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RNSG 2539 EXAM 2 LATEST ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
2026/2027 NEWEST UPDATE
Which of the following clients have a pathophysiologic process capable
of causing fever by inducing the production of pyrogens? Select all that
apply.
A) A farmer who cut his arm while sharpening his tools coming to
clinic because of acute inflammation signs like fever and redness
B) A middle-aged obese client complaining of "knees hurting and
swelling by the end of the day"
C) An older adult recuperating following a myocardial infarction
D) A newly diagnosed Hodgkin lymphoma client
E) A 30-year-old end-stage renal failure client receiving hemodialysis
three times per week ......ANSWER......A) A farmer who cut his arm
while sharpening his tools coming to clinic because of acute
inflammation signs like fever and redness
C) An older adult recuperating following a myocardial infarction
D) A newly diagnosed Hodgkin lymphoma client
An immunocompromised older adult has developed a urinary tract
infection and the
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,2|Page
care team recognizes the need to prevent an exacerbation of the
patient's infection that
could result in urosepsis and septic shock. What action should the nurse
perform to
reduce the patient's risk of septic shock?
A) Apply an antibiotic ointment to the patient's mucous membranes, as
ordered.
B) Perform passive range-of-motion exercises unless contraindicated
C) Initiate total parenteral nutrition (TPN)
D) Remove invasive devices as soon as they are no longer needed
......ANSWER......D) Remove invasive devices as soon as they are no
longer needed
The nurse is providing care for a patient who is in shock after massive
blood loss from
a workplace injury. The nurse recognizes that many of the findings from
the most
recent assessment are due to compensatory mechanisms. What is a
compensatory
mechanism to increase cardiac output during hypovolemic states?
A) Third spacing of fluid
B) Dysrhythmias
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C) Tachycardia
D) Gastric hypermotility ......ANSWER......C) Tachycardia
The nurse in the ED is caring for a patient recently admitted with a likely
myocardial
infarction. The nurse understands that the patient's heart is pumping an
inadequate
supply of oxygen to the tissues. For what health problem should the
nurse assess?
A) Dysrhythmias
B) Increase in blood pressure
C) Increase in heart rate
D) Decrease in oxygen demands ......ANSWER......A) Dysrhythmias
The nurse is caring for a patient admitted with cardiogenic shock. The
patient is
experiencing chest pain and there is an order for the administration of
morphine. In
addition to pain control, what is the main rationale for administering
morphine to this
patient?
A) It promotes coping and slows catecholamine release.
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B) It stimulates the patient so he or she is more alert.
C) It decreases gastric secretions.
D) It dilates the blood vessels. ......ANSWER......D) It dilates the blood
vessels.
The nurse is caring for a patient who is exhibiting signs and symptoms
of hypovolemic
shock following injuries suffered in a motor vehicle accident. The nurse
anticipates that
the physician will promptly order the administration of a crystalloid IV
solution to
restore intravascular volume. In addition to normal saline, which
crystalloid fluid is
commonly used to treat hypovolemic shock?
A) Lactated Ringer's
B) Albumin
C) Dextran
D) 3% NaCl ......ANSWER......A) Lactated Ringer's
When caring for a patient in shock, one of the major nursing goals is to
reduce the risk
that the patient will develop complications of shock. How can the nurse
best achieve
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RNSG 2539 EXAM 2 LATEST ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
2026/2027 NEWEST UPDATE
Which of the following clients have a pathophysiologic process capable
of causing fever by inducing the production of pyrogens? Select all that
apply.
A) A farmer who cut his arm while sharpening his tools coming to
clinic because of acute inflammation signs like fever and redness
B) A middle-aged obese client complaining of "knees hurting and
swelling by the end of the day"
C) An older adult recuperating following a myocardial infarction
D) A newly diagnosed Hodgkin lymphoma client
E) A 30-year-old end-stage renal failure client receiving hemodialysis
three times per week ......ANSWER......A) A farmer who cut his arm
while sharpening his tools coming to clinic because of acute
inflammation signs like fever and redness
C) An older adult recuperating following a myocardial infarction
D) A newly diagnosed Hodgkin lymphoma client
An immunocompromised older adult has developed a urinary tract
infection and the
pg. 1
,2|Page
care team recognizes the need to prevent an exacerbation of the
patient's infection that
could result in urosepsis and septic shock. What action should the nurse
perform to
reduce the patient's risk of septic shock?
A) Apply an antibiotic ointment to the patient's mucous membranes, as
ordered.
B) Perform passive range-of-motion exercises unless contraindicated
C) Initiate total parenteral nutrition (TPN)
D) Remove invasive devices as soon as they are no longer needed
......ANSWER......D) Remove invasive devices as soon as they are no
longer needed
The nurse is providing care for a patient who is in shock after massive
blood loss from
a workplace injury. The nurse recognizes that many of the findings from
the most
recent assessment are due to compensatory mechanisms. What is a
compensatory
mechanism to increase cardiac output during hypovolemic states?
A) Third spacing of fluid
B) Dysrhythmias
pg. 2
,3|Page
C) Tachycardia
D) Gastric hypermotility ......ANSWER......C) Tachycardia
The nurse in the ED is caring for a patient recently admitted with a likely
myocardial
infarction. The nurse understands that the patient's heart is pumping an
inadequate
supply of oxygen to the tissues. For what health problem should the
nurse assess?
A) Dysrhythmias
B) Increase in blood pressure
C) Increase in heart rate
D) Decrease in oxygen demands ......ANSWER......A) Dysrhythmias
The nurse is caring for a patient admitted with cardiogenic shock. The
patient is
experiencing chest pain and there is an order for the administration of
morphine. In
addition to pain control, what is the main rationale for administering
morphine to this
patient?
A) It promotes coping and slows catecholamine release.
pg. 3
, 4|Page
B) It stimulates the patient so he or she is more alert.
C) It decreases gastric secretions.
D) It dilates the blood vessels. ......ANSWER......D) It dilates the blood
vessels.
The nurse is caring for a patient who is exhibiting signs and symptoms
of hypovolemic
shock following injuries suffered in a motor vehicle accident. The nurse
anticipates that
the physician will promptly order the administration of a crystalloid IV
solution to
restore intravascular volume. In addition to normal saline, which
crystalloid fluid is
commonly used to treat hypovolemic shock?
A) Lactated Ringer's
B) Albumin
C) Dextran
D) 3% NaCl ......ANSWER......A) Lactated Ringer's
When caring for a patient in shock, one of the major nursing goals is to
reduce the risk
that the patient will develop complications of shock. How can the nurse
best achieve
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