PN2 FINAL 117 STUDY GUIDE 2026
COMPREHENSIVE ANSWERS ALREADY PASSED
◉ A nurse is reviewing the labs for a newly admitted heart failure
patient and notes a K+ level of 6.7, upon reviewing the patient's
medications which contributed to this electrolyte imbalance?
A. Furosemide
B. Hydrochlorothiazide
C. Spironolactone
D. Bumetanide. Answer: C. Spironolactone (potassium sparing)
◉ Which of the following symptoms would the nurse anticipate in a
client with right sided heart failure?
A. Crackles in the lungs
B. Shortness of breath
C. Neck vein distention
D. Enlarged abdominal girth
E. Productive cough. Answer: C. Neck vein distention
D. Enlarged abdominal girth
◉ The nurse notes that the Hgb A1C level of a client dropped from a
8.4 to 6.7%. What statement best explains this change?
,A. The Client has been less complaint with the prescribed treatment
regimen.
B. The Client is experiencing a reduction in insulin sensitivity.
C. The Client has less need for insulin
D. The client is demonstrating improved control of hyperglycemia
over the last several months.. Answer: D. The Client is demonstrating
improved control of hyperglycemia over the last several months.
◉ Which clinical manifestations should the nurse expect to find in
the client with Guillian-Barre syndrome?
A. Ophthalmoplegia and diplopia
B. Weakness of face, jaw, and sternocleidomastoid muscles
C. Progressive weakness without sensory involvement
D. Progressive ascending weakness and paresthesia. Answer: D.
Progressive ascending weakness and paesthesia
◉ The nurse is caring for a client with COPD and is reviewing the
new ABG's. Which of following ABG values is Respiratory acidosis?
A. pH. 7.28, HCO3. 12, PCO2. 45, O2 96
B. pH. 7.36, HCO3. 22, PCO2. 35, O2 98
C. pH. 7.37, HCO3. 36, PCO2. 65, O2 78
D. pH. 7.48, HCO3. 24, PCO2. 42, O2 85. Answer: A. pH=7.28,
Hco3=12, Pco2=45, O2=96
,◉ A client is with systolic dysfunction has an ejection fraction of
38%. The nurse assesses for which physical change?
A. increased stroke volume
B. decreased tissue perfusion
C. increase in O2 saturation
D. A decrease in arterial vasoconstriction.. Answer: D. A Decrease in
arterial vasocontriction
◉ A client has the following ABGs: pH 7.30, HCO3 25, PCO2 55.
Which intervention by the nurse?
A. Prepare to give rapid intravenous of sodium bicarb
B. Document findings
C. Assess client and notify the physician
D. Admin O2 at 2 L nasal cannula. Answer: C. Assess client and notify
the physician
◉ Which statement indicates that a client understands teaching
about the correct use of long-acting beta 2 agonists medication for
asthma?
A. This drug can reverse my symptoms during an asthma attack
B. This drug is effective in decreasing the frequency of my asthma
attacks C. This drug can be used always as effective as a rescue agent
, D. This drug can be used safely on a long term basis for multiple
applications daily. Answer: D. This drug can be used safely on a long
term basis for multiple applications daily
◉ The nurse is planning care for a client with Hyperthyroidism.
Which of the following nursing interventions would be?
A. Restrict the clients caloric intake
B. Provide extra blankets
C. Admin a stool softener
D. Provide frequent meals. Answer: D. provide frequent meals
◉ A client has a creatinine level of 6.0 mg/dL. The IV fluid is 5%
dextrose in 0.9% sodium chloride with ?
A. Encourage more protein in the diet
B. Ambulate the client more to increase circulation
C. Take vitals every hour
D. Question the use of potassium in the IV fluids. Answer: D.
Question the use of potassium in the IV Fluids
◉ A client is diagnosed with a type of diabetes associated with an
autoimmune destruction of plasma beta cells. Which type of
diabetes is this client experiencing?
A. Gestational
B. DKA
COMPREHENSIVE ANSWERS ALREADY PASSED
◉ A nurse is reviewing the labs for a newly admitted heart failure
patient and notes a K+ level of 6.7, upon reviewing the patient's
medications which contributed to this electrolyte imbalance?
A. Furosemide
B. Hydrochlorothiazide
C. Spironolactone
D. Bumetanide. Answer: C. Spironolactone (potassium sparing)
◉ Which of the following symptoms would the nurse anticipate in a
client with right sided heart failure?
A. Crackles in the lungs
B. Shortness of breath
C. Neck vein distention
D. Enlarged abdominal girth
E. Productive cough. Answer: C. Neck vein distention
D. Enlarged abdominal girth
◉ The nurse notes that the Hgb A1C level of a client dropped from a
8.4 to 6.7%. What statement best explains this change?
,A. The Client has been less complaint with the prescribed treatment
regimen.
B. The Client is experiencing a reduction in insulin sensitivity.
C. The Client has less need for insulin
D. The client is demonstrating improved control of hyperglycemia
over the last several months.. Answer: D. The Client is demonstrating
improved control of hyperglycemia over the last several months.
◉ Which clinical manifestations should the nurse expect to find in
the client with Guillian-Barre syndrome?
A. Ophthalmoplegia and diplopia
B. Weakness of face, jaw, and sternocleidomastoid muscles
C. Progressive weakness without sensory involvement
D. Progressive ascending weakness and paresthesia. Answer: D.
Progressive ascending weakness and paesthesia
◉ The nurse is caring for a client with COPD and is reviewing the
new ABG's. Which of following ABG values is Respiratory acidosis?
A. pH. 7.28, HCO3. 12, PCO2. 45, O2 96
B. pH. 7.36, HCO3. 22, PCO2. 35, O2 98
C. pH. 7.37, HCO3. 36, PCO2. 65, O2 78
D. pH. 7.48, HCO3. 24, PCO2. 42, O2 85. Answer: A. pH=7.28,
Hco3=12, Pco2=45, O2=96
,◉ A client is with systolic dysfunction has an ejection fraction of
38%. The nurse assesses for which physical change?
A. increased stroke volume
B. decreased tissue perfusion
C. increase in O2 saturation
D. A decrease in arterial vasoconstriction.. Answer: D. A Decrease in
arterial vasocontriction
◉ A client has the following ABGs: pH 7.30, HCO3 25, PCO2 55.
Which intervention by the nurse?
A. Prepare to give rapid intravenous of sodium bicarb
B. Document findings
C. Assess client and notify the physician
D. Admin O2 at 2 L nasal cannula. Answer: C. Assess client and notify
the physician
◉ Which statement indicates that a client understands teaching
about the correct use of long-acting beta 2 agonists medication for
asthma?
A. This drug can reverse my symptoms during an asthma attack
B. This drug is effective in decreasing the frequency of my asthma
attacks C. This drug can be used always as effective as a rescue agent
, D. This drug can be used safely on a long term basis for multiple
applications daily. Answer: D. This drug can be used safely on a long
term basis for multiple applications daily
◉ The nurse is planning care for a client with Hyperthyroidism.
Which of the following nursing interventions would be?
A. Restrict the clients caloric intake
B. Provide extra blankets
C. Admin a stool softener
D. Provide frequent meals. Answer: D. provide frequent meals
◉ A client has a creatinine level of 6.0 mg/dL. The IV fluid is 5%
dextrose in 0.9% sodium chloride with ?
A. Encourage more protein in the diet
B. Ambulate the client more to increase circulation
C. Take vitals every hour
D. Question the use of potassium in the IV fluids. Answer: D.
Question the use of potassium in the IV Fluids
◉ A client is diagnosed with a type of diabetes associated with an
autoimmune destruction of plasma beta cells. Which type of
diabetes is this client experiencing?
A. Gestational
B. DKA
