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Nurs 221 Exam 2 Questions with Detailed
Verified Answers
Stable angina
⼀Answer:⼀ predictable and consistent pain that occurs on exertion
and is relieved by rest and/or nitroglycerin
The nurse is monitoring hourly urine 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
⼀Answer:⼀ a. 20 mL/hour
A client recovered from influenza 2 days ago and informs the
nurse that 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
⼀Answer:⼀ a. A secondary bacterial pneumonia; people usually
start to feel better and then symptoms return
Which client is at risk for developing acute respiratory failure?
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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
⼀Answer:⼀ a. A middle-aged male diagnosed with amyotrophic
lateral sclerosis (ALS) who has pneumonia with low O2 saturation
A client with a history of chronic kidney disease (CKD) is
experiencing 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
⼀Answer:⼀ d. Blood work for hemoglobin, red blood cells, and
hematocrit
Following several weeks of increasing 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
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⼀Answer:⼀ d. Backflow from the left ventricle to left atrium
A client with a suspected MI is 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
⼀Answer:⼀ d. Troponin level
A client has been diagnosed with aortic stenosis and asks the
nurse what this means. The most appropriate 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.
⼀Answer:⼀ a. The valve opening is narrowed and produces
increased resistance to blood flow out of the left ventricle and into the
aorta.
A client has just been told that he has 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
, Page | 4
⼀Answer:⼀ c. Infective endocarditis
The nurse is reviewing the laboratory work of several medical
clients. Which laboratory result is most suggestive of abnormalities
in kidney function?
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 levels
d. Normal creatinine levels and elevated blood urea nitrogen (BUN)
⼀Answer:⼀ b. Increased creatinine and blood urea nitrogen (BUN)
levels
A nurse is performing client health education with a 68-year-old
man who has recently been diagnosed with heart failure. Which
statement demonstrates an accurate understanding of his new
diagnosis?
a. "I'll be sure to take my beta-blocker whenever I feel short of
breath."
b. "I'm going to avoid as much physical activity as I can so that I
preserve my strength."
c. "I know it's healthy to drink a lot of water, and I'm going to
make sure I do this from now on."
d. "I'm trying to think of ways that I can cut down the amount of
salt that I usually eat."
⼀Answer:⼀ d. "I'm trying to think of ways that I can cut down the
amount of salt that I usually eat."
The nurse would be most concerned when the glomerular filtrate
contains:
a. Protein
b. Sodium
c. Potassium
d. Water
Nurs 221 Exam 2 Questions with Detailed
Verified Answers
Stable angina
⼀Answer:⼀ predictable and consistent pain that occurs on exertion
and is relieved by rest and/or nitroglycerin
The nurse is monitoring hourly urine 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
⼀Answer:⼀ a. 20 mL/hour
A client recovered from influenza 2 days ago and informs the
nurse that 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
⼀Answer:⼀ a. A secondary bacterial pneumonia; people usually
start to feel better and then symptoms return
Which client is at risk for developing acute respiratory failure?
, Page | 2
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
⼀Answer:⼀ a. A middle-aged male diagnosed with amyotrophic
lateral sclerosis (ALS) who has pneumonia with low O2 saturation
A client with a history of chronic kidney disease (CKD) is
experiencing 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
⼀Answer:⼀ d. Blood work for hemoglobin, red blood cells, and
hematocrit
Following several weeks of increasing 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
, Page | 3
⼀Answer:⼀ d. Backflow from the left ventricle to left atrium
A client with a suspected MI is 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
⼀Answer:⼀ d. Troponin level
A client has been diagnosed with aortic stenosis and asks the
nurse what this means. The most appropriate 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.
⼀Answer:⼀ a. The valve opening is narrowed and produces
increased resistance to blood flow out of the left ventricle and into the
aorta.
A client has just been told that he has 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
, Page | 4
⼀Answer:⼀ c. Infective endocarditis
The nurse is reviewing the laboratory work of several medical
clients. Which laboratory result is most suggestive of abnormalities
in kidney function?
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 levels
d. Normal creatinine levels and elevated blood urea nitrogen (BUN)
⼀Answer:⼀ b. Increased creatinine and blood urea nitrogen (BUN)
levels
A nurse is performing client health education with a 68-year-old
man who has recently been diagnosed with heart failure. Which
statement demonstrates an accurate understanding of his new
diagnosis?
a. "I'll be sure to take my beta-blocker whenever I feel short of
breath."
b. "I'm going to avoid as much physical activity as I can so that I
preserve my strength."
c. "I know it's healthy to drink a lot of water, and I'm going to
make sure I do this from now on."
d. "I'm trying to think of ways that I can cut down the amount of
salt that I usually eat."
⼀Answer:⼀ d. "I'm trying to think of ways that I can cut down the
amount of salt that I usually eat."
The nurse would be most concerned when the glomerular filtrate
contains:
a. Protein
b. Sodium
c. Potassium
d. Water
