NR 341 NR 341 Exam 2 Questions And Answers(
Complete Solution Rated A Grade Latest Updates.
Exam 2 NR 341
1. The nurse is caring for a client with hypovolemic shock. The family member asks why
the fluids are being warmed. What is the best response by the nurse?
“to prevent complications from hypothermia”
2. The nurse is caring for a newly admitted client diagnosed with acute kidney injury. The
nurse understands that the acute kidney injury is most likely related to a history of
which condition?
Sepsis
3. The nurse is caring for a client being monitored by arterial pressure monitoring. The
nurse notes a systolic pressure of 164 mmHg. What action should the nurse take first?
Assess the client.
4. The nurse is caring for a client with an arteriovenous (AV) fistula. Upon assessment, the
nurse is unable to auscultate a bruit. What action should the nurse take first? Notify
the provider
5. The nurse is assessing jugular venous pressure. In what order should the nurse proceed
with the steps in the process? [place the steps in the correct order beginning with the
first step]
• 3.place head of bed between 30-45 degrees.
• 2. Have client turn head slightly to the left.
• 6. Shine a pen light across the neck, assess for jugular venous distension at end
of exhalation.
• 5.observe the highest point of pulsation in the internal jugular vein at end
exhalation.
• 4. Measure the vertical distance between the pulsation and the angle of louis.
1. Add 5 cm to the measurement.
6. The nurse is caring for a client with acute kidney injury. The nurse should anticipate
which abnormal assessment finding?
This study source was downloaded by 100000866168676 from CourseHero.com on 04-26-2023 09:21:30 GMT -05:00
https://www.coursehero.com/file/27924808/EXAM-2-CCATSdocx/
, BUN/creatinine ration 25.1
7. The nurse is caring for a client whose vital signs are monitored using invasive
hemodynamic monitoring. Which action is most important for the nurse to implement
to decrease the risk of infection?
Strict hand washing
8. The nurse is preparing a client for placement of a catheter for arterial pressure
monitoring. What is the best way for the nurse to assess ulnar circulation prior to
catheter insertion?
Occlude the radial artery.
9. The nurse is monitoring a client on hemodialysis. The nurse understands that which lab
value has the highest potential to be abnormal and cause complications as a result of
fluid imbalance?
• Electrolytes
10. The nurse is evaluating a client who is being treated for shock. When evaluating a client
being treated for shock, what finding indicated an improvement in the client’s
condition?
• Bun of 12 mg/Dl …FOR THE EXAM answer was: Creatine 2.6mg/dL that to
high normal level is: 0.6 to 1.6mg/dL
11. The nurse is assessing a client during hemodialysis. Which finding should the nurse
report to the health care provider immediately?
• Redness at insertion site
12. When developing the plan of care for an older adult client with acute kidney injury, the
nurse understands that it is essential to consider which factor in the client’s history?
Recent use of antibiotics
13. The nurse is rounding on cloents at the beginning of the shift. Which observation
requires immediate action when caring for a client with a percutaneous catheter for
dialysis? Gauze dressing over insertion site
14. The nurse is evaluating a client who is being treated for shock. Which findings indicates
an improvement in the client’s condition? [select all that apply]
• Blood pressure 120/70
• Bun of 12 mg/dL
15. Which statement by the client is most important for the nurse to communicate to the
physical therapist when planning discharge care for a client who is recovering from an
acute myocardial infarction?
This study source was downloaded by 100000866168676 from CourseHero.com on 04-26-2023 09:21:30 GMT -05:00
https://www.coursehero.com/file/27924808/EXAM-2-CCATSdocx/
Complete Solution Rated A Grade Latest Updates.
Exam 2 NR 341
1. The nurse is caring for a client with hypovolemic shock. The family member asks why
the fluids are being warmed. What is the best response by the nurse?
“to prevent complications from hypothermia”
2. The nurse is caring for a newly admitted client diagnosed with acute kidney injury. The
nurse understands that the acute kidney injury is most likely related to a history of
which condition?
Sepsis
3. The nurse is caring for a client being monitored by arterial pressure monitoring. The
nurse notes a systolic pressure of 164 mmHg. What action should the nurse take first?
Assess the client.
4. The nurse is caring for a client with an arteriovenous (AV) fistula. Upon assessment, the
nurse is unable to auscultate a bruit. What action should the nurse take first? Notify
the provider
5. The nurse is assessing jugular venous pressure. In what order should the nurse proceed
with the steps in the process? [place the steps in the correct order beginning with the
first step]
• 3.place head of bed between 30-45 degrees.
• 2. Have client turn head slightly to the left.
• 6. Shine a pen light across the neck, assess for jugular venous distension at end
of exhalation.
• 5.observe the highest point of pulsation in the internal jugular vein at end
exhalation.
• 4. Measure the vertical distance between the pulsation and the angle of louis.
1. Add 5 cm to the measurement.
6. The nurse is caring for a client with acute kidney injury. The nurse should anticipate
which abnormal assessment finding?
This study source was downloaded by 100000866168676 from CourseHero.com on 04-26-2023 09:21:30 GMT -05:00
https://www.coursehero.com/file/27924808/EXAM-2-CCATSdocx/
, BUN/creatinine ration 25.1
7. The nurse is caring for a client whose vital signs are monitored using invasive
hemodynamic monitoring. Which action is most important for the nurse to implement
to decrease the risk of infection?
Strict hand washing
8. The nurse is preparing a client for placement of a catheter for arterial pressure
monitoring. What is the best way for the nurse to assess ulnar circulation prior to
catheter insertion?
Occlude the radial artery.
9. The nurse is monitoring a client on hemodialysis. The nurse understands that which lab
value has the highest potential to be abnormal and cause complications as a result of
fluid imbalance?
• Electrolytes
10. The nurse is evaluating a client who is being treated for shock. When evaluating a client
being treated for shock, what finding indicated an improvement in the client’s
condition?
• Bun of 12 mg/Dl …FOR THE EXAM answer was: Creatine 2.6mg/dL that to
high normal level is: 0.6 to 1.6mg/dL
11. The nurse is assessing a client during hemodialysis. Which finding should the nurse
report to the health care provider immediately?
• Redness at insertion site
12. When developing the plan of care for an older adult client with acute kidney injury, the
nurse understands that it is essential to consider which factor in the client’s history?
Recent use of antibiotics
13. The nurse is rounding on cloents at the beginning of the shift. Which observation
requires immediate action when caring for a client with a percutaneous catheter for
dialysis? Gauze dressing over insertion site
14. The nurse is evaluating a client who is being treated for shock. Which findings indicates
an improvement in the client’s condition? [select all that apply]
• Blood pressure 120/70
• Bun of 12 mg/dL
15. Which statement by the client is most important for the nurse to communicate to the
physical therapist when planning discharge care for a client who is recovering from an
acute myocardial infarction?
This study source was downloaded by 100000866168676 from CourseHero.com on 04-26-2023 09:21:30 GMT -05:00
https://www.coursehero.com/file/27924808/EXAM-2-CCATSdocx/
