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?
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?
