NURSING 212 PN Unit Exam 2B with Answers

NURSING 212 PN Unit Exam 2B with Answers A nurse working in the vascular clinic is assessing an elderly client who just came in for a Saved 1) follow-up appointment. Which of the following findings should the nurse report to the health care provider immediately? 1.56 Points ● uneven size of muscles and hairless legs ● fungus-infected toenails and foul-smelling feet ● multiple varicosities on the right lower leg ● inability to palpate dorsalis pedis pulse A nurse is monitoring the cardiac rhythm (see the image below) of a young client who was Saved 2) admitted to the telemetry unit following an episode of unstable angina. Which of the following manifestations should the nurse expect? 1.56 Points Download file ● muscle twitching and diaphoresis ● urine output of at least 100 mL/hr ● uncontrollable anger with mild anxiety ● systolic blood pressure of 65 mm Hg Saved 3) A nurse is conducting a health screening at a local health fair. Which of the following should the nurse recognize as increasing the risk for developing hypertension? Select all that apply. 1.56 Points ● increased high-density lipoprotein (HDL) ● sedentary and inactive lifestyle ● use of anti-erectile dysfunction drugs ● uncontrolled elevation in blood sugar ● history of nulliparity (inability to conceive) Saved 4) A nurse is assisting with the care of a client who is admitted in the telemetry unit due to chest pain lasting more than 20 minutes. Which of the following expected outcomes is the priority? 1.56 Points ● The client will have tolerable level of chest pain using nitrates. ● The client will strictly comply with all his cardiac medications. ● The client will not experience any form of fatal dysrhythmias. ● The client will not gain more than 5 lbs/week or 20 lbs/month. A charge nurse is observing a new nurse who is caring for a client with abdominal aortic Saved 5) aneurysm (AAA). Which of the following actions by the new nurse would require the charge nurse to intervene? 1.56 Points ● Medicating the client with antihypertensives ● Taking the client's vital signs (VS) ● Palpating the client's lower abdomen ● Reminding the client to relax and rest Saved 6) A nurse is about to give a client metoprolol. Upon assessment the client's heart rate ranges from 60 to 65 beats per minute. Which is the most appropriate nursing action? 1.56 Points ● Hold the first dose in the morning. ● Reassess in an hour, then give the drug. ● Attach the client to the cardiac monitor. ● Proceed in giving the medication. Saved 7) A nurse caring for a client with a history of uncontrolled hypertension suddenly complains of shortness of breath while talking on the phone with his brother. Which of the following actions should the nurse take first? 1.56 Points ● Perform cardiopulmonary resuscistation (CPR). ● Prepare the client for MRI of the chest. ● Immediately notify the primary care provider. ● Administer a large dose of beta blockers as prescribed. A nurse is caring for a client who is scheduled for transthoracic 2-dimensional (2D) echocardiogram. Which would be an appropriate plan of care for this client? 1.56 Points ● Inform the client that this is a painless procedure and ask about his medications. Saved 8) ● Inform the client to take a day off from his work, this procedure takes about 2 hours to finish. ● Ask the client for any allergies to medications or food preservatives. ● Instruct the client to avoid taking anything by mouth 2 hours before the test. Saved 9) A nurse in a long-term care facility is planning client care task assignments. Which of the following tasks would be most appropriate to assign to an unlicensed assistive personnel (UAP)? 1.56 Points ● a 72-year -old male client complaining of mild chest pain after taking a shower ● a 54-year-old male client who had just returned from the hospital after an angiogram ● a 36-year-old female client who is scheduled for a routine 12-lead EKG ● a 52-year-old female client who had two episodes of syncope (fainting) Saved 10) A nurse is caring for a client who is receiving digoxin daily. Which of the following findings indicates the client is experiencing a toxic reaction to the medication? Select all that apply. 1.56 Points ● visual disturbances ● substernal pain ● ringing in the ears ● heart rate of 45 ● loss of appetite A nurse is caring for a client with heart failure (HF) who suddenly complained of severe dyspnea. Which of the following actions should the nurse take first? 1.56 Points ● Check if the client has advance directives. ● Start the nebulization therapy for the client. ● Administer IV push (IVP) of furosemide 20 mg. ● Place the client in a high-Fowler's position. A nurse is caring for a client who was complaining of chest pain an hour ago. Which of the following findings would be essential for the nurse to follow-up immediately? 1.56 Points ● body mass index (BMI) of 33 Saved 11)