NURS 480 Exam 2 Questions And Answers Rated A+ New
Update Assured Satisfaction
1. A nurse is caring for a client who develops a ventricular fibrillation rhythm. The
client is unresponsive, pulseless, and apneic. Which of the following actions is the
nurse's priority?
Answer is Defibrillation
2. A client has an oral intake of 1500 ml and a urine output of 350 ml in a 24-hour
period. The nurse can correctly chart that the client is
Answer is Oliguric
3. A nurse is performing a neurological assessment for a client has head
trauma. Which of the following assessments will give the nurse information about
the function of cranial nerve III?
Answer is instruct the client to look up and down without moving his head.
4. NGN: A nurse is caring for a client. The client is admitted following a
cerebrovascular accident. (CVA). The client is alert and oriented. Heart rate
regular. Respirations are rapid and non-labored.
Wheezing auscultated in the upper lobes of the lungs. The client is receiving 2 Unit
of oxygen via nasal cannula. Right upper and lower extremities flaccid with
decreased muscle tone and strength. 1200: Client sitting up in a chair for lunch.
Client states they are right-handed and are having difficulty feeding themselves
For which of the following interprofessional team members should the nurse
anticipate a provider's referral? Select all that apply.
Answers are
,Case manager
Respiratory
Therapist
Physical
therapist
Occupational
therapist
5. A patient who is recovering from an acute myocardial infarction (MI) asks the
nurse when sexual intercourse can be resumed. Which response by the nurse is
best?
Answers is The sexual activity uses about as much energy as climbing two
flights of stairs.
6. NGN: A nurse is caring for a 74-year-old female client who reports
experiencing
Increased shortness of breath. Complete the diagram by dragging from the choices
below to specify what condition the client is most likely experiencing, 2 actions the
nurse should take to address that condition, and 2 parameters the nurse should
monitor to assess the client's progress.
Answers are
Elevate the head of the
client's bed. Apply O, at 2
L/min nasal cannula
<=Exacerbation of
COPD=> Respiratory
rate
Oxygen saturation
7. A nurse is caring for a client who recently had surgery for the insertion of a
permanent pacemaker. Which of the following prescriptions should the nurse
clarify?
Answer is MRI of the chest
8. A female patient presents to the emergency department reporting the most
severe headache of her life. Which type of stroke should the nurse anticipate?
Answer is Intracerebral hemorrhage= subarachnoid
, 9. The nurse is preparing to listen to a thin patient's apical aspect of the
heart. The nurse will place the stethoscope. Answer is
At the first heart sound is located at the apex
10. The patient is admitted with acute coronary syndrome (ACS). The ECG
shows ST-segment depression and T-wave inversion. What should the nurse
know that this indicates?
Answer is Myocardial ischemia
11. NGN: A nurse is caring for a client who was recently admitted and has
symptomatic bradycardia. The nurse is caring for the client immediately following
the insertion of the permanent pacemaker.
Complete the following sentence by using the list of options.
The nurse should monitor the client for incisional site
bleeding and Bradycardia following permanent
pacemaker placement.
12. True or false: The nervous system is concerned with the
regulation and coordination of the body activities This is True
13. A nurse is triaging clients in the emergency department. Which of the
following clients should the nurse ask the provider to care for first?
Answer is A school-age child who has acute epiglottitis, is drooling, and has an
absence of spontaneous cough
14. A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO
daily. The amount available is digoxin 0.125 mg tab. The client's current vital signs
are: blood pressure 144/96, heart rate 54/min, respirations 18/min, and temperature
98.6°
F. Which of the following actions should the nurse take?
Answer is Withhold the digoxin dose for decreased pulse rate.
15. While reading a client's ECG tracing, the nurse should understand that the
PR interval reflects which of the following cardiac electrical activities?
Answer is The length of time it takes for the electrical impulse to travel from
the SA node to the AV node
16. The nurse is performing a neurological assessment on a client and needs
to use stereognosis. Which of the following instructions would the nurse
provide for the client?
Update Assured Satisfaction
1. A nurse is caring for a client who develops a ventricular fibrillation rhythm. The
client is unresponsive, pulseless, and apneic. Which of the following actions is the
nurse's priority?
Answer is Defibrillation
2. A client has an oral intake of 1500 ml and a urine output of 350 ml in a 24-hour
period. The nurse can correctly chart that the client is
Answer is Oliguric
3. A nurse is performing a neurological assessment for a client has head
trauma. Which of the following assessments will give the nurse information about
the function of cranial nerve III?
Answer is instruct the client to look up and down without moving his head.
4. NGN: A nurse is caring for a client. The client is admitted following a
cerebrovascular accident. (CVA). The client is alert and oriented. Heart rate
regular. Respirations are rapid and non-labored.
Wheezing auscultated in the upper lobes of the lungs. The client is receiving 2 Unit
of oxygen via nasal cannula. Right upper and lower extremities flaccid with
decreased muscle tone and strength. 1200: Client sitting up in a chair for lunch.
Client states they are right-handed and are having difficulty feeding themselves
For which of the following interprofessional team members should the nurse
anticipate a provider's referral? Select all that apply.
Answers are
,Case manager
Respiratory
Therapist
Physical
therapist
Occupational
therapist
5. A patient who is recovering from an acute myocardial infarction (MI) asks the
nurse when sexual intercourse can be resumed. Which response by the nurse is
best?
Answers is The sexual activity uses about as much energy as climbing two
flights of stairs.
6. NGN: A nurse is caring for a 74-year-old female client who reports
experiencing
Increased shortness of breath. Complete the diagram by dragging from the choices
below to specify what condition the client is most likely experiencing, 2 actions the
nurse should take to address that condition, and 2 parameters the nurse should
monitor to assess the client's progress.
Answers are
Elevate the head of the
client's bed. Apply O, at 2
L/min nasal cannula
<=Exacerbation of
COPD=> Respiratory
rate
Oxygen saturation
7. A nurse is caring for a client who recently had surgery for the insertion of a
permanent pacemaker. Which of the following prescriptions should the nurse
clarify?
Answer is MRI of the chest
8. A female patient presents to the emergency department reporting the most
severe headache of her life. Which type of stroke should the nurse anticipate?
Answer is Intracerebral hemorrhage= subarachnoid
, 9. The nurse is preparing to listen to a thin patient's apical aspect of the
heart. The nurse will place the stethoscope. Answer is
At the first heart sound is located at the apex
10. The patient is admitted with acute coronary syndrome (ACS). The ECG
shows ST-segment depression and T-wave inversion. What should the nurse
know that this indicates?
Answer is Myocardial ischemia
11. NGN: A nurse is caring for a client who was recently admitted and has
symptomatic bradycardia. The nurse is caring for the client immediately following
the insertion of the permanent pacemaker.
Complete the following sentence by using the list of options.
The nurse should monitor the client for incisional site
bleeding and Bradycardia following permanent
pacemaker placement.
12. True or false: The nervous system is concerned with the
regulation and coordination of the body activities This is True
13. A nurse is triaging clients in the emergency department. Which of the
following clients should the nurse ask the provider to care for first?
Answer is A school-age child who has acute epiglottitis, is drooling, and has an
absence of spontaneous cough
14. A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO
daily. The amount available is digoxin 0.125 mg tab. The client's current vital signs
are: blood pressure 144/96, heart rate 54/min, respirations 18/min, and temperature
98.6°
F. Which of the following actions should the nurse take?
Answer is Withhold the digoxin dose for decreased pulse rate.
15. While reading a client's ECG tracing, the nurse should understand that the
PR interval reflects which of the following cardiac electrical activities?
Answer is The length of time it takes for the electrical impulse to travel from
the SA node to the AV node
16. The nurse is performing a neurological assessment on a client and needs
to use stereognosis. Which of the following instructions would the nurse
provide for the client?
