BSN 266 Exam 3: Concepts of Nursing II
Updated and Verified Questions and Answers -
Nightingale College (Version 2)
1. A nurse is caring for a client with chronic obstructive pulmonary disease
(COPD) who is experiencing dyspnea. Which breathing technique should the
nurse teach to help the client promote carbon dioxide elimination?
A. Pursed-lip breathing
B. Diaphragmatic breathing
C. Chest breathing
D. Rapid, shallow breathing
Answer: A
Explanation: Pursed-lip breathing helps to prolong exhalation and create positive airway
pressure, which prevents airway collapse and allows for better CO2 elimination in COPD
clients.
2. A client is admitted with a diagnosis of left-sided heart failure. Which clinical
manifestation should the nurse expect to find during the assessment?
A. Crackles in the lung bases
B. Peripheral edema
C. Jugular venous distension
D. Hepatomegaly
Answer: A
Explanation: Left-sided heart failure causes blood to back up into the pulmonary system,
leading to pulmonary congestion and crackles. Options A, B, and D are signs of right-sided
heart failure.
,3. The nurse is monitoring a client’s arterial blood gas (ABG) results: pH 7.32,
PaCO2 52 mmHg, HCO3 24 mEq/L. Which acid-base imbalance is the client
experiencing?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: B
Explanation: The pH is low (acidosis) and the PaCO2 is high (respiratory cause), indicating
respiratory acidosis. The HCO3 is within normal range.
4. A client with peripheral arterial disease (PAD) reports pain in the calves when
walking that is relieved by rest. How should the nurse document this finding?
A. Rest pain
B. Paresthesia
C. Intermittent claudication
D. Venous insufficiency
Answer: C
Explanation: Intermittent claudication is the classic symptom of PAD, characterized by
ischemic muscle pain triggered by exercise and relieved by rest.
5. Which assessment finding is most characteristic of a client with a diagnosis of
Grave’s disease (hyperthyroidism)?
A. Exophthalmos
B. Bradycardia
C. Cold intolerance
D. Weight gain
Answer: A
, Explanation: Exophthalmos (protruding eyeballs) is a common finding in Grave’s disease.
The other options describe symptoms of hypothyroidism.
6. A nurse is preparing to administer Digoxin to a client. Which action is a
priority before administration?
A. Check the client’s blood pressure
B. Verify the client’s weight
C. Measure the client’s urine output
D. Assess the apical pulse for one full minute
Answer: D
Explanation: Digoxin should be held if the apical pulse is less than 60 bpm in an adult to
avoid bradycardia.
7. A client is diagnosed with open-angle glaucoma. Which medication category
should the nurse expect the provider to prescribe to decrease intraocular
pressure?
A. Mydriatics
B. Cycloplegics
C. Anticholinergics
D. Beta-adrenergic blockers
Answer: D
Explanation: Beta-blockers (like Timolol) decrease the production of aqueous humor,
thereby lowering intraocular pressure. Mydriatics and anticholinergics are contraindicated
as they can increase pressure.
Updated and Verified Questions and Answers -
Nightingale College (Version 2)
1. A nurse is caring for a client with chronic obstructive pulmonary disease
(COPD) who is experiencing dyspnea. Which breathing technique should the
nurse teach to help the client promote carbon dioxide elimination?
A. Pursed-lip breathing
B. Diaphragmatic breathing
C. Chest breathing
D. Rapid, shallow breathing
Answer: A
Explanation: Pursed-lip breathing helps to prolong exhalation and create positive airway
pressure, which prevents airway collapse and allows for better CO2 elimination in COPD
clients.
2. A client is admitted with a diagnosis of left-sided heart failure. Which clinical
manifestation should the nurse expect to find during the assessment?
A. Crackles in the lung bases
B. Peripheral edema
C. Jugular venous distension
D. Hepatomegaly
Answer: A
Explanation: Left-sided heart failure causes blood to back up into the pulmonary system,
leading to pulmonary congestion and crackles. Options A, B, and D are signs of right-sided
heart failure.
,3. The nurse is monitoring a client’s arterial blood gas (ABG) results: pH 7.32,
PaCO2 52 mmHg, HCO3 24 mEq/L. Which acid-base imbalance is the client
experiencing?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: B
Explanation: The pH is low (acidosis) and the PaCO2 is high (respiratory cause), indicating
respiratory acidosis. The HCO3 is within normal range.
4. A client with peripheral arterial disease (PAD) reports pain in the calves when
walking that is relieved by rest. How should the nurse document this finding?
A. Rest pain
B. Paresthesia
C. Intermittent claudication
D. Venous insufficiency
Answer: C
Explanation: Intermittent claudication is the classic symptom of PAD, characterized by
ischemic muscle pain triggered by exercise and relieved by rest.
5. Which assessment finding is most characteristic of a client with a diagnosis of
Grave’s disease (hyperthyroidism)?
A. Exophthalmos
B. Bradycardia
C. Cold intolerance
D. Weight gain
Answer: A
, Explanation: Exophthalmos (protruding eyeballs) is a common finding in Grave’s disease.
The other options describe symptoms of hypothyroidism.
6. A nurse is preparing to administer Digoxin to a client. Which action is a
priority before administration?
A. Check the client’s blood pressure
B. Verify the client’s weight
C. Measure the client’s urine output
D. Assess the apical pulse for one full minute
Answer: D
Explanation: Digoxin should be held if the apical pulse is less than 60 bpm in an adult to
avoid bradycardia.
7. A client is diagnosed with open-angle glaucoma. Which medication category
should the nurse expect the provider to prescribe to decrease intraocular
pressure?
A. Mydriatics
B. Cycloplegics
C. Anticholinergics
D. Beta-adrenergic blockers
Answer: D
Explanation: Beta-blockers (like Timolol) decrease the production of aqueous humor,
thereby lowering intraocular pressure. Mydriatics and anticholinergics are contraindicated
as they can increase pressure.
