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NUR2571 Exam 1: Professional Nursing II / PN 2
1. The nurse has provided discharge teaching for a client who was hospitalized and treated
for acute diverticulitis. Which statement by the…
Ill reduce my fluid intake
Ill decrease my fiber in my diet
Ill take all of my antibiotics
Ill exercise to increase my intra-abdominal pressure
2. A client is admitted to the hospital after vomiting bright red blood and is
diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp
pain in the midepigastric region along with a rigid, boardlike abdomen. These
clinical manifestations most likely indicate which of the following?
Pancreatitis
Ulcer perforation
Small bowel obstruction
Development of additional ulcers
3. Which acid base imbalance should the nurse be most alert for when providing care to a
client who has several broken ribs?
Respiratory alkalosis from anxiety
Respiratory acidosis from inadequate ventilation
Metabolic acidosis from calcium loss from broken bones
Metabolic alkalosis from ingestion of base containing analgesics
4. A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain
that which of the following conditions can increase the risk for renal calculi?
Protein in the urine
Dehydration
Iron deficiency
Lactose intolerance
5. A nurse is caring for a client who has acute polynephritis or appendicitis. Which of the
following results should the nurse anticipate when…
WBC 17,000/MM3
Neutrophils 3,000/mm3
RBC 4.2 MILLION/MM3
Lymphocytes 3,000/mm3
6. When assessing a patient with a sodium level of 148, the priority assessment for the
nurse to obtain is?
Skin turgor
Heart sounds
Mental status
, 2
Lung sounds
7. Which of the following arterial blood gases exhibits partially compensated respiratory
alkalosis?
Ph 7.50, paco2 50, hco3 38
Ph 7.33, paco2 55, hco3 30
Ph 7.55, paco2 30, hco3 18
Ph 7.24, paco2 33, hco3 26
8. Which client is at risk for hypokalemia?
Client in a motor vehicle crash who is receiving 6 units of packed RBC’S
Client who is prescribed an angiotension-converting enzyme inhibitor
Client with pancreatitis who has continuous ng suctioning
Client with uncontrolled diabetes and a serum ph level of 7.33
9. A nurse is caring for a client who has suspected appendicitis. Which of the following
provider prescriptions should the nurse question?
Maintain NPO status
Monitor oral temp q 4 hours
Medicate the client for pain every 4 hours as needed
Administer a sodium biphosphate/sodium phosphate laxative.
10. Which instruction should the nurse include in the teaching plan for a client who is
experiencing GERD?
Limit caffeine intake to only two cups of coffee per day
Do not lie down for at least 1-2 hours after eating
Follow a low protein diet
Take all medications with milk to decrease irritation
11. A nurse is assessing a client who is diagnosed with UTI and is experiencing urinary
retention. What should the nurse expect?
Dark colored urine
RLQ pain
Frequent voiding of smaller amounts
Hematuria
12. The nurse is educating a student nurse on why Ace inhibitors work to reduce blood
pressure. The ….
These drugs reduce vascular resistance by stimulating the release of aldosterone.
Ace inhibitors cause the heart to pump slower which reduces blood pressure.
These drugs disrupt the angiotension 2 pathway by inhibiting the angiotension- converting
An ace inhibitor helps angiotension1 convet into angiotension 2, thereby allowing it to
NUR2571 Exam 1: Professional Nursing II / PN 2
1. The nurse has provided discharge teaching for a client who was hospitalized and treated
for acute diverticulitis. Which statement by the…
Ill reduce my fluid intake
Ill decrease my fiber in my diet
Ill take all of my antibiotics
Ill exercise to increase my intra-abdominal pressure
2. A client is admitted to the hospital after vomiting bright red blood and is
diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp
pain in the midepigastric region along with a rigid, boardlike abdomen. These
clinical manifestations most likely indicate which of the following?
Pancreatitis
Ulcer perforation
Small bowel obstruction
Development of additional ulcers
3. Which acid base imbalance should the nurse be most alert for when providing care to a
client who has several broken ribs?
Respiratory alkalosis from anxiety
Respiratory acidosis from inadequate ventilation
Metabolic acidosis from calcium loss from broken bones
Metabolic alkalosis from ingestion of base containing analgesics
4. A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain
that which of the following conditions can increase the risk for renal calculi?
Protein in the urine
Dehydration
Iron deficiency
Lactose intolerance
5. A nurse is caring for a client who has acute polynephritis or appendicitis. Which of the
following results should the nurse anticipate when…
WBC 17,000/MM3
Neutrophils 3,000/mm3
RBC 4.2 MILLION/MM3
Lymphocytes 3,000/mm3
6. When assessing a patient with a sodium level of 148, the priority assessment for the
nurse to obtain is?
Skin turgor
Heart sounds
Mental status
, 2
Lung sounds
7. Which of the following arterial blood gases exhibits partially compensated respiratory
alkalosis?
Ph 7.50, paco2 50, hco3 38
Ph 7.33, paco2 55, hco3 30
Ph 7.55, paco2 30, hco3 18
Ph 7.24, paco2 33, hco3 26
8. Which client is at risk for hypokalemia?
Client in a motor vehicle crash who is receiving 6 units of packed RBC’S
Client who is prescribed an angiotension-converting enzyme inhibitor
Client with pancreatitis who has continuous ng suctioning
Client with uncontrolled diabetes and a serum ph level of 7.33
9. A nurse is caring for a client who has suspected appendicitis. Which of the following
provider prescriptions should the nurse question?
Maintain NPO status
Monitor oral temp q 4 hours
Medicate the client for pain every 4 hours as needed
Administer a sodium biphosphate/sodium phosphate laxative.
10. Which instruction should the nurse include in the teaching plan for a client who is
experiencing GERD?
Limit caffeine intake to only two cups of coffee per day
Do not lie down for at least 1-2 hours after eating
Follow a low protein diet
Take all medications with milk to decrease irritation
11. A nurse is assessing a client who is diagnosed with UTI and is experiencing urinary
retention. What should the nurse expect?
Dark colored urine
RLQ pain
Frequent voiding of smaller amounts
Hematuria
12. The nurse is educating a student nurse on why Ace inhibitors work to reduce blood
pressure. The ….
These drugs reduce vascular resistance by stimulating the release of aldosterone.
Ace inhibitors cause the heart to pump slower which reduces blood pressure.
These drugs disrupt the angiotension 2 pathway by inhibiting the angiotension- converting
An ace inhibitor helps angiotension1 convet into angiotension 2, thereby allowing it to
