NURS 640 Exam 2 Questions With Complete Solutions
. The nurse is listening to the breath sounds of a patient with
severe asthma. Air passing through narrowed bronchioles would
produce which of these adventitious sounds? Correct Answer
Wheezes
.A client complains of acute gastrointestinal distress. While
obtaining a health history, the nurse asks about the family
history. Which disorder has a familial basis? Correct Answer
Ulcerative Colitis
.A client diagnosed with heart failure is prescribed furosemide
(Lasix). Which of the following should this client be monitored
for because of this medication? (Select all that apply.) Correct
Answer dehydration, hyponatremia, and hypokalemia
.A client experiencing abdominal pain and diarrhea tells the
nurse that he used to smoke. Which of the following
gastrointestinal disturbances is this client most likely
experiencing Correct Answer Crohns Disease
.A client is diagnosed with burning mouth syndrome. Which of
the following interventions should be included in this clients
plan of care Correct Answer assessing the condition of the
teeth
.A client is diagnosed with disseminated low-grade non-
Hodgkins lymphoma. Which of the following treatments would
be indicated for this client? Correct Answer Watch and wait
,.The nurse is assessing a client diagnosed with irritable bowel
syndrome (IBS). Which of the following characteristics are
associated with this disorder? Correct Answer recurrent
abdominal pain that improves with defecation. The pain will
also appear with a change in stool frequency. The pain is also
associated with a change in stool appearance.
.The nurse notes that on a clients electrocardiogram tracing,
there is one P wave for every QRS complex and a delay in the
impulse transmission at the AV node. This regular rhythm is
identified as: Correct Answer First-degree atrioventricular
(AV) block
.When instructing a client on ways to lower his cholesterol
levels, which of the following should the nurse include? Correct
Answer Cholesterol is located in animal sources, so decreasing
meat and eggs will lower cholesterol levels.
.Which of the following diagnostic tests is useful to diagnose
mitral valve prolapse? Correct Answer Transesophageal
echocardiography is useful in the assessment of cardiac
murmurs, stenosis, and regurgitation of all four cardiac valves
1.A client with a heart rate of 40 who is experiencing shortness
of breath and nausea is diagnosed with second-degree AV block
type II. Which of the following will be included in this clients
treatment? Correct Answer Atropine, External Pacer
1.The nurse is instructing a client about symptoms associated
with peptic ulcer disease. Which of the following should be
included in these instructions? Correct Answer abdominal pain,
, pain in the middle of the night; weight loss; poor appetite; and
bloating
2.A client diagnosed with sickle-cell anemia is experiencing
vaso-occlusive crisis. Which of the following interventions
would be appropriate for this client? Correct Answer adequate
hydration, oxygenation, adequate nutrition, rest, medications,
management of fever and complications, and use of transfusions.
3.The nurse assesses no bowel sounds with occasional splashing
sounds over the large intestines. Which of the following do these
assessment findings suggest to the nurse Correct Answer
Obstruction can be detected with absent bowel sounds and
borborygmi or a splashing sound heard over the large intestine
5.The nurse is reading an ECG rhythm strip and notes that there
are nine QRS complexes in a 6- second strip. The heart rate is:
Correct Answer multiplying the QRS complexes in a 6-second
strip by 10
6.The nurse is instructing a client diagnosed with mild heart
failure on dietary modifications. Which of the following client
statements indicates that the instruction has been effective?
Correct Answer Low Salt Diet
A client diagnosed with acute myeloid leukemia is recovering
from a bone marrow transplant. Which of the following nursing
interventions would not be appropriate for this client? Correct
Answer no anesthesia
. The nurse is listening to the breath sounds of a patient with
severe asthma. Air passing through narrowed bronchioles would
produce which of these adventitious sounds? Correct Answer
Wheezes
.A client complains of acute gastrointestinal distress. While
obtaining a health history, the nurse asks about the family
history. Which disorder has a familial basis? Correct Answer
Ulcerative Colitis
.A client diagnosed with heart failure is prescribed furosemide
(Lasix). Which of the following should this client be monitored
for because of this medication? (Select all that apply.) Correct
Answer dehydration, hyponatremia, and hypokalemia
.A client experiencing abdominal pain and diarrhea tells the
nurse that he used to smoke. Which of the following
gastrointestinal disturbances is this client most likely
experiencing Correct Answer Crohns Disease
.A client is diagnosed with burning mouth syndrome. Which of
the following interventions should be included in this clients
plan of care Correct Answer assessing the condition of the
teeth
.A client is diagnosed with disseminated low-grade non-
Hodgkins lymphoma. Which of the following treatments would
be indicated for this client? Correct Answer Watch and wait
,.The nurse is assessing a client diagnosed with irritable bowel
syndrome (IBS). Which of the following characteristics are
associated with this disorder? Correct Answer recurrent
abdominal pain that improves with defecation. The pain will
also appear with a change in stool frequency. The pain is also
associated with a change in stool appearance.
.The nurse notes that on a clients electrocardiogram tracing,
there is one P wave for every QRS complex and a delay in the
impulse transmission at the AV node. This regular rhythm is
identified as: Correct Answer First-degree atrioventricular
(AV) block
.When instructing a client on ways to lower his cholesterol
levels, which of the following should the nurse include? Correct
Answer Cholesterol is located in animal sources, so decreasing
meat and eggs will lower cholesterol levels.
.Which of the following diagnostic tests is useful to diagnose
mitral valve prolapse? Correct Answer Transesophageal
echocardiography is useful in the assessment of cardiac
murmurs, stenosis, and regurgitation of all four cardiac valves
1.A client with a heart rate of 40 who is experiencing shortness
of breath and nausea is diagnosed with second-degree AV block
type II. Which of the following will be included in this clients
treatment? Correct Answer Atropine, External Pacer
1.The nurse is instructing a client about symptoms associated
with peptic ulcer disease. Which of the following should be
included in these instructions? Correct Answer abdominal pain,
, pain in the middle of the night; weight loss; poor appetite; and
bloating
2.A client diagnosed with sickle-cell anemia is experiencing
vaso-occlusive crisis. Which of the following interventions
would be appropriate for this client? Correct Answer adequate
hydration, oxygenation, adequate nutrition, rest, medications,
management of fever and complications, and use of transfusions.
3.The nurse assesses no bowel sounds with occasional splashing
sounds over the large intestines. Which of the following do these
assessment findings suggest to the nurse Correct Answer
Obstruction can be detected with absent bowel sounds and
borborygmi or a splashing sound heard over the large intestine
5.The nurse is reading an ECG rhythm strip and notes that there
are nine QRS complexes in a 6- second strip. The heart rate is:
Correct Answer multiplying the QRS complexes in a 6-second
strip by 10
6.The nurse is instructing a client diagnosed with mild heart
failure on dietary modifications. Which of the following client
statements indicates that the instruction has been effective?
Correct Answer Low Salt Diet
A client diagnosed with acute myeloid leukemia is recovering
from a bone marrow transplant. Which of the following nursing
interventions would not be appropriate for this client? Correct
Answer no anesthesia
