NUR2571 Exam 2 V1 | NUR 2571 Professional
Nursing II / PN2 Exam Q&A | Rasmussen
University
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This exam preparation resource focuses on adult medical-surgical nursing concepts, complex
patient care, and evidence-based nursing interventions. The material is designed to strengthen
understanding of nursing assessment findings and patient management strategies in acute
healthcare settings.
The questions included in this version closely mirror the style and complexity of actual
professional nursing exams. Detailed expert explanations are included to improve clinical
reasoning and patient care management skills.
════════════════════════════════════
Why Use This Exam:
• Reinforces medical-surgical nursing concepts
• Strengthens patient care management skills
• Supports evidence-based clinical practice
• Improves nursing assessment techniques
• Enhances understanding of acute care nursing
• Provides realistic nursing exam preparation
• Encourages critical thinking in patient care
• Helps students prepare for complex nursing scenarios
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1. A patient’s arterial blood gas (ABG) results are: pH 7.30, PaCO2 52 mm Hg, and HCO3 24
mEq/L. Which condition does the nurse suspect?
A. Metabolic Acidosis
B. Metabolic Alkalosis
,C. Respiratory Acidosis
D. Respiratory Alkalosis
Correct Answer: C
Expert Explanation: The pH is low, indicating acidosis, and the PaCO2 is high, indicating a
respiratory cause. The bicarbonate level is within the normal range, meaning no
compensation has occurred yet. This analysis requires understanding the relationship
between carbon dioxide and hydrogen ion concentration in the blood.
2. A nurse is assessing a client with left-sided heart failure. Which clinical manifestation
should the nurse expect to find?
A. Crackles in the lungs
B. Dependent edema
C. Jugular venous distention
D. Hepatosplenomegaly
Correct Answer: A
Expert Explanation: Left-sided heart failure leads to pulmonary congestion because the
left ventricle cannot effectively pump blood into systemic circulation. This results in fluid
backing up into the lungs, which presents as crackles or wheezes. The other options are
typical manifestations of right-sided heart failure.
, 3. A client is prescribed Digoxin 0.25 mg daily. Which laboratory value should the nurse
monitor most closely to prevent toxicity?
A. Serum Calcium
B. Serum Magnesium
C. Serum Sodium
D. Serum Potassium
Correct Answer: D
Expert Explanation: Hypokalemia increases the risk of digoxin toxicity because potassium
and digoxin compete for the same binding sites. Nurses must monitor potassium levels
closely, especially if the client is also taking diuretics. Maintaining a normal potassium
range is vital for cardiac stability in these patients.
4. Which assessment finding is a priority for a nurse caring for a patient with a suspected
tension pneumothorax?
A. Muffled heart sounds
B. Tracheal deviation to the unaffected side
C. Decreased bowel sounds
D. Increased tactile fremitus
Correct Answer: B
Nursing II / PN2 Exam Q&A | Rasmussen
University
────────────────────────────────────
This exam preparation resource focuses on adult medical-surgical nursing concepts, complex
patient care, and evidence-based nursing interventions. The material is designed to strengthen
understanding of nursing assessment findings and patient management strategies in acute
healthcare settings.
The questions included in this version closely mirror the style and complexity of actual
professional nursing exams. Detailed expert explanations are included to improve clinical
reasoning and patient care management skills.
════════════════════════════════════
Why Use This Exam:
• Reinforces medical-surgical nursing concepts
• Strengthens patient care management skills
• Supports evidence-based clinical practice
• Improves nursing assessment techniques
• Enhances understanding of acute care nursing
• Provides realistic nursing exam preparation
• Encourages critical thinking in patient care
• Helps students prepare for complex nursing scenarios
════════════════════════════════════
1. A patient’s arterial blood gas (ABG) results are: pH 7.30, PaCO2 52 mm Hg, and HCO3 24
mEq/L. Which condition does the nurse suspect?
A. Metabolic Acidosis
B. Metabolic Alkalosis
,C. Respiratory Acidosis
D. Respiratory Alkalosis
Correct Answer: C
Expert Explanation: The pH is low, indicating acidosis, and the PaCO2 is high, indicating a
respiratory cause. The bicarbonate level is within the normal range, meaning no
compensation has occurred yet. This analysis requires understanding the relationship
between carbon dioxide and hydrogen ion concentration in the blood.
2. A nurse is assessing a client with left-sided heart failure. Which clinical manifestation
should the nurse expect to find?
A. Crackles in the lungs
B. Dependent edema
C. Jugular venous distention
D. Hepatosplenomegaly
Correct Answer: A
Expert Explanation: Left-sided heart failure leads to pulmonary congestion because the
left ventricle cannot effectively pump blood into systemic circulation. This results in fluid
backing up into the lungs, which presents as crackles or wheezes. The other options are
typical manifestations of right-sided heart failure.
, 3. A client is prescribed Digoxin 0.25 mg daily. Which laboratory value should the nurse
monitor most closely to prevent toxicity?
A. Serum Calcium
B. Serum Magnesium
C. Serum Sodium
D. Serum Potassium
Correct Answer: D
Expert Explanation: Hypokalemia increases the risk of digoxin toxicity because potassium
and digoxin compete for the same binding sites. Nurses must monitor potassium levels
closely, especially if the client is also taking diuretics. Maintaining a normal potassium
range is vital for cardiac stability in these patients.
4. Which assessment finding is a priority for a nurse caring for a patient with a suspected
tension pneumothorax?
A. Muffled heart sounds
B. Tracheal deviation to the unaffected side
C. Decreased bowel sounds
D. Increased tactile fremitus
Correct Answer: B
