Nurs 221 exam 2 newest 2024 actual exam 2 versions
version a and b complete 200 questions with detailed v
erified answers
1. Stable angina predictable and
consistent pain
that occurs on
exertion and is
relieved by rest
and/or nitroglyc-
erin
2. The nurse is monitoring hourly urine output of a O2 saturation
client diagnosed with hypovolemic shock. The nurse b. An olde
is most concerned if the client's output is: adult fema
living in senio
a. 20 mL/hour housing wh
b. 40 mL/hour has bee
c. 60 mL/hour exposed to
d. 80 mL/hour "cold" whi
her
3. A client recovered from influenza 2 days ago and in- grandchildren
forms the nurse that she is feeling better but now has visited
a fever, chills, pain when breathing, and a productive c. A teenage
cough. What complication does the nurse anticipate in a hig
the client will be treated for? school wh
has had a
a. A secondary bacterial pneumonia in-
b. A relapse of the flu
c. Reye syndrome
d. Tuberculosis
4. Which client is at risk for developing acute respirato-
ry failure?
a. A middle-aged male diagnosed with amyotrophic
lateral sclerosis (ALS) who has pneumonia with low
,a. 20 mL/hour
a. A secondary bacterial pneumo- nia; people usual- ly
start to feel bet- ter and then symp- toms return
a. A middle-aged male diagnosed with amyotroph- ic
lateral sclero- sis (ALS) who has pneumonia with low O2
saturation
, crease 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
5. A client with a history of chronic kidney disease d. Blood work for
(CKD) is experiencing increasing fatigue, lethargy, hemoglobin, red
and activity intolerance. The care team has estab- blood cells, and
lished that the client's glomerular filtration rate (GFR) hematocrit
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
6. Following several weeks of increasing fatigue and d. Backflow from
a subsequent diagnostic workup, a client has been the left ventricle to
diagnosed with mitral valve regurgitation. Failure of left atrium
this heart valve would have which hemodynamic con-
sequences?
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
7. A client with a suspected MI is brought to the emer- d. Troponin level
gency 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
8. A client has been diagnosed with aortic stenosis and a. The valve open-
asks the nurse what this means. The most appropri- ing is narrowed
ate response would be: and produces in-
creased resis-
a. The valve opening is narrowed and produces in- tance to blood flow
creased resistance to blood flow out of the left ven- out of the left ven-
tricle and into the aorta. tricle and into the
b. The valve opening is incompetent, thereby allowing aorta.
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.
9. A client has just been told that he has an infection of c. Infective endo-
the inner surface of the heart. He is also told that the carditis
bacteria has invaded his heart valves. What term is
used for this disease process?
a. Pericarditis
b. Myocardial infarction
c. Infective endocarditis
d. Cardiomyopathy
10. The nurse is reviewing the laboratory work of several b. Increased cre-
medical clients. Which laboratory result is most sug- atinine and blood
gestive of abnormalities in kidney function? urea nitrogen
(BUN) levels
a. An absolute absence of protein in a urine sample
b. Increased creatinine and blood urea nitrogen
(BUN) levels
c. Urine gravity of 1.030 and normal serum creatinine
version a and b complete 200 questions with detailed v
erified answers
1. Stable angina predictable and
consistent pain
that occurs on
exertion and is
relieved by rest
and/or nitroglyc-
erin
2. The nurse is monitoring hourly urine output of a O2 saturation
client diagnosed with hypovolemic shock. The nurse b. An olde
is most concerned if the client's output is: adult fema
living in senio
a. 20 mL/hour housing wh
b. 40 mL/hour has bee
c. 60 mL/hour exposed to
d. 80 mL/hour "cold" whi
her
3. A client recovered from influenza 2 days ago and in- grandchildren
forms the nurse that she is feeling better but now has visited
a fever, chills, pain when breathing, and a productive c. A teenage
cough. What complication does the nurse anticipate in a hig
the client will be treated for? school wh
has had a
a. A secondary bacterial pneumonia in-
b. A relapse of the flu
c. Reye syndrome
d. Tuberculosis
4. Which client is at risk for developing acute respirato-
ry failure?
a. A middle-aged male diagnosed with amyotrophic
lateral sclerosis (ALS) who has pneumonia with low
,a. 20 mL/hour
a. A secondary bacterial pneumo- nia; people usual- ly
start to feel bet- ter and then symp- toms return
a. A middle-aged male diagnosed with amyotroph- ic
lateral sclero- sis (ALS) who has pneumonia with low O2
saturation
, crease 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
5. A client with a history of chronic kidney disease d. Blood work for
(CKD) is experiencing increasing fatigue, lethargy, hemoglobin, red
and activity intolerance. The care team has estab- blood cells, and
lished that the client's glomerular filtration rate (GFR) hematocrit
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
6. Following several weeks of increasing fatigue and d. Backflow from
a subsequent diagnostic workup, a client has been the left ventricle to
diagnosed with mitral valve regurgitation. Failure of left atrium
this heart valve would have which hemodynamic con-
sequences?
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
7. A client with a suspected MI is brought to the emer- d. Troponin level
gency 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
8. A client has been diagnosed with aortic stenosis and a. The valve open-
asks the nurse what this means. The most appropri- ing is narrowed
ate response would be: and produces in-
creased resis-
a. The valve opening is narrowed and produces in- tance to blood flow
creased resistance to blood flow out of the left ven- out of the left ven-
tricle and into the aorta. tricle and into the
b. The valve opening is incompetent, thereby allowing aorta.
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.
9. A client has just been told that he has an infection of c. Infective endo-
the inner surface of the heart. He is also told that the carditis
bacteria has invaded his heart valves. What term is
used for this disease process?
a. Pericarditis
b. Myocardial infarction
c. Infective endocarditis
d. Cardiomyopathy
10. The nurse is reviewing the laboratory work of several b. Increased cre-
medical clients. Which laboratory result is most sug- atinine and blood
gestive of abnormalities in kidney function? urea nitrogen
(BUN) levels
a. An absolute absence of protein in a urine sample
b. Increased creatinine and blood urea nitrogen
(BUN) levels
c. Urine gravity of 1.030 and normal serum creatinine
