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NURS 220 EXAM 2 REVIEW QUESTIONS 2026 QUESTIONS
EXAM LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED
NCLEX QUESTIONS
the nursing instructor asks students how they would assess the fifth vital sign.
which student would be correct?
- have the client rate her pain on a scale from 1-10
- ask the client when she had her last bowel movement
- take the client's pulse ox reading
- interview the client about history of tobacco use
- have the client rate her pain on a scale from 1-10
in caring for a client who has a fever, it would be important for the nurse to
monitor for increased:
- urine output
- sensitivity to pain
- blood pressure
- RR
- RR
which of the following information in the client's health history might indicate
a risk for primary hypertension?
- consumes a high protein diet
- drinks three to four beers every day
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- has a family history of kidney disease
- does not engage in physical exercise
- drinks three to four beers every day
you are admitting a 54 yr old patient with COPD. the dr. prescribes O2 at 24%
FIO2. what is the most appropriate oxygen delivery method for this patient?
- nonrebreather mask
- nasal cannula
- partial rebreather mask
- venturi mask
- venturi mask
which of the following provides the most reliable data about the effectiveness
of airway suctioning?
- the amount, color, consistency and odor of secretions
- the patient's tolerance for the procedure
- breath sounds, vital signs, and pulse ox noted before and after suctioning
- the number of suctioning passes required to clear secretions
- breath sounds, vital signs, and pulse ox noted before and after suctioning
a client who has experienced prolonged exposure to the cold is admitted to
the hospital. which method of taking a temp would be most appropriate for this
client?
- axillary with an electronic thermometer
- oral with a glass thermometer
- rectal with an electronic thermometer
- tympanic with an infrared thermometer
- rectal with an electronic thermometer
which of the following clients would have the most difficulty maintaining
thermoregulation?
- young child playing soccer during the summer
- middle aged adult snow skiing
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- young adult playing gold on a hot day
- older adult raking leaves on a cold day
- older adult raking leaves on a cold day
which of the following clients should have an apical pulse taken? a client who
is...
- febrile and has a radial pulse of 100 bpm
- a runner who has a radial pulse of 62 bpm
- an infant with a history of cardiac defect
- an elderly adult who is taking anti anxiety medication
- an infant with a history of cardiac defect
what assessment findings might the nurse expect to see in a patient
experiencing hypoxia? select all that apply
- altered level of consciousness
- peripheral pitting edema
- cyanosis of skin and mucous membranes
- weak or absent peripheral pulse
- jaundiced sclera
- altered level of consciousness
- cyanosis of skin and mucous membranes
- weak or absent peripheral pulse
which of the following goals is appropriate for a client without underlying
cardiopulmonary disease who is being monitored with continuous pulse ox?
- pt will refrain from movement while monitored in order to ensure accurate
readings
- oxygen saturation will remain at 80% to 90% during hospitalization
- pt will report pain as less than 3 on a scale of 1-10 during monitoring
- oxygen saturation will remain at 95% to 100% while monitored
- oxygen saturation will remain at 95% to 100% while monitored
a 45 yr old woman presents to the emergency department with complaints of
SOB, anxiety, dizziness, and numbness and tingling around her mouth. her
respirations are deep, at a rate of 28 bpm, her lungs are clear with good
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aeration throughout. oxygen saturation is 100%. an arterial blood has shows a
PO2 of 100 and PCO2 of 29. based on this assessment, an appropriate nursing
diagnosis would be
- ineffective airway clearance
- decreased cardiac output
- impaired gas exchange
- hypocarbia
- impaired gas exchange
the nurse is caring for an older adult woman who was admitted 3 days ago
following a cerebrovaular accident. she has had trouble swallowing and has
been placed on aspiration precautions. care of this patient will include the
following. select all that apply
- ensure she is sitting upright or with head of the bed elevated to eat and drink
- break or crush her pills (if appropriate) before administration
- provide only thin, clear liquids
- keep suction setup available at all times
- ensure she is sitting upright or with head of the bed elevated to eat and drink
- break or crush her pills (if appropriate) before administration
- keep suction setup available at all times
while caring for a young adult being mechanically ventilated, the ventilator
alarms sound. on entering the patient's room, the nurse notes that he is
agitated and his skin is ashen and diaphoretic. his pulse ox. shows an oxygen
saturation of 78%. the nurse is unable to identify any obvious mechanical
problems with the ventilator. the first step the nurse should take is to
- assess his breath sounds
- call the respiratory therapist to troubleshoot the problem
- manually ventilate him with an ambu bag
- contact the physician
- manually ventilate him with an ambu bag
the nurse is caring for a patient who is experiencing dyspnea. which of the
following positions would be most effective if incorporated into the patient's
NURS 220 EXAM 2 REVIEW QUESTIONS 2026 QUESTIONS
EXAM LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED
NCLEX QUESTIONS
the nursing instructor asks students how they would assess the fifth vital sign.
which student would be correct?
- have the client rate her pain on a scale from 1-10
- ask the client when she had her last bowel movement
- take the client's pulse ox reading
- interview the client about history of tobacco use
- have the client rate her pain on a scale from 1-10
in caring for a client who has a fever, it would be important for the nurse to
monitor for increased:
- urine output
- sensitivity to pain
- blood pressure
- RR
- RR
which of the following information in the client's health history might indicate
a risk for primary hypertension?
- consumes a high protein diet
- drinks three to four beers every day
, Page 2 of 41
- has a family history of kidney disease
- does not engage in physical exercise
- drinks three to four beers every day
you are admitting a 54 yr old patient with COPD. the dr. prescribes O2 at 24%
FIO2. what is the most appropriate oxygen delivery method for this patient?
- nonrebreather mask
- nasal cannula
- partial rebreather mask
- venturi mask
- venturi mask
which of the following provides the most reliable data about the effectiveness
of airway suctioning?
- the amount, color, consistency and odor of secretions
- the patient's tolerance for the procedure
- breath sounds, vital signs, and pulse ox noted before and after suctioning
- the number of suctioning passes required to clear secretions
- breath sounds, vital signs, and pulse ox noted before and after suctioning
a client who has experienced prolonged exposure to the cold is admitted to
the hospital. which method of taking a temp would be most appropriate for this
client?
- axillary with an electronic thermometer
- oral with a glass thermometer
- rectal with an electronic thermometer
- tympanic with an infrared thermometer
- rectal with an electronic thermometer
which of the following clients would have the most difficulty maintaining
thermoregulation?
- young child playing soccer during the summer
- middle aged adult snow skiing
, Page 3 of 41
- young adult playing gold on a hot day
- older adult raking leaves on a cold day
- older adult raking leaves on a cold day
which of the following clients should have an apical pulse taken? a client who
is...
- febrile and has a radial pulse of 100 bpm
- a runner who has a radial pulse of 62 bpm
- an infant with a history of cardiac defect
- an elderly adult who is taking anti anxiety medication
- an infant with a history of cardiac defect
what assessment findings might the nurse expect to see in a patient
experiencing hypoxia? select all that apply
- altered level of consciousness
- peripheral pitting edema
- cyanosis of skin and mucous membranes
- weak or absent peripheral pulse
- jaundiced sclera
- altered level of consciousness
- cyanosis of skin and mucous membranes
- weak or absent peripheral pulse
which of the following goals is appropriate for a client without underlying
cardiopulmonary disease who is being monitored with continuous pulse ox?
- pt will refrain from movement while monitored in order to ensure accurate
readings
- oxygen saturation will remain at 80% to 90% during hospitalization
- pt will report pain as less than 3 on a scale of 1-10 during monitoring
- oxygen saturation will remain at 95% to 100% while monitored
- oxygen saturation will remain at 95% to 100% while monitored
a 45 yr old woman presents to the emergency department with complaints of
SOB, anxiety, dizziness, and numbness and tingling around her mouth. her
respirations are deep, at a rate of 28 bpm, her lungs are clear with good
, Page 4 of 41
aeration throughout. oxygen saturation is 100%. an arterial blood has shows a
PO2 of 100 and PCO2 of 29. based on this assessment, an appropriate nursing
diagnosis would be
- ineffective airway clearance
- decreased cardiac output
- impaired gas exchange
- hypocarbia
- impaired gas exchange
the nurse is caring for an older adult woman who was admitted 3 days ago
following a cerebrovaular accident. she has had trouble swallowing and has
been placed on aspiration precautions. care of this patient will include the
following. select all that apply
- ensure she is sitting upright or with head of the bed elevated to eat and drink
- break or crush her pills (if appropriate) before administration
- provide only thin, clear liquids
- keep suction setup available at all times
- ensure she is sitting upright or with head of the bed elevated to eat and drink
- break or crush her pills (if appropriate) before administration
- keep suction setup available at all times
while caring for a young adult being mechanically ventilated, the ventilator
alarms sound. on entering the patient's room, the nurse notes that he is
agitated and his skin is ashen and diaphoretic. his pulse ox. shows an oxygen
saturation of 78%. the nurse is unable to identify any obvious mechanical
problems with the ventilator. the first step the nurse should take is to
- assess his breath sounds
- call the respiratory therapist to troubleshoot the problem
- manually ventilate him with an ambu bag
- contact the physician
- manually ventilate him with an ambu bag
the nurse is caring for a patient who is experiencing dyspnea. which of the
following positions would be most effective if incorporated into the patient's
