NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen

NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen NUR 2571 / NUR2571 Final Exam: Professional Nursing II Final Exam / PN2 Final Exam Review (Latest 2022/2023) Rasmussen NUR 2571   Question I A client who has completely eliminated fats from the diet should be assessed for a deficiency of: l. bile. 2. minerals. salt. vitamins A, D, E, and K. Question 2 The nurse is planning care for a client diagnosed with Graves' disease. Which of the following nursing interventions would be appropriate for this client's care? Provide frequent meals. Question 3 A pregnant client is receiving treatment for hyperthyroidism. Which of the following medications would the Nurse expect to see? Propylthiouracil Question 4 Which statement made by the older adult client alerts the nurse needs for further assessment specifically for fluid and electrolyte imbalances? "l don't drink liquids after 5 PM so I dont have to get up at night." A client has hypokalemia. Which question by the nurse obtains the most information on a possible cause? b; "Do you usc diuretics or laxatives?" A client has metabolic alkalosis. Which laboratory results is the nurse most likely to assess as I consistent with this condition? Hyponatremia, hypokalemia, hypochloremia A client presented in the ED with an injury to the right ankle after a fall. On assessment, the nurse notes that it is red and inflamed but skin intact. The nurse adds interventions to the care plan that address which factor? Inflammation and pain The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid arthritis. Which precautions does the nurse give the client about taking this medication? "Take this medication at bedtime because it ull make you sleepy " b.Take calcium and vitamin D supplements daily." c. "Eat a high-fiber diet ith lots of lean meats." d. "Wash your face twice a day with an antlbacterial soap." Question 9 A client is suspected to have rheumatoid arthritis. What commonly early clinical manifestations does the nurse assess this client carefully for? Low-grade fever, fatigue, anorexia, with weight loss Question 10 The nurse is working with a client who has severe rheumatoid arthritis in her hands. The client states that she is frustrated at mealtime because it is difficult for her to manage cups and silverware. What is the nurse's best response? a. "l'll have the nursing assistants set up your meal trays while you arc in the hospital." b. "Let's see if the occupational therapist can provide you with some utensils that are easier for you to use Question 11 Which action by the nurse is most effective to prevent becoming exposed to the Human Immunodeficiency Virus? Always use standard precautions with all clients in the workplace Question 12 The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis. Which is the best nursing intervention for this client? Initiate seizure precautions with padded siderails Question 13 A client with AIDS has been admitted with fever, night sweats, and weight loss of 6 pounds in 2 weeks. The client's purified protein derivative test, placed 3 days ago in the clinic, is negative. Which action by the nurse is most appropriate? Place the client in Airborne precautions Question 14 A client who is receiving Highly Active Antiretroviral Therapy tells the nurse, "The doctor said that my viral load is reduced. What does this mean?" What is the nurse's best response? The HAART medications are working well right now Question 15 I out of I points What intervention does the nurse implement to provide for client safety during intradermal allergy testing? a Stay with the client and ensure that emergency equipment is in the room. Question 16 A client has received diphenhydramine and is currently oriented but drowsy. What is the best action for the nurse to take? Document the response and continue to monitor. . Question 17 0 out of I EX)ints A client is receiving an IV infusion of an antibiotic. The client calls the nurse about feeling uneasy and uncomfortable due to acute congestion. Which action by the nurse is most appropriate? b Have another nurse call the Rapid Response Team. question 18 Which skin integrity intervention best assists a client with pruritus? a. 'Keep your fingernails cut short and keep them clean." . "Drinking extra fluids decreases stimulation of itch receptors." c. "Wear soft. breathable clothing made from material like cotton." d."Avoid immersing the areas in water and dry thoroughly aftcr bathing." Question 19 A client has a furuncle in the axilla. Which statement by the client indicates a good understanding of how to care for this condition? a. "I'll apply cortisone cream to reduce the inflammation." b. "l will squeeze the lesion until all pus is removed." c. "l'll keep my arm down at my side to prevent spread." "l will cleanse the area and apply warrn compress and antibiotic cream." Question 20 The nurse is caring for four clients with asthma. Which client does the nurse assess first? a. Client with a barrel chest and clubbed fingernails b. Client with an Sa02 level of 92% at rest c. Client whose expiratory phase is longer than the inspiratory phase d. The client whose heart rate is 120 beats/min Question 21 Which statement indicates that a client understands teaching about the correct use of a corticosteroid medication? "This drug is effective in decreasing the frequency of my asthma attacks." Question 22 The nurse assesses a client with asthma and finds wheezing throughout the lung fields and decreased pulse oxygen saturation. In addition, the nurse notes suprasternal retraction on inhalation. Upon further assessment what intervention is expected by the nurse's? a. Perform peak expiratory flow readings. b. Assess for a midline trachea. c. Administer oxygen and a rescue inhaler. d. Call a code. Question 23 O out of I points A client with chronic obstructive pulmonary disease reports social isolation. What is the nurse most appropriate action to do for this client? a. Join a support group for people with COPD. b. Ask the client's physician for an antianxiety agent. c Verbalize his or her thoughts and feelings. d. Participate in community activities. Question 24 I out Of I points The nurse assesses a client with pneumonia and notes no audible lung sounds on the left side and decreased lung expansion. What is the nurse's best action? Further assess lung sounds, Vitals, Notify Healthcare Provider Question 25 I out of I points Which is the highest priority goal to set for a client with pneumonia? a. Absence of cyanosis b Maintenance of Sa02 of 95% c. Walking 20 feet three times daily d. Absence of confusion ANS: B Question 26 I out of I points A client with systolic dysfunction has an ejection fraction of 38%. The nurse assesses for which physiologic change? Decrease In tissue perfusion Question 27 The nurse is assessing a client in an outpatient clinic. Which client statement alerts the nurse to possible left-sided heart failure? c• I have to stop halfway up the stairs to catch my breath." Question 28 The nurse is assessing a client admitted to the cardiac unit. What statement made by the client alerts the nurse to the possibility of right-sided heart failure? b My shoes fit really tight lately." Question 29 A client with heart failure is experiencing acute shortness of breath. What is the nurse's priority action? a Place the client in a high Fowler's position. Question 30 0 OF 1 The client with heart failure has been prescribed intravenous nitroglycerin and furosemide for pulmonary edema. Which is the priority nursing intervention? b Monitor the client's blood pressure. Question 31 A client is taking triamterene-hydrochlorothiazide and furosemide. What assessment finding requires action by the nurse? Potassium of 2.9 mEq/L ANS: D Question 32 I out or I A client with high cholesterol is beginning treatment with simvastatin. What priority instruction does the nurse give this client? Report any muscle tenderness to your health care provider." Question 33 I out Of I The nurse is assessing a client who reports claudication after walking a distance of one block. The nurse notes a painful ulcer on the fourth toe of the client's right foot. What condition do these findings correlate with? Peripheral arterial disease Question 34 I of I The nurse is caring for a client with Buerger's disease. What client education does the nurse provide to minimize disease progression? Abstain from all forms of tobacco." Question 35 The nurse is discharging home a client at risk for venous thromboembolism on Iow- molecular-weight heparin. What instruction does the nurse provide to this client? c. 'Notify your health care provider if your stools appear tarry." Question 36 The nurse is providing health education to a client with chronic venous stasis ulcers. What priority instruction does the nurse include? a "Apply automobilism stockings before getting out of bed in the morning." Question 37 O out Of I points The nurse assesses a client's legs. Which assessment finding indicates arterial insufficiency? Dependeent mottling and absence of hair Question 38 O out or I points The nurse assesses that a client has a smooth, beefy red tongue. Which intervention does the nurse implement for this client? Provide a diet high In green leafy vegetables Question 39 O out of I B"ints Which risk factor does the nurse assess for to determine a client's cause of anemia? Chronic alcoholism Question 40 A client is newly diagnosed with sickle cell anemia. Which clinical manifestation does the nurse expect to see in this client? fatigue weakness general malaise skin pallor, tachycardia, SOB Dyspnea with activity Question 41 I out or I points A client is newly diagnosed with sickle cell anemia. Which information does the nurse included in the client's discharge instructions? Be aware of symptoms crisis Question 42 I out of I points A client who is receiving a unit of red blood cells begins to report chest and lower back pain. Which action does the nurse take first? Stop the transfusion, Question 43 The nurse is preparing to transfuse a third unit of red blood cells to a client. Which laboratory result is the nurse most concerned about? Potassium level of 5L5 mg/dL Question 44 I out of I points A client with epilepsy develops stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How does the nurse document this seizure activity? Tonic-clonic seizure Question 45 0 out of I points The nurse is caring for a client with Parkinson's disease. Which intervention does the nurse implement to prevent respiratory complications in the client? Elevation of the back rest will help with aspirations Maintaining the back rest elevation at greater than 30 degrees Question 46 I out of I B)ints The nurse is providing health education at a community center. Which instruction does the nurse include as part of client education for the prevention of low back pain? a Participate in an exercise program to strengthen muscles. " Question 47 I out of I points Emergency medical services arrive to the emergency department with a client who has a cervical spinal cord injury. Which priority assessment does the emergency department nurse perform at this time? Respiratory pattern and airway Question 48 (J or I r»ints The nurse assesses a client who has Guillain-Barré syndrome. Which clinical manifestation does the nurse expect to find in this client? Progressive, ascending weakness and paresthesia Question 49 0 out of I rx»ints The nurse assesses a client who has myasthenia gravis. Which clinical manifestation does the nurse expect to observe in this client? Inability to perform the cardinal positions of gaze Question 50 A client suspected to have myasthenia gravis is scheduled for the edrophonium chloride test. Which prescribed medication does the nurse prepare to administer if complications of this test occur? Atropine sulfate Question 51 I out of i points Which assessment alerts the nurse to the possible presence of a cataract in a client? Blurred vision and reduced color perception Question 52 I out Of I A client with macular degeneration would like to watch television. Where does the nurse place the television for best visualization of the screen? On either Side of the client Question 53 The nurse is caring for a client with otitis media. The client reports that the pain was severe during the night but was gone upon awakening in the morning. Which