NUR 210 (MED-SURG 2 - Test 4) NCLEX STYLE PRACTICE
Questions with Correct Answers (Grade A+)
Question 1: The ion that cannot be regulated properly in clients with cystic fibrosis is
A) chloride
B) sodium
C) calcium
D) potassium
Answer: A (chloride)
Question 2: For couples in which both individuals carry one defective CF gene, any offspring from the
couple has a ________ percent chance of inheriting two abnormal genes and developing cystic fibrosis.
A) 100
B) 75
C) 50
D) 25
Answer: D (25)
Question 3: Besides the respiratory system, which system would be critical for the nurse to assess in a
client recently diagnosed with cystic fibrosis?
A) Nervous system
B) Gastrointestinal system
C) Musculoskeletal system
D) Urinary system
Answer: B (Gastrointestinal system)
Question 4: The nurse is caring for an 18-month-old client who is newly diagnosed with cystic fibrosis.
The client is currently hospitalized due to a Pseudomonas aeruginosa infection in the lungs. The client's
vital signs are: P 138, R 43, T 101.3°F, BP 86/40, SpO2 88%. The client is coughing up thick, green
mucus. What independent nursing intervention can the nurse implement to improve the client's
oxygenation?
A) Administration of CFTR modulators
B) Percussion and postural drainage
C) Nutritional counseling
D) Teaching the client to cough into a tissue
Answer: B (Percussion and postural drainage)
Page 1
,Question 5: A 15-year-old client with cystic fibrosis asks why she has not started her menstrual period
yet. Which response by the nurse is correct?
A) "Usually girls with cystic fibrosis start menstruating earlier than their peers."
B) "It is normal for girls with cystic fibrosis to start their period at age 16. Just be patient."
C) "Some girls with cystic fibrosis do not experience menstruation due to nutritional problems."
D) "Because secretions are thicker in people with cystic fibrosis, your period will be very heavy once it starts."
Answer: C ("Some girls with cystic fibrosis do not experience menstruation due to nutritional problems.")
Question 6: The nurse is providing teaching to the client who is pregnant and has cystic fibrosis. The
nurse should explain that the client is at increased risk for which condition?
A) Emergency delivery
B) Gestational diabetes
C) Placenta previa
D) Spontaneous abortion
Answer: B (Gestational diabetes)
Question 7: The nurse is caring for a client diagnosed with dilated cardiomyopathy. Which clinical
manifestations does the nurse anticipate during the physical assessment? (Select all that apply)
A) Fatigue
B) Lower extremity edema
C) Syncope
D) Dyspnea
E) Angina
Answer: A, B, & D (Fatigue) (Lower extremity edema) (Dyspnea)
Question 8: A client states to the nurse, "I know I have high blood pressure, but I don't want to take
medication." Based on this data, which health problem is the client at risk for developing?
A) Gastritis
B) Diabetes
C) Cardiomyopathy
D) Metabolic syndrome
Answer: C (Cardiomyopathy)
Page 2
,Question 9: A client diagnosed with cardiomyopathy reports having to rest between activities during
the day. The client asks the nurse why this is occurring. Which reason should the nurse include in the
response to the client?
A) Increased stroke volume
B) Decreased cardiac output
C) An elongated and dilated aorta
D) Increased blood pressure
Answer: B (Decreased cardiac output)
Question 10: A client admitted with the diagnosis of cardiomyopathy becomes short of breath with
ambulation and eating and fatigued with routine care activities. Which nursing diagnosis does the
nurse include in the client's plan of care?
A) Imbalanced Nutrition: Less than Body Requirements
B) Deficient Knowledge
C) Activity Intolerance
D) Self-Care Deficit
Answer: C (Activity Intolerance)
Question 11: The nurse identifies the diagnosis of Excess Fluid Volume as appropriate for a client with
cardiomyopathy. Which interventions should the nurse emphasize when planning this client's care?
(Select all that apply)
A) Monitor B-type natriuretic peptide (BNP) level
B) Provide oxygen as prescribed
C) Assess respiratory status and lung sounds every 4 hours and as needed
D) Provide information about activity upon discharge
E) Monitor intake and output
Answer: C & E (Assess respiratory status and lung sounds every 4 hours and as needed) (Monitor intake
and output)
Question 12: The nurse is providing teaching to a client diagnosed with cardiomyopathy. What
statement made by the client indicates the discharge teaching was effective?
A) "I will exercise as much as possible, regardless of feeling weak and short of breath."
B) "My pants getting tight around the waist means I'm eating too much and should cut back on food."
C) "I will eat foods containing sodium only if drinking water with them."
D) "I will see my cardiologist next week to discuss implanting a pacemaker."
Answer: D ("I will see my cardiologist next week to discuss implanting a pacemaker.")
Page 3
, Question 13: The nurse is caring for a client with hypertrophic cardiomyopathy. Based on this
diagnosis, which class of medications does the nurse anticipate being prescribed?
A) Digoxin
B) Vasodilators
C) Nitrates
D) Beta blockers
Answer: D (Beta blockers)
Question 14: A client with cardiomyopathy receiving diuretic therapy has a urine output of 200 mL in 8
hours. Which action by the nurse is correct?
A) Assist the client to ambulate
B) Document a normal urine output
C) Notify the healthcare provider
D) Measure abdominal girth
Answer: C (Notify the healthcare provider)
Question 15: A client diagnosed with cardiomyopathy asks the nurse to explain the different types of
the disease. Which is inappropriate for the nurse to include in the teaching session?
A) Dilated cardiomyopathy
B) Restrictive cardiomyopathy
C) Hypotrophic cardiomyopathy
D) Arrythmogenic right ventricular dysplasia
Answer: C (Hypotrophic cardiomyopathy)
Question 16: The nurse is caring for a client diagnosed with cardiomyopathy. The client experiences
tachycardia. Which medication does the nurse anticipate being prescribed?
A) ACE Inhibitor
B) Angiotensin II receptor blocker
C) Beta blocker
D) Cardiac glycoside
Answer: C (Beta blocker)
Question 17: A nurse is caring for a client with cardiomyopathy who is experiencing activity
intolerance. Which intervention is inappropriate for this nursing diagnosis?
A) Spacing out nursing activities so client fatigue is lessened
B) Assisting with client activities of daily living (ADLs) as necessary
C) Using passive and active range-of-motion (ROM) exercises as tolerated
D) Consulting with a physical therapist on an activity plan
Answer: A (Spacing out nursing activities so client fatigue is lessened)
Page 4
Questions with Correct Answers (Grade A+)
Question 1: The ion that cannot be regulated properly in clients with cystic fibrosis is
A) chloride
B) sodium
C) calcium
D) potassium
Answer: A (chloride)
Question 2: For couples in which both individuals carry one defective CF gene, any offspring from the
couple has a ________ percent chance of inheriting two abnormal genes and developing cystic fibrosis.
A) 100
B) 75
C) 50
D) 25
Answer: D (25)
Question 3: Besides the respiratory system, which system would be critical for the nurse to assess in a
client recently diagnosed with cystic fibrosis?
A) Nervous system
B) Gastrointestinal system
C) Musculoskeletal system
D) Urinary system
Answer: B (Gastrointestinal system)
Question 4: The nurse is caring for an 18-month-old client who is newly diagnosed with cystic fibrosis.
The client is currently hospitalized due to a Pseudomonas aeruginosa infection in the lungs. The client's
vital signs are: P 138, R 43, T 101.3°F, BP 86/40, SpO2 88%. The client is coughing up thick, green
mucus. What independent nursing intervention can the nurse implement to improve the client's
oxygenation?
A) Administration of CFTR modulators
B) Percussion and postural drainage
C) Nutritional counseling
D) Teaching the client to cough into a tissue
Answer: B (Percussion and postural drainage)
Page 1
,Question 5: A 15-year-old client with cystic fibrosis asks why she has not started her menstrual period
yet. Which response by the nurse is correct?
A) "Usually girls with cystic fibrosis start menstruating earlier than their peers."
B) "It is normal for girls with cystic fibrosis to start their period at age 16. Just be patient."
C) "Some girls with cystic fibrosis do not experience menstruation due to nutritional problems."
D) "Because secretions are thicker in people with cystic fibrosis, your period will be very heavy once it starts."
Answer: C ("Some girls with cystic fibrosis do not experience menstruation due to nutritional problems.")
Question 6: The nurse is providing teaching to the client who is pregnant and has cystic fibrosis. The
nurse should explain that the client is at increased risk for which condition?
A) Emergency delivery
B) Gestational diabetes
C) Placenta previa
D) Spontaneous abortion
Answer: B (Gestational diabetes)
Question 7: The nurse is caring for a client diagnosed with dilated cardiomyopathy. Which clinical
manifestations does the nurse anticipate during the physical assessment? (Select all that apply)
A) Fatigue
B) Lower extremity edema
C) Syncope
D) Dyspnea
E) Angina
Answer: A, B, & D (Fatigue) (Lower extremity edema) (Dyspnea)
Question 8: A client states to the nurse, "I know I have high blood pressure, but I don't want to take
medication." Based on this data, which health problem is the client at risk for developing?
A) Gastritis
B) Diabetes
C) Cardiomyopathy
D) Metabolic syndrome
Answer: C (Cardiomyopathy)
Page 2
,Question 9: A client diagnosed with cardiomyopathy reports having to rest between activities during
the day. The client asks the nurse why this is occurring. Which reason should the nurse include in the
response to the client?
A) Increased stroke volume
B) Decreased cardiac output
C) An elongated and dilated aorta
D) Increased blood pressure
Answer: B (Decreased cardiac output)
Question 10: A client admitted with the diagnosis of cardiomyopathy becomes short of breath with
ambulation and eating and fatigued with routine care activities. Which nursing diagnosis does the
nurse include in the client's plan of care?
A) Imbalanced Nutrition: Less than Body Requirements
B) Deficient Knowledge
C) Activity Intolerance
D) Self-Care Deficit
Answer: C (Activity Intolerance)
Question 11: The nurse identifies the diagnosis of Excess Fluid Volume as appropriate for a client with
cardiomyopathy. Which interventions should the nurse emphasize when planning this client's care?
(Select all that apply)
A) Monitor B-type natriuretic peptide (BNP) level
B) Provide oxygen as prescribed
C) Assess respiratory status and lung sounds every 4 hours and as needed
D) Provide information about activity upon discharge
E) Monitor intake and output
Answer: C & E (Assess respiratory status and lung sounds every 4 hours and as needed) (Monitor intake
and output)
Question 12: The nurse is providing teaching to a client diagnosed with cardiomyopathy. What
statement made by the client indicates the discharge teaching was effective?
A) "I will exercise as much as possible, regardless of feeling weak and short of breath."
B) "My pants getting tight around the waist means I'm eating too much and should cut back on food."
C) "I will eat foods containing sodium only if drinking water with them."
D) "I will see my cardiologist next week to discuss implanting a pacemaker."
Answer: D ("I will see my cardiologist next week to discuss implanting a pacemaker.")
Page 3
, Question 13: The nurse is caring for a client with hypertrophic cardiomyopathy. Based on this
diagnosis, which class of medications does the nurse anticipate being prescribed?
A) Digoxin
B) Vasodilators
C) Nitrates
D) Beta blockers
Answer: D (Beta blockers)
Question 14: A client with cardiomyopathy receiving diuretic therapy has a urine output of 200 mL in 8
hours. Which action by the nurse is correct?
A) Assist the client to ambulate
B) Document a normal urine output
C) Notify the healthcare provider
D) Measure abdominal girth
Answer: C (Notify the healthcare provider)
Question 15: A client diagnosed with cardiomyopathy asks the nurse to explain the different types of
the disease. Which is inappropriate for the nurse to include in the teaching session?
A) Dilated cardiomyopathy
B) Restrictive cardiomyopathy
C) Hypotrophic cardiomyopathy
D) Arrythmogenic right ventricular dysplasia
Answer: C (Hypotrophic cardiomyopathy)
Question 16: The nurse is caring for a client diagnosed with cardiomyopathy. The client experiences
tachycardia. Which medication does the nurse anticipate being prescribed?
A) ACE Inhibitor
B) Angiotensin II receptor blocker
C) Beta blocker
D) Cardiac glycoside
Answer: C (Beta blocker)
Question 17: A nurse is caring for a client with cardiomyopathy who is experiencing activity
intolerance. Which intervention is inappropriate for this nursing diagnosis?
A) Spacing out nursing activities so client fatigue is lessened
B) Assisting with client activities of daily living (ADLs) as necessary
C) Using passive and active range-of-motion (ROM) exercises as tolerated
D) Consulting with a physical therapist on an activity plan
Answer: A (Spacing out nursing activities so client fatigue is lessened)
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