Nurs 221 Exam 2 Questions With Correct
Answers
Stable |angina |- |CORRECT |ANSWER✔✔-predictable |and |consistent |pain |that |occurs |on |exertion
|and |is |relieved |by |rest |and/or |nitroglycerin
The |nurse |is |monitoring |hourly |urine |output |of |a |client |diagnosed |with |hypovolemic |shock. |
The |nurse |is |most |concerned |if |the |client's |output |is:
a. |20 |mL/hour
b. |40 |mL/hour
c. |60 |mL/hour
d. |80 |mL/hour |- |CORRECT |ANSWER✔✔-a. |20 |mL/hour
A |client |recovered |from |influenza |2 |days |ago |and |informs |the |nurse |that |she |is |feeling |better |
but |now |has |a |fever, |chills, |pain |when |breathing, |and |a |productive |cough. |What |complication |
does |the |nurse |anticipate |the |client |will |be |treated |for?
a. |A |secondary |bacterial |pneumonia
b. |A |relapse |of |the |flu
c. |Reye |syndrome
d. |Tuberculosis |- |CORRECT |ANSWER✔✔-a. |A |secondary |bacterial |pneumonia; |people |usually |
start |to |feel |better |and |then |symptoms |return
Which |client |is |at |risk |for |developing |acute |respiratory |failure?
a. |A |middle-aged |male |diagnosed |with |amyotrophic |lateral |sclerosis |(ALS) |who |has |pneumonia
|with |low |O2 |saturation
,b. |An |older |adult |female |living |in |senior |housing |who |has |been |exposed |to |a |"cold" |while |her |
grandchildren |visited
c. |A |teenager |in |a |high |school |who |has |had |an |increase |in |student |absences |due |to |an |
outbreak |of |strep |throat
d. |A |toddler |in |daycare |who |has |been |sharing |toys |with |peers |before |the |staff |could |sanitize |
properly |- |CORRECT |ANSWER✔✔-a. |A |middle-aged |male |diagnosed |with |amyotrophic |lateral |
sclerosis |(ALS) |who |has |pneumonia |with |low |O2 |saturation
A |client |with |a |history |of |chronic |kidney |disease |(CKD) |is |experiencing |increasing |fatigue, |
lethargy, |and |activity |intolerance. |The |care |team |has |established |that |the |client's |glomerular |
filtration |rate |(GFR) |remains |at |a |low, |but |stable, |level. |Which |laboratory |assessments |will |
most |likely |be |prescribed |to |help |determine |the |cause |of |these |new |symptoms?
a. |Blood |work |for |white |cells |and |differential
b. |Cystoscopy |and |ureteroscopy
c. |Assessment |of |pancreatic |exocrine |and |endocrine |function
d. |Blood |work |for |hemoglobin, |red |blood |cells, |and |hematocrit |- |CORRECT |ANSWER✔✔-d. |
Blood |work |for |hemoglobin, |red |blood |cells, |and |hematocrit
Following |several |weeks |of |increasing |fatigue |and |a |subsequent |diagnostic |workup, |a |client |
has |been |diagnosed |with |mitral |valve |regurgitation. |Failure |of |this |heart |valve |would |have |
which |hemodynamic |consequences?
a. |Backup |of |blood |from |the |right |atrium |into |the |superior |vena |cava
b. |Backflow |from |the |right |ventricle |to |the |right |atrium |during |systole
c. |Inhibition |of |the |SA |node's |normal |action |potential
d. |Backflow |from |the |left |ventricle |to |left |atrium |- |CORRECT |ANSWER✔✔-d. |Backflow |from |the
|left |ventricle |to |left |atrium
,A |client |with |a |suspected |MI |is |brought |to |the |emergency |department |by |ambulance. |The |
nurse |caring |for |this |client |would |expect |to |receive |an |order |for |which |laboratory |test |to |
confirm |a |diagnosis |of |MI?
a. |Creatine |kinase |marker
b. |Complete |blood |components
c. |Calcium |level
d. |Troponin |level |- |CORRECT |ANSWER✔✔-d. |Troponin |level
A |client |has |been |diagnosed |with |aortic |stenosis |and |asks |the |nurse |what |this |means. |The |
most |appropriate |response |would |be:
a. |The |valve |opening |is |narrowed |and |produces |increased |resistance |to |blood |flow |out |of |the |
left |ventricle |and |into |the |aorta.
b. |The |valve |opening |is |incompetent, |thereby |allowing |blood |to |flow |back |from |the |pulmonary
|artery |and |into |the |left |atrium.
c. |The |valve |opening |permits |backward |flow |to |occur |when |the |valve |should |be |closed.
d. |The |valve |opens |backward, |permitting |blood |to |flow |from |the |right |ventricle |into |the |right |
atrium. |- |CORRECT |ANSWER✔✔-a. |The |valve |opening |is |narrowed |and |produces |increased |
resistance |to |blood |flow |out |of |the |left |ventricle |and |into |the |aorta.
A |client |has |just |been |told |that |he |has |an |infection |of |the |inner |surface |of |the |heart. |He |is |
also |told |that |the |bacteria |has |invaded |his |heart |valves. |What |term |is |used |for |this |disease |
process?
a. |Pericarditis
b. |Myocardial |infarction
c. |Infective |endocarditis
d. |Cardiomyopathy |- |CORRECT |ANSWER✔✔-c. |Infective |endocarditis
, The |nurse |is |reviewing |the |laboratory |work |of |several |medical |clients. |Which |laboratory |result |
is |most |suggestive |of |abnormalities |in |kidney |function?
a. |An |absolute |absence |of |protein |in |a |urine |sample
b. |Increased |creatinine |and |blood |urea |nitrogen |(BUN) |levels
c. |Urine |gravity |of |1.030 |and |normal |serum |creatinine |levels
d. |Normal |creatinine |levels |and |elevated |blood |urea |nitrogen |(BUN) |- |CORRECT |ANSWER✔✔-
b. |Increased |creatinine |and |blood |urea |nitrogen |(BUN) |levels
A |nurse |is |performing |client |health |education |with |a |68-year-old |man |who |has |recently |been |
diagnosed |with |heart |failure. |Which |statement |demonstrates |an |accurate |understanding |of |his
|new |diagnosis?
a. |"I'll |be |sure |to |take |my |beta-blocker |whenever |I |feel |short |of |breath."
b. |"I'm |going |to |avoid |as |much |physical |activity |as |I |can |so |that |I |preserve |my |strength."
c. |"I |know |it's |healthy |to |drink |a |lot |of |water, |and |I'm |going |to |make |sure |I |do |this |from |now |
on."
d. |"I'm |trying |to |think |of |ways |that |I |can |cut |down |the |amount |of |salt |that |I |usually |eat." |- |
CORRECT |ANSWER✔✔-d. |"I'm |trying |to |think |of |ways |that |I |can |cut |down |the |amount |of |salt |
that |I |usually |eat."
The |nurse |would |be |most |concerned |when |the |glomerular |filtrate |contains:
a. |Protein
b. |Sodium
c. |Potassium
d. |Water |- |CORRECT |ANSWER✔✔-a. |Protein
Answers
Stable |angina |- |CORRECT |ANSWER✔✔-predictable |and |consistent |pain |that |occurs |on |exertion
|and |is |relieved |by |rest |and/or |nitroglycerin
The |nurse |is |monitoring |hourly |urine |output |of |a |client |diagnosed |with |hypovolemic |shock. |
The |nurse |is |most |concerned |if |the |client's |output |is:
a. |20 |mL/hour
b. |40 |mL/hour
c. |60 |mL/hour
d. |80 |mL/hour |- |CORRECT |ANSWER✔✔-a. |20 |mL/hour
A |client |recovered |from |influenza |2 |days |ago |and |informs |the |nurse |that |she |is |feeling |better |
but |now |has |a |fever, |chills, |pain |when |breathing, |and |a |productive |cough. |What |complication |
does |the |nurse |anticipate |the |client |will |be |treated |for?
a. |A |secondary |bacterial |pneumonia
b. |A |relapse |of |the |flu
c. |Reye |syndrome
d. |Tuberculosis |- |CORRECT |ANSWER✔✔-a. |A |secondary |bacterial |pneumonia; |people |usually |
start |to |feel |better |and |then |symptoms |return
Which |client |is |at |risk |for |developing |acute |respiratory |failure?
a. |A |middle-aged |male |diagnosed |with |amyotrophic |lateral |sclerosis |(ALS) |who |has |pneumonia
|with |low |O2 |saturation
,b. |An |older |adult |female |living |in |senior |housing |who |has |been |exposed |to |a |"cold" |while |her |
grandchildren |visited
c. |A |teenager |in |a |high |school |who |has |had |an |increase |in |student |absences |due |to |an |
outbreak |of |strep |throat
d. |A |toddler |in |daycare |who |has |been |sharing |toys |with |peers |before |the |staff |could |sanitize |
properly |- |CORRECT |ANSWER✔✔-a. |A |middle-aged |male |diagnosed |with |amyotrophic |lateral |
sclerosis |(ALS) |who |has |pneumonia |with |low |O2 |saturation
A |client |with |a |history |of |chronic |kidney |disease |(CKD) |is |experiencing |increasing |fatigue, |
lethargy, |and |activity |intolerance. |The |care |team |has |established |that |the |client's |glomerular |
filtration |rate |(GFR) |remains |at |a |low, |but |stable, |level. |Which |laboratory |assessments |will |
most |likely |be |prescribed |to |help |determine |the |cause |of |these |new |symptoms?
a. |Blood |work |for |white |cells |and |differential
b. |Cystoscopy |and |ureteroscopy
c. |Assessment |of |pancreatic |exocrine |and |endocrine |function
d. |Blood |work |for |hemoglobin, |red |blood |cells, |and |hematocrit |- |CORRECT |ANSWER✔✔-d. |
Blood |work |for |hemoglobin, |red |blood |cells, |and |hematocrit
Following |several |weeks |of |increasing |fatigue |and |a |subsequent |diagnostic |workup, |a |client |
has |been |diagnosed |with |mitral |valve |regurgitation. |Failure |of |this |heart |valve |would |have |
which |hemodynamic |consequences?
a. |Backup |of |blood |from |the |right |atrium |into |the |superior |vena |cava
b. |Backflow |from |the |right |ventricle |to |the |right |atrium |during |systole
c. |Inhibition |of |the |SA |node's |normal |action |potential
d. |Backflow |from |the |left |ventricle |to |left |atrium |- |CORRECT |ANSWER✔✔-d. |Backflow |from |the
|left |ventricle |to |left |atrium
,A |client |with |a |suspected |MI |is |brought |to |the |emergency |department |by |ambulance. |The |
nurse |caring |for |this |client |would |expect |to |receive |an |order |for |which |laboratory |test |to |
confirm |a |diagnosis |of |MI?
a. |Creatine |kinase |marker
b. |Complete |blood |components
c. |Calcium |level
d. |Troponin |level |- |CORRECT |ANSWER✔✔-d. |Troponin |level
A |client |has |been |diagnosed |with |aortic |stenosis |and |asks |the |nurse |what |this |means. |The |
most |appropriate |response |would |be:
a. |The |valve |opening |is |narrowed |and |produces |increased |resistance |to |blood |flow |out |of |the |
left |ventricle |and |into |the |aorta.
b. |The |valve |opening |is |incompetent, |thereby |allowing |blood |to |flow |back |from |the |pulmonary
|artery |and |into |the |left |atrium.
c. |The |valve |opening |permits |backward |flow |to |occur |when |the |valve |should |be |closed.
d. |The |valve |opens |backward, |permitting |blood |to |flow |from |the |right |ventricle |into |the |right |
atrium. |- |CORRECT |ANSWER✔✔-a. |The |valve |opening |is |narrowed |and |produces |increased |
resistance |to |blood |flow |out |of |the |left |ventricle |and |into |the |aorta.
A |client |has |just |been |told |that |he |has |an |infection |of |the |inner |surface |of |the |heart. |He |is |
also |told |that |the |bacteria |has |invaded |his |heart |valves. |What |term |is |used |for |this |disease |
process?
a. |Pericarditis
b. |Myocardial |infarction
c. |Infective |endocarditis
d. |Cardiomyopathy |- |CORRECT |ANSWER✔✔-c. |Infective |endocarditis
, The |nurse |is |reviewing |the |laboratory |work |of |several |medical |clients. |Which |laboratory |result |
is |most |suggestive |of |abnormalities |in |kidney |function?
a. |An |absolute |absence |of |protein |in |a |urine |sample
b. |Increased |creatinine |and |blood |urea |nitrogen |(BUN) |levels
c. |Urine |gravity |of |1.030 |and |normal |serum |creatinine |levels
d. |Normal |creatinine |levels |and |elevated |blood |urea |nitrogen |(BUN) |- |CORRECT |ANSWER✔✔-
b. |Increased |creatinine |and |blood |urea |nitrogen |(BUN) |levels
A |nurse |is |performing |client |health |education |with |a |68-year-old |man |who |has |recently |been |
diagnosed |with |heart |failure. |Which |statement |demonstrates |an |accurate |understanding |of |his
|new |diagnosis?
a. |"I'll |be |sure |to |take |my |beta-blocker |whenever |I |feel |short |of |breath."
b. |"I'm |going |to |avoid |as |much |physical |activity |as |I |can |so |that |I |preserve |my |strength."
c. |"I |know |it's |healthy |to |drink |a |lot |of |water, |and |I'm |going |to |make |sure |I |do |this |from |now |
on."
d. |"I'm |trying |to |think |of |ways |that |I |can |cut |down |the |amount |of |salt |that |I |usually |eat." |- |
CORRECT |ANSWER✔✔-d. |"I'm |trying |to |think |of |ways |that |I |can |cut |down |the |amount |of |salt |
that |I |usually |eat."
The |nurse |would |be |most |concerned |when |the |glomerular |filtrate |contains:
a. |Protein
b. |Sodium
c. |Potassium
d. |Water |- |CORRECT |ANSWER✔✔-a. |Protein
