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nur-265-exam-2-review-practice-questions-and-answers

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1. A client with a pulmonary embolism may display which of the following classic
signs?

● A. Bradycardia
● B. Hemoptysis
● C. Cyanosis
● D. Frothy sputum
Answer: B. Hemoptysis

2. Which of the following lab values is most indicative of acute respiratory failure?

● A. PaO₂ of 85 mmHg
● B. PaCO₂ of 50 mmHg
● C. pH of 7.25
● D. HCO₃ of 22 mEq/L
Answer: C. pH of 7.25

3. A client with ARDS is placed on a ventilator. Which intervention is most appropriate?

● A. Prone positioning
● B. High tidal volume ventilation
● C. Rapid weaning
● D. Suctioning every 30 minutes
Answer: A. Prone positioning

4. When assessing a client for Ventilator-Associated Event (VAE), the nurse should
monitor for:

● A. Decreased tidal volume
● B. Increased oxygen requirement
● C. Consistent PaCO₂
● D. Decreased PEEP requirement
Answer: B. Increased oxygen requirement

5. Which of the following is a potential cause of Ventilator-Associated Lung Injury
(VALI)?

● A. High PEEP levels
● B. Low tidal volume
● C. Fluid restriction
● D. Prolonged sedation
Answer: A. High PEEP levels

6. The nurse knows that flail chest is characterized by:

● A. Chest pain on inspiration
● B. Paradoxical chest wall movement
● C. Decreased chest wall movement
● D. Hemoptysis
Answer: B. Paradoxical chest wall movement
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7. For a client with a pneumothorax, which of the following findings is most
concerning?

● A. Diminished breath sounds on affected side
● B. Subcutaneous emphysema
● C. Tracheal deviation
● D. SpO₂ of 96%
Answer: C. Tracheal deviation

8. A client is diagnosed with diabetes insipidus. Which of the following is expected?

● A. Increased serum sodium
● B. Low urine output
● C. Decreased thirst
● D. Hypertension
Answer: A. Increased serum sodium

9. Which of the following is a sign of thyroid storm?

● A. Bradycardia
● B. Hyperthermia
● C. Hypotension
● D. Lethargy
Answer: B. Hyperthermia

10. Which intervention is most appropriate following a thoracentesis?

● A. Lay the client flat for 8 hours
● B. Observe for signs of respiratory distress
● C. Encourage deep breathing exercises immediately
● D. Start the client on oxygen at 6 L/min
Answer: B. Observe for signs of respiratory distress

11. A client with hyperthyroidism may present with:

● A. Cold intolerance
● B. Weight gain
● C. Tachycardia
● D. Constipation
Answer: C. Tachycardia

12. In hypothyroidism, the nurse would expect:

● A. Hyperthermia
● B. Bradycardia
● C. Hyperactivity
● D. Hypertension
Answer: B. Bradycardia




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