Nurs 221 Exam 2 With Correct Answers
Stable vangina v- vCORRECT✅✅predictable vand vconsistent vpain vthat voccurs von
vexertion vand vis vrelieved vby vrest vand/or vnitroglycerin
The vnurse vis vmonitoring vhourly vurine voutput vof va vclient vdiagnosed vwith
vhypovolemic vshock. vThe vnurse vis vmost vconcerned vif vthe vclient's voutput vis:
a. v20 vmL/hour
b. v40 vmL/hour
c. v60 vmL/hour
d. v80 vmL/hour v- vCORRECT✅✅a. v20 vmL/hour
A vclient vrecovered vfrom vinfluenza v2 vdays vago vand vinforms vthe vnurse vthat vshe vis
vfeeling vbetter vbut vnow vhas va vfever, vchills, vpain vwhen vbreathing, vand va vproductive
vcough. vWhat vcomplication vdoes vthe vnurse vanticipate vthe vclient vwill vbe vtreated vfor?
a. vA vsecondary vbacterial vpneumonia
b. vA vrelapse vof vthe vflu
c. vReye vsyndrome
d. vTuberculosis v- vCORRECT✅✅a. vA vsecondary vbacterial vpneumonia; vpeople
vusually vstart vto vfeel vbetter vand vthen vsymptoms vreturn
Which vclient vis vat vrisk vfor vdeveloping vacute vrespiratory vfailure?
a. vA vmiddle-aged vmale vdiagnosed vwith vamyotrophic vlateral vsclerosis v(ALS) vwho
vhas vpneumonia vwith vlow vO2 vsaturation
b. vAn volder vadult vfemale vliving vin vsenior vhousing vwho vhas vbeen vexposed vto va
v"cold" vwhile vher vgrandchildren vvisited
c. vA vteenager vin va vhigh vschool vwho vhas vhad van vincrease vin vstudent vabsences
vdue vto van voutbreak vof vstrep vthroat
d. vA vtoddler vin vdaycare vwho vhas vbeen vsharing vtoys vwith vpeers vbefore vthe vstaff
vcould vsanitize vproperly v- vCORRECT✅✅a. vA vmiddle-aged vmale vdiagnosed vwith
vamyotrophic vlateral vsclerosis v(ALS) vwho vhas vpneumonia vwith vlow vO2 vsaturation
A vclient vwith va vhistory vof vchronic vkidney vdisease v(CKD) vis vexperiencing vincreasing
vfatigue, vlethargy, vand vactivity vintolerance. vThe vcare vteam vhas vestablished vthat vthe
vclient's vglomerular vfiltration vrate v(GFR) vremains vat va vlow, vbut vstable, vlevel. vWhich
vlaboratory vassessments vwill vmost vlikely vbe vprescribed vto vhelp vdetermine vthe
vcause vof vthese vnew vsymptoms?
a. vBlood vwork vfor vwhite vcells vand vdifferential
b. vCystoscopy vand vureteroscopy
,c. vAssessment vof vpancreatic vexocrine vand vendocrine vfunction
d. vBlood vwork vfor vhemoglobin, vred vblood vcells, vand vhematocrit v- vCORRECT✅✅d.
vBlood vwork vfor vhemoglobin, vred vblood vcells, vand vhematocrit
Following vseveral vweeks vof vincreasing vfatigue vand va vsubsequent vdiagnostic
vworkup, va vclient vhas vbeen vdiagnosed vwith vmitral vvalve vregurgitation. vFailure vof
vthis vheart vvalve vwould vhave vwhich vhemodynamic vconsequences?
a. vBackup vof vblood vfrom vthe vright vatrium vinto vthe vsuperior vvena vcava
b. vBackflow vfrom vthe vright vventricle vto vthe vright vatrium vduring vsystole
c. vInhibition vof vthe vSA vnode's vnormal vaction vpotential
d. vBackflow vfrom vthe vleft vventricle vto vleft vatrium v- vCORRECT✅✅d. vBackflow
vfrom vthe vleft vventricle vto vleft vatrium
A vclient vwith va vsuspected vMI vis vbrought vto vthe vemergency vdepartment vby
vambulance. vThe vnurse vcaring vfor vthis vclient vwould vexpect vto vreceive van vorder vfor
vwhich vlaboratory vtest vto vconfirm va vdiagnosis vof vMI?
a. vCreatine vkinase vmarker
b. vComplete vblood vcomponents
c. vCalcium vlevel
d. vTroponin vlevel v- vCORRECT✅✅d. vTroponin vlevel
A vclient vhas vbeen vdiagnosed vwith vaortic vstenosis vand vasks vthe vnurse vwhat vthis
vmeans. vThe vmost vappropriate vresponse vwould vbe:
a. vThe vvalve vopening vis vnarrowed vand vproduces vincreased vresistance vto vblood
vflow vout vof vthe vleft vventricle vand vinto vthe vaorta.
b. vThe vvalve vopening vis vincompetent, vthereby vallowing vblood vto vflow vback vfrom
vthe vpulmonary vartery vand vinto vthe vleft vatrium.
c. vThe vvalve vopening vpermits vbackward vflow vto voccur vwhen vthe vvalve vshould vbe
vclosed.
d. vThe vvalve vopens vbackward, vpermitting vblood vto vflow vfrom vthe vright vventricle
vinto vthe vright vatrium. v- vCORRECT✅✅a. vThe vvalve vopening vis vnarrowed vand
vproduces vincreased vresistance vto vblood vflow vout vof vthe vleft vventricle vand vinto vthe
vaorta.
A vclient vhas vjust vbeen vtold vthat vhe vhas van vinfection vof vthe vinner vsurface vof vthe
vheart. vHe vis valso vtold vthat vthe vbacteria vhas vinvaded vhis vheart vvalves. vWhat vterm
vis vused vfor vthis vdisease vprocess?
a. vPericarditis
b. vMyocardial vinfarction
c. vInfective vendocarditis
d. vCardiomyopathy v- vCORRECT✅✅c. vInfective vendocarditis
,The vnurse vis vreviewing vthe vlaboratory vwork vof vseveral vmedical vclients. vWhich
vlaboratory vresult vis vmost vsuggestive vof vabnormalities vin vkidney vfunction?
a. vAn vabsolute vabsence vof vprotein vin va vurine vsample
b. vIncreased vcreatinine vand vblood vurea vnitrogen v(BUN) vlevels
c. vUrine vgravity vof v1.030 vand vnormal vserum vcreatinine vlevels
d. vNormal vcreatinine vlevels vand velevated vblood vurea vnitrogen v(BUN) v-
vCORRECT✅✅b. vIncreased vcreatinine vand vblood vurea vnitrogen v(BUN) vlevels
A vnurse vis vperforming vclient vhealth veducation vwith va v68-year-old vman vwho vhas
vrecently vbeen vdiagnosed vwith vheart vfailure. vWhich vstatement vdemonstrates van
vaccurate vunderstanding vof vhis vnew vdiagnosis?
a. v"I'll vbe vsure vto vtake vmy vbeta-blocker vwhenever vI vfeel vshort vof vbreath."
b. v"I'm vgoing vto vavoid vas vmuch vphysical vactivity vas vI vcan vso vthat vI vpreserve vmy
vstrength."
c. v"I vknow vit's vhealthy vto vdrink va vlot vof vwater, vand vI'm vgoing vto vmake vsure vI vdo
vthis vfrom vnow von."
d. v"I'm vtrying vto vthink vof vways vthat vI vcan vcut vdown vthe vamount vof vsalt vthat vI
vusually veat." v- vCORRECT✅✅d. v"I'm vtrying vto vthink vof vways vthat vI vcan vcut vdown
vthe vamount vof vsalt vthat vI vusually veat."
The vnurse vwould vbe vmost vconcerned vwhen vthe vglomerular vfiltrate vcontains:
a. vProtein
b. vSodium
c. vPotassium
d. vWater v- vCORRECT✅✅a. vProtein
The vnurse vdevelops va vplan vto vprevent vatelectasis vin va vpostsurgical vclient. vWhich
vintervention vwill vbe veffective?
a. vSupervision vof vhourly vdeep-breathing vexercises
b. vTeaching vthe vclient vto vwear van vabdominal vbinder
c. vEncouraging vcalf-pumping vexercises
d. vAdministering vIV vantibiotics v- vCORRECT✅✅a. vSupervision vof vhourly vdeep-
breathing vexercises;
ambulation vand vchanging vpositions valso vhelp vprevent vpost-op vatelectasis
The vnurse vis vcaring vfor van vinfant vadmitted vto vthe vemergency vdepartment
vdiagnosed vwith vbronchiolitis. vThe vnurse vwould vassess vthe vclient vfor:
a. vwheezy vcough vand vdyspnea.
b. vno vhistory vof vupper vrespiratory vinfection.
c. vjaundiced vskin vand vmucous vmembranes.
, d. vdehydration vand vdrooling. v- vCORRECT✅✅a. vwheezy vcough vand vdyspnea.
If va vclient vexperiences vsympathetic vnervous vstimulation vof vthe vheart, vthe vnurse vwill
vobserve vwhich vchanges vin vmanifestations?
a. vIncreased vheart vrate vand vincreased vcontractility
b. vIncreased vheart vrate vand vdecreased vcontractility
c. vDecreased vcontractility vand vdecreased vheart vrate
d. vDecreased vrate vand vforce vof vcontraction v- vCORRECT✅✅a. vIncreased vheart
vrate vand vincreased vcontractility
Acute-onset vbronchial vasthma vcauses vwheezing vand vbreathlessness vas va vresult vof
vwhich vof vthe vfollowing?
a. vAirway vinflammation
b. vAlveolar vcollapse
c. vCompression vatelectasis
d. vPulmonary vhypertension v- vCORRECT✅✅a. vAirway vinflammation
An v86-year-old vfemale vclient vhas vbeen vadmitted vto vthe vhospital vfor vthe vtreatment
vof vdehydration vand vhyponatremia vafter vshe vcurtailed vher vfluid vintake vto vminimize
vurinary vincontinence. vThe vclient's vadmitting vlaboratory vresults vare vsuggestive vof
vprerenal vfailure. vThe vnurse vshould vbe vassessing vthis vclient vfor vwhich vearly vsign vof
vprerenal vinjury?
a. vSharp vdecrease vin vurine voutput
b. vExcessive vvoiding vof vclear vurine
c. vAcute vhypertensive vcrisis
d. vIntermittent vperiods vof vconfusion v- vCORRECT✅✅a. vSharp vdecrease vin vurine
voutput
Cardiac vtamponade vand vpericardial veffusion vcan vbe vlife-threatening vwhen vthe
vpericardial vsac v_______ vand v______ vthe vheart.
a. vruptures; vreleases
b. vthickens; vstretches
c. vcontracts; vfriction vrubs
d. vfills vrapidly; vcompresses v- vCORRECT✅✅d. vfills vrapidly; vcompresses
While vworking vtriage vin vthe vemergency vdepartment, vwhich vclient vreport vshould
valert vthe vnurse vto vimminent vdanger vand, vthus, vthat vclient vshould vbe vseen vfirst?
a. vA vclient vreporting vpainful vurination vand vexperiencing vfever vand vchills.
b. vA vclient vholding vthe vabdomen vand vreporting va vtearing vand vripping vfeeling
vinside.
c. vAthletic vclient vreporting vthe vkneecap vpopping vin vand vout vof vsocket.
Stable vangina v- vCORRECT✅✅predictable vand vconsistent vpain vthat voccurs von
vexertion vand vis vrelieved vby vrest vand/or vnitroglycerin
The vnurse vis vmonitoring vhourly vurine voutput vof va vclient vdiagnosed vwith
vhypovolemic vshock. vThe vnurse vis vmost vconcerned vif vthe vclient's voutput vis:
a. v20 vmL/hour
b. v40 vmL/hour
c. v60 vmL/hour
d. v80 vmL/hour v- vCORRECT✅✅a. v20 vmL/hour
A vclient vrecovered vfrom vinfluenza v2 vdays vago vand vinforms vthe vnurse vthat vshe vis
vfeeling vbetter vbut vnow vhas va vfever, vchills, vpain vwhen vbreathing, vand va vproductive
vcough. vWhat vcomplication vdoes vthe vnurse vanticipate vthe vclient vwill vbe vtreated vfor?
a. vA vsecondary vbacterial vpneumonia
b. vA vrelapse vof vthe vflu
c. vReye vsyndrome
d. vTuberculosis v- vCORRECT✅✅a. vA vsecondary vbacterial vpneumonia; vpeople
vusually vstart vto vfeel vbetter vand vthen vsymptoms vreturn
Which vclient vis vat vrisk vfor vdeveloping vacute vrespiratory vfailure?
a. vA vmiddle-aged vmale vdiagnosed vwith vamyotrophic vlateral vsclerosis v(ALS) vwho
vhas vpneumonia vwith vlow vO2 vsaturation
b. vAn volder vadult vfemale vliving vin vsenior vhousing vwho vhas vbeen vexposed vto va
v"cold" vwhile vher vgrandchildren vvisited
c. vA vteenager vin va vhigh vschool vwho vhas vhad van vincrease vin vstudent vabsences
vdue vto van voutbreak vof vstrep vthroat
d. vA vtoddler vin vdaycare vwho vhas vbeen vsharing vtoys vwith vpeers vbefore vthe vstaff
vcould vsanitize vproperly v- vCORRECT✅✅a. vA vmiddle-aged vmale vdiagnosed vwith
vamyotrophic vlateral vsclerosis v(ALS) vwho vhas vpneumonia vwith vlow vO2 vsaturation
A vclient vwith va vhistory vof vchronic vkidney vdisease v(CKD) vis vexperiencing vincreasing
vfatigue, vlethargy, vand vactivity vintolerance. vThe vcare vteam vhas vestablished vthat vthe
vclient's vglomerular vfiltration vrate v(GFR) vremains vat va vlow, vbut vstable, vlevel. vWhich
vlaboratory vassessments vwill vmost vlikely vbe vprescribed vto vhelp vdetermine vthe
vcause vof vthese vnew vsymptoms?
a. vBlood vwork vfor vwhite vcells vand vdifferential
b. vCystoscopy vand vureteroscopy
,c. vAssessment vof vpancreatic vexocrine vand vendocrine vfunction
d. vBlood vwork vfor vhemoglobin, vred vblood vcells, vand vhematocrit v- vCORRECT✅✅d.
vBlood vwork vfor vhemoglobin, vred vblood vcells, vand vhematocrit
Following vseveral vweeks vof vincreasing vfatigue vand va vsubsequent vdiagnostic
vworkup, va vclient vhas vbeen vdiagnosed vwith vmitral vvalve vregurgitation. vFailure vof
vthis vheart vvalve vwould vhave vwhich vhemodynamic vconsequences?
a. vBackup vof vblood vfrom vthe vright vatrium vinto vthe vsuperior vvena vcava
b. vBackflow vfrom vthe vright vventricle vto vthe vright vatrium vduring vsystole
c. vInhibition vof vthe vSA vnode's vnormal vaction vpotential
d. vBackflow vfrom vthe vleft vventricle vto vleft vatrium v- vCORRECT✅✅d. vBackflow
vfrom vthe vleft vventricle vto vleft vatrium
A vclient vwith va vsuspected vMI vis vbrought vto vthe vemergency vdepartment vby
vambulance. vThe vnurse vcaring vfor vthis vclient vwould vexpect vto vreceive van vorder vfor
vwhich vlaboratory vtest vto vconfirm va vdiagnosis vof vMI?
a. vCreatine vkinase vmarker
b. vComplete vblood vcomponents
c. vCalcium vlevel
d. vTroponin vlevel v- vCORRECT✅✅d. vTroponin vlevel
A vclient vhas vbeen vdiagnosed vwith vaortic vstenosis vand vasks vthe vnurse vwhat vthis
vmeans. vThe vmost vappropriate vresponse vwould vbe:
a. vThe vvalve vopening vis vnarrowed vand vproduces vincreased vresistance vto vblood
vflow vout vof vthe vleft vventricle vand vinto vthe vaorta.
b. vThe vvalve vopening vis vincompetent, vthereby vallowing vblood vto vflow vback vfrom
vthe vpulmonary vartery vand vinto vthe vleft vatrium.
c. vThe vvalve vopening vpermits vbackward vflow vto voccur vwhen vthe vvalve vshould vbe
vclosed.
d. vThe vvalve vopens vbackward, vpermitting vblood vto vflow vfrom vthe vright vventricle
vinto vthe vright vatrium. v- vCORRECT✅✅a. vThe vvalve vopening vis vnarrowed vand
vproduces vincreased vresistance vto vblood vflow vout vof vthe vleft vventricle vand vinto vthe
vaorta.
A vclient vhas vjust vbeen vtold vthat vhe vhas van vinfection vof vthe vinner vsurface vof vthe
vheart. vHe vis valso vtold vthat vthe vbacteria vhas vinvaded vhis vheart vvalves. vWhat vterm
vis vused vfor vthis vdisease vprocess?
a. vPericarditis
b. vMyocardial vinfarction
c. vInfective vendocarditis
d. vCardiomyopathy v- vCORRECT✅✅c. vInfective vendocarditis
,The vnurse vis vreviewing vthe vlaboratory vwork vof vseveral vmedical vclients. vWhich
vlaboratory vresult vis vmost vsuggestive vof vabnormalities vin vkidney vfunction?
a. vAn vabsolute vabsence vof vprotein vin va vurine vsample
b. vIncreased vcreatinine vand vblood vurea vnitrogen v(BUN) vlevels
c. vUrine vgravity vof v1.030 vand vnormal vserum vcreatinine vlevels
d. vNormal vcreatinine vlevels vand velevated vblood vurea vnitrogen v(BUN) v-
vCORRECT✅✅b. vIncreased vcreatinine vand vblood vurea vnitrogen v(BUN) vlevels
A vnurse vis vperforming vclient vhealth veducation vwith va v68-year-old vman vwho vhas
vrecently vbeen vdiagnosed vwith vheart vfailure. vWhich vstatement vdemonstrates van
vaccurate vunderstanding vof vhis vnew vdiagnosis?
a. v"I'll vbe vsure vto vtake vmy vbeta-blocker vwhenever vI vfeel vshort vof vbreath."
b. v"I'm vgoing vto vavoid vas vmuch vphysical vactivity vas vI vcan vso vthat vI vpreserve vmy
vstrength."
c. v"I vknow vit's vhealthy vto vdrink va vlot vof vwater, vand vI'm vgoing vto vmake vsure vI vdo
vthis vfrom vnow von."
d. v"I'm vtrying vto vthink vof vways vthat vI vcan vcut vdown vthe vamount vof vsalt vthat vI
vusually veat." v- vCORRECT✅✅d. v"I'm vtrying vto vthink vof vways vthat vI vcan vcut vdown
vthe vamount vof vsalt vthat vI vusually veat."
The vnurse vwould vbe vmost vconcerned vwhen vthe vglomerular vfiltrate vcontains:
a. vProtein
b. vSodium
c. vPotassium
d. vWater v- vCORRECT✅✅a. vProtein
The vnurse vdevelops va vplan vto vprevent vatelectasis vin va vpostsurgical vclient. vWhich
vintervention vwill vbe veffective?
a. vSupervision vof vhourly vdeep-breathing vexercises
b. vTeaching vthe vclient vto vwear van vabdominal vbinder
c. vEncouraging vcalf-pumping vexercises
d. vAdministering vIV vantibiotics v- vCORRECT✅✅a. vSupervision vof vhourly vdeep-
breathing vexercises;
ambulation vand vchanging vpositions valso vhelp vprevent vpost-op vatelectasis
The vnurse vis vcaring vfor van vinfant vadmitted vto vthe vemergency vdepartment
vdiagnosed vwith vbronchiolitis. vThe vnurse vwould vassess vthe vclient vfor:
a. vwheezy vcough vand vdyspnea.
b. vno vhistory vof vupper vrespiratory vinfection.
c. vjaundiced vskin vand vmucous vmembranes.
, d. vdehydration vand vdrooling. v- vCORRECT✅✅a. vwheezy vcough vand vdyspnea.
If va vclient vexperiences vsympathetic vnervous vstimulation vof vthe vheart, vthe vnurse vwill
vobserve vwhich vchanges vin vmanifestations?
a. vIncreased vheart vrate vand vincreased vcontractility
b. vIncreased vheart vrate vand vdecreased vcontractility
c. vDecreased vcontractility vand vdecreased vheart vrate
d. vDecreased vrate vand vforce vof vcontraction v- vCORRECT✅✅a. vIncreased vheart
vrate vand vincreased vcontractility
Acute-onset vbronchial vasthma vcauses vwheezing vand vbreathlessness vas va vresult vof
vwhich vof vthe vfollowing?
a. vAirway vinflammation
b. vAlveolar vcollapse
c. vCompression vatelectasis
d. vPulmonary vhypertension v- vCORRECT✅✅a. vAirway vinflammation
An v86-year-old vfemale vclient vhas vbeen vadmitted vto vthe vhospital vfor vthe vtreatment
vof vdehydration vand vhyponatremia vafter vshe vcurtailed vher vfluid vintake vto vminimize
vurinary vincontinence. vThe vclient's vadmitting vlaboratory vresults vare vsuggestive vof
vprerenal vfailure. vThe vnurse vshould vbe vassessing vthis vclient vfor vwhich vearly vsign vof
vprerenal vinjury?
a. vSharp vdecrease vin vurine voutput
b. vExcessive vvoiding vof vclear vurine
c. vAcute vhypertensive vcrisis
d. vIntermittent vperiods vof vconfusion v- vCORRECT✅✅a. vSharp vdecrease vin vurine
voutput
Cardiac vtamponade vand vpericardial veffusion vcan vbe vlife-threatening vwhen vthe
vpericardial vsac v_______ vand v______ vthe vheart.
a. vruptures; vreleases
b. vthickens; vstretches
c. vcontracts; vfriction vrubs
d. vfills vrapidly; vcompresses v- vCORRECT✅✅d. vfills vrapidly; vcompresses
While vworking vtriage vin vthe vemergency vdepartment, vwhich vclient vreport vshould
valert vthe vnurse vto vimminent vdanger vand, vthus, vthat vclient vshould vbe vseen vfirst?
a. vA vclient vreporting vpainful vurination vand vexperiencing vfever vand vchills.
b. vA vclient vholding vthe vabdomen vand vreporting va vtearing vand vripping vfeeling
vinside.
c. vAthletic vclient vreporting vthe vkneecap vpopping vin vand vout vof vsocket.
