NUR257 EXAM 2 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS ALREADY PASSED!!!
A client diagnosed with a deep vein thrombosis (DVT) is preparing for discharge
from the emergency department. Which statement demonstrates that the client
correctly understands their discharge instructions for managing this condition? A.
"I should try not to drink too much during the daytime." B. "I should lie on my side
with my knees bent when sleeping." C. "I need to ice my leg every 2 hours for
about 20 minutes." D. "I need to do my leg exercises five times or more every
hour." ✔✔ Option D: "I need to do my leg exercises five times or more every
hour."
A nurse is monitoring a patient following an aortic balloon valvuloplasty. Which
potential complications require close assessment at the arterial access insertion
site? A. Bleeding and infection B. Bleeding and wound dehiscence C. Thrombosis
and infection D. Evisceration ✔✔ Option A: Bleeding and infection
A patient recovering from a recent myocardial infarction develops pericarditis and
reports chest pain rated 6 out of 10 upon deep inspiration. Which prn medication
order is most suitable for the nurse to give? A. Morphine sulfate 6 mg IVP every 2-
4 hours B. Fentanyl 2 mg IVP every 2-4 hours C. Acetaminophen 650 mg PO
every 4 hours D. Ibuprofen 800 mg PO every 8 hours ✔✔ Option D: Ibuprofen
800 mg PO every 8 hours
The nurse instructs a client recovering from mechanical valve replacement surgery.
Which client statement indicates that teaching has been effective?
"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." -ANSWER ✔✔"I
will not drive until informed by my health care provider."
,A nurse is caring for a client receiving warfarin therapy following a mechanical
valve replacement. The client had a prothrombin time and International
Normalized Ratio (INR) drawn before breakfast. The laboratory report shows the
client's INR reading was 4. What is the nurse's first priority ?
Assess the client for bleeding and notify the health care provider of the results.
Notify the next nurse on afternoon shift to hold the evening dose of warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the healthcare
provider of the results. -ANSWER ✔✔Assess the client for bleeding and notify the
health care provider of the results.
The nurse suspects a client has developed pericarditis after a week of cold-like
symptoms. Which of the client's signs and symptoms indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment elevation
lethargy, anorexia, and heart failure -ANSWER ✔✔fever, chest discomfort, and
elevated erythrocyte sedimentation rate (ESR)
A client is admitted to the hospital with aortic stenosis. What assessment findings
would indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea -ANSWER ✔✔Dyspnea, orthopnea,
pulmonary edema
,Which would the nurse stress as a periodic lifelong necessity for a client managing
infective endocarditis?
Exercise regimen
Antihypertensive medication
Potassium replacement
Antibiotic therapy -ANSWER ✔✔Antibiotic therapy
The nurse is caring for a client who has been diagnosed with aortic stenosis. The
client is prescribed digoxin. What is the rationale for the medication?
left ventricular dysfunction
angina
dyspnea
edema -ANSWER ✔✔left ventricular dysfunction
A client is admitted to the hospital with possible acute pericarditis and pericardial
effusion. The nurse knows to prepare the client for which diagnostic test to confirm
the client's diagnosis?
Computed tomography
Echocardiography
Chest x-ray
Cardiac catheterization -ANSWER ✔✔Echocardiography
A client comes to the clinic reporting fever, chills, and sore throat and is diagnosed
with streptococcal pharyngitis. A nurse knows that early diagnosis and effective
treatment is essential to avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
, Pericarditis
Mitral stenosis -ANSWER ✔✔Rheumatic fever
The nurse is educating a client about the care related to a new diagnosis of mitral
valve prolapse. What statement made by the client demonstrates understanding of
the teaching?
"I will take antibiotics before getting my teeth cleaned."
"I can get my tongue pierced at a store in the shopping mall."
"I will avoid caffeine, alcohol, and smoking."
"I can get a tattoo at a local parlor." -ANSWER ✔✔"I will avoid caffeine, alcohol,
and smoking."
A nurse is caring for a client with aortic stenosis whose compensatory mechanisms
of the heart have begun to fail. The nurse will monitor the client carefully for
which initial symptoms?
Dizziness, nausea, diarrhea
Exertional dyspnea, orthopnea, pulmonary edema
Syncope, fever, vomiting
Nausea, vomiting, exertional fatigue -ANSWER ✔✔Exertional dyspnea,
orthopnea, pulmonary edema
The nurse is assessing a client admitted with infective endocarditis. Which
manifestation would the nurse expect to find?
Bruising on the palms of the hands and soles of the feet
Raised red rash on the trunk and face
Involuntary muscle movements of the extremities
ANSWERS WITH COMPLETE
SOLUTIONS ALREADY PASSED!!!
A client diagnosed with a deep vein thrombosis (DVT) is preparing for discharge
from the emergency department. Which statement demonstrates that the client
correctly understands their discharge instructions for managing this condition? A.
"I should try not to drink too much during the daytime." B. "I should lie on my side
with my knees bent when sleeping." C. "I need to ice my leg every 2 hours for
about 20 minutes." D. "I need to do my leg exercises five times or more every
hour." ✔✔ Option D: "I need to do my leg exercises five times or more every
hour."
A nurse is monitoring a patient following an aortic balloon valvuloplasty. Which
potential complications require close assessment at the arterial access insertion
site? A. Bleeding and infection B. Bleeding and wound dehiscence C. Thrombosis
and infection D. Evisceration ✔✔ Option A: Bleeding and infection
A patient recovering from a recent myocardial infarction develops pericarditis and
reports chest pain rated 6 out of 10 upon deep inspiration. Which prn medication
order is most suitable for the nurse to give? A. Morphine sulfate 6 mg IVP every 2-
4 hours B. Fentanyl 2 mg IVP every 2-4 hours C. Acetaminophen 650 mg PO
every 4 hours D. Ibuprofen 800 mg PO every 8 hours ✔✔ Option D: Ibuprofen
800 mg PO every 8 hours
The nurse instructs a client recovering from mechanical valve replacement surgery.
Which client statement indicates that teaching has been effective?
"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." -ANSWER ✔✔"I
will not drive until informed by my health care provider."
,A nurse is caring for a client receiving warfarin therapy following a mechanical
valve replacement. The client had a prothrombin time and International
Normalized Ratio (INR) drawn before breakfast. The laboratory report shows the
client's INR reading was 4. What is the nurse's first priority ?
Assess the client for bleeding and notify the health care provider of the results.
Notify the next nurse on afternoon shift to hold the evening dose of warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the healthcare
provider of the results. -ANSWER ✔✔Assess the client for bleeding and notify the
health care provider of the results.
The nurse suspects a client has developed pericarditis after a week of cold-like
symptoms. Which of the client's signs and symptoms indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment elevation
lethargy, anorexia, and heart failure -ANSWER ✔✔fever, chest discomfort, and
elevated erythrocyte sedimentation rate (ESR)
A client is admitted to the hospital with aortic stenosis. What assessment findings
would indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea -ANSWER ✔✔Dyspnea, orthopnea,
pulmonary edema
,Which would the nurse stress as a periodic lifelong necessity for a client managing
infective endocarditis?
Exercise regimen
Antihypertensive medication
Potassium replacement
Antibiotic therapy -ANSWER ✔✔Antibiotic therapy
The nurse is caring for a client who has been diagnosed with aortic stenosis. The
client is prescribed digoxin. What is the rationale for the medication?
left ventricular dysfunction
angina
dyspnea
edema -ANSWER ✔✔left ventricular dysfunction
A client is admitted to the hospital with possible acute pericarditis and pericardial
effusion. The nurse knows to prepare the client for which diagnostic test to confirm
the client's diagnosis?
Computed tomography
Echocardiography
Chest x-ray
Cardiac catheterization -ANSWER ✔✔Echocardiography
A client comes to the clinic reporting fever, chills, and sore throat and is diagnosed
with streptococcal pharyngitis. A nurse knows that early diagnosis and effective
treatment is essential to avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
, Pericarditis
Mitral stenosis -ANSWER ✔✔Rheumatic fever
The nurse is educating a client about the care related to a new diagnosis of mitral
valve prolapse. What statement made by the client demonstrates understanding of
the teaching?
"I will take antibiotics before getting my teeth cleaned."
"I can get my tongue pierced at a store in the shopping mall."
"I will avoid caffeine, alcohol, and smoking."
"I can get a tattoo at a local parlor." -ANSWER ✔✔"I will avoid caffeine, alcohol,
and smoking."
A nurse is caring for a client with aortic stenosis whose compensatory mechanisms
of the heart have begun to fail. The nurse will monitor the client carefully for
which initial symptoms?
Dizziness, nausea, diarrhea
Exertional dyspnea, orthopnea, pulmonary edema
Syncope, fever, vomiting
Nausea, vomiting, exertional fatigue -ANSWER ✔✔Exertional dyspnea,
orthopnea, pulmonary edema
The nurse is assessing a client admitted with infective endocarditis. Which
manifestation would the nurse expect to find?
Bruising on the palms of the hands and soles of the feet
Raised red rash on the trunk and face
Involuntary muscle movements of the extremities
