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PN2 FINAL EXAM LATEST 2024 ACTUAL EXAM
LATEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
A client is admitted with a diagnosis of DKA. Which ABG values
would the nurse expect to see? (metabolic acidosis) (ph < 7.3 ,
CO2 normal, HCO3 low)
pH 7.29, PaCO2 35, HCO3 18
pH 7.47, PaCO2 45, HCO3 18
pH 7.33 PaCO2 49, HCO3 26
pH 7.45, PaCO2 35, HCO3 23 - ANSWER-A. pH 7.29, PaCO2
35, HCO3 18
The nurse assesses a client who has Myasthenia Gravis. Which
clinical manifestation does the nurse expect to find in this client?
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Mild diplopia and unilateral ptosis
Loss of central vision
Kussmaul respirations
Morning stiffness greater than 1 hour - ANSWER-A. Mild diplopia
and unilateral ptosis
The nurse is caring for a patient with infective endocarditis and
identifies the nursing diagnosis of decreased cardiac output related
to. Findings?
Fever, chills, diaphoresis
Blood pressure of 85/48
Petechiae on the inside of mouth and conjunctiva
Increase HR of 15 bpm while walking - ANSWER-B. Blood
pressure
The nurse assesses for which clinical manifestation in a client with
suspected DKA?
Increased rate and depth of respirations
Extremity tremors followed by seizure activity
Oral temp of 102
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Hypertension - ANSWER-A. Increased rate and depth of
respirations
The nurse assesses a client with pneumonia and notes no audible
lung sounds on the left side and decreased lung expansion. What
is the nurse's first action?
Have client cough and deep breath
Assess oxygen saturation and notify the health care provider
Perform an arterial blood gas analysis
Increase 02 flow to 10 L/min - ANSWER-B. Assess oxygen
saturation and notify the health care provider.
The nurse is caring for a client with Parkinson's disease. Which
interventions does the nurse implement to prevent respiratory
complications for the patient. ?
Keep an oral airway at bedside
Ensure fluid intake of at least 3L/day
Teach the client pursed-lip breathing techniques
Maintain the head of the bed at least 30 degrees or greater -
ANSWER-D. Maintain the head of the ned at least 30 degrees or
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greater
Which of the following conditions should the nurse recognize as a
type 2 hypersensitivity reaction?
Allergic rhinitis
Positive purified protein derivative (PPD) test
Transfusion with improper blood type
Serum sickness after receiving immunoglobulin - ANSWER-C.
Transfusion with improper blood type
The nurse notes that the Hgb A1C level of a client dropped from a
8.4 to 6.7%. What statement best explains this change?
A. The Client has been less complaint with the prescribed
treatment regimen.
B. The Client is experiencing a reduction in insulin sensitivity.
C. The Client has less need for insulin
D. The client is demonstrating improved control of hyperglycemia
over the last several months. - ANSWER-D. The Client is
demonstrating improved control of hyperglycemia over the last
several months.
PN2 FINAL EXAM LATEST 2024 ACTUAL EXAM
LATEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
A client is admitted with a diagnosis of DKA. Which ABG values
would the nurse expect to see? (metabolic acidosis) (ph < 7.3 ,
CO2 normal, HCO3 low)
pH 7.29, PaCO2 35, HCO3 18
pH 7.47, PaCO2 45, HCO3 18
pH 7.33 PaCO2 49, HCO3 26
pH 7.45, PaCO2 35, HCO3 23 - ANSWER-A. pH 7.29, PaCO2
35, HCO3 18
The nurse assesses a client who has Myasthenia Gravis. Which
clinical manifestation does the nurse expect to find in this client?
,2|Page
Mild diplopia and unilateral ptosis
Loss of central vision
Kussmaul respirations
Morning stiffness greater than 1 hour - ANSWER-A. Mild diplopia
and unilateral ptosis
The nurse is caring for a patient with infective endocarditis and
identifies the nursing diagnosis of decreased cardiac output related
to. Findings?
Fever, chills, diaphoresis
Blood pressure of 85/48
Petechiae on the inside of mouth and conjunctiva
Increase HR of 15 bpm while walking - ANSWER-B. Blood
pressure
The nurse assesses for which clinical manifestation in a client with
suspected DKA?
Increased rate and depth of respirations
Extremity tremors followed by seizure activity
Oral temp of 102
,3|Page
Hypertension - ANSWER-A. Increased rate and depth of
respirations
The nurse assesses a client with pneumonia and notes no audible
lung sounds on the left side and decreased lung expansion. What
is the nurse's first action?
Have client cough and deep breath
Assess oxygen saturation and notify the health care provider
Perform an arterial blood gas analysis
Increase 02 flow to 10 L/min - ANSWER-B. Assess oxygen
saturation and notify the health care provider.
The nurse is caring for a client with Parkinson's disease. Which
interventions does the nurse implement to prevent respiratory
complications for the patient. ?
Keep an oral airway at bedside
Ensure fluid intake of at least 3L/day
Teach the client pursed-lip breathing techniques
Maintain the head of the bed at least 30 degrees or greater -
ANSWER-D. Maintain the head of the ned at least 30 degrees or
, 4|Page
greater
Which of the following conditions should the nurse recognize as a
type 2 hypersensitivity reaction?
Allergic rhinitis
Positive purified protein derivative (PPD) test
Transfusion with improper blood type
Serum sickness after receiving immunoglobulin - ANSWER-C.
Transfusion with improper blood type
The nurse notes that the Hgb A1C level of a client dropped from a
8.4 to 6.7%. What statement best explains this change?
A. The Client has been less complaint with the prescribed
treatment regimen.
B. The Client is experiencing a reduction in insulin sensitivity.
C. The Client has less need for insulin
D. The client is demonstrating improved control of hyperglycemia
over the last several months. - ANSWER-D. The Client is
demonstrating improved control of hyperglycemia over the last
several months.
