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NUR 170 Exam 2 Practice
1. Which of the following patients would the nurse identify as being highest risk for stroke?
a. A 27-year-old heavy cocaine user
b. A 30-year-old who drinks a beer a day
c. A 40-year-old who uses seasonal antihistamines
d. A 65-year-old who is active and on no medications
2. A nurse assesses a client who has a history of migraines. Which clinical manifestation would the
nurse identify as an aura?
a. Vertigo
b. Visual disturbances
c. Lethargy
d. Numbness of the tongue
3. A nurse assesses a patient with early-onset MS. Which clinical manifestation would the nurse
expect to find?
a. Hyperresponsive reflexes
b. Nystagmus
c. Excessive somnolence
d. Heat intolerance
4. A client begins to experience a tonic-clonic seizure and loss of consciousness. What action would
the nurse take first?
a. Start fluids via a large-bore catheter
b. Administer IV push diazepam
c. Turn the client’s head to the side
d. Prepare to intubate the patient
5. A clinic nurse notes that many of the patients present with flu-like symptoms. Which
recommendation would the nurse not give to them?
a. Take antipyretics for fever
b. Get plenty of rest
c. Increase intake of fluids
d. Get a flu shot immediately
6. When evaluating an asthma patient’s knowledge, the nurse recognizes that additional
instruction is needed when the patient states:
a. “I use my corticosteroid inhaler each time I feel short of breath.”
b. “I use my bronchodilator inhaler before walking so I don’t become short of breath.”
c. “I see my doctor if I have an upper respiratory infection and always get my flu shot.”
d. “I use my bronchodilator inhaler before I visit the zoo because of my allergies.”
7. A tuberculosis patient asks the nurse when it’s permissible to return to work. What factor
should the nurse include when responding to the patient?
a. 5 blood cultures are negative
b. A blood culture and a chest xray are negative
c. 3 sputum cultures are negative
d. A sputum culture and a tuberculin skin test are negative
e.
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8. The emergency department nurse is monitoring an asthmatic patient during an attack. The
nurse demonstrates that their respiratory status has worsened by
a. Diminished breath sounds
b. Wheezing during exhalation
c. Wheezing during inhalation
d. Wheezing throughout the lung fields
9. A patient with COPD is experiencing an exacerbation. The nurse should determine which finding
documented as an expected finding?
a. Increased O2 saturation with ambulation
b. Hyperinflation of lungs documented by chest xray
c. A widened diaphragm documented by chest xray
d. A shortened expiratory phase of the respiratory cycle
10. The nurse who is caring for a patient with COPD anticipates which arterial blood gas findings?
a. pH- 7.40; PaO2- 82; CO2-39; HCO3- 23
b. pH-7.47; PaO2- 82; CO2-30; HCO3- 31
c. pH-7.32; PaO2-85; CO2- 57; HCO3- 26
d. pH- 7.31; PaO2- 95; CO2- 22; HCO3- 19
11. The nurse is instructing a patient with emphysema on how to improve breathing during
dyspneic periods. Which position is correct?
a. Sitting up in bed
b. Sitting in a recliner chair
c. Side-lying in bed
d. Sitting up and leaning on an overbed table
12. The nurse is caring for a patient with tuberculosis. The nurse should wear which items when
performing their care?
a. Surgical mask and gloves
b. Particulate respirator and protective eyewear
c. Particulate respirator, gown, and gloves
d. Surgical mask, gown, and protective eyewear
13. The nurse is caring for a hearing-impaired client. Which approach will facilitate communication?
a. Speak loudly
b. Speak frequently
c. Speak directly into the impaired ear
d. Speak at a normal volume
14. A patient with Meniere’s disease is experiencing severe vertigo. Which instruction should the
nurse give to the patient to assist with this?
a. Increase sodium in the diet
b. Lie still and watch the television
c. Avoid sudden head movements
d. Increase fluid intake to 2000 mL a day
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NUR 170 Exam 2 Practice
1. Which of the following patients would the nurse identify as being highest risk for stroke?
a. A 27-year-old heavy cocaine user
b. A 30-year-old who drinks a beer a day
c. A 40-year-old who uses seasonal antihistamines
d. A 65-year-old who is active and on no medications
2. A nurse assesses a client who has a history of migraines. Which clinical manifestation would the
nurse identify as an aura?
a. Vertigo
b. Visual disturbances
c. Lethargy
d. Numbness of the tongue
3. A nurse assesses a patient with early-onset MS. Which clinical manifestation would the nurse
expect to find?
a. Hyperresponsive reflexes
b. Nystagmus
c. Excessive somnolence
d. Heat intolerance
4. A client begins to experience a tonic-clonic seizure and loss of consciousness. What action would
the nurse take first?
a. Start fluids via a large-bore catheter
b. Administer IV push diazepam
c. Turn the client’s head to the side
d. Prepare to intubate the patient
5. A clinic nurse notes that many of the patients present with flu-like symptoms. Which
recommendation would the nurse not give to them?
a. Take antipyretics for fever
b. Get plenty of rest
c. Increase intake of fluids
d. Get a flu shot immediately
6. When evaluating an asthma patient’s knowledge, the nurse recognizes that additional
instruction is needed when the patient states:
a. “I use my corticosteroid inhaler each time I feel short of breath.”
b. “I use my bronchodilator inhaler before walking so I don’t become short of breath.”
c. “I see my doctor if I have an upper respiratory infection and always get my flu shot.”
d. “I use my bronchodilator inhaler before I visit the zoo because of my allergies.”
7. A tuberculosis patient asks the nurse when it’s permissible to return to work. What factor
should the nurse include when responding to the patient?
a. 5 blood cultures are negative
b. A blood culture and a chest xray are negative
c. 3 sputum cultures are negative
d. A sputum culture and a tuberculin skin test are negative
e.
Downloaded by derrick maina ()
, lOMoARcPSD|64024314
8. The emergency department nurse is monitoring an asthmatic patient during an attack. The
nurse demonstrates that their respiratory status has worsened by
a. Diminished breath sounds
b. Wheezing during exhalation
c. Wheezing during inhalation
d. Wheezing throughout the lung fields
9. A patient with COPD is experiencing an exacerbation. The nurse should determine which finding
documented as an expected finding?
a. Increased O2 saturation with ambulation
b. Hyperinflation of lungs documented by chest xray
c. A widened diaphragm documented by chest xray
d. A shortened expiratory phase of the respiratory cycle
10. The nurse who is caring for a patient with COPD anticipates which arterial blood gas findings?
a. pH- 7.40; PaO2- 82; CO2-39; HCO3- 23
b. pH-7.47; PaO2- 82; CO2-30; HCO3- 31
c. pH-7.32; PaO2-85; CO2- 57; HCO3- 26
d. pH- 7.31; PaO2- 95; CO2- 22; HCO3- 19
11. The nurse is instructing a patient with emphysema on how to improve breathing during
dyspneic periods. Which position is correct?
a. Sitting up in bed
b. Sitting in a recliner chair
c. Side-lying in bed
d. Sitting up and leaning on an overbed table
12. The nurse is caring for a patient with tuberculosis. The nurse should wear which items when
performing their care?
a. Surgical mask and gloves
b. Particulate respirator and protective eyewear
c. Particulate respirator, gown, and gloves
d. Surgical mask, gown, and protective eyewear
13. The nurse is caring for a hearing-impaired client. Which approach will facilitate communication?
a. Speak loudly
b. Speak frequently
c. Speak directly into the impaired ear
d. Speak at a normal volume
14. A patient with Meniere’s disease is experiencing severe vertigo. Which instruction should the
nurse give to the patient to assist with this?
a. Increase sodium in the diet
b. Lie still and watch the television
c. Avoid sudden head movements
d. Increase fluid intake to 2000 mL a day
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