PNR 408 TEST #2 EXAM QUESTIONS
AND ANSWERS 2026 VERIFIED.
The nurse is caring for a client admitted with diabetes mellitus, malnutrition, osteomyelitis, and
alcohol misuse who has a serum amylase level of 280 units/L and a serum lipase level of 310
units/L. To which of the following diagnoses does the nurse attribute these findings? -
ANS Alcohol Misuse
The health care provider prescribes lactulose for a client with hepatic encephalopathy. Which of
the following assessment parameters should the nurse monitor for effectiveness of this
medication? - ANS Decreased ammonia levels
The family of a client newly diagnosed with hepatitis A asks the nurse what they can do to
prevent becoming ill themselves. Which of the following responses by the nurse is most
appropriate? - ANS "An injection of immune globulin will need to be given to prevent or
minimize the effects from this exposure."
The nurse is planning care for a client with cirrhosis. Which of the following nursing diagnoses is
priority? - ANS Ineffective breathing pattern related to pressure on diaphragm and
reduced lung volume
Normal serum bilirubin levels lie between: - ANS 5.1 and 17 mcmol/L
Which if the following is a possible cause of loss of capture in a pacemaker? - ANS Battery
depletion
1
, A patient in the coronary care unit develops ventricular fibrillation. The first action of the nurse
should take is to: - ANS Initiate cardiopulmonary resuscitation
A patient has a diagnosis of acute myocardial infraction, and his cardiac rhythm is sinus
bradycardia with six to eight premature ventricular contractions (PVCs) per minute. The pattern
that the nurse recognize as the most characteristic of PVC is: - ANS A wide, distorted QRS
complex
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 beats/minute. If the
bradycardia is symptomatic, the nurse would expect the patient to exhibit: -
ANS Shortness of breath
When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks
between the R waves of a client whose rhythm is regular. From these data, which of the
following rates should the nurse calculate as the client's heart rate? - ANS 100
beats/minute
Which of the following statements best describes the electrical activity of the heart represented
by measuring the PR interval on the ECG? - ANS The length of time for the electrical
impulse to travel from the SA node to the Purkinje fibres
The nurse obtains a 6-second rhythm strip and charts the following analysis: atrial rate 70,
regular; ventricular rate 40, regular; QRS 0.04 second; no relationship between P waves and QRS
complexes; atria and ventricles beating independently of each other. Which of the following
descriptions is a correct interpretation of this rhythm strip? - ANS Third-degree heart
block
The nurse is caring for a client who is 24 hours postpacemaker insertion. Which of the following
nursing interventions is most appropriate at this time? - ANS Assessing the incision for
any redness, swelling, or discharge
The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no
P waves. Instead there are fine, wavy lines between the QRS complexes. The QRS complexes
measure 0.08 second (narrow), but they occur irregularly with a rate of 120 beats/minute.
2
AND ANSWERS 2026 VERIFIED.
The nurse is caring for a client admitted with diabetes mellitus, malnutrition, osteomyelitis, and
alcohol misuse who has a serum amylase level of 280 units/L and a serum lipase level of 310
units/L. To which of the following diagnoses does the nurse attribute these findings? -
ANS Alcohol Misuse
The health care provider prescribes lactulose for a client with hepatic encephalopathy. Which of
the following assessment parameters should the nurse monitor for effectiveness of this
medication? - ANS Decreased ammonia levels
The family of a client newly diagnosed with hepatitis A asks the nurse what they can do to
prevent becoming ill themselves. Which of the following responses by the nurse is most
appropriate? - ANS "An injection of immune globulin will need to be given to prevent or
minimize the effects from this exposure."
The nurse is planning care for a client with cirrhosis. Which of the following nursing diagnoses is
priority? - ANS Ineffective breathing pattern related to pressure on diaphragm and
reduced lung volume
Normal serum bilirubin levels lie between: - ANS 5.1 and 17 mcmol/L
Which if the following is a possible cause of loss of capture in a pacemaker? - ANS Battery
depletion
1
, A patient in the coronary care unit develops ventricular fibrillation. The first action of the nurse
should take is to: - ANS Initiate cardiopulmonary resuscitation
A patient has a diagnosis of acute myocardial infraction, and his cardiac rhythm is sinus
bradycardia with six to eight premature ventricular contractions (PVCs) per minute. The pattern
that the nurse recognize as the most characteristic of PVC is: - ANS A wide, distorted QRS
complex
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 beats/minute. If the
bradycardia is symptomatic, the nurse would expect the patient to exhibit: -
ANS Shortness of breath
When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks
between the R waves of a client whose rhythm is regular. From these data, which of the
following rates should the nurse calculate as the client's heart rate? - ANS 100
beats/minute
Which of the following statements best describes the electrical activity of the heart represented
by measuring the PR interval on the ECG? - ANS The length of time for the electrical
impulse to travel from the SA node to the Purkinje fibres
The nurse obtains a 6-second rhythm strip and charts the following analysis: atrial rate 70,
regular; ventricular rate 40, regular; QRS 0.04 second; no relationship between P waves and QRS
complexes; atria and ventricles beating independently of each other. Which of the following
descriptions is a correct interpretation of this rhythm strip? - ANS Third-degree heart
block
The nurse is caring for a client who is 24 hours postpacemaker insertion. Which of the following
nursing interventions is most appropriate at this time? - ANS Assessing the incision for
any redness, swelling, or discharge
The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no
P waves. Instead there are fine, wavy lines between the QRS complexes. The QRS complexes
measure 0.08 second (narrow), but they occur irregularly with a rate of 120 beats/minute.
2
