NR511
NR511 Final Exam Differential Diagnosis and
Primary Care 2 – 450+ Practice Questions with
Verified Answers Latest / NR 511 Final Exam
Prep Test Bank
A client with chronic obstructive pulmonary disease (COPD) reports social isolation. What
does the nurse encourage the client to do?
A) Participate in community activities.
B) Verbalize his or her thoughts and feelings.
C) Ask the client's physician for an antianxiety agent.
D) Join a support group for people with COPD. –
Correct Answer :B
A+ TEST BANK 1
, NR511
Many clients with moderate to severe COPD become socially isolated because they are
embarrassed by frequent coughing and mucus production. They also can experience fatigue,
which limits their activities. The nurse needs to encourage the client to verbalize thoughts and
feelings so that appropriate interventions can be selected. Joining a support group would not
decrease feelings of social isolation if the client does not verbalize feelings. Antianxiety agents
will not help the client with social isolation. Encouraging a client to participate in activities
without verbalizing concerns also would not be an effective strategy for decreasing social
isolation.
The nurse is assessing a client with lung disease. Which symptom does the nurse intervene for
first?
A) The client's anterior-posterior chest diameter is 2:2.
B) Clubbing of the finger tips is noted.
C) The client is pale.
D) The client has bilateral dependent leg edema. –
Correct Answer :D
The client with bilateral dependent edema may be developing right-sided heart failure in
response to respiratory disease. This symptom should be investigated right away and
reported to the health care provider. Further assessment is needed. The client with chronic
lung disease may develop increased anterior-posterior diameter and clubbing as responses to
chronic hypoxia. These symptoms do not require immediate intervention. The client is often
pale or has a dusky appearance; this also would not warrant immediate intervention.
A patient is diagnosed with a sprain to her right ankle after a fall. The patient asks the nurse
about using ice on her injured ankle. The nurse should tell the patient that:
A+ TEST BANK 2
, NR511
A) ice is not recommended for use on the sprain because it would inhibit the inflammatory
response.
B) ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days.
C) she should use ice only when the ankle hurts.
D) she should wrap an ice pack around the injured ankle for the next 24 to 48 hours.
- Correct Answer :B
Ice is used on areas of injury during the first 24 to 48 hours after the injury occurs to prevent
damage to surrounding tissues from excessive inflammation. Ice should be used for a
maximum of 20 minutes at a time every 2 to 3 hours. Ice must be used according to a
schedule for it to be effective and not be overused. Using ice more often or for longer periods
of time can cause additional tissue damage. Ice is recommended to inhibit the inflammatory
process from damaging surrounding tissue.
The nurse is assessing a patient for the adequacy of ventilation. What assessment findings
would indicate the patient has good ventilation? (Select all that apply.)
A) There is presence of quiet, effortless breath sounds at lung base bilaterally.
B) Nail beds are pink with good capillary refill.
C) Trachea is just to the left of the sternal notch.
D) Respiratory rate is 24 breaths/min.
E) The right side of the thorax expands slightly more than the left.
F) Oxygen saturation level is 98%. –
Correct Answer :A,B,F
A+ TEST BANK 3
, NR511
Oxygen saturation level should be between 95 and 100%; nail beds should be pink with
capillary refill of about 3 seconds; and breath sounds should be present at base of both lungs.
Normal respiratory rate is between 12 and 20 breaths/min. The trachea should be in midline
with the sternal notch. The thorax should expand equally on both sides.
The nurse is assessing clients on a cardiac unit. Which client does the nurse assess most
carefully for developing left-sided heart failure?
A) Middle-aged woman with aortic stenosis
B) Older woman who smokes cigarettes daily
C) Older man who has had a myocardial infarction
D) Middle-aged man with pulmonary hypertension –
Correct Answer :A
Although most people with heart failure will have failure that progresses from left to right, it is
possible to have left-sided failure alone for a short period. It is also possible to have heart
failure that progresses from right to left. Causes of left ventricular failure include mitral or
aortic valve disease, coronary artery disease (CAD), and hypertension.
A client asks the nurse why it is important to be weighed every day if he has right-sided heart
failure. What is the nurse's best response?
A) "The hospital requires that all inpatients be weighed daily."
B) "Weight is the best indication that you are gaining or losing fluid."
C) "You need to lose weight to decrease the incidence of heart failure."
D) "Daily weights will help us make sure that you're eating properly." - Correct Answer :B
A+ TEST BANK 4
NR511 Final Exam Differential Diagnosis and
Primary Care 2 – 450+ Practice Questions with
Verified Answers Latest / NR 511 Final Exam
Prep Test Bank
A client with chronic obstructive pulmonary disease (COPD) reports social isolation. What
does the nurse encourage the client to do?
A) Participate in community activities.
B) Verbalize his or her thoughts and feelings.
C) Ask the client's physician for an antianxiety agent.
D) Join a support group for people with COPD. –
Correct Answer :B
A+ TEST BANK 1
, NR511
Many clients with moderate to severe COPD become socially isolated because they are
embarrassed by frequent coughing and mucus production. They also can experience fatigue,
which limits their activities. The nurse needs to encourage the client to verbalize thoughts and
feelings so that appropriate interventions can be selected. Joining a support group would not
decrease feelings of social isolation if the client does not verbalize feelings. Antianxiety agents
will not help the client with social isolation. Encouraging a client to participate in activities
without verbalizing concerns also would not be an effective strategy for decreasing social
isolation.
The nurse is assessing a client with lung disease. Which symptom does the nurse intervene for
first?
A) The client's anterior-posterior chest diameter is 2:2.
B) Clubbing of the finger tips is noted.
C) The client is pale.
D) The client has bilateral dependent leg edema. –
Correct Answer :D
The client with bilateral dependent edema may be developing right-sided heart failure in
response to respiratory disease. This symptom should be investigated right away and
reported to the health care provider. Further assessment is needed. The client with chronic
lung disease may develop increased anterior-posterior diameter and clubbing as responses to
chronic hypoxia. These symptoms do not require immediate intervention. The client is often
pale or has a dusky appearance; this also would not warrant immediate intervention.
A patient is diagnosed with a sprain to her right ankle after a fall. The patient asks the nurse
about using ice on her injured ankle. The nurse should tell the patient that:
A+ TEST BANK 2
, NR511
A) ice is not recommended for use on the sprain because it would inhibit the inflammatory
response.
B) ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days.
C) she should use ice only when the ankle hurts.
D) she should wrap an ice pack around the injured ankle for the next 24 to 48 hours.
- Correct Answer :B
Ice is used on areas of injury during the first 24 to 48 hours after the injury occurs to prevent
damage to surrounding tissues from excessive inflammation. Ice should be used for a
maximum of 20 minutes at a time every 2 to 3 hours. Ice must be used according to a
schedule for it to be effective and not be overused. Using ice more often or for longer periods
of time can cause additional tissue damage. Ice is recommended to inhibit the inflammatory
process from damaging surrounding tissue.
The nurse is assessing a patient for the adequacy of ventilation. What assessment findings
would indicate the patient has good ventilation? (Select all that apply.)
A) There is presence of quiet, effortless breath sounds at lung base bilaterally.
B) Nail beds are pink with good capillary refill.
C) Trachea is just to the left of the sternal notch.
D) Respiratory rate is 24 breaths/min.
E) The right side of the thorax expands slightly more than the left.
F) Oxygen saturation level is 98%. –
Correct Answer :A,B,F
A+ TEST BANK 3
, NR511
Oxygen saturation level should be between 95 and 100%; nail beds should be pink with
capillary refill of about 3 seconds; and breath sounds should be present at base of both lungs.
Normal respiratory rate is between 12 and 20 breaths/min. The trachea should be in midline
with the sternal notch. The thorax should expand equally on both sides.
The nurse is assessing clients on a cardiac unit. Which client does the nurse assess most
carefully for developing left-sided heart failure?
A) Middle-aged woman with aortic stenosis
B) Older woman who smokes cigarettes daily
C) Older man who has had a myocardial infarction
D) Middle-aged man with pulmonary hypertension –
Correct Answer :A
Although most people with heart failure will have failure that progresses from left to right, it is
possible to have left-sided failure alone for a short period. It is also possible to have heart
failure that progresses from right to left. Causes of left ventricular failure include mitral or
aortic valve disease, coronary artery disease (CAD), and hypertension.
A client asks the nurse why it is important to be weighed every day if he has right-sided heart
failure. What is the nurse's best response?
A) "The hospital requires that all inpatients be weighed daily."
B) "Weight is the best indication that you are gaining or losing fluid."
C) "You need to lose weight to decrease the incidence of heart failure."
D) "Daily weights will help us make sure that you're eating properly." - Correct Answer :B
A+ TEST BANK 4
