NUR 233 – EXAM 2 PRACTICE QUESTIONS AND ANSWERS – CARDIOVASCULAR, FLUID &
ELECTROLYTE, PAIN MANAGEMENT, AND MOBILITY REVIEW
1. The nurse is assessing a client newly diagnosed with mild hypertension.
Which assessment finding should the nurse expect?
A) Auscultating lung sounds
B) monitoring for hepatomegaly
C) palpating for peripheral edema
D) Assessing for jugular vein distention: A) Auscultating lung sounds
2. You are assessing a patient suspected of having right-sided heart failure.
What assessment finding may indicate right-sided heart failure?
A) pulmonary edema
B) distended neck veins
C) Dry cough
D) Orthopnea: B) distended neck veins
3. The nurse is working in the heart failure clinic will know that teaching for a
74-year-old, with newly diagnosed heart failure has been effective when the
patient...
A) weighs himself twice a week
B) tells the home care nurse that Hydrodiuril (hydrochlorothiazide) is taken
daily at bedtime
C) calls the clinic when the weight increases from 124 to 130 pounds in a week
D) says the nitro-bed (nitroglycerine ointment) will be used for any chest pain
that develops: C) calls the clinic when the weight increases from 124 to 130 pounds in a week
4. The nurse is providing instructions to a client with a diagnosis of hyperten-
sion regarding high-sodium items to be avoided. The nurse instructs the client
to avoid consuming which item?
A) bananas
B) antacids
C) brocolli
d) cantaloupe: B) antacids
5. A client with a cardiac history is taking a potassium-wasting diuretic (furome-
side) and is seen in the emergency department for complaints of weakness.
You expect to evaluate which laboratory values?
A) Albumin and protein
, NUR 233 – EXAM 2 PRACTICE QUESTIONS AND ANSWERS – CARDIOVASCULAR, FLUID &
ELECTROLYTE, PAIN MANAGEMENT, AND MOBILITY REVIEW
B) sodium and chloride
C) hemoglobin and hematocrit
D) potassium and blood glucose: D) potassium and blood glucose
6. IV potassium chloride (KCl) 60mEq is prescribed for treatment of a patient
with severe hypokalemia. Which action should the nurse take?
A) Administer KCl as a rapid IV Bolus
B) Infuse the KCl at a rate of 10mEq/hour
C) only give the KCl through a central venous line
D) discontinue cardiac monitoring during the infusion: B) Infuse the KCl at a rate of
10mEq/hour
7. The nurse is caring for a patient with a medical diagnosis of hypernatremia.
The following orders were written in the clients electronic health record.
Which one should the nurse question?
A) administer an IV of D5W at 125mL/hr
B) Strict I&O monitoring
C) Restrict oral intake to 900mL every 24 hours
D) monitor serum electrolytes every 4 hr: C) Restrict oral intake to 900mL every 24 hours
8. A client complains of calf tenderness, and thrombophlebitis is suspected.
The nurse should next assess the client for which finding?
a) Bilateral edema
b) Increased calf circumference
c) Diminished distal peripheral pulses
d) Coolness and pallor of the affected limb: b) Increased calf circumference
9. The HCP prescribes limited activity (bed rest and bathroom only) for a client
who developed deep vein thrombosis (DVT) after surgery. What interventions
should the nurse plan to include in the client's plan of care? Select all that
apply.
a) instruct the patient how to cough
b) place in high Fowler's position for eating
c) encourage increased oral intake of water daily
d) place thigh- length elastic stockings on the client
e) place sequential compression boots on the clients unaffected leg
, NUR 233 – EXAM 2 PRACTICE QUESTIONS AND ANSWERS – CARDIOVASCULAR, FLUID &
ELECTROLYTE, PAIN MANAGEMENT, AND MOBILITY REVIEW
f) encourage the intake of dark green leafy vegetables: a) instruct the patient how to
cough
d) place thigh- length elastic stockings on the client
e) place sequential compression boots on the clients unattected leg
10. A home care nurse is visiting a client to provide following up evaluation and
care of a leg ulcer. On removing the dressing from the leg ulcer, the nurse
notes that the ulcer is pale and deep and that the surrounding tissue is cool
to the touch. The nurse should document that these findings identify which
type of ulcer?
a) stage 1 ulcer
b) vascular ulcer
c) arterial ulcer
d) venous stasis ulcer: c) arterial ulcer
11. The nurse is planning to teach a client with peripheral arterial disease about
measures to limit disease progression. Which items should the nurse include
on a list of suggestions for the client? Select all that apply.
a) Soak the feet in hot water daily
b) Be careful not to injure the legs or geet
c) Use a heating pad on the legs to aid vasodilation
d) Walk each day to increase leg circulation
e) Cut down on the amount of fats consumed in the diet: b) Be careful not to injure the
legs or geet
d) Walk each day to increase leg circulation
e) Cut down on the amount of fats consumed in the diet
12. The nurse is assessing a client newly diagnosed with mild hypertension.
Which assessment finding should the nurse expect?
a) Asymptomatic
b) SOB
c) Visual disturbance
d) Frequent nosebleeds: a) Asymptomatic
13. In a patient with prolonged vomiting, the nurse monitors for fluid volume
deficit because vomiting results in
ELECTROLYTE, PAIN MANAGEMENT, AND MOBILITY REVIEW
1. The nurse is assessing a client newly diagnosed with mild hypertension.
Which assessment finding should the nurse expect?
A) Auscultating lung sounds
B) monitoring for hepatomegaly
C) palpating for peripheral edema
D) Assessing for jugular vein distention: A) Auscultating lung sounds
2. You are assessing a patient suspected of having right-sided heart failure.
What assessment finding may indicate right-sided heart failure?
A) pulmonary edema
B) distended neck veins
C) Dry cough
D) Orthopnea: B) distended neck veins
3. The nurse is working in the heart failure clinic will know that teaching for a
74-year-old, with newly diagnosed heart failure has been effective when the
patient...
A) weighs himself twice a week
B) tells the home care nurse that Hydrodiuril (hydrochlorothiazide) is taken
daily at bedtime
C) calls the clinic when the weight increases from 124 to 130 pounds in a week
D) says the nitro-bed (nitroglycerine ointment) will be used for any chest pain
that develops: C) calls the clinic when the weight increases from 124 to 130 pounds in a week
4. The nurse is providing instructions to a client with a diagnosis of hyperten-
sion regarding high-sodium items to be avoided. The nurse instructs the client
to avoid consuming which item?
A) bananas
B) antacids
C) brocolli
d) cantaloupe: B) antacids
5. A client with a cardiac history is taking a potassium-wasting diuretic (furome-
side) and is seen in the emergency department for complaints of weakness.
You expect to evaluate which laboratory values?
A) Albumin and protein
, NUR 233 – EXAM 2 PRACTICE QUESTIONS AND ANSWERS – CARDIOVASCULAR, FLUID &
ELECTROLYTE, PAIN MANAGEMENT, AND MOBILITY REVIEW
B) sodium and chloride
C) hemoglobin and hematocrit
D) potassium and blood glucose: D) potassium and blood glucose
6. IV potassium chloride (KCl) 60mEq is prescribed for treatment of a patient
with severe hypokalemia. Which action should the nurse take?
A) Administer KCl as a rapid IV Bolus
B) Infuse the KCl at a rate of 10mEq/hour
C) only give the KCl through a central venous line
D) discontinue cardiac monitoring during the infusion: B) Infuse the KCl at a rate of
10mEq/hour
7. The nurse is caring for a patient with a medical diagnosis of hypernatremia.
The following orders were written in the clients electronic health record.
Which one should the nurse question?
A) administer an IV of D5W at 125mL/hr
B) Strict I&O monitoring
C) Restrict oral intake to 900mL every 24 hours
D) monitor serum electrolytes every 4 hr: C) Restrict oral intake to 900mL every 24 hours
8. A client complains of calf tenderness, and thrombophlebitis is suspected.
The nurse should next assess the client for which finding?
a) Bilateral edema
b) Increased calf circumference
c) Diminished distal peripheral pulses
d) Coolness and pallor of the affected limb: b) Increased calf circumference
9. The HCP prescribes limited activity (bed rest and bathroom only) for a client
who developed deep vein thrombosis (DVT) after surgery. What interventions
should the nurse plan to include in the client's plan of care? Select all that
apply.
a) instruct the patient how to cough
b) place in high Fowler's position for eating
c) encourage increased oral intake of water daily
d) place thigh- length elastic stockings on the client
e) place sequential compression boots on the clients unaffected leg
, NUR 233 – EXAM 2 PRACTICE QUESTIONS AND ANSWERS – CARDIOVASCULAR, FLUID &
ELECTROLYTE, PAIN MANAGEMENT, AND MOBILITY REVIEW
f) encourage the intake of dark green leafy vegetables: a) instruct the patient how to
cough
d) place thigh- length elastic stockings on the client
e) place sequential compression boots on the clients unattected leg
10. A home care nurse is visiting a client to provide following up evaluation and
care of a leg ulcer. On removing the dressing from the leg ulcer, the nurse
notes that the ulcer is pale and deep and that the surrounding tissue is cool
to the touch. The nurse should document that these findings identify which
type of ulcer?
a) stage 1 ulcer
b) vascular ulcer
c) arterial ulcer
d) venous stasis ulcer: c) arterial ulcer
11. The nurse is planning to teach a client with peripheral arterial disease about
measures to limit disease progression. Which items should the nurse include
on a list of suggestions for the client? Select all that apply.
a) Soak the feet in hot water daily
b) Be careful not to injure the legs or geet
c) Use a heating pad on the legs to aid vasodilation
d) Walk each day to increase leg circulation
e) Cut down on the amount of fats consumed in the diet: b) Be careful not to injure the
legs or geet
d) Walk each day to increase leg circulation
e) Cut down on the amount of fats consumed in the diet
12. The nurse is assessing a client newly diagnosed with mild hypertension.
Which assessment finding should the nurse expect?
a) Asymptomatic
b) SOB
c) Visual disturbance
d) Frequent nosebleeds: a) Asymptomatic
13. In a patient with prolonged vomiting, the nurse monitors for fluid volume
deficit because vomiting results in
