NUR 2755 MULTIDIMENSIONAL CARE IV
EXAM 2 ACTUAL QUESTIONS AND VERIFIED
ANSWERS EXAM PREP
◉ Neurogenic shock is classified as an imbalance of sympathetic and
parasympathetic stimulation. As
parasympathetic activity increases, what assessment finding should
the nurse anticipate? Answer: Bradycardia
◉ What assessment finding indicates a stroke? Answer: Asymmetry
of the face.
◉ What is the nurse's priority action for a client with cirrhosis and
intestinal obstruction? Answer: Administer PRN order of vitamin K.
◉ What additional assessment finding is expected in a client with
pneumothorax? Answer: Decreased chest expansion on involved side.
◉ How can the surgical team prevent hypothermia complications in a
frail older adult client? Answer: -Perform close monitoring of the
client's temperature,
-administer warmed intravenous fluids,
-have a thermal warming blanket on hand,
-increase the temperature in the operating room.
, ◉ What does ventricular tachycardia indicate in a client with
electrical burns? Answer: The heart rhythm is directly related to the
electrical burn.
◉ What assessment finding prompts a nurse to call the surgeon post-
surgery? Answer: Constant pain and abdominal distention.
◉ Which crystalloid fluid is commonly used to treat hypovolemic
shock? Answer: Lactated Ringer's.
◉ What principle guides care planning for a client receiving
dopamine? Answer: -The drug should be administered through a
central venous line,
-the drug dose should be tapered down once vital signs improve,
-the infusion rate should be titrated for a mean arterial pressure
(MAP) of 65.
◉ What condition is likely for a client with a neck injury and low
blood pressure? Answer: Neurogenic shock.
◉ The nurse in the ICU is admitting a 57-year-old with a diagnosis of
possible septic shock. The nurse's
assessment reveals that the client has a normal blood pressure,
increased heart rate, decreased bowel
EXAM 2 ACTUAL QUESTIONS AND VERIFIED
ANSWERS EXAM PREP
◉ Neurogenic shock is classified as an imbalance of sympathetic and
parasympathetic stimulation. As
parasympathetic activity increases, what assessment finding should
the nurse anticipate? Answer: Bradycardia
◉ What assessment finding indicates a stroke? Answer: Asymmetry
of the face.
◉ What is the nurse's priority action for a client with cirrhosis and
intestinal obstruction? Answer: Administer PRN order of vitamin K.
◉ What additional assessment finding is expected in a client with
pneumothorax? Answer: Decreased chest expansion on involved side.
◉ How can the surgical team prevent hypothermia complications in a
frail older adult client? Answer: -Perform close monitoring of the
client's temperature,
-administer warmed intravenous fluids,
-have a thermal warming blanket on hand,
-increase the temperature in the operating room.
, ◉ What does ventricular tachycardia indicate in a client with
electrical burns? Answer: The heart rhythm is directly related to the
electrical burn.
◉ What assessment finding prompts a nurse to call the surgeon post-
surgery? Answer: Constant pain and abdominal distention.
◉ Which crystalloid fluid is commonly used to treat hypovolemic
shock? Answer: Lactated Ringer's.
◉ What principle guides care planning for a client receiving
dopamine? Answer: -The drug should be administered through a
central venous line,
-the drug dose should be tapered down once vital signs improve,
-the infusion rate should be titrated for a mean arterial pressure
(MAP) of 65.
◉ What condition is likely for a client with a neck injury and low
blood pressure? Answer: Neurogenic shock.
◉ The nurse in the ICU is admitting a 57-year-old with a diagnosis of
possible septic shock. The nurse's
assessment reveals that the client has a normal blood pressure,
increased heart rate, decreased bowel
