanding of how to care for this condition? a. "I'll apply cortisone cream to reduce the inflammation." b."l will squeeze the lesion until all pus is removed." c."l'll keep my arm down at my side to prevent spread." "l will cleanse the area and apply warrn compress and antibiotic cream." Question 20 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 NUR 2571 / NUR2571 Final Exam: 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 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen I out Of I points NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) 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 The nurse assesses that a client has a smooth, beefy red tongue. Which intervention does the nurse implement for this client? Provide a diet high In green leafy vegetables Question 39 NUR 2571 / NUR2571 Final Exam: 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 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? NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Tonic-clonic seizure NUR 2571 / NUR2571 Final Exam: 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 does the nurse provide for the client? 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 2024/2025) Rasmussen "l will take a senna laxative at bcdtime to avoid becoming constipated. " Question 60 I of I rx-ants The nurse is caring for a client who is a vegan and has developed B 12 deficiency. Which foods does the nurse encourage the client to incl e in the diet? animal proteins like eggs fortified cereal tofu Question 61 I out of I mints The nurse is caring for a client who was started on total parenteral nutrition 2 days previously. The client reports blurred vision, dry mouth, and frequent urination. Which is the nurse's Asssess client blood sugar Question 62 I out of I points Which dietary modification does the nurse provide for a client with hyperthyroidism? a. Decreased calories and proteins and increased carbohydrates b. Elimination of carbohydrates and increased proteins and fats c Increased calories, proteins, and carbohydrates Supplemental vitamins and reduction 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 NUR 2571 / NUR2571 Final Exam: 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? Question 68 I out of I poults NUR 2571 / NUR2571 Final Exam: 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 Redness 3 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 2024/2025) Rasmussen I out of I mints A client's wound is being debrided surgically. This type Of debridement is called: Question 81 A client is admitted with cutaneous infection caused by reactivation of the varicella chickenpox virus. This can be a sign of: Question 82 O of I points A middle-age male is experiencing itching, erythema, and circular red scaly lesions on his face. The lesions have a honey-colored crust. The nurse realizes that the child is most likely experiencing: I candidiasis. 2 herpes simplex. 3 impetigo. tinca corporis. ANS: 3 Impetigo is a common, superficial skin infection beginning as a focal erythema and progressing to pruritic vesicles, erosions, and honey-colored crusts. Oral herpes simplex would look like a cold sore. Tinca corporis has a circular, red, scaly border, and candidiasis is a proliferation of the normal yeast flora. 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 NUR 2571 / NUR2571 Final Exam: 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 Which Of the following recurring conditions most commonly occurs in in clients with cardiomyopathy? Heart failure • Question 89 NUR 2571 / NUR2571 Final Exam: 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 Epinephrine Question 95 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 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Question 96 NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2024/2025) Rasmussen Which of the following components of the arterial blood gas will the nurse focus when on I determining a client's acid-base status? Select all that apply. pH 4 HCO,• 5. o2 sat Question 97 A client diagnosed with heart failure is prescribed furosemide. Which Of the following should the client be monitored for because Of this medication? Select all that apply. I Dehydration Hyponatremia . Hypokalemia Question 98 A client is having diagnostic tests to determine the cause of anemia. The nurse realizes that these tests will focus on which of the following? Select all that apply. 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