NUR 3535 Practice Quiz 2 Questions With
Complete Answers
A nurse is instructing a client who has GERD about positions that can help minimize the
effects of reflux during sleep. Which of the following statements indicates to the nurse
that the client understands the instructions? - ANSWER "I will lie on my right side to
sleep at night"
Rationale: Sleeping in a right side-lying position helps reduce the manifestations of
nighttime reflux. The client can also elevate the head of the bed about 10.2 cm (4 in) to
30.5 cm (12 in) on blocks.
A nurse is reviewing discharge instructions with a client following a right cataract
extraction. Which of the following instructions should the nurse include? - ANSWER
Avoid lifting anything heavier than 4.5kg (10lb) for one week.
Rationale: The nurse should instruct the client to avoid activities that increase
intraocular pressure. Therefore, the nurse should instruct the client to avoid lifting
anything heavier than 4.5 kg (10 lb) for 1 week following surgery.
A nurse in the emergency department is caring for a client who reports chest pressure
and shortness of breath. Which of the following laboratory tests should the nurse
anticipate the provider to prescribe? - ANSWER Troponin I
Rationale: The troponins (I and T) are proteins that only exist in cardiac muscle and
enter the bloodstream within a few hours of myocardial injury. They are the most
specific indicator of myocardial damage.
A nurse is giving a presentation to a community group about preventing atherosclerosis.
Which of the following should the nurse include as a modifiable risk factor for this
disorder? (select all that apply) - ANSWER Hypercholesterolemia is correct. Cholesterol
levels outside the healthful range increase clients' risk for heart disease, and they can
change these levels.
Hypertension is correct. Although it may not always be possible to eliminate
hypertension, clients can change their blood pressure levels and thus reduce their risk
for atherosclerosis.
, Obesity is correct. Clients who are overweight or obese can reduce their risk for heart
disease by losing weight.
Smoking is correct. Clients who smoke can reduce their risk for heart disease by
quitting smoking.
A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and
diarrhea. Which of the following findings should the nurse expect? - ANSWER Weak,
irregular pulse
Rationale: Common manifestations of potassium depletion include a weak and irregular
pulse, muscle weakness, fatigue, and ventricular dysrhythmias
A nurse is caring for a client who is being admitted for an acute exacerbation of
ulcerative colitis. Which of the following actions should the nurse take first? - ANSWER
Review the client's electrolyte values.
rationale: The greatest risk to this client is injury from impaired function of cardiac or
respiratory muscles; therefore, the first action the nurse should take is to review the
client's electrolyte values. The client might have low sodium, potassium, and chloride
from frequent diarrhea.
A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect? (select all that apply) - ANSWER Increased heart rate is
correct. The nurse should expect the client who has fluid volume excess to have
tachycardia and increased cardiac contractility in response to the excess fluid.
Increased blood pressure is correct. The nurse should expect the client who has fluid
volume excess to have increased blood pressure and bounding pulse in response to the
excess fluid.
Increased respiratory rate is correct. The nurse should expect the client who has fluid
volume excess to have increase in respiratory rate and moist crackles heard in lungs.
Complete Answers
A nurse is instructing a client who has GERD about positions that can help minimize the
effects of reflux during sleep. Which of the following statements indicates to the nurse
that the client understands the instructions? - ANSWER "I will lie on my right side to
sleep at night"
Rationale: Sleeping in a right side-lying position helps reduce the manifestations of
nighttime reflux. The client can also elevate the head of the bed about 10.2 cm (4 in) to
30.5 cm (12 in) on blocks.
A nurse is reviewing discharge instructions with a client following a right cataract
extraction. Which of the following instructions should the nurse include? - ANSWER
Avoid lifting anything heavier than 4.5kg (10lb) for one week.
Rationale: The nurse should instruct the client to avoid activities that increase
intraocular pressure. Therefore, the nurse should instruct the client to avoid lifting
anything heavier than 4.5 kg (10 lb) for 1 week following surgery.
A nurse in the emergency department is caring for a client who reports chest pressure
and shortness of breath. Which of the following laboratory tests should the nurse
anticipate the provider to prescribe? - ANSWER Troponin I
Rationale: The troponins (I and T) are proteins that only exist in cardiac muscle and
enter the bloodstream within a few hours of myocardial injury. They are the most
specific indicator of myocardial damage.
A nurse is giving a presentation to a community group about preventing atherosclerosis.
Which of the following should the nurse include as a modifiable risk factor for this
disorder? (select all that apply) - ANSWER Hypercholesterolemia is correct. Cholesterol
levels outside the healthful range increase clients' risk for heart disease, and they can
change these levels.
Hypertension is correct. Although it may not always be possible to eliminate
hypertension, clients can change their blood pressure levels and thus reduce their risk
for atherosclerosis.
, Obesity is correct. Clients who are overweight or obese can reduce their risk for heart
disease by losing weight.
Smoking is correct. Clients who smoke can reduce their risk for heart disease by
quitting smoking.
A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and
diarrhea. Which of the following findings should the nurse expect? - ANSWER Weak,
irregular pulse
Rationale: Common manifestations of potassium depletion include a weak and irregular
pulse, muscle weakness, fatigue, and ventricular dysrhythmias
A nurse is caring for a client who is being admitted for an acute exacerbation of
ulcerative colitis. Which of the following actions should the nurse take first? - ANSWER
Review the client's electrolyte values.
rationale: The greatest risk to this client is injury from impaired function of cardiac or
respiratory muscles; therefore, the first action the nurse should take is to review the
client's electrolyte values. The client might have low sodium, potassium, and chloride
from frequent diarrhea.
A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect? (select all that apply) - ANSWER Increased heart rate is
correct. The nurse should expect the client who has fluid volume excess to have
tachycardia and increased cardiac contractility in response to the excess fluid.
Increased blood pressure is correct. The nurse should expect the client who has fluid
volume excess to have increased blood pressure and bounding pulse in response to the
excess fluid.
Increased respiratory rate is correct. The nurse should expect the client who has fluid
volume excess to have increase in respiratory rate and moist crackles heard in lungs.
