NUR 2571> Professional Nursing II
The nurse assesses a client who has myasthenia gravis. Which clinical manifestation
does the nurse expect to observe in this client?
Muscle weakness that worsens with use and improves with test
a client being treated for a spinal cord injury needs immediate ventilator support. The
nurse realizes that this client's level of injury is most likely?
C3
the nurse intends to participate in a health screening clinic and preparing teaching
materials about colorectal cancer
Personal history of Gl polyps
the nurse is attempting to assess a coma patient's response to pain. Which technique
does the nurse try first
Speak the patient and call his/her name using a normal tone of voice
,NUR 2571> Professional Nursing II
The step-down unity receives a new admission who has uncontrolled diabetes, polyuria,
and blood pressure of 86/46 mm gh. Which staff member is assigned to care for the
client?
RN who has floated from the ICU
A client is admitted to the emergency room with a respiratory rate of 6/min. Arterial
blood gasses (ABGS) have been drawn and reveal to following values: pH 7.22, PaCO2
68, HCO3 26, Pa02 74. Which of the following is an appropriate analysis these ABGS?
Respiratory acidosis
which of the following conditions should the nurse recognize as a type IV reaction?
Allergic rhinitis
Positive purified protein derivative (PPD) test
A pre-operative wears a hearing aid and is extremely hard of hearing without it. what
does the nurse do to help reduce this client's anxiety?
Explain that it is hospital policy to remove a hearing aid until anesthesia is
given
the nurse is caring for the mechanically ventilated patients uses best practices to pre
ventilator associated pneumonia. What action by the nurse should be questioned?
Elevating the head of the bed
nurse cares for a client who has Alzheimer's disease. which communication techniques
would the nurse implement?
Open-ended questions
, NUR 2571> Professional Nursing II
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 status and airway patency
a client newly diagnosed with Parkinson disease (PD) is being discharged. Which
instructions is best for the nurse to provide to the client's spouse?
Administer medications promptly on schedule to maintain therapeutic drug
levels
Which arterial blood gas (ABG) values are expected with hyperventilation?
pH, 7.55; PaCO2, 32 mm Hg or ph 7.48 CO2 remain the same
A nurse is planning care for a client who has acute dysphagia. Which of the following
nursing interventions should be included in the p lan of care?
Placing the client in at least semi fowlers position during meals
A new nurse demonstrates their understanding of a proper physical assessment of an
abdomen when the four techniques of examination are completed in which order?
Inspect
Auscultate
Percuss
Palpate
A client is demonstrating signs of an anaphylactic reaction. Which of the following
should the nurse do? (Select all that apply.)
The nurse assesses a client who has myasthenia gravis. Which clinical manifestation
does the nurse expect to observe in this client?
Muscle weakness that worsens with use and improves with test
a client being treated for a spinal cord injury needs immediate ventilator support. The
nurse realizes that this client's level of injury is most likely?
C3
the nurse intends to participate in a health screening clinic and preparing teaching
materials about colorectal cancer
Personal history of Gl polyps
the nurse is attempting to assess a coma patient's response to pain. Which technique
does the nurse try first
Speak the patient and call his/her name using a normal tone of voice
,NUR 2571> Professional Nursing II
The step-down unity receives a new admission who has uncontrolled diabetes, polyuria,
and blood pressure of 86/46 mm gh. Which staff member is assigned to care for the
client?
RN who has floated from the ICU
A client is admitted to the emergency room with a respiratory rate of 6/min. Arterial
blood gasses (ABGS) have been drawn and reveal to following values: pH 7.22, PaCO2
68, HCO3 26, Pa02 74. Which of the following is an appropriate analysis these ABGS?
Respiratory acidosis
which of the following conditions should the nurse recognize as a type IV reaction?
Allergic rhinitis
Positive purified protein derivative (PPD) test
A pre-operative wears a hearing aid and is extremely hard of hearing without it. what
does the nurse do to help reduce this client's anxiety?
Explain that it is hospital policy to remove a hearing aid until anesthesia is
given
the nurse is caring for the mechanically ventilated patients uses best practices to pre
ventilator associated pneumonia. What action by the nurse should be questioned?
Elevating the head of the bed
nurse cares for a client who has Alzheimer's disease. which communication techniques
would the nurse implement?
Open-ended questions
, NUR 2571> Professional Nursing II
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 status and airway patency
a client newly diagnosed with Parkinson disease (PD) is being discharged. Which
instructions is best for the nurse to provide to the client's spouse?
Administer medications promptly on schedule to maintain therapeutic drug
levels
Which arterial blood gas (ABG) values are expected with hyperventilation?
pH, 7.55; PaCO2, 32 mm Hg or ph 7.48 CO2 remain the same
A nurse is planning care for a client who has acute dysphagia. Which of the following
nursing interventions should be included in the p lan of care?
Placing the client in at least semi fowlers position during meals
A new nurse demonstrates their understanding of a proper physical assessment of an
abdomen when the four techniques of examination are completed in which order?
Inspect
Auscultate
Percuss
Palpate
A client is demonstrating signs of an anaphylactic reaction. Which of the following
should the nurse do? (Select all that apply.)
