Nur 265 Exam 2 Review Practice Questions and Answers.

1. A client with a pulmonary embolism may display which of the following classic
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signs?
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● A. Bradycardia
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● B. Hemoptysis
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● C. Cyanosis
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● D. Frothy sputum
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Answer: B. Hemoptysis m9 m9




2. Which of the following lab values is most indicative of acute respiratory failure?
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● A. PaO₂ of 85 mmHg
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● B. PaCO₂ of 50 mmHg
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● C. pH of 7.25
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● D. HCO₃ of 22 mEq/L
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Answer: C. pH of 7.25 m9 m9 m9 m9




3. A client with ARDS is placed on a ventilator. Which intervention is most appropriate?
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● A. Prone positioning
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● B. High tidal volume ventilation
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● C. Rapid weaning
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● D. Suctioning every 30 minutes
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Answer: A. Prone positioning m9 m9 m9




4. When assessing a client for Ventilator-Associated Event (VAE), the nurse should
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monitor for:
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● A. Decreased tidal volume
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● B. Increased oxygen requirement
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● C. Consistent PaCO₂
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● D. Decreased PEEP requirement
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Answer: B. Increased oxygen requirement m9 m9 m9 m9




5. Which of the following is a potential cause of Ventilator-Associated Lung Injury
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(VALI)?
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● A. High PEEP levels
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● B. Low tidal volume
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● C. Fluid restriction
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● D. Prolonged sedation
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Answer: A. High PEEP levels m9 m9 m9 m9




6. The nurse knows that flail chest is characterized by:
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● A. Chest pain on inspiration
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● B. Paradoxical chest wall movement
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● C. Decreased chest wall movement
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● D. Hemoptysis
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Answer: B. Paradoxical chest wall movement m9 m9 m9 m9 m9




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, 7. For a client with a pneumothorax, which of the following findings is most
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concerning?
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● A. Diminished breath sounds on affected side
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● B. Subcutaneous emphysema
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● C. Tracheal deviation
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● D. SpO₂ of 96%
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Answer: C. Tracheal deviation m9 m9 m9




8. A client is diagnosed with diabetes insipidus. Which of the following is expected?
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● A. Increased serum sodium
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● B. Low urine output
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● C. Decreased thirst
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● D. Hypertension
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Answer: A. Increased serum sodium m9 m9 m9 m9




9. Which of the following is a sign of thyroid storm?
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● A. Bradycardia
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● B. Hyperthermia
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● C. Hypotension
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● D. Lethargy
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Answer: B. Hyperthermia m9 m9




10. Which intervention is most appropriate following a thoracentesis?
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● A. Lay the client flat for 8 hours
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● B. Observe for signs of respiratory distress
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● C. Encourage deep breathing exercises immediately
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● D. Start the client on oxygen at 6 L/min
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Answer: B. Observe for signs of respiratory distress
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11. A client with hyperthyroidism may present with:
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● A. Cold intolerance
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● B. Weight gain
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● C. Tachycardia
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● D. Constipation
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Answer: C. Tachycardia m9 m9




12. In hypothyroidism, the nurse would expect:
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● A. Hyperthermia
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● B. Bradycardia
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● C. Hyperactivity
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● D. Hypertension
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Answer: B. Bradycardia m9 m9




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