NSG 125 Practice Questions Unit 1 and 2 Answered correctly summer
2022.
1. A client is taking triamterene-hydrochlorothiazide (Dyazide) and furosemide (Lasix).
What assessment finding requires action by the nurse?
A. Cough
B. Headache
C. Pulse of 62 beats/min
D. Potassium of 2.9 mEq/L
2. The nurse is preparing to administer a beta-blocker to the client diagnosed with coronary
artery disease. Which assessment data would cause the nurse to question administering
the medication?
A. The client has a BP of 110/70.
B. The client has an apical pulse of 56.
C. The client is complaining of a headache.
D. The client’s potassium level is 4.5 mEq/L
3. The nurse is receiving report on a 45 year old client status post MI 2 days ago. The
telemetry monitor alarms and the following rhythm is noted. What should document as
this rhythm?
A. Sinus rhythm
B. Sinus rhythm with premature ventricular contractions
C. Sinus rhythm with premature atrial contractions
D. Sinus rhythm with a run of ventricular tachycardia
, 4. A client presents to the emergency department with hypoventilation and has a respiratory
rate of 10 breaths/minute. The ECG monitor displays tachycardia, with a heart rate of
120 beats/minute. Arterial blood gases are drawn and the nurse reviews the results,
expecting to note which finding?
A. An increased pH and a decreased CO2
B. A decreased pH and an increased CO2
C. A decreased pH and a decreased HCO3
D. An increased pH with an increased HCO3
5. What is the priority goal for a client admitted with left sided heart failure?
a. Client’s lung sounds will be clear, weight will return to baseline, and will be
able sleep on one pillow by time of discharge.
b. Client’s RR will be 12-20/min, HR between 60-100, SBP 100-140 when
walking by time of discharge.
c. Client will have no pitting edema, jugular vein distention, or abdominal ascites by
time of discharge.
d. Client will not have chest pain, ST segment changes, or cold clammy skin
during hospitalization.
6. A client is diagnosed with heart failure is prescribed carvedilol (Coreg). The nurse should
consult with the health care provider before giving this medication upon finding a history of:
A. Asthma.
B. Peptic ulcer disease.
C. Alcohol dependency.
D. Myocardial infarction (MI).
7. A client comes into the ER complaining of chest heaviness, dyspnea, and left arm pain. The
patient is triaged at the bedside. He is placed on the bedside monitor. A 12-lead EKG is
obtained and an IV has been started. What is your next immediate intervention(s) that you
should anticipate?
A. Schedule an emergency cardiac catheterization to evaluate coronary
artery blockages
B. Prepare the client for immediate electroshock therapy.
C. Order a stat chest x-ray and start an albuterol neb treatment.
D. Apply oxygen and administer SL nitroglycerin, morphine, and an aspirin
, 8. A client has severe dyspnea. Which of the following assessment findings indicates to the
nurse that the respiratory problem is a chronic issue indicative of COPD?
A. Wheezing on expiration.
B. Productive cough.
C. Clubbed fingers.
D. Diaphoresis.
9. A 62 year-old client with COPD has been admitted to the medical floor for left lower lobe
pneumonia. He is having difficulty clearing secretions from his lungs. What is the best
nursing intervention to support this client with clearing secretions?
A. Monitor pulse oximetry every 4 hours.
B. Encourage increased fluid intake as tolerated.
C. Assess level of patient anxiety.
D. Give him cough suppressants as ordered by his doctor.
10. The nurse is assessing a client with chronic anemia. Which clinical manifestation
does the nurse expect to see in this client?
A. Dyspnea with activity
B. Hypertension
C. Bradycardia
D. Warm, flushed skin
11. The nurse reviews the blood gas results of a client with atelectasis. The nurse analyzes
the results and determines that the client is experiencing respiratory acidosis. Which
results validates the nurse’s findings?
A. pH 7.25, PCO2 50 mm Hg
B. pH 7.35, PCO2 40 mm Hg
C. pH 7.50, PCO2 52 mm Hg
D. pH 7.52, PCO2 28 mm Hg
.
12. The nurse is planning care for a client who has a platelet count of 30,000/mm3.
Which intervention does the nurse include in this client’s plan of care?
A. Oxygen by nasal cannula
B. Bleeding Precautions
C. Isolation Precautions
D. Vital signs every 4 hours
2022.
1. A client is taking triamterene-hydrochlorothiazide (Dyazide) and furosemide (Lasix).
What assessment finding requires action by the nurse?
A. Cough
B. Headache
C. Pulse of 62 beats/min
D. Potassium of 2.9 mEq/L
2. The nurse is preparing to administer a beta-blocker to the client diagnosed with coronary
artery disease. Which assessment data would cause the nurse to question administering
the medication?
A. The client has a BP of 110/70.
B. The client has an apical pulse of 56.
C. The client is complaining of a headache.
D. The client’s potassium level is 4.5 mEq/L
3. The nurse is receiving report on a 45 year old client status post MI 2 days ago. The
telemetry monitor alarms and the following rhythm is noted. What should document as
this rhythm?
A. Sinus rhythm
B. Sinus rhythm with premature ventricular contractions
C. Sinus rhythm with premature atrial contractions
D. Sinus rhythm with a run of ventricular tachycardia
, 4. A client presents to the emergency department with hypoventilation and has a respiratory
rate of 10 breaths/minute. The ECG monitor displays tachycardia, with a heart rate of
120 beats/minute. Arterial blood gases are drawn and the nurse reviews the results,
expecting to note which finding?
A. An increased pH and a decreased CO2
B. A decreased pH and an increased CO2
C. A decreased pH and a decreased HCO3
D. An increased pH with an increased HCO3
5. What is the priority goal for a client admitted with left sided heart failure?
a. Client’s lung sounds will be clear, weight will return to baseline, and will be
able sleep on one pillow by time of discharge.
b. Client’s RR will be 12-20/min, HR between 60-100, SBP 100-140 when
walking by time of discharge.
c. Client will have no pitting edema, jugular vein distention, or abdominal ascites by
time of discharge.
d. Client will not have chest pain, ST segment changes, or cold clammy skin
during hospitalization.
6. A client is diagnosed with heart failure is prescribed carvedilol (Coreg). The nurse should
consult with the health care provider before giving this medication upon finding a history of:
A. Asthma.
B. Peptic ulcer disease.
C. Alcohol dependency.
D. Myocardial infarction (MI).
7. A client comes into the ER complaining of chest heaviness, dyspnea, and left arm pain. The
patient is triaged at the bedside. He is placed on the bedside monitor. A 12-lead EKG is
obtained and an IV has been started. What is your next immediate intervention(s) that you
should anticipate?
A. Schedule an emergency cardiac catheterization to evaluate coronary
artery blockages
B. Prepare the client for immediate electroshock therapy.
C. Order a stat chest x-ray and start an albuterol neb treatment.
D. Apply oxygen and administer SL nitroglycerin, morphine, and an aspirin
, 8. A client has severe dyspnea. Which of the following assessment findings indicates to the
nurse that the respiratory problem is a chronic issue indicative of COPD?
A. Wheezing on expiration.
B. Productive cough.
C. Clubbed fingers.
D. Diaphoresis.
9. A 62 year-old client with COPD has been admitted to the medical floor for left lower lobe
pneumonia. He is having difficulty clearing secretions from his lungs. What is the best
nursing intervention to support this client with clearing secretions?
A. Monitor pulse oximetry every 4 hours.
B. Encourage increased fluid intake as tolerated.
C. Assess level of patient anxiety.
D. Give him cough suppressants as ordered by his doctor.
10. The nurse is assessing a client with chronic anemia. Which clinical manifestation
does the nurse expect to see in this client?
A. Dyspnea with activity
B. Hypertension
C. Bradycardia
D. Warm, flushed skin
11. The nurse reviews the blood gas results of a client with atelectasis. The nurse analyzes
the results and determines that the client is experiencing respiratory acidosis. Which
results validates the nurse’s findings?
A. pH 7.25, PCO2 50 mm Hg
B. pH 7.35, PCO2 40 mm Hg
C. pH 7.50, PCO2 52 mm Hg
D. pH 7.52, PCO2 28 mm Hg
.
12. The nurse is planning care for a client who has a platelet count of 30,000/mm3.
Which intervention does the nurse include in this client’s plan of care?
A. Oxygen by nasal cannula
B. Bleeding Precautions
C. Isolation Precautions
D. Vital signs every 4 hours
