EXAM 1 - NUR2571 / NUR 2571 (LATEST
2026/ 2027): PROFESSIONAL NURSING II
(PN2) - RASMUSSEN
1. The nurse is assessing an elderly client receiving IV fluids. Which
of the following will not indicate fluid volume overload?
A. Bounding pulses
B. Crackles in the lungs
C. Jugular vein distention
D. Weak and thready pulses
Correct Answer: D. Weak and thready pulses
Rationale: Weak and thready pulses are more commonly associated with fluid volume deficit, not overload.
Fluid overload typically presents with bounding pulses due to increased circulating volume and pressure.
Crackles and jugular vein distention indicate excess fluid in the lungs and venous system. Recognizing early
signs helps prevent complications such as pulmonary edema.
2. The nurse is admitting a client with suspected appendicitis. The
nurse understands that this client will most likely identify pain in
which location?
A. Left lower quadrant
B. Periumbilical area
C. Right upper quadrant
D. Right lower quadrant (McBurney’s point)
Correct Answer: D. Right lower quadrant (McBurney’s point)
Rationale: Appendicitis pain typically localizes to McBurney’s point in the right lower quadrant as
inflammation progresses. Early pain may be vague or periumbilical, but it becomes more localized as
irritation of the parietal peritoneum occurs. Accurate pain location helps guide timely diagnosis. Delayed
recognition increases risk of rupture.
, 3. The student nurse learning about stomach disorders understands
that risk factors for acute gastritis include which of the following?
(Select all that apply.)
A. Corticosteroids
B. Nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Caffeine
D. High-fiber diets
E. Proton pump inhibitors
Correct Answers: A, B, C
Rationale: Acute gastritis commonly results from irritation of the gastric mucosa. NSAIDs and
corticosteroids decrease prostaglandin production, weakening mucosal defenses. Caffeine increases gastric
acid secretion, further irritating the stomach lining. High-fiber diets and proton pump inhibitors are
protective rather than harmful.
4. A nurse is caring for a client diagnosed with esophageal cancer
who asks, “Does this mean I’m going to die?” Which responses are
appropriate? (Select all that apply.)
A. “Everything will be fine; you shouldn’t worry.”
B. “Let me sit with you, and we can talk about how you’re feeling.”
C. “It sounds like death is frightening for you.”
D. “You should stay positive and not think about that.”
Correct Answers: B, C
Rationale: Therapeutic communication encourages emotional expression and validation. Sitting with the
client conveys presence and support, while reflecting feelings acknowledges fear without judgment. False
reassurance and minimizing concerns block communication. Open-ended responses foster trust and allow
assessment of emotional needs.
5. The nurse assesses a client with dehydration. Which finding is of
greatest concern?
A. Dry mucous membranes
B. Poor skin turgor
C. Blood pressure 88/40 mm Hg
D. Dark yellow urine
2026/ 2027): PROFESSIONAL NURSING II
(PN2) - RASMUSSEN
1. The nurse is assessing an elderly client receiving IV fluids. Which
of the following will not indicate fluid volume overload?
A. Bounding pulses
B. Crackles in the lungs
C. Jugular vein distention
D. Weak and thready pulses
Correct Answer: D. Weak and thready pulses
Rationale: Weak and thready pulses are more commonly associated with fluid volume deficit, not overload.
Fluid overload typically presents with bounding pulses due to increased circulating volume and pressure.
Crackles and jugular vein distention indicate excess fluid in the lungs and venous system. Recognizing early
signs helps prevent complications such as pulmonary edema.
2. The nurse is admitting a client with suspected appendicitis. The
nurse understands that this client will most likely identify pain in
which location?
A. Left lower quadrant
B. Periumbilical area
C. Right upper quadrant
D. Right lower quadrant (McBurney’s point)
Correct Answer: D. Right lower quadrant (McBurney’s point)
Rationale: Appendicitis pain typically localizes to McBurney’s point in the right lower quadrant as
inflammation progresses. Early pain may be vague or periumbilical, but it becomes more localized as
irritation of the parietal peritoneum occurs. Accurate pain location helps guide timely diagnosis. Delayed
recognition increases risk of rupture.
, 3. The student nurse learning about stomach disorders understands
that risk factors for acute gastritis include which of the following?
(Select all that apply.)
A. Corticosteroids
B. Nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Caffeine
D. High-fiber diets
E. Proton pump inhibitors
Correct Answers: A, B, C
Rationale: Acute gastritis commonly results from irritation of the gastric mucosa. NSAIDs and
corticosteroids decrease prostaglandin production, weakening mucosal defenses. Caffeine increases gastric
acid secretion, further irritating the stomach lining. High-fiber diets and proton pump inhibitors are
protective rather than harmful.
4. A nurse is caring for a client diagnosed with esophageal cancer
who asks, “Does this mean I’m going to die?” Which responses are
appropriate? (Select all that apply.)
A. “Everything will be fine; you shouldn’t worry.”
B. “Let me sit with you, and we can talk about how you’re feeling.”
C. “It sounds like death is frightening for you.”
D. “You should stay positive and not think about that.”
Correct Answers: B, C
Rationale: Therapeutic communication encourages emotional expression and validation. Sitting with the
client conveys presence and support, while reflecting feelings acknowledges fear without judgment. False
reassurance and minimizing concerns block communication. Open-ended responses foster trust and allow
assessment of emotional needs.
5. The nurse assesses a client with dehydration. Which finding is of
greatest concern?
A. Dry mucous membranes
B. Poor skin turgor
C. Blood pressure 88/40 mm Hg
D. Dark yellow urine
