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Exam (elaborations)

PNR 309 MIDTERM QUESTIONS WITH COMPLETE ANSWERS

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PNR 309 MIDTERM QUESTIONS WITH COMPLETE ANSWERS

Institution
PNR 309
Course
PNR 309











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Institution
PNR 309
Course
PNR 309

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Uploaded on
December 19, 2025
Number of pages
53
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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The nurse is caring for a client in the emergency department with symptoms of acute
abdominal pain, nausea, and vomiting. When the nurse palpates the client's left lower
abdominal quadrant, the client has pain in the right lower quadrant. The nurse will
document this as what diagnostic sign of appendicitis?


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Rovsing's sign




List non-modifiable risk factors for CAD


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, Age
Sex
Ethnicity
Fam Hx/genetics




The nurse is caring for a client with COPD and the rexpresses concerns related to
sexual intercourse. Which of the following information should the nurse provide to the
client?
a)Abstain from intercourse but not intimacy
b)Assume the dominant position during intercourse
c)Increase the time spent in foreplay
d)Use slow pursed-lip breathing during intercourse


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d)Use slow pursed-lip breathing during intercourse

Clients with COPD may need modifications related to sexual activity but
abstaining from intercourse is not required. Clients with COPD also need
less energy if these guidelines are followed: (a) have sexual activity during
the part of the day when breathing is best, (b) use slow pursed-lip
breathing, (c) refrain from sexual activity after eating or other strenuous
activity, (d) do not assume a dominant position, and (e) do not prolong
foreplay.




The nurse is preparing to administer a dose of ipratropium bromide by metered-dose
inhaler to a client. The nurse tells the client that which of the following time frames is
the expected duration of action for this medication?
a)30 minutes to 1 hour
b)2-3 hours
c)4-6 hours
d)8-12 hours

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c)4-6 hours




The community health nurse is planning health-promotion teaching targeted at
preventing coronary artery disease (CAD). Which of the following individuals would
the nurse select as the highest priority for this intervention?
a)White male
b)South Asian female
c)Black male
d)Indigenous female


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a)White male

The incidence of coronary artery disease (CAD) and myocardial infarction
(MI) is highest among White, middle-aged men.




The nurse, who has administered a first dose of oral prednisone to a client with
asthma, writes on the care plan to begin monitoring which of the following client
parameters?
a)Apical pulse
b)Bowel sounds
c)Intake and output
d)Deep tendon reflexes


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, c)Intake and output

Corticosteroids such as prednisone can lead to fluid retention. For this
reason, it is important to monitor the client's intake and output.




The growth and extent of collateral circulation is attributed to what two factors?


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•Inherited predisposition to develop new vessels (angiogenesis)
•Presence of chronic ischemia




The nurse is teaching a client with asthma about the appropriate use of a peak
flowmeter. Which of the following instructions should the nurse include in the
teaching plan?
a)Use the flowmeter each morning after taking medications to evaluate their
effectiveness.
b)Keep a record of the peak flowmeter numbers if symptoms of asthma are getting
worse.
c)Increase the doses of the long-term control medication if the peak flow numbers
decrease.
d)Empty the lungs and then inhale quickly through the mouthpiece to measure how
fast air can be inhaled.


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b)Keep a record of the peak flowmeter numbers if symptoms of asthma are
getting worse.

It is important to keep track of peak flow readings daily, especially when
the client's symptoms are getting worse. The client should have specific
directions as to when to call the physician, based on personal peak flow

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