NRSG 2220 exam 2 Questions With Complete Solutions
With Complete Solutions
A 65-year-old client with a long-standing history of chronic
obstructive pulmonary disease (COPD) was placed recently on
Coumadin after experiencing atrial fibrillation. Upon discharge
from the hospital, which of the following statements by the
client indicates a need for further teaching?
A) "I will continue to use smokeless tobacco since it's a lot
better than smoking."
B)"I will avoid using over-the-counter antihistamines since they
can dry my mucosal secretions."
C)"I will watch my intake of dark green leafy vegetables since
they may impact the effects of Coumadin."
D)"I will not take any herbal preparations without my health
care provider's knowledge." Correct Answers Ans: A
Smokeless tobacco is associated with mouth cancer, gingivitis,
and tooth loss and may be carcinogenic to the pancreas. The
other noted actions are appropriate to the maintenance of health.
A 70-year-old client smoked for 30 years and has a history of
COPD. The spouse assists with cooking, cleaning, and
transportation. The spouse has become ill, and they now receive
assistance from a home health nurse. Which of the following
interventions should be the priority?
A) Assisting the clients to perform instrumental activities of
daily living (IADLs)
B) Determining a plan for providing meals
C) Setting up medications for the clients
D) Smoking cessation plan Correct Answers Ans: B
,The nurse's role is not to perform the IADLs, but to plan for the
IADLs including meals, cleaning, and transportation. There is
no indication that the clients need their medications set up,
smoking cession is important, but basic needs come first
A 70-year-old man is admitted to the hospital with an infected
finger for several days' duration. He is lethargic and confused
and has a temperature of 101.3. Other assessment findings
include blood pressure of 94/50 mm Hg, pulse 105 beats/min,
respirations of 40/min, and shallow breathing. These assessment
findings indicate which type of shock?
A. Hypovolemic
B. Cardiogenic
C. Anaphylactic
D. Septic Correct Answers D. Septic
A client is exhibiting signs and symptoms of early shock. Which
nursing actions support the psychosocial integrity of the client?
(Select all that apply.)
a. ask family members to stay with the client
b. increase IV and oxygen rates
c. call the health care provider
c. remain with the client
d. reassure the client that everything is being done for him or her
Correct Answers a. ask family members to stay with the client
c. remain with the client
d. reassure the client that everything is being done for him or her
A client is in cardiogenic shock. What explanation of
cardiogenic shock should the nurse include when responding to
a family member's questions about the condition?
,A. An irreversible phenomenon
B. A failure of the circulatory pump
C. Usually a fleeting reaction to tissue injury
D. Generally caused by decreased blood volume Correct
Answers B. A failure of the circulatory pump
A client with diabetes mellitus experiences a sudden fall in
blood glucose levels while traveling by air. The client is not
carrying any medications or a copy of a personal medical record.
Which type of health information technology would be
beneficial for this client? Correct Answers Personal health
record (PHR)
A group of nursing students can use which websites to find
codes for nursing diagnoses, interventions, and outcomes of
endocrine diseases as a part of an assignment? Select all that
apply. One, some, or all responses may be correct.
1.www.nanda.org
2.www.sabacare.com
3.www.icn.ch/icnp.htm
4.www.nursing.uiowa.edu/cncce/nic
5.www.nursing.uiowa.edu/cncce/noc Correct Answers answer:
1,2,3
A nurse admits an 81-year-old man to the hospital with
aspiration pneumonia. Which of the following risk factors
should the nurse predict that the client has in his history?
A) Cigarette smoking
B) Lung cancer
C) Dysphagia
, D) Sleep apnea Correct Answers Ans: C
Dysphagia creates a serious risk for aspiration pneumonia.
Smoking, cancer, and sleep apnea do not have a direct
correlation with aspiration pneumonia
A nurse admits an older adult from a longterm care facility into
the hospital for respiratory infection. Which diagnostic testing
should the nurse anticipate?
A) Electrocardiogram
B) Lung cancer screening
C) Mantoux testing
D) Pulmonary function testing Correct Answers Ans: C
Residents of long-term care are at risk for tuberculosis. While
cancer and cardiac and lung function testing may occur, testing
for tuberculosis should be done to screen for this contagious
disease to protect others
A nurse assesses a client's respiratory status. Which information
is of highest priority for the nurse to obtain?
a. Average daily fluid intake
b. Neck circumference
c. Height and weight
d. Occupation and hobbies Correct Answers ANS: D
Many respiratory problems occur as a result of chronic exposure
to inhalation irritants used in a client's occupation and hobbies.
Although it will be important for the nurse to assess the client's
fluid intake, height, and weight, these will not be as important as
determining his occupation and hobbies. Determining the
client's neck circumference will not be an important part of a
respiratory assessment.
With Complete Solutions
A 65-year-old client with a long-standing history of chronic
obstructive pulmonary disease (COPD) was placed recently on
Coumadin after experiencing atrial fibrillation. Upon discharge
from the hospital, which of the following statements by the
client indicates a need for further teaching?
A) "I will continue to use smokeless tobacco since it's a lot
better than smoking."
B)"I will avoid using over-the-counter antihistamines since they
can dry my mucosal secretions."
C)"I will watch my intake of dark green leafy vegetables since
they may impact the effects of Coumadin."
D)"I will not take any herbal preparations without my health
care provider's knowledge." Correct Answers Ans: A
Smokeless tobacco is associated with mouth cancer, gingivitis,
and tooth loss and may be carcinogenic to the pancreas. The
other noted actions are appropriate to the maintenance of health.
A 70-year-old client smoked for 30 years and has a history of
COPD. The spouse assists with cooking, cleaning, and
transportation. The spouse has become ill, and they now receive
assistance from a home health nurse. Which of the following
interventions should be the priority?
A) Assisting the clients to perform instrumental activities of
daily living (IADLs)
B) Determining a plan for providing meals
C) Setting up medications for the clients
D) Smoking cessation plan Correct Answers Ans: B
,The nurse's role is not to perform the IADLs, but to plan for the
IADLs including meals, cleaning, and transportation. There is
no indication that the clients need their medications set up,
smoking cession is important, but basic needs come first
A 70-year-old man is admitted to the hospital with an infected
finger for several days' duration. He is lethargic and confused
and has a temperature of 101.3. Other assessment findings
include blood pressure of 94/50 mm Hg, pulse 105 beats/min,
respirations of 40/min, and shallow breathing. These assessment
findings indicate which type of shock?
A. Hypovolemic
B. Cardiogenic
C. Anaphylactic
D. Septic Correct Answers D. Septic
A client is exhibiting signs and symptoms of early shock. Which
nursing actions support the psychosocial integrity of the client?
(Select all that apply.)
a. ask family members to stay with the client
b. increase IV and oxygen rates
c. call the health care provider
c. remain with the client
d. reassure the client that everything is being done for him or her
Correct Answers a. ask family members to stay with the client
c. remain with the client
d. reassure the client that everything is being done for him or her
A client is in cardiogenic shock. What explanation of
cardiogenic shock should the nurse include when responding to
a family member's questions about the condition?
,A. An irreversible phenomenon
B. A failure of the circulatory pump
C. Usually a fleeting reaction to tissue injury
D. Generally caused by decreased blood volume Correct
Answers B. A failure of the circulatory pump
A client with diabetes mellitus experiences a sudden fall in
blood glucose levels while traveling by air. The client is not
carrying any medications or a copy of a personal medical record.
Which type of health information technology would be
beneficial for this client? Correct Answers Personal health
record (PHR)
A group of nursing students can use which websites to find
codes for nursing diagnoses, interventions, and outcomes of
endocrine diseases as a part of an assignment? Select all that
apply. One, some, or all responses may be correct.
1.www.nanda.org
2.www.sabacare.com
3.www.icn.ch/icnp.htm
4.www.nursing.uiowa.edu/cncce/nic
5.www.nursing.uiowa.edu/cncce/noc Correct Answers answer:
1,2,3
A nurse admits an 81-year-old man to the hospital with
aspiration pneumonia. Which of the following risk factors
should the nurse predict that the client has in his history?
A) Cigarette smoking
B) Lung cancer
C) Dysphagia
, D) Sleep apnea Correct Answers Ans: C
Dysphagia creates a serious risk for aspiration pneumonia.
Smoking, cancer, and sleep apnea do not have a direct
correlation with aspiration pneumonia
A nurse admits an older adult from a longterm care facility into
the hospital for respiratory infection. Which diagnostic testing
should the nurse anticipate?
A) Electrocardiogram
B) Lung cancer screening
C) Mantoux testing
D) Pulmonary function testing Correct Answers Ans: C
Residents of long-term care are at risk for tuberculosis. While
cancer and cardiac and lung function testing may occur, testing
for tuberculosis should be done to screen for this contagious
disease to protect others
A nurse assesses a client's respiratory status. Which information
is of highest priority for the nurse to obtain?
a. Average daily fluid intake
b. Neck circumference
c. Height and weight
d. Occupation and hobbies Correct Answers ANS: D
Many respiratory problems occur as a result of chronic exposure
to inhalation irritants used in a client's occupation and hobbies.
Although it will be important for the nurse to assess the client's
fluid intake, height, and weight, these will not be as important as
determining his occupation and hobbies. Determining the
client's neck circumference will not be an important part of a
respiratory assessment.
