PN2 Exam 2
1. A nurse is caring for a client who arrived at an emergency department with status
asthmaticus. Based on the progress note: blood pressure 140/90 mm Hg, pulse MISSING
breaths/minute, temperature 98.4 degrees Fahrenheit, respiratory rate 34 breaths per
minute, and lung sounds noted with audible wheezing. Arterial blood gas ABG results
MISSING HCO3 26 mEq/L. The nurse suspects that the client has what abnormality?
- Respiratory acidosis
2. A client is admitted with an abdominal aortic aneurysm (AAA). For which of the
following complications should the nurse be most concerned?
- Cardiac arrhythmia
3. A client is having laboratory test conducted to confirm a diagnosis of atherosclerosis.
Which of the following laboratory values would support this client's medical diagnosis?
(Select all that apply)
- -Blood glucose 150 mg/dL.
- Serum cholesterol 300 mg/dL.
4. With which client does the nurse anticipate complications from obstructive sleep apnea
following abdominal surgery?
- - 28-year-old who is 80 pounds (36.4 kg) overweight and has a short neck
5. The healthcare provider has just prescribed warfarin sodium for a client with a deep
vein thrombosis (DVT). The nurse knows that this client is still receiving intravenous
heparin, what is the nurses best action?
- Administer the medication as prescribed
, 6. A nurse working with clients with sickle cell disease (SCD) teaches about self-
management to prevent exacerbation and sickle cell crisis. A claim communicates the
need for additional MISSING which of the following statements?
- A. "I will avoid exercise"
7. A nurse assessing a client in preparation for receiving a blood transfusion. Pre-
transfusion vitals are temperature 92.2°F, heart rate 82 beats/min, respirations 18
breaths/minute, blood pressure MISSING mm Hg, oxygen saturation 96% on room air.
Fifteen minutes after starting the transfusion the nurse measures the following vital
signs which of the following is the highest priority for action?
- Temperature 100.6°F. --Indication of infection
8. Which laboratory test will be most useful to the nurse in determining whether a client
admitted with acute shortness of breath has heart failure?
- B type natriuretic peptide (BNP)
9. A nurse is completing discharge planning for a client who has bacterial endocarditis. The
client will need to receive 12 weeks of antibiotic therapy. Which of the following venous
access device should the nurse identify as appropriate for the client?
- Peripherally inserted central catheter (PICC)
10. The nurse is assigned to a client who just arrived at the emergency room after a motor
vehicle accident and has multiple rib fractures. Knowing the client could potentially have
a pneumothorax, what are the signs and symptoms the nurse would correlate with this
condition?
- Respiratory distress
11. The nurse is reviewing the medical record for a client with hypertension. Which of the
following medications may be used in the management of hypertension? (Select all that
apply)
1. A nurse is caring for a client who arrived at an emergency department with status
asthmaticus. Based on the progress note: blood pressure 140/90 mm Hg, pulse MISSING
breaths/minute, temperature 98.4 degrees Fahrenheit, respiratory rate 34 breaths per
minute, and lung sounds noted with audible wheezing. Arterial blood gas ABG results
MISSING HCO3 26 mEq/L. The nurse suspects that the client has what abnormality?
- Respiratory acidosis
2. A client is admitted with an abdominal aortic aneurysm (AAA). For which of the
following complications should the nurse be most concerned?
- Cardiac arrhythmia
3. A client is having laboratory test conducted to confirm a diagnosis of atherosclerosis.
Which of the following laboratory values would support this client's medical diagnosis?
(Select all that apply)
- -Blood glucose 150 mg/dL.
- Serum cholesterol 300 mg/dL.
4. With which client does the nurse anticipate complications from obstructive sleep apnea
following abdominal surgery?
- - 28-year-old who is 80 pounds (36.4 kg) overweight and has a short neck
5. The healthcare provider has just prescribed warfarin sodium for a client with a deep
vein thrombosis (DVT). The nurse knows that this client is still receiving intravenous
heparin, what is the nurses best action?
- Administer the medication as prescribed
, 6. A nurse working with clients with sickle cell disease (SCD) teaches about self-
management to prevent exacerbation and sickle cell crisis. A claim communicates the
need for additional MISSING which of the following statements?
- A. "I will avoid exercise"
7. A nurse assessing a client in preparation for receiving a blood transfusion. Pre-
transfusion vitals are temperature 92.2°F, heart rate 82 beats/min, respirations 18
breaths/minute, blood pressure MISSING mm Hg, oxygen saturation 96% on room air.
Fifteen minutes after starting the transfusion the nurse measures the following vital
signs which of the following is the highest priority for action?
- Temperature 100.6°F. --Indication of infection
8. Which laboratory test will be most useful to the nurse in determining whether a client
admitted with acute shortness of breath has heart failure?
- B type natriuretic peptide (BNP)
9. A nurse is completing discharge planning for a client who has bacterial endocarditis. The
client will need to receive 12 weeks of antibiotic therapy. Which of the following venous
access device should the nurse identify as appropriate for the client?
- Peripherally inserted central catheter (PICC)
10. The nurse is assigned to a client who just arrived at the emergency room after a motor
vehicle accident and has multiple rib fractures. Knowing the client could potentially have
a pneumothorax, what are the signs and symptoms the nurse would correlate with this
condition?
- Respiratory distress
11. The nurse is reviewing the medical record for a client with hypertension. Which of the
following medications may be used in the management of hypertension? (Select all that
apply)
