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Nursing 221 Exam 1 – Questions and Answers | Practice Test Study Guide with Verified Solutions

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Nurs 221 Exam 2 – Review Questions & Answers |
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Terms in this set (203)



Stable angina predictable and consistent pain that occurs on
exertion and is relieved by rest and/or nitroglycerin


The nurse is monitoring hourly urine a. 20 mL/hour
output of a client diagnosed with
hypovolemic shock. The nurse is most
concerned if the client's output is:


a. 20 mL/hour
b. 40 mL/hour
c. 60 mL/hour
d. 80 mL/hour


A client recovered from influenza 2 a. A secondary bacterial pneumonia; people usually
days ago and informs the nurse that start to feel better and then symptoms return
she is feeling better but now has a
fever, chills, pain when breathing, and
a productive cough. What
complication does the nurse
anticipate the client will be treated
for?


a. A secondary bacterial pneumonia
b. A relapse of the flu
c. Reye syndrome
d. Tuberculosis

,Which client is at risk for developing a. A middle-aged male diagnosed with amyotrophic
acute respiratory failure? lateral sclerosis (ALS) who has pneumonia with low
O2 saturation
a. A middle-aged male diagnosed
with amyotrophic lateral sclerosis
(ALS) who has pneumonia with low O2
saturation
b. An older adult female living in
senior housing who has been exposed
to a "cold" while her grandchildren
visited
c. A teenager in a high school who has
had an increase in student absences
due to an outbreak of strep throat
d. A toddler in daycare who has been
sharing toys with peers before the
staff could sanitize properly


A client with a history of chronic d. Blood work for hemoglobin, red blood cells, and
kidney disease (CKD) is experiencing hematocrit
increasing fatigue, lethargy, and
activity intolerance. The care team has
established that the client's glomerular
filtration rate (GFR) remains at a low,
but stable, level. Which laboratory
assessments will most likely be
prescribed to help determine the
cause of these new symptoms?


a. Blood work for white cells and
differential
b. Cystoscopy and ureteroscopy
c. Assessment of pancreatic exocrine
and endocrine function
d. Blood work for hemoglobin, red
blood cells, and hematocrit

,Following several weeks of increasing d. Backflow from the left ventricle to left atrium
fatigue and a subsequent diagnostic
workup, a client has been diagnosed
with mitral valve regurgitation. Failure
of this heart valve would have which
hemodynamic consequences?


a. Backup of blood from the right
atrium into the superior vena cava
b. Backflow from the right ventricle to
the right atrium during systole
c. Inhibition of the SA node's normal
action potential
d. Backflow from the left ventricle to
left atrium


A client with a suspected MI is d. Troponin level
brought to the emergency
department by ambulance. The nurse
caring for this client would expect to
receive an order for which laboratory
test to confirm a diagnosis of MI?


a. Creatine kinase marker
b. Complete blood components
c. Calcium level
d. Troponin level

, A client has been diagnosed with a. The valve opening is narrowed and produces
aortic stenosis and asks the nurse increased resistance to blood flow out of the left
what this means. The most appropriate ventricle and into the aorta.
response would be:


a. The valve opening is narrowed and
produces increased resistance to
blood flow out of the left ventricle
and into the aorta.
b. The valve opening is incompetent,
thereby allowing blood to flow back
from the pulmonary artery and into
the left atrium.
c. The valve opening permits
backward flow to occur when the
valve should be closed.
d. The valve opens backward,
permitting blood to flow from the
right ventricle into the right atrium.


A client has just been told that he has c. Infective endocarditis
an infection of the inner surface of the
heart. He is also told that the bacteria
has invaded his heart valves. What
term is used for this disease process?


a. Pericarditis
b. Myocardial infarction
c. Infective endocarditis
d. Cardiomyopathy

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