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PNR 408 Test #2 – PNR 408 – 2026 – Complete exam questions with answers and review material

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This document contains a comprehensive set of PNR 408 Test #2 exam questions and answers covering cardiovascular, gastrointestinal, hepatic, renal, and urinary nursing concepts, along with pharmacology, laboratory values, ECG interpretation, and priority nursing interventions. It includes multiple-choice style review questions with answers, normal laboratory reference ranges, true/false review items, and key clinical concepts commonly tested in nursing examinations. The material serves as an all-in-one study guide for exam preparation and reinforces both theoretical knowledge and clinical decision-making across multiple body systems. Keywords Cardiovascular nursing ECG interpretation Myocardial infarction Cardiac dysrhythmias Pacemaker care Coronary artery disease Anticoagulants Heparin Warfarin Enoxaparin Liver disease Cirrhosis Hepatitis Pancreatitis Gastrointestinal disorders Bowel obstruction Appendicitis Renal disorders Acute kidney injury Chronic kidney disease Dialysis Urinary tract infection Electrolytes Laboratory values Nursing pharmacology NCLEX practice questions Priority nursing interventions Clinical assessment

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PNR 408
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PNR 408 Test #2 2026 Exam
Questions and Answers |
Already Graded A+



The nurse is caring for a client admitted with diabetes mellitus,

malnutrition, osteomyelitis, and alcohol misuse who has a serum

amylase level of 280 units/L and a serum lipase level of 310 units/L. To

which of the following diagnoses does the nurse attribute these findings?

- ANSWER ✔✔Alcohol Misuse


The health care provider prescribes lactulose for a client with hepatic

encephalopathy. Which of the following assessment parameters should

,the nurse monitor for effectiveness of this medication? - ANSWER

✔✔Decreased ammonia levels


The family of a client newly diagnosed with hepatitis A asks the nurse

what they can do to prevent becoming ill themselves. Which of the

following responses by the nurse is most appropriate? - ANSWER

✔✔"An injection of immune globulin will need to be given to prevent or

minimize the effects from this exposure."

The nurse is planning care for a client with cirrhosis. Which of the

following nursing diagnoses is priority? - ANSWER ✔✔Ineffective

breathing pattern related to pressure on diaphragm and reduced lung

volume


Normal serum bilirubin levels lie between: - ANSWER ✔✔5.1 and 17

mcmol/L

Which if the following is a possible cause of loss of capture in a

pacemaker? - ANSWER ✔✔Battery depletion


A patient in the coronary care unit develops ventricular fibrillation. The

first action of the nurse should take is to: - ANSWER ✔✔Initiate

cardiopulmonary resuscitation

, A patient has a diagnosis of acute myocardial infraction, and his cardiac

rhythm is sinus bradycardia with six to eight premature ventricular

contractions (PVCs) per minute. The pattern that the nurse recognize as

the most characteristic of PVC is: - ANSWER ✔✔A wide, distorted

QRS complex

A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34

beats/minute. If the bradycardia is symptomatic, the nurse would expect

the patient to exhibit: - ANSWER ✔✔Shortness of breath


When computing a heart rate from the ECG tracing, the nurse counts 15

of the small blocks between the R waves of a client whose rhythm is

regular. From these data, which of the following rates should the nurse

calculate as the client's heart rate? - ANSWER ✔✔100 beats/minute


Which of the following statements best describes the electrical activity of

the heart represented by measuring the PR interval on the ECG? -

ANSWER ✔✔The length of time for the electrical impulse to travel

from the SA node to the Purkinje fibres

The nurse obtains a 6-second rhythm strip and charts the following

analysis: atrial rate 70, regular; ventricular rate 40, regular; QRS 0.04

second; no relationship between P waves and QRS complexes; atria


3
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