PN3 EXAM 3 QUESTIONS AND ANSWERS
The nurse is caring for a client who has sustained multiple injuries from a motor vehicle
accident. The nurse realizes that the client will have a release of stress hormones that
are useful for all of the following EXCEPT: - Answer -Preventing ingestion of food
The nurse is planning care for a client diagnosed with acute respiratory distress
syndrome (ARDS)? Which of the following is not included in the management of this
disorder? - Answer -Promoting urine output
The nurse, caring for a client diagnosed with shock, realizes that the stage in which the
body attempts to remedy the problem by initiating the homeostatic mechanism would
be? - Answer -Compensatory stage
A client experiences a bee sting, complains of difficulty breathing, and shows sign of
hypoxia and hypotension. The nurse realizes these are signs of anaphylactic shock, and
she should do which of the following first? - Answer -Give epinephrine intravenously or
via endotracheal tube
A client is diagnosed with failure of the left ventricle to provide adequate delivery of
oxygen to the body tissues due to a weakened forward pumping function of the heart.
The nurse realizes this client is experiencing: - Answer -cardiogenic shock
To assess if the renal system in a client diagnosed with multisystem failure is
functioning properly, the nurse would expect to see urine output of: - Answer -30 mL
per hour
The nurse realizes that a client, diagnosed with neurogenic shock, is at risk for
developing: - Answer -deep vein thrombosis
A client is diagnosed with septic shock. The nurse realizes that the major cause of this
type of shock is: - Answer -gram-negative bacteria
A client is diagnosed with cardiogenic shock. The nurse should plan interventions to
address which of the following potential complications of this disorder? - Answer -
Myocardial infarction
The nurse is concerned that a client will develop neurogenic shock when which of the
following is assessed? - Answer -Spinal cord injury at T1
The nurse is planning care for a client diagnosed with disseminated intravascular
coagulation. Which of the following should be included in this plan of care? - Answer -
Avoid intramuscular injections
, A firefighter is brought to the emergency department with complaints of headache,
weakness, shortness of breath, cough, and chest pain. During the assessment of this
client, the nurse realizes the client should be evaluated for: - Answer -Cyanide
poisoning
The nurse is assessing a client for the acute phase of the inflammatory immune
response. Which of the following are considered cardinal signs of this response? (Select
all that apply.) - Answer -Rubor, Tumor, Dolor, Calor
The nurse is determining if a client is experiencing chronic inflammation. Which of the
following are indications for this type of inflammation? (Select all that apply.) - Answer -
Chronic elevation of white blood cells, Low-grade fever, Pain, Scar formation
The nurse is assessing a client for systemic inflammatory response syndrome (SIRS).
Which of the following disease processes are associated with this syndrome? (Select all
that apply.) - Answer -Infection, Pancreatitis, Ischemia, Trauma, Massive transfusions
A client is experiencing symptoms associated with distributive shock. What types of
shock are included in this category? (Select all that apply.) - Answer -Neurogenic,
Anaphylactic, Septic
The nurse is caring for a client experiencing hypovolemic shock. Which of the following
interventions would be appropriate for this client? (Select all that apply.) - Answer -
Monitor intravenous fluid replacement, Monitor vital signs, Assess for manifestations of
fluid overload, Monitor white blood cell count and hemoglobin and hematocrit levels,
Position for comfort
A client is learning about cholesterol. The nurse explains that the good cholesterol
transports plasma cholesterol away from plaques and to the liver for metabolism. This
type of cholesterol is called: - Answer -high-density lipoprotein
A client has a blood pressure of 124/78 mmHg and a triglyceride level of 160 mg/dL.
Based on these results, the nurse knows that the client has: - Answer -a
prehypertensive blood pressure and a borderline high triglyceride level
The nurse measures a client's blood pressure to be 158/92 mmHg. The nurse
recognizes that this blood pressure is classified as: - Answer -stage I hypertension
A client is complaining of chest pain that occurs during exercise. This pain is relieved
when the client rests. The nurse realizes that this client is experiencing which type of
angina? - Answer -Stable angina
A client diagnosed with stable angina is undergoing a 12-lead electrocardiogram. Which
of the following results is not expected? - Answer -ST segment elevation
The nurse is caring for a client who has sustained multiple injuries from a motor vehicle
accident. The nurse realizes that the client will have a release of stress hormones that
are useful for all of the following EXCEPT: - Answer -Preventing ingestion of food
The nurse is planning care for a client diagnosed with acute respiratory distress
syndrome (ARDS)? Which of the following is not included in the management of this
disorder? - Answer -Promoting urine output
The nurse, caring for a client diagnosed with shock, realizes that the stage in which the
body attempts to remedy the problem by initiating the homeostatic mechanism would
be? - Answer -Compensatory stage
A client experiences a bee sting, complains of difficulty breathing, and shows sign of
hypoxia and hypotension. The nurse realizes these are signs of anaphylactic shock, and
she should do which of the following first? - Answer -Give epinephrine intravenously or
via endotracheal tube
A client is diagnosed with failure of the left ventricle to provide adequate delivery of
oxygen to the body tissues due to a weakened forward pumping function of the heart.
The nurse realizes this client is experiencing: - Answer -cardiogenic shock
To assess if the renal system in a client diagnosed with multisystem failure is
functioning properly, the nurse would expect to see urine output of: - Answer -30 mL
per hour
The nurse realizes that a client, diagnosed with neurogenic shock, is at risk for
developing: - Answer -deep vein thrombosis
A client is diagnosed with septic shock. The nurse realizes that the major cause of this
type of shock is: - Answer -gram-negative bacteria
A client is diagnosed with cardiogenic shock. The nurse should plan interventions to
address which of the following potential complications of this disorder? - Answer -
Myocardial infarction
The nurse is concerned that a client will develop neurogenic shock when which of the
following is assessed? - Answer -Spinal cord injury at T1
The nurse is planning care for a client diagnosed with disseminated intravascular
coagulation. Which of the following should be included in this plan of care? - Answer -
Avoid intramuscular injections
, A firefighter is brought to the emergency department with complaints of headache,
weakness, shortness of breath, cough, and chest pain. During the assessment of this
client, the nurse realizes the client should be evaluated for: - Answer -Cyanide
poisoning
The nurse is assessing a client for the acute phase of the inflammatory immune
response. Which of the following are considered cardinal signs of this response? (Select
all that apply.) - Answer -Rubor, Tumor, Dolor, Calor
The nurse is determining if a client is experiencing chronic inflammation. Which of the
following are indications for this type of inflammation? (Select all that apply.) - Answer -
Chronic elevation of white blood cells, Low-grade fever, Pain, Scar formation
The nurse is assessing a client for systemic inflammatory response syndrome (SIRS).
Which of the following disease processes are associated with this syndrome? (Select all
that apply.) - Answer -Infection, Pancreatitis, Ischemia, Trauma, Massive transfusions
A client is experiencing symptoms associated with distributive shock. What types of
shock are included in this category? (Select all that apply.) - Answer -Neurogenic,
Anaphylactic, Septic
The nurse is caring for a client experiencing hypovolemic shock. Which of the following
interventions would be appropriate for this client? (Select all that apply.) - Answer -
Monitor intravenous fluid replacement, Monitor vital signs, Assess for manifestations of
fluid overload, Monitor white blood cell count and hemoglobin and hematocrit levels,
Position for comfort
A client is learning about cholesterol. The nurse explains that the good cholesterol
transports plasma cholesterol away from plaques and to the liver for metabolism. This
type of cholesterol is called: - Answer -high-density lipoprotein
A client has a blood pressure of 124/78 mmHg and a triglyceride level of 160 mg/dL.
Based on these results, the nurse knows that the client has: - Answer -a
prehypertensive blood pressure and a borderline high triglyceride level
The nurse measures a client's blood pressure to be 158/92 mmHg. The nurse
recognizes that this blood pressure is classified as: - Answer -stage I hypertension
A client is complaining of chest pain that occurs during exercise. This pain is relieved
when the client rests. The nurse realizes that this client is experiencing which type of
angina? - Answer -Stable angina
A client diagnosed with stable angina is undergoing a 12-lead electrocardiogram. Which
of the following results is not expected? - Answer -ST segment elevation
