PN 2 Exam #2 with correct answers
The nurse identifies the nursing diagnosis of decreased cardiac output related to
valvular insufficiency for the patient with infective endocarditis based on which
assessment finding? - CORRECT ANSWERS ✔✔Blood pressure of 85/48
A patient who has a history of pulmonary valve stenosis tells the healthcare provider,
"I don't have a lot of energy anymore, and both of my feet get swollen in the late
afternoon." Which of these problems does the healthcare provider conclude is the
likely cause of these clinical findings? - CORRECT ANSWERS ✔✔Right sided heart
failure
A patient is diagnosed with heart failure and is prescribed Digoxin and Furosemide.
Before administering the Furosemide to the patient, which laboratory result should
the healthcare provider review? - CORRECT ANSWERS ✔✔Potassium
You are educating a patient with newly diagnosed Vitamin B12 deficiency anemia.
Which f the following statements indicate a need for further teaching? - CORRECT
ANSWERS ✔✔I will limit my intake of dried beans and citrus fruit
You are providing patient education on their new medication, Amlodipine. Which
statement by the patient indicates patient understanding? - CORRECT ANSWERS
✔✔I will need to avoid grapefruit juice and grapefruit while taking this medication
A nurse is assessing a client diagnosed with Buerger's disease. While assessing this
client and extremities, the nurse correlates which clinical manifestations with this
disease process? - CORRECT ANSWERS ✔✔Ulcerations on digits and complaints of
claudication
, Which intervention suggested to the client with Raynaud's disease is aimed at
preventing worsening complications? - CORRECT ANSWERS ✔✔Wear warm
clothing when exposed to cool temperatures
The graduate nurse is assessing her newly admitted client's abdomen and notes a
bruit upon auscultation. Which assessment technique by this nurse should be
questioned in this client? - CORRECT ANSWERS ✔✔Palpate and documentn if
artery is found to have doubled in size
A client with atherosclerosis asks a nurse which factors are responsible for this
condition. What is the nurse's best response? - CORRECT ANSWERS ✔✔A
combination of platelets and fats acumulate, narrowing the lumen of the artery,
reducing blood flow
Which assessment finding does the nurse expect in the client with mitral valve
prolapse? - CORRECT ANSWERS ✔✔Chest pain and palpitations
A nurse is caring for a client who has heart failure and i taking Digoxin daily. The
client refused breakfast and is complaining of nausea and weakness. Which of the
following actions should be a priority for the nurse? - CORRECT ANSWERS
✔✔Check the client's vital signs and heart rhythm
A nurse is reviewing the labs for a newly admitted heart failure patient and notes a
K+ level of 5.6. Upon reviewing the patient's medications, the nurse realizes which
of the following medications most likely contributed to this electrolyte imbalance? -
CORRECT ANSWERS ✔✔Spironolactone
The nurse identifies the nursing diagnosis of decreased cardiac output related to
valvular insufficiency for the patient with infective endocarditis based on which
assessment finding? - CORRECT ANSWERS ✔✔Blood pressure of 85/48
A patient who has a history of pulmonary valve stenosis tells the healthcare provider,
"I don't have a lot of energy anymore, and both of my feet get swollen in the late
afternoon." Which of these problems does the healthcare provider conclude is the
likely cause of these clinical findings? - CORRECT ANSWERS ✔✔Right sided heart
failure
A patient is diagnosed with heart failure and is prescribed Digoxin and Furosemide.
Before administering the Furosemide to the patient, which laboratory result should
the healthcare provider review? - CORRECT ANSWERS ✔✔Potassium
You are educating a patient with newly diagnosed Vitamin B12 deficiency anemia.
Which f the following statements indicate a need for further teaching? - CORRECT
ANSWERS ✔✔I will limit my intake of dried beans and citrus fruit
You are providing patient education on their new medication, Amlodipine. Which
statement by the patient indicates patient understanding? - CORRECT ANSWERS
✔✔I will need to avoid grapefruit juice and grapefruit while taking this medication
A nurse is assessing a client diagnosed with Buerger's disease. While assessing this
client and extremities, the nurse correlates which clinical manifestations with this
disease process? - CORRECT ANSWERS ✔✔Ulcerations on digits and complaints of
claudication
, Which intervention suggested to the client with Raynaud's disease is aimed at
preventing worsening complications? - CORRECT ANSWERS ✔✔Wear warm
clothing when exposed to cool temperatures
The graduate nurse is assessing her newly admitted client's abdomen and notes a
bruit upon auscultation. Which assessment technique by this nurse should be
questioned in this client? - CORRECT ANSWERS ✔✔Palpate and documentn if
artery is found to have doubled in size
A client with atherosclerosis asks a nurse which factors are responsible for this
condition. What is the nurse's best response? - CORRECT ANSWERS ✔✔A
combination of platelets and fats acumulate, narrowing the lumen of the artery,
reducing blood flow
Which assessment finding does the nurse expect in the client with mitral valve
prolapse? - CORRECT ANSWERS ✔✔Chest pain and palpitations
A nurse is caring for a client who has heart failure and i taking Digoxin daily. The
client refused breakfast and is complaining of nausea and weakness. Which of the
following actions should be a priority for the nurse? - CORRECT ANSWERS
✔✔Check the client's vital signs and heart rhythm
A nurse is reviewing the labs for a newly admitted heart failure patient and notes a
K+ level of 5.6. Upon reviewing the patient's medications, the nurse realizes which
of the following medications most likely contributed to this electrolyte imbalance? -
CORRECT ANSWERS ✔✔Spironolactone
