PN2 EXAM 2
1.A client is admitted with abdominal aortic aneurysm. For which of the following complications should the nurse be concerned? - -Aneurysm rupture
2.A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse take to specifically reduce the risk for ventilation associated pneumonia? - -Turn the client every 4 hours to facilitate mobilization of secretion
3.Which ABG values are expected with anxiety induced hyperventilation? - pH 7.29; PaCO2 55 mm Hg
4.A client comes into the ER with acute shortness of breath and a cough that produces pink, frothy sputum. Admission assessment reveals crackles and wheezes, a BP 85/46, a HR of 122 BPM, and a respiratory rate of 38 breaths/minute. The client's medical history
included DM, HTN, and a heart failure. Which of the following disorders should the nurse suspect? - -Pulmonary edema
5.A nurse is caring for a client who arrived at an emergency department with status asthmaticus. Based on the progress Note: BP 140/90, P 104, and Temp 98.4 F, RR 34, audible wheezing, ABG results pH 7.22, PaCO2 69, and HCO3-26. The nurse suspects that the client has what abnormality? - Respiratory acidosis
6.A nurse is assessing a patient who has right heart ventricular failure. Which of the following findings should the nurse expect? - -Hepatomegaly 7.Which of the following should the nurse instruct a client who is newly diagnosed with hypertension? - It is a lifelong process
8.A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of the following should this client be monitored for because of this medication? (Select all that apply.) - Dehydration -Hyponatremia -Hypokalemia
9.A client with acute asthma is prescribed short-term corticosteroid therapy. Which is the expected outcome for the use of steroids in clients with asthma? - -Have an anti-inflammatory effect
10.A client asks the nurse if there is an antihistamine that does not cause drowsiness. Which of the following medications would this client most likely prefer to treat allergic rhinitis? - - -Fexofenadine
11.A client is admitted to the emergency department after a syncopal episode while exercising. All of the following symptoms are consistent with a diagnosis of Mitral Valve Prolapse except - Swelling of the feet and ankles
12.Which diagnostic test will be most useful to the nurse in determining whether a patient admitted with acute shortness of breath has heart failure? - -B-type natriuretic peptide (BNP 13.The nurse should include which instruction when developing a teaching plan for a client who is receiving isoniazid and rifampin for treatment of tuberculosis? - Avoid Alcohol
14.A client is having laboratory tests conducted to confirm a diagnosis of arteriosclerosis. Which of the following laboratory values would support this client's medical diagnosis? (Select all that apply) - A. Low- density lipoprotein (LDL) 145 mg/Dl
C. Triglycerides 400 mg/d
D. Serum cholesterol 300 mg/dL
A. High-density lipoprotein (HDL) 25 mg /dL
15.A client has a history of heart failure and has been prescribed furosemide, digoxin, and potassium chloride. The client has nausea, blurred vision, headache, and weakness. The nurse notes that the client is confused, refusing to eat, and complaining of nausea. The nurse should assess the client for signs o - -Digoxin toxicity
16.The nurse is assigned to a client who just arrived to the emergency room after a motor vehicle accident and has rib fractures. Knowing the client could potentially have a pneumothorax, what are the signs and symptoms the nurse would correlate with this condition? - -Respiratory distress
17.Which client is at greatest risk for atherosclerosis? - A 65-year-old female who is obese with an LDL of 188
18.The nurse is caring for a group of clients on a pulmonary unit. The nurse can delegate which task to unlicensed assistive personnel?
1.A client is admitted with abdominal aortic aneurysm. For which of the following complications should the nurse be concerned? - -Aneurysm rupture
2.A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse take to specifically reduce the risk for ventilation associated pneumonia? - -Turn the client every 4 hours to facilitate mobilization of secretion
3.Which ABG values are expected with anxiety induced hyperventilation? - pH 7.29; PaCO2 55 mm Hg
4.A client comes into the ER with acute shortness of breath and a cough that produces pink, frothy sputum. Admission assessment reveals crackles and wheezes, a BP 85/46, a HR of 122 BPM, and a respiratory rate of 38 breaths/minute. The client's medical history
included DM, HTN, and a heart failure. Which of the following disorders should the nurse suspect? - -Pulmonary edema
5.A nurse is caring for a client who arrived at an emergency department with status asthmaticus. Based on the progress Note: BP 140/90, P 104, and Temp 98.4 F, RR 34, audible wheezing, ABG results pH 7.22, PaCO2 69, and HCO3-26. The nurse suspects that the client has what abnormality? - Respiratory acidosis
6.A nurse is assessing a patient who has right heart ventricular failure. Which of the following findings should the nurse expect? - -Hepatomegaly 7.Which of the following should the nurse instruct a client who is newly diagnosed with hypertension? - It is a lifelong process
8.A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of the following should this client be monitored for because of this medication? (Select all that apply.) - Dehydration -Hyponatremia -Hypokalemia
9.A client with acute asthma is prescribed short-term corticosteroid therapy. Which is the expected outcome for the use of steroids in clients with asthma? - -Have an anti-inflammatory effect
10.A client asks the nurse if there is an antihistamine that does not cause drowsiness. Which of the following medications would this client most likely prefer to treat allergic rhinitis? - - -Fexofenadine
11.A client is admitted to the emergency department after a syncopal episode while exercising. All of the following symptoms are consistent with a diagnosis of Mitral Valve Prolapse except - Swelling of the feet and ankles
12.Which diagnostic test will be most useful to the nurse in determining whether a patient admitted with acute shortness of breath has heart failure? - -B-type natriuretic peptide (BNP 13.The nurse should include which instruction when developing a teaching plan for a client who is receiving isoniazid and rifampin for treatment of tuberculosis? - Avoid Alcohol
14.A client is having laboratory tests conducted to confirm a diagnosis of arteriosclerosis. Which of the following laboratory values would support this client's medical diagnosis? (Select all that apply) - A. Low- density lipoprotein (LDL) 145 mg/Dl
C. Triglycerides 400 mg/d
D. Serum cholesterol 300 mg/dL
A. High-density lipoprotein (HDL) 25 mg /dL
15.A client has a history of heart failure and has been prescribed furosemide, digoxin, and potassium chloride. The client has nausea, blurred vision, headache, and weakness. The nurse notes that the client is confused, refusing to eat, and complaining of nausea. The nurse should assess the client for signs o - -Digoxin toxicity
16.The nurse is assigned to a client who just arrived to the emergency room after a motor vehicle accident and has rib fractures. Knowing the client could potentially have a pneumothorax, what are the signs and symptoms the nurse would correlate with this condition? - -Respiratory distress
17.Which client is at greatest risk for atherosclerosis? - A 65-year-old female who is obese with an LDL of 188
18.The nurse is caring for a group of clients on a pulmonary unit. The nurse can delegate which task to unlicensed assistive personnel?
