PN2 final exam with correct answers
A client was admitted to the ICU with hyponatremia. Which of the following
assessment findings would cause this?
A. Coma
B. A&O x4
C. Lethargy
D. Increased appetite
E. increased grip strength
F. Seizures - CORRECT ANSWERS ✔✔A. Coma
C. Lethargy
F. Seizures
Which of the following should the nurse include in the discharge instructions for a
client who had gastric bypass surgery?
A. Notify provider of fever of 100.9
B. Monitor surgical site for redness and drainage
C. Resume full activity once at home
D. Advance diet to pureed as tolerated
E. Avoid carbonated beverages - CORRECT ANSWERS ✔✔A. Notify provider of a
fever over 100.9 F
B. Monitor surgical site for redness or drainage
E. Avoid carbonated beverages
,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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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 client was admitted to the ICU with hyponatremia. Which of the following
assessment findings would cause this?
A. Coma
B. A&O x4
C. Lethargy
D. Increased appetite
E. increased grip strength
F. Seizures - CORRECT ANSWERS ✔✔A. Coma
C. Lethargy
F. Seizures
Which of the following should the nurse include in the discharge instructions for a
client who had gastric bypass surgery?
A. Notify provider of fever of 100.9
B. Monitor surgical site for redness and drainage
C. Resume full activity once at home
D. Advance diet to pureed as tolerated
E. Avoid carbonated beverages - CORRECT ANSWERS ✔✔A. Notify provider of a
fever over 100.9 F
B. Monitor surgical site for redness or drainage
E. Avoid carbonated beverages
,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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔D. A Decrease
in arterial vasocontriction
A client has the following ABGs: pH 7.30, HCO3 25, PCO2 55. Which intervention by
the nurse?
