PN2 final exam
1. The nurse is teaching a class of unlicensed assistive personnel (UAP), about
turning and repositioning dlents in a long-term care setting. Which client
requires extreme caution and is at greatest risk for a skin tear?: An 85-year old client
with breathing problems recelving dally doses of prednisone
2. A nurse who is applying eyedrops to a client holds pressure against the corner
of the eye nearest the nose after instilling the drops. The client asks what the
nurse is doing. What response: This prevents systemic absorption
3. nurse is caring for a client with the meningitis. Which laboratory values would
the nurse monitor to identify potential complications of the disorder? Select all
that apply: Clotting factors Sodium Levels
,4. 4.Assessment findings reveal that a client admitted to the hospital has a
contact type 1 hypersensitivity (immed iate) to latex. Which preventive nursing
intervention is best in planning care for this client?: Communicate theneed for avoidance
therapy to the health care team
5. 5.Which finding indicate that a patient may have hypervalemia (select all that
apply): Increased Bounding pulse Elevated blood pressure Skin pale and cool touch
6. 6.Which findings indicate that the patient may have hypervolemia? Select all
that apply: Increased, bounding pulse Jugular venous distention Presence of crackles Elevated blood pressure
7. student nur se is learning about blood transfusion compatibilities. What
information does this include? Select all that apply: Donor blood type A can donate to recipient
blood type AB Donor blood type O can donate to anyone
8. 8.After teachinga client who is diagnosed with new-onset status epilepticus
,and prescribed phenytoin (Dilantin). The nurse assess the client's understand-
ing. Which statement by the client indicates a correct understanding of the
teaching?: Even when my seizures stop, I will continue to take this drug
9. 9.Isonia zid (INH) and rifampin (rifadin) have been prescribed for a client with
tuberculosis (TB). A nurse reviews the medical record of the client. Which of the
following noted in the client's history order for these medication?: Hepatitis B
10. 12.A client has hypokalemia. Which question by the nurse obtains the most
information on a possible cause?: Do you take diuretic or use laxatives
11. 13.After the unlicensed assistive personnel (UAP) tells the nurse that an older
patient will not eat dinner. The nurse enters the patient's room to assess the
, situation. Which factors likely to the patient s lack of food to eat.( select all that
apply): An emesis basin in on the bedside table The volume of the television is loud The food is cold Housekeeping
staff is in the room disinfecting the bathroom The client's roommates has two adults and three children visiting
12. 15.what is the priority nursing intervention when planning meals for a client
who is malnourished? Provide the client with high-calorie, high-protein food: -
Determine the client's food preferences
13. 16.a nurse obtains a focused health history for a client who is suspected of
having bacterial meningitis. Which question would the nurse ask?: Do you live in
crowded residence
14. 17. a nurse is preparing a teaching plan for a client with migraine headaches
who is receiving a beta blocker daily to help manage this disorder, which
instruction would be appropriate to relay to this client?: b. "Take this drug as ordered,
1. The nurse is teaching a class of unlicensed assistive personnel (UAP), about
turning and repositioning dlents in a long-term care setting. Which client
requires extreme caution and is at greatest risk for a skin tear?: An 85-year old client
with breathing problems recelving dally doses of prednisone
2. A nurse who is applying eyedrops to a client holds pressure against the corner
of the eye nearest the nose after instilling the drops. The client asks what the
nurse is doing. What response: This prevents systemic absorption
3. nurse is caring for a client with the meningitis. Which laboratory values would
the nurse monitor to identify potential complications of the disorder? Select all
that apply: Clotting factors Sodium Levels
,4. 4.Assessment findings reveal that a client admitted to the hospital has a
contact type 1 hypersensitivity (immed iate) to latex. Which preventive nursing
intervention is best in planning care for this client?: Communicate theneed for avoidance
therapy to the health care team
5. 5.Which finding indicate that a patient may have hypervalemia (select all that
apply): Increased Bounding pulse Elevated blood pressure Skin pale and cool touch
6. 6.Which findings indicate that the patient may have hypervolemia? Select all
that apply: Increased, bounding pulse Jugular venous distention Presence of crackles Elevated blood pressure
7. student nur se is learning about blood transfusion compatibilities. What
information does this include? Select all that apply: Donor blood type A can donate to recipient
blood type AB Donor blood type O can donate to anyone
8. 8.After teachinga client who is diagnosed with new-onset status epilepticus
,and prescribed phenytoin (Dilantin). The nurse assess the client's understand-
ing. Which statement by the client indicates a correct understanding of the
teaching?: Even when my seizures stop, I will continue to take this drug
9. 9.Isonia zid (INH) and rifampin (rifadin) have been prescribed for a client with
tuberculosis (TB). A nurse reviews the medical record of the client. Which of the
following noted in the client's history order for these medication?: Hepatitis B
10. 12.A client has hypokalemia. Which question by the nurse obtains the most
information on a possible cause?: Do you take diuretic or use laxatives
11. 13.After the unlicensed assistive personnel (UAP) tells the nurse that an older
patient will not eat dinner. The nurse enters the patient's room to assess the
, situation. Which factors likely to the patient s lack of food to eat.( select all that
apply): An emesis basin in on the bedside table The volume of the television is loud The food is cold Housekeeping
staff is in the room disinfecting the bathroom The client's roommates has two adults and three children visiting
12. 15.what is the priority nursing intervention when planning meals for a client
who is malnourished? Provide the client with high-calorie, high-protein food: -
Determine the client's food preferences
13. 16.a nurse obtains a focused health history for a client who is suspected of
having bacterial meningitis. Which question would the nurse ask?: Do you live in
crowded residence
14. 17. a nurse is preparing a teaching plan for a client with migraine headaches
who is receiving a beta blocker daily to help manage this disorder, which
instruction would be appropriate to relay to this client?: b. "Take this drug as ordered,
