1
NUR2571: Professional Nursing II / PN 2 Final Exam Study Guide
1. A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention should the nurse implement
first?
Apply oxygen by mask or nasal cannula
2. A nurse is caring for a client who has the following laboratory results: potassium 3.4 mEq/L, magnesium 1.8 mEq/L, calcium
8.5 mEq/L, sodium 144 mEq/L. Which assessment should the nurse complete first?
Depth of respirations
3. . A nurse is assessing a client with hypokalemia, and notes that the clients handgrip strength has diminished since the
previous assessment 1 hour ago. Which action should the nurse take first?
Assess the clients respiratory rate, rhythm, and depth
4. A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The clients arterial blood gas
values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L. Which manifestation should the nurse identify
as an example of the clients compensation mechanism?
Increased rate and depth of reaspirations
5. A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32,
PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next?
Assess client’s rate, rhythm, and depth of respiration
6. A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which client should the nurse see
first?
Client with a red, hot, swollen right wrist
7. A client with rheumatoid arthritis (RA) has an acutely swollen, red, and painful joint. What nonpharmacologic treatment
does the nurse apply?
Ice packs
8. The nurse providing direct client care uses specific practices to reduce the chance of acquiring infection with human
immune deficiency virus (HIV) from clients. Which practice is most effective?
Consistent use of Standard Precaution
9. A client with human immune deficiency virus (HIV) has had a sudden decline in status with a large increase in viral load.
What action should the nurse take first?
Assess the client for adherence to the drug regimen
10. A client with HIV wasting syndrome has inadequate nutrition. What assessment finding by the nurse best indicates that
goals have been met for this client problem?
Has a weight gain of 2 pounds/1 month
, 2
11. A client has just been diagnosed with human immune deficiency virus (HIV). The client is distraught and does not know
what to do. What intervention by the nurse is best?
Assess the client for support systems
12. A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep
apnea?
A 55-year-old woman who is 50 pounds overweight
13. A pulmonary nurse cares for patients who have chronic obstructive pulmonary disease COPD. Which patient would the
nurse assess first?
A 52-year-old in the tripod position using accessory muscles to breathe
14. Chart:
Initiate oxygenation therapy to increase saturation to 92%.
15. A patient admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the
patient questions this action, saying “I have been drinking tons of water. How am I dehydrated?” What response by the
nurse is best?
Breathing so quickly can be dehydrating
16. A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?
Educating the client on adherence to the treatment regimen
17. A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need to be reported to the
health care provider immediately?
Alanine aminotransferase (ALT): 180 U/L Administer
18. Chart oxygen at 4 L per nasal cannula.
1T9hi.s sAtudnyusrosuerceaw
ssaes sdoswenslopaadetdiebnyt1s00o0n00a82c3a8r2d20ia32c furonmitC.oW
urseHero.com on 11-20-2021 00:54:06 GMT -06:00
hich patient would the nurse idenit fy as being at greatest risk for the
development of left-sided heart failure?
NUR2571: Professional Nursing II / PN 2 Final Exam Study Guide
1. A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention should the nurse implement
first?
Apply oxygen by mask or nasal cannula
2. A nurse is caring for a client who has the following laboratory results: potassium 3.4 mEq/L, magnesium 1.8 mEq/L, calcium
8.5 mEq/L, sodium 144 mEq/L. Which assessment should the nurse complete first?
Depth of respirations
3. . A nurse is assessing a client with hypokalemia, and notes that the clients handgrip strength has diminished since the
previous assessment 1 hour ago. Which action should the nurse take first?
Assess the clients respiratory rate, rhythm, and depth
4. A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The clients arterial blood gas
values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L. Which manifestation should the nurse identify
as an example of the clients compensation mechanism?
Increased rate and depth of reaspirations
5. A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32,
PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next?
Assess client’s rate, rhythm, and depth of respiration
6. A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which client should the nurse see
first?
Client with a red, hot, swollen right wrist
7. A client with rheumatoid arthritis (RA) has an acutely swollen, red, and painful joint. What nonpharmacologic treatment
does the nurse apply?
Ice packs
8. The nurse providing direct client care uses specific practices to reduce the chance of acquiring infection with human
immune deficiency virus (HIV) from clients. Which practice is most effective?
Consistent use of Standard Precaution
9. A client with human immune deficiency virus (HIV) has had a sudden decline in status with a large increase in viral load.
What action should the nurse take first?
Assess the client for adherence to the drug regimen
10. A client with HIV wasting syndrome has inadequate nutrition. What assessment finding by the nurse best indicates that
goals have been met for this client problem?
Has a weight gain of 2 pounds/1 month
, 2
11. A client has just been diagnosed with human immune deficiency virus (HIV). The client is distraught and does not know
what to do. What intervention by the nurse is best?
Assess the client for support systems
12. A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep
apnea?
A 55-year-old woman who is 50 pounds overweight
13. A pulmonary nurse cares for patients who have chronic obstructive pulmonary disease COPD. Which patient would the
nurse assess first?
A 52-year-old in the tripod position using accessory muscles to breathe
14. Chart:
Initiate oxygenation therapy to increase saturation to 92%.
15. A patient admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the
patient questions this action, saying “I have been drinking tons of water. How am I dehydrated?” What response by the
nurse is best?
Breathing so quickly can be dehydrating
16. A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?
Educating the client on adherence to the treatment regimen
17. A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need to be reported to the
health care provider immediately?
Alanine aminotransferase (ALT): 180 U/L Administer
18. Chart oxygen at 4 L per nasal cannula.
1T9hi.s sAtudnyusrosuerceaw
ssaes sdoswenslopaadetdiebnyt1s00o0n00a82c3a8r2d20ia32c furonmitC.oW
urseHero.com on 11-20-2021 00:54:06 GMT -06:00
hich patient would the nurse idenit fy as being at greatest risk for the
development of left-sided heart failure?
