NUR2571 PN2 Exam 1
Questions And Answers
,4. A client has a tracheostomy tube in place. When the nurse suctions the client,
food particles are noted. What action by the nurse is best?
b. Measure and compare cuff
pressures. ANS: B
2. A nurse assesses a client after an open lung biopsy. Which assessment finding
is matched with the correct intervention?
c. Client has reduced breath sounds. Nurse calls physician immediately.
ANS: C
3. A nurse assesses a clients respiratory status. Which information is of highest
priority for the nurse to obtain?
d. Occupation and
hobbies ANS: D
2. A nurse assesses a client who is experiencing an acid-base imbalance.
The clients arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2
38 mm Hg, and HCO3 19 mEq/L. Which assessment should the nurse
perform first?
a. Cardiac rate and rhythm
ANS: A
6. A nurse assesses a client who is admitted with an acid-base imbalance. The clients
arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16
mEq/L. What action should the nurse take next?
a. Assess clients rate, rhythm, and depth of respiration.
7. A nurse is assessing a client who is recovering from a lung biopsy.
Which assessment finding requires immediate action?
b. Absent breath
sounds ANS: B
8. A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure.
The clients arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and
HCO3 22 mEq/L. Which action should the nurse take first?
a. Apply oxygen by mask or nasal cannula.
8. A nurse is caring for a client who is scheduled to undergo a thoracentesis.
Which intervention should the nurse complete prior to the procedure?
d. Validate that informed consent has been given by the client.
ANS: D
, 9. A nurse assesses a client after a thoracentesis. Which assessment finding
warrants immediate action?
d. The trachea is deviated toward the opposite side of the neck.
ANS: D
1.A nurse is caring for a client who has just had a central venous access line
inserted. Which action should the nurse take next?
b. Ensure an x-ray is completed to confirm placement.
ANS: B
3.A nurse teaches a client who is being discharged home with a peripherally
inserted central catheter (PICC). Which statement should the nurse include in
this clients teaching?
a. Avoid carrying your grandchild with the arm that has the central catheter.
ANS: A
5.A nurse is caring for a client who is receiving an epidural infusion for pain
management. Which assessment finding requires immediate intervention from
the nurse?
b. Report of headache and stif f
neck ANS: B
7.A nurse is assessing clients who have intravenous therapy prescribed. Which
assessment finding for a client with a peripherally inserted central catheter
(PICC) requires immediate attention?
d. Upper extremity swelling is noted.
ANS: D
13.A nurse teaches a client who is prescribed a central vascular access device.
Which statement should the nurse include in this clients teaching?
c. Ask all providers to vigorously clean the connections prior to accessing the device.
Questions And Answers
,4. A client has a tracheostomy tube in place. When the nurse suctions the client,
food particles are noted. What action by the nurse is best?
b. Measure and compare cuff
pressures. ANS: B
2. A nurse assesses a client after an open lung biopsy. Which assessment finding
is matched with the correct intervention?
c. Client has reduced breath sounds. Nurse calls physician immediately.
ANS: C
3. A nurse assesses a clients respiratory status. Which information is of highest
priority for the nurse to obtain?
d. Occupation and
hobbies ANS: D
2. A nurse assesses a client who is experiencing an acid-base imbalance.
The clients arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2
38 mm Hg, and HCO3 19 mEq/L. Which assessment should the nurse
perform first?
a. Cardiac rate and rhythm
ANS: A
6. A nurse assesses a client who is admitted with an acid-base imbalance. The clients
arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16
mEq/L. What action should the nurse take next?
a. Assess clients rate, rhythm, and depth of respiration.
7. A nurse is assessing a client who is recovering from a lung biopsy.
Which assessment finding requires immediate action?
b. Absent breath
sounds ANS: B
8. A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure.
The clients arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and
HCO3 22 mEq/L. Which action should the nurse take first?
a. Apply oxygen by mask or nasal cannula.
8. A nurse is caring for a client who is scheduled to undergo a thoracentesis.
Which intervention should the nurse complete prior to the procedure?
d. Validate that informed consent has been given by the client.
ANS: D
, 9. A nurse assesses a client after a thoracentesis. Which assessment finding
warrants immediate action?
d. The trachea is deviated toward the opposite side of the neck.
ANS: D
1.A nurse is caring for a client who has just had a central venous access line
inserted. Which action should the nurse take next?
b. Ensure an x-ray is completed to confirm placement.
ANS: B
3.A nurse teaches a client who is being discharged home with a peripherally
inserted central catheter (PICC). Which statement should the nurse include in
this clients teaching?
a. Avoid carrying your grandchild with the arm that has the central catheter.
ANS: A
5.A nurse is caring for a client who is receiving an epidural infusion for pain
management. Which assessment finding requires immediate intervention from
the nurse?
b. Report of headache and stif f
neck ANS: B
7.A nurse is assessing clients who have intravenous therapy prescribed. Which
assessment finding for a client with a peripherally inserted central catheter
(PICC) requires immediate attention?
d. Upper extremity swelling is noted.
ANS: D
13.A nurse teaches a client who is prescribed a central vascular access device.
Which statement should the nurse include in this clients teaching?
c. Ask all providers to vigorously clean the connections prior to accessing the device.
