NURS 221
EXAM 2
ACTUAL Questions with Answers
(Concepts of Pathophysiology in Nursing)
Drexel University
This Document Description:
• This document contains a collection of Verified
questions with accurate Answers.
• It covers core topics assessed in the course and
reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,The nurse is monitoring hourly urine output of a client diagnosed with hypovolemic
shock. The nurse is most concerned if the client's output is:
a. 20 mL/hour
b. 40 mL/hour
c. 60 mL/hour
d. 80 mL/hour
a. 20 mL/hour
A client recovered from influenza 2 days ago and informs the nurse that she is feeling
better but now has a fever, chills, pain when breathing, and a productive cough. What
complication does the nurse anticipate the client will be treated for?
a. A secondary bacterial pneumonia
b. A relapse of the flu
c. Reye syndrome
d. Tuberculosis
a. A secondary bacterial pneumonia; people usually start to feel better and then
symptoms return
Which client is at risk for developing acute respiratory failure?
a. A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS) who has
pneumonia with low O2 saturation
b. An older adult female living in senior housing who has been exposed to a "cold"
while her grandchildren visited
c. A teenager in a high school who has had an increase in student absences due to an
outbreak of strep throat
d. A toddler in daycare who has been sharing toys with peers before the staff could
sanitize properly
a. A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS) who has
pneumonia with low O2 saturation
A client with a history of chronic kidney disease (CKD) is experiencing increasing
fatigue, lethargy, and activity intolerance. The care team has established that the
,client's glomerular filtration rate (GFR) remains at a low, but stable, level. Which
laboratory assessments will most likely be prescribed to help determine the cause of
these new symptoms?
a. Blood work for white cells and differential
b. Cystoscopy and ureteroscopy
c. Assessment of pancreatic exocrine and endocrine function
d. Blood work for hemoglobin, red blood cells, and hematocrit
d. Blood work for hemoglobin, red blood cells, and hematocrit
Following several weeks of increasing fatigue and a subsequent diagnostic workup, a
client has been diagnosed with mitral valve regurgitation. Failure of this heart valve
would have which hemodynamic consequences?
a. Backup of blood from the right atrium into the superior vena cava
b. Backflow from the right ventricle to the right atrium during systole
c. Inhibition of the SA node's normal action potential
d. Backflow from the left ventricle to left atrium
d. Backflow from the left ventricle to left atrium
A client with a suspected MI is brought to the emergency department by ambulance.
The nurse caring for this client would expect to receive an order for which laboratory
test to confirm a diagnosis of MI?
a. Creatine kinase marker
b. Complete blood components
c. Calcium level
d. Troponin level
d. Troponin level
A client has been diagnosed with aortic stenosis and asks the nurse what this means.
The most appropriate response would be:
a. The valve opening is narrowed and produces increased resistance to blood flow out
of the left ventricle and into the aorta.
, b. The valve opening is incompetent, thereby allowing blood to flow back from the
pulmonary artery and into the left atrium.
c. The valve opening permits backward flow to occur when the valve should be closed.
d. The valve opens backward, permitting blood to flow from the right ventricle into the
right atrium.
a. The valve opening is narrowed and produces increased resistance to blood flow out of
the left ventricle and into the aorta.
A client has just been told that he has an infection of the inner surface of the heart. He
is also told that the bacteria has invaded his heart valves. What term is used for this
disease process?
a. Pericarditis
b. Myocardial infarction
c. Infective endocarditis
d. Cardiomyopathy
c. Infective endocarditis
The nurse is reviewing the laboratory work of several medical clients. Which
laboratory result is most suggestive of abnormalities in kidney function?
a. An absolute absence of protein in a urine sample
b. Increased creatinine and blood urea nitrogen (BUN) levels
c. Urine gravity of 1.030 and normal serum creatinine levels
d. Normal creatinine levels and elevated blood urea nitrogen (BUN)
b. Increased creatinine and blood urea nitrogen (BUN) levels
A nurse is performing client health education with a 68-year-old man who has recently
been diagnosed with heart failure. Which statement demonstrates an accurate
understanding of his new diagnosis?
a. "I'll be sure to take my beta-blocker whenever I feel short of breath."
b. "I'm going to avoid as much physical activity as I can so that I preserve my strength."
c. "I know it's healthy to drink a lot of water, and I'm going to make sure I do this from
now on."
EXAM 2
ACTUAL Questions with Answers
(Concepts of Pathophysiology in Nursing)
Drexel University
This Document Description:
• This document contains a collection of Verified
questions with accurate Answers.
• It covers core topics assessed in the course and
reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,The nurse is monitoring hourly urine output of a client diagnosed with hypovolemic
shock. The nurse is most concerned if the client's output is:
a. 20 mL/hour
b. 40 mL/hour
c. 60 mL/hour
d. 80 mL/hour
a. 20 mL/hour
A client recovered from influenza 2 days ago and informs the nurse that she is feeling
better but now has a fever, chills, pain when breathing, and a productive cough. What
complication does the nurse anticipate the client will be treated for?
a. A secondary bacterial pneumonia
b. A relapse of the flu
c. Reye syndrome
d. Tuberculosis
a. A secondary bacterial pneumonia; people usually start to feel better and then
symptoms return
Which client is at risk for developing acute respiratory failure?
a. A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS) who has
pneumonia with low O2 saturation
b. An older adult female living in senior housing who has been exposed to a "cold"
while her grandchildren visited
c. A teenager in a high school who has had an increase in student absences due to an
outbreak of strep throat
d. A toddler in daycare who has been sharing toys with peers before the staff could
sanitize properly
a. A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS) who has
pneumonia with low O2 saturation
A client with a history of chronic kidney disease (CKD) is experiencing increasing
fatigue, lethargy, and activity intolerance. The care team has established that the
,client's glomerular filtration rate (GFR) remains at a low, but stable, level. Which
laboratory assessments will most likely be prescribed to help determine the cause of
these new symptoms?
a. Blood work for white cells and differential
b. Cystoscopy and ureteroscopy
c. Assessment of pancreatic exocrine and endocrine function
d. Blood work for hemoglobin, red blood cells, and hematocrit
d. Blood work for hemoglobin, red blood cells, and hematocrit
Following several weeks of increasing fatigue and a subsequent diagnostic workup, a
client has been diagnosed with mitral valve regurgitation. Failure of this heart valve
would have which hemodynamic consequences?
a. Backup of blood from the right atrium into the superior vena cava
b. Backflow from the right ventricle to the right atrium during systole
c. Inhibition of the SA node's normal action potential
d. Backflow from the left ventricle to left atrium
d. Backflow from the left ventricle to left atrium
A client with a suspected MI is brought to the emergency department by ambulance.
The nurse caring for this client would expect to receive an order for which laboratory
test to confirm a diagnosis of MI?
a. Creatine kinase marker
b. Complete blood components
c. Calcium level
d. Troponin level
d. Troponin level
A client has been diagnosed with aortic stenosis and asks the nurse what this means.
The most appropriate response would be:
a. The valve opening is narrowed and produces increased resistance to blood flow out
of the left ventricle and into the aorta.
, b. The valve opening is incompetent, thereby allowing blood to flow back from the
pulmonary artery and into the left atrium.
c. The valve opening permits backward flow to occur when the valve should be closed.
d. The valve opens backward, permitting blood to flow from the right ventricle into the
right atrium.
a. The valve opening is narrowed and produces increased resistance to blood flow out of
the left ventricle and into the aorta.
A client has just been told that he has an infection of the inner surface of the heart. He
is also told that the bacteria has invaded his heart valves. What term is used for this
disease process?
a. Pericarditis
b. Myocardial infarction
c. Infective endocarditis
d. Cardiomyopathy
c. Infective endocarditis
The nurse is reviewing the laboratory work of several medical clients. Which
laboratory result is most suggestive of abnormalities in kidney function?
a. An absolute absence of protein in a urine sample
b. Increased creatinine and blood urea nitrogen (BUN) levels
c. Urine gravity of 1.030 and normal serum creatinine levels
d. Normal creatinine levels and elevated blood urea nitrogen (BUN)
b. Increased creatinine and blood urea nitrogen (BUN) levels
A nurse is performing client health education with a 68-year-old man who has recently
been diagnosed with heart failure. Which statement demonstrates an accurate
understanding of his new diagnosis?
a. "I'll be sure to take my beta-blocker whenever I feel short of breath."
b. "I'm going to avoid as much physical activity as I can so that I preserve my strength."
c. "I know it's healthy to drink a lot of water, and I'm going to make sure I do this from
now on."
