NURS 497 EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
5-year-old diagnosed with normocytic normochromic anemia.
What type of anemia might be suspected?
A) Sideroblastic anemia
B) Pernicious anemia
C) Hemolytic anemia
D) Iron deficiency anemia Correct Answer C
A 21-year-old female was recently diagnosed with iron
deficiency anemia. In addition to fatigue and weakness, which
of the following clinical signs and symptoms would she most
likely exhibit?
A) Hyperactivity
B) Spoon shaped nails
C) Gait problems
D) Petechia Correct Answer B
A 25-year-old female has a heavy menses during which she
loses a profuse amount of blood. Which of the following
adaptations should the nurse expect?
A) Decreased oxygen release from hemoglobin
B) Peripheral vasoconstriction
C) Decreased cardiac output
D) Movement of fluid into the cell Correct Answer B
A 60-year-old patient diagnosed with emphysema experiences a
rapid and pounding heart, dizziness, and fatigue with exertion.
Which respiratory assessment findings indicate the respiratory
system is compensating for the increased oxygen demand?
,A) Dyspnea
B) Bronchoconstriction
C) Increased rate and depth of breathing
D) Activation of the renin-angiotensin response Correct Answer
C
A 65-year-old patient has been taking prednisone to manage
symptoms of Crohn's disease for the past several years. When
following up with her gastroenterologist, she was diagnosed
with Cushing syndrome. Which signs and symptoms would the
nurse expect to observe that would support this diagnosis?
Select all that apply.
A) Elevated serum ACTH level
B) Excess bruising on arms and legs
C) Watery bowel movements
D) Abdominal cramping
E) Hypokalemia
F) Hypoglycemia
G) Muscle weakness in legs and arms
H) Increased facial hair Correct Answer B, E, G, H
A client arrives at the ED with severe chest pain and agitation.
What should the nurse do first?
A) Give the PRN naloxone IV
B) Assess orientation to person, place and time
C) Ask about any use of stimulant drugs
D) Check blood pressure, pulse and respirations Correct
Answer D
A client diagnosed with anorexia nervosa stopped eating 5
months ago and lost 25% of total body weight. Which subjective
, client response would the nurse assess to support this medical
diagnosis?
A) "I do not use any laxatives or diuretics to lose weight."
B) "I am losing lots of hair. It's coming out in handfuls."
C) "I don't know why people are worried. I need to lose this
weight."
D) "I know that I am thin, butI refuse to be fat!" Correct
Answer C
A client has a history of daily bourbon drinking for the past 6
months. He is brought to an emergency department by family,
who report that his last drink was 1 hour ago. It is now 12
midnight. When should a nurse expect this client to exhibit
withdrawal symptoms?
A) Between 3 a.m. and 11 a.m.
B) Withdrawal is individualized and cannot be predicted
C) At the beginning of the third day
D) Shortly after a 24-hour period Correct Answer A
A client is admitted for alcohol detoxification. During
detoxification, which symptoms should the nurse expect to
assess?
A) Oculogyric crisis, amnesia, ataxia, and hypertension
B) Hallucinations, fine tremors, confabulation, and orthostatic
hypotension
C) Gross tremors, delirium, hyperactivity, and hypertension
D) Disorientation, peripheral neuropathy, and hypotension
Correct Answer C
A military veteran is being assessed for outpatient therapy after
he reports having problems at home and at work. Which of the
SOLUTIONS
5-year-old diagnosed with normocytic normochromic anemia.
What type of anemia might be suspected?
A) Sideroblastic anemia
B) Pernicious anemia
C) Hemolytic anemia
D) Iron deficiency anemia Correct Answer C
A 21-year-old female was recently diagnosed with iron
deficiency anemia. In addition to fatigue and weakness, which
of the following clinical signs and symptoms would she most
likely exhibit?
A) Hyperactivity
B) Spoon shaped nails
C) Gait problems
D) Petechia Correct Answer B
A 25-year-old female has a heavy menses during which she
loses a profuse amount of blood. Which of the following
adaptations should the nurse expect?
A) Decreased oxygen release from hemoglobin
B) Peripheral vasoconstriction
C) Decreased cardiac output
D) Movement of fluid into the cell Correct Answer B
A 60-year-old patient diagnosed with emphysema experiences a
rapid and pounding heart, dizziness, and fatigue with exertion.
Which respiratory assessment findings indicate the respiratory
system is compensating for the increased oxygen demand?
,A) Dyspnea
B) Bronchoconstriction
C) Increased rate and depth of breathing
D) Activation of the renin-angiotensin response Correct Answer
C
A 65-year-old patient has been taking prednisone to manage
symptoms of Crohn's disease for the past several years. When
following up with her gastroenterologist, she was diagnosed
with Cushing syndrome. Which signs and symptoms would the
nurse expect to observe that would support this diagnosis?
Select all that apply.
A) Elevated serum ACTH level
B) Excess bruising on arms and legs
C) Watery bowel movements
D) Abdominal cramping
E) Hypokalemia
F) Hypoglycemia
G) Muscle weakness in legs and arms
H) Increased facial hair Correct Answer B, E, G, H
A client arrives at the ED with severe chest pain and agitation.
What should the nurse do first?
A) Give the PRN naloxone IV
B) Assess orientation to person, place and time
C) Ask about any use of stimulant drugs
D) Check blood pressure, pulse and respirations Correct
Answer D
A client diagnosed with anorexia nervosa stopped eating 5
months ago and lost 25% of total body weight. Which subjective
, client response would the nurse assess to support this medical
diagnosis?
A) "I do not use any laxatives or diuretics to lose weight."
B) "I am losing lots of hair. It's coming out in handfuls."
C) "I don't know why people are worried. I need to lose this
weight."
D) "I know that I am thin, butI refuse to be fat!" Correct
Answer C
A client has a history of daily bourbon drinking for the past 6
months. He is brought to an emergency department by family,
who report that his last drink was 1 hour ago. It is now 12
midnight. When should a nurse expect this client to exhibit
withdrawal symptoms?
A) Between 3 a.m. and 11 a.m.
B) Withdrawal is individualized and cannot be predicted
C) At the beginning of the third day
D) Shortly after a 24-hour period Correct Answer A
A client is admitted for alcohol detoxification. During
detoxification, which symptoms should the nurse expect to
assess?
A) Oculogyric crisis, amnesia, ataxia, and hypertension
B) Hallucinations, fine tremors, confabulation, and orthostatic
hypotension
C) Gross tremors, delirium, hyperactivity, and hypertension
D) Disorientation, peripheral neuropathy, and hypotension
Correct Answer C
A military veteran is being assessed for outpatient therapy after
he reports having problems at home and at work. Which of the
