NUR 2571 / NUR2571 Professional Nursing II / PN 2 LATEST
Final Exam QUESTIONS AND ANSWERS | ALREADY
GRADED A+ RASMUSSEN COLLEGE
A client has a tracheostomy tube in place. When the nurse
suctions the client, food particles are noted. What action by the
nurse is best?
b. Measure and compare cuff
pressures. ANS: B
2. A nurse assesses a client after an open lung biopsy. Which
assessment finding is matched with the correct intervention?
c. Client has reduced breath sounds. Nurse calls physician
immediately. ANS: C
3. A nurse assesses a clients respiratory status. Which
information is of highest priority for the nurse to obtain?
d. Occupation and
hobbies ANS: D
2. A nurse assesses a client who is experiencing an acid-base
imbalance. The clients arterial blood gas values are pH 7.34,
PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3 19 mEq/L.
Which assessment should the nurse perform first?
a. Cardiac rate and
rhythm ANS: A
6. 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?
a. Assess clients rate, rhythm, and depth of respiration.
,7. A nurse is assessing a client who is recovering from a
lung biopsy. Which assessment finding requires immediate
action?
b. Absent breath
sounds ANS: B
8. A nurse is caring for a client who has just experienced a 90-
second tonic-clonic seizure. The clients arterial blood gas values are
pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3 22 mEq/L.
Which action should the nurse take first?
a. Apply oxygen by mask or nasal cannula.
8.A nurse is caring for a client who is scheduled to undergo a
thoracentesis. Which intervention should the nurse complete
prior to the procedure?
d. Validate that informed consent has been given by
the client. ANS: D
,9.A nurse assesses a client after a thoracentesis. Which
assessment finding warrants immediate action?
d. The trachea is deviated toward the opposite side
of the neck. ANS: D
1.A nurse is caring for a client who has just had a central venous
access line inserted. Which action should the nurse take next?
b. Ensure an x-ray is completed to confirm
placement. ANS: B
3.Anurse teaches a client who is being discharged home with a
peripherally inserted central catheter (PICC). Which statement
should the nurse include in this clients teaching?
a. Avoid carrying your grandchild with the arm that has the
central catheter. ANS: A
5.A nurse is caring for a client who is receiving an epidural
infusion for pain management. Which assessment finding
requires immediate intervention from the nurse?
b. Report of headache and stif
f neck ANS: B
7.A nurse is assessing clients who have intravenous therapy
prescribed. Which assessment finding for a client with a
peripherally inserted central catheter (PICC) requires immediate
, attention?
d. Upper extremity swelling is
noted. ANS: D
13.A nurse teaches a client who is prescribed a central vascular
access device. Which statement should the nurse include in this
clients teaching?
c. Ask all providers to vigorously clean the connections prior to
accessing the device.
Final Exam QUESTIONS AND ANSWERS | ALREADY
GRADED A+ RASMUSSEN COLLEGE
A client has a tracheostomy tube in place. When the nurse
suctions the client, food particles are noted. What action by the
nurse is best?
b. Measure and compare cuff
pressures. ANS: B
2. A nurse assesses a client after an open lung biopsy. Which
assessment finding is matched with the correct intervention?
c. Client has reduced breath sounds. Nurse calls physician
immediately. ANS: C
3. A nurse assesses a clients respiratory status. Which
information is of highest priority for the nurse to obtain?
d. Occupation and
hobbies ANS: D
2. A nurse assesses a client who is experiencing an acid-base
imbalance. The clients arterial blood gas values are pH 7.34,
PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3 19 mEq/L.
Which assessment should the nurse perform first?
a. Cardiac rate and
rhythm ANS: A
6. 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?
a. Assess clients rate, rhythm, and depth of respiration.
,7. A nurse is assessing a client who is recovering from a
lung biopsy. Which assessment finding requires immediate
action?
b. Absent breath
sounds ANS: B
8. A nurse is caring for a client who has just experienced a 90-
second tonic-clonic seizure. The clients arterial blood gas values are
pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3 22 mEq/L.
Which action should the nurse take first?
a. Apply oxygen by mask or nasal cannula.
8.A nurse is caring for a client who is scheduled to undergo a
thoracentesis. Which intervention should the nurse complete
prior to the procedure?
d. Validate that informed consent has been given by
the client. ANS: D
,9.A nurse assesses a client after a thoracentesis. Which
assessment finding warrants immediate action?
d. The trachea is deviated toward the opposite side
of the neck. ANS: D
1.A nurse is caring for a client who has just had a central venous
access line inserted. Which action should the nurse take next?
b. Ensure an x-ray is completed to confirm
placement. ANS: B
3.Anurse teaches a client who is being discharged home with a
peripherally inserted central catheter (PICC). Which statement
should the nurse include in this clients teaching?
a. Avoid carrying your grandchild with the arm that has the
central catheter. ANS: A
5.A nurse is caring for a client who is receiving an epidural
infusion for pain management. Which assessment finding
requires immediate intervention from the nurse?
b. Report of headache and stif
f neck ANS: B
7.A nurse is assessing clients who have intravenous therapy
prescribed. Which assessment finding for a client with a
peripherally inserted central catheter (PICC) requires immediate
, attention?
d. Upper extremity swelling is
noted. ANS: D
13.A nurse teaches a client who is prescribed a central vascular
access device. Which statement should the nurse include in this
clients teaching?
c. Ask all providers to vigorously clean the connections prior to
accessing the device.
