NUR 256 Exam 2 (GRADED A)Questions and
Answer Solutions | 100% ACCURATE | Galen
College of Nursing
, NUR 256 Exam 2 (GRADED A)
Questions and Answer Solutions | 100%
ACCURATE | Galen College of Nursing
, NUR 256 Exam 2 (GRADED A)
Questions and Answer Solutions | 100%
ACCURATE | Galen College of Nursing
1. A nurse is caring for a client with pneumonia. Which assessment finding
requires immediate intervention?
a. Productive cough with green sputum
b. Oral temperature of 101°F (38.3°C)
c. Respiratory rate of 28 breaths/min
d. New onset confusion
New confusion indicates possible hypoxia and should be addressed
immediately to prevent further deterioration.
2. Which dietary choice is most appropriate for a patient with chronic kidney
disease?
a. Cheese omelet and sausage
b. Grilled chicken with white rice
c. Salted nuts and cola
d. Ham sandwich with pickle
Patients with CKD should limit sodium, phosphorus, and protein. Grilled
chicken (moderate protein) and rice (low phosphorus) are appropriate.
3. Which laboratory value indicates effectiveness of warfarin therapy?
a. PT 10 seconds
b. INR 2.5
c. Platelets 300,000/mm³
, d. aPTT 25 seconds
INR between 2–3 indicates therapeutic anticoagulation for most
conditions like atrial fibrillation.
4. Which assessment finding in a patient with heart failure requires priority
action?
a. Bilateral ankle edema
b. Weight gain of 2 pounds in 2 days
c. Dyspnea with exertion
d. Pink frothy sputum
Pink frothy sputum indicates pulmonary edema, a life-threatening
complication of heart failure.
5. A nurse is caring for a client receiving furosemide. Which finding should
be reported immediately?
a. Weight loss of 1 kg
b. BP 110/70 mmHg
c. Urine output of 300 mL in 4 hours
d. Potassium 2.8 mEq/L
Hypokalemia can cause cardiac dysrhythmias and needs prompt
correction.
6. A patient with COPD is receiving oxygen at 4 L/min via nasal cannula.
Which action is appropriate?
a. Increase oxygen to 6 L/min if shortness of breath worsens
b. Encourage the patient to breathe deeply and rapidly
c. Monitor for decreased respiratory rate
Answer Solutions | 100% ACCURATE | Galen
College of Nursing
, NUR 256 Exam 2 (GRADED A)
Questions and Answer Solutions | 100%
ACCURATE | Galen College of Nursing
, NUR 256 Exam 2 (GRADED A)
Questions and Answer Solutions | 100%
ACCURATE | Galen College of Nursing
1. A nurse is caring for a client with pneumonia. Which assessment finding
requires immediate intervention?
a. Productive cough with green sputum
b. Oral temperature of 101°F (38.3°C)
c. Respiratory rate of 28 breaths/min
d. New onset confusion
New confusion indicates possible hypoxia and should be addressed
immediately to prevent further deterioration.
2. Which dietary choice is most appropriate for a patient with chronic kidney
disease?
a. Cheese omelet and sausage
b. Grilled chicken with white rice
c. Salted nuts and cola
d. Ham sandwich with pickle
Patients with CKD should limit sodium, phosphorus, and protein. Grilled
chicken (moderate protein) and rice (low phosphorus) are appropriate.
3. Which laboratory value indicates effectiveness of warfarin therapy?
a. PT 10 seconds
b. INR 2.5
c. Platelets 300,000/mm³
, d. aPTT 25 seconds
INR between 2–3 indicates therapeutic anticoagulation for most
conditions like atrial fibrillation.
4. Which assessment finding in a patient with heart failure requires priority
action?
a. Bilateral ankle edema
b. Weight gain of 2 pounds in 2 days
c. Dyspnea with exertion
d. Pink frothy sputum
Pink frothy sputum indicates pulmonary edema, a life-threatening
complication of heart failure.
5. A nurse is caring for a client receiving furosemide. Which finding should
be reported immediately?
a. Weight loss of 1 kg
b. BP 110/70 mmHg
c. Urine output of 300 mL in 4 hours
d. Potassium 2.8 mEq/L
Hypokalemia can cause cardiac dysrhythmias and needs prompt
correction.
6. A patient with COPD is receiving oxygen at 4 L/min via nasal cannula.
Which action is appropriate?
a. Increase oxygen to 6 L/min if shortness of breath worsens
b. Encourage the patient to breathe deeply and rapidly
c. Monitor for decreased respiratory rate
